城市生活的原住民儿童的皮肤健康，他们在一家原住民社区控制的初级保健诊所就诊。
Skin health of urban-living Aboriginal children attending a primary care Aboriginal Community Controlled Health Organisation clinic.
机构信息
MBBS (Hons), DCH, FACD, Consultant Dermatologist, Department of Dermatology, Perth Children@s Hospital, Perth, WA; Consultant Dermatologist, Department of Dermatology, Fiona Stanley Hospital, Perth, WA; Investigator, Healthy Skin and ARF Prevention, Telethon Kids Institute, Perth, WA; UWA Medical School, University of Western Australia, Perth, WA.
BSc, MD, Dermatology Registrar, Department of Dermatology, Fiona Stanley Hospital, Perth, WA; Research Honorary, Telethon Kids Institute, Perth, WA.
出版信息
Aust J Gen Pract. 2024 Nov-Supplement;53(11 Suppl):S115-S122. doi: 10.31128/AJGP-03-24-7177.
BACKGROUND AND OBJECTIVES
Despite increasing urbanisation, little is known about skin health for urban-living Aboriginal children and young people (CYP, aged <18 years). This study aimed to investigate the primary care burden and clinical characteristics of skin conditions in this cohort.
METHOD
A one-year retrospective cohort study of urban-living Aboriginal CYP presenting for general practitioner (GP) consultation at an Aboriginal Community Controlled Health Organisation (ACCHO) was conducted.
RESULTS
At least one dermatological diagnosis was made in 27% (253/939) of GP face-to-face consultations for the 585 urban-living Aboriginal CYP included. Infections and dermatitis accounted for 54% (152/284) and 18% (50/284) of all dermatological diagnoses, respectively. Bacterial skin infection (BSI) cumulative incidence was 13% (74/585; 95% CI 10-16%), with recurrent BSI affecting <1% (5/585; 95% CI 0.3-2%) and hospitalisation required in 1% (1/82; 95% CI 0.06-7%) of incident BSI cases.
DISCUSSION
We present a culturally secure, multidisciplinary skin health assessment model within an urban ACCHO, where dermatological conditions account for a significant proportion of GP workload.
背景和目的
尽管城市化不断增加，但对于城市生活的原住民儿童和青少年（CYP，年龄<18 岁）的皮肤健康状况却知之甚少。本研究旨在调查该人群中皮肤状况的初级保健负担和临床特征。
方法
对在原住民社区控制的医疗组织（ACCHO）接受全科医生（GP）咨询的城市生活的原住民 CYP 进行了为期一年的回顾性队列研究。
结果
在纳入的 585 名城市生活的原住民 CYP 中，有 27%（253/939）的 GP 面对面咨询至少有一个皮肤科诊断。感染和皮炎分别占所有皮肤科诊断的 54%（152/284）和 18%（50/284）。细菌性皮肤感染（BSI）累计发病率为 13%（74/585；95%CI 10-16%），复发性 BSI 影响<1%（5/585；95%CI 0.3-2%），在 1%（1/82；95%CI 0.06-7%）的新发 BSI 病例中需要住院治疗。
讨论
我们在城市 ACCHO 中提出了一种文化安全、多学科的皮肤健康评估模型，其中皮肤科疾病占 GP 工作量的很大一部分。
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