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西澳大利亚偏远原住民社区环境卫生横断面调查。

A cross-sectional survey of environmental health in remote Aboriginal communities in Western Australia.

作者信息

Melody S M, Bennett E, Clifford H D, Johnston F H, Shepherd C C J, Alach Z, Lester M, Wood L J, Franklin P, Zosky G R

机构信息

a Menzies Institute for Medical Research , University of Tasmania , Hobart , Australia.

b Faculty of Health, School of Medicine , University of Tasmania , Hobart , Australia.

出版信息

Int J Environ Health Res. 2016 Oct-Dec;26(5-6):525-35. doi: 10.1080/09603123.2016.1194384. Epub 2016 Jun 7.

Abstract

INTRODUCTION

The Australian Aboriginal population experiences significantly poorer health than the non-Aboriginal population. The contribution of environmental risk factors in remote communities to this health disparity is poorly understood.

OBJECTIVE

To describe and quantify major environmental risk factors and associated health outcomes in remote Aboriginal communities in Western Australia.

METHODS

The association between environmental health indicators, community infrastructure and reported health outcomes was analysed using linear and logistic regression of survey data.

RESULTS

Housing/overcrowding was significantly associated with increased reports of hearing/eyesight (OR 3.01 95 % CI 1.58-5.73), skin (OR 2.71 95 % CI 1.31-5.60), gastrointestinal (OR 3.51 95 % CI 1.49-8.26) and flu/colds (OR 2.47 95 % CI 1.27-4.78) as health concerns. Dust was significantly associated with hearing/eyesight (OR 3.16 95 % CI 1.82-5.48), asthma/respiratory (OR 2.48 95 % CI 1.43-4.29) and flu/colds (OR 3.31 95 % CI 1.88-5.86) as health concerns.

CONCLUSION

Poor environmental health is prevalent in remote Aboriginal communities and requires further delineation to inform environmental health policy.

摘要

引言

澳大利亚原住民的健康状况明显比非原住民差。人们对偏远社区的环境风险因素对这种健康差距的影响了解甚少。

目的

描述并量化西澳大利亚偏远原住民社区的主要环境风险因素及相关健康结果。

方法

通过对调查数据进行线性和逻辑回归分析,研究环境健康指标、社区基础设施与报告的健康结果之间的关联。

结果

住房/过度拥挤与听力/视力问题(比值比3.01,95%置信区间1.58 - 5.73)、皮肤问题(比值比2.71,95%置信区间1.31 - 5.60)、胃肠道问题(比值比3.51,95%置信区间1.49 - 8.26)以及流感/感冒(比值比2.47,95%置信区间1.27 - 4.78)等健康问题报告的增加显著相关。灰尘与听力/视力问题(比值比3.16,95%置信区间1.82 - 5.48)、哮喘/呼吸道问题(比值比2.48,95%置信区间1.43 - 4.29)以及流感/感冒(比值比3.31,95%置信区间1.88 - 5.86)等健康问题显著相关。

结论

偏远原住民社区普遍存在环境卫生状况差的问题,需要进一步明确以指导环境卫生政策。

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