School of Public Health and Community Medicine, The University of New South Wales.
The Sax Institute, New South Wales.
Aust N Z J Public Health. 2018 Jun;42(3):247-253. doi: 10.1111/1753-6405.12786. Epub 2018 Apr 12.
To examine the associations between housing and gastrointestinal infection in Aboriginal children in urban New South Wales.
A total of 1,398 Aboriginal children were recruited through four Aboriginal Community Controlled Health Services. Multilevel regression modelling of survey data estimated associations between housing conditions and recurrent gastrointestinal infection, adjusting for sociodemographic and health factors.
Of the sample, 157 children (11%) had recurrent gastrointestinal infection ever and 37 (2.7%) required treatment for recurrent gastrointestinal infection in the past month. Children in homes with 3+ housing problems were 2.51 (95% CrI 1.10, 2.49) times as likely to have recurrent gastrointestinal infection ever and 6.79 (95% CrI 2.11, 30.17) times as likely to have received recent treatment for it (versus 0-2 problems). For every additional housing problem, the prevalence of recurrent gastrointestinal infection ever increased by a factor of 1.28 (95% CrI 1.14, 1.47) and the prevalence of receiving treatment for gastrointestinal infection in the past month increased by a factor of 1.64 (95% CrI 1.20, 2.48).
Housing problems were independently associated with recurrent gastrointestinal infection in a dose-dependent manner. Implications for public health: The role of housing as a potential determinant of health in urban Aboriginal children merits further attention in research and policy settings.
探讨新南威尔士州城市中，住房条件与原住民儿童胃肠道感染之间的关系。
通过四个原住民社区控制的健康服务机构，共招募了 1398 名原住民儿童。通过对调查数据的多水平回归模型分析，在调整了社会人口学和健康因素后，评估了住房条件与复发性胃肠道感染之间的关联。
在该样本中，157 名儿童（11%）曾患有复发性胃肠道感染，37 名儿童（2.7%）在过去一个月因复发性胃肠道感染需要接受治疗。家中存在 3 个或以上住房问题的儿童，其患有复发性胃肠道感染的可能性是家中存在 0-2 个住房问题的儿童的 2.51 倍（95%置信区间为 1.10，2.49），且近期接受治疗的可能性是家中存在 0-2 个住房问题的儿童的 6.79 倍（95%置信区间为 2.11，30.17）。每增加一个住房问题，患有复发性胃肠道感染的儿童比例会增加 1.28 倍（95%置信区间为 1.14，1.47），而在过去一个月接受胃肠道感染治疗的儿童比例会增加 1.64 倍（95%置信区间为 1.20，2.48）。
住房问题与复发性胃肠道感染之间存在独立的、剂量依赖性的关联。
住房作为城市中原住民儿童健康的潜在决定因素，值得在研究和政策制定中进一步关注。
