The impact of housing improvement and socio-environmental factors on common childhood illnesses: a cohort study in Indigenous Australian communities.
The impact of housing improvement and socio-environmental factors on common childhood illnesses: a cohort study in Indigenous Australian communities.
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DOI：
10.1136/jech.2011.134874
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发表时间：
2012-09
影响因子：
6.3
通讯作者：
McDonald EL
中科院分区：
文献类型：
--
作者：
Bailie RS;Stevens M;McDonald EL
改善健康状况是许多住房基础设施项目的重要预期结果。作者的目的是确定澳大利亚土著社区臭名昭著的糟糕住房基础设施的改善是否会减少常见的儿童疾病，并确定这种关系中的重要中介因素。作者对澳大利亚10个土著社区的418名7岁或7岁以下的儿童进行了前瞻性队列研究，这些社区在2004年至2005年期间从政府资助的住房计划中受益最大。通过检查家庭基础设施和与儿童照顾者和户主面谈，收集了有关房屋功能和卫生状况、儿童常见疾病报告和社会经济状况的数据。在对一系列潜在的混杂变量进行调整后，分析表明，由于家庭基础设施的改善，照顾者报告的常见儿童疾病没有持续减少，无论是针对特定疾病还是针对这些疾病。虽然家庭基础设施的改善与房屋卫生条件的改善之间存在很强的联系，但拥挤程度只有轻微的改善。许多澳大利亚土著社区的家庭高度拥挤以及恶劣的社会、经济和环境条件似乎对制定方案以影响常见儿童疾病的发生的潜力造成了重大制约。这些发现加强了建设项目的必要性，这些项目需要一系列社会、行为和社区环境干预措施来支持，以便更充分地实现改善住房的潜在健康收益。
Improvements in health are an important expected outcome of many housing infrastructure programs. The authors aimed to determine if improvement in the notoriously poor housing infrastructure in Australian Indigenous communities results in reduction in common childhood illness and to identify important mediating factors in this relationship. The authors conducted a prospective cohort study of 418 children aged 7 years or younger in 10 Australian Indigenous communities, which benefited most substantially from government-funded housing programs over 2004–2005. Data on functional and hygienic state of houses, reports of common childhood illness and on socio-economic conditions were collected through inspection of household infrastructure and interviews with children's carers and householders. After adjustment for a range of potential confounding variables, the analysis showed no consistent reduction in carers' reporting of common childhood illnesses in association with improvements in household infrastructure, either for specific illnesses or for these illnesses in general. While there was strong association between improvement in household infrastructure and improvement of hygienic condition of the house, there were only marginal improvements in crowding. High levels of household crowding and poor social, economic and environmental conditions in many Australian Indigenous communities appear to place major constraints on the potential for building programs to impact on the occurrence of common childhood illness. These findings reinforce the need for building programs to be supported by a range of social, behavioural and community-wide environmental interventions in order for the potential health gains of improved housing to be more fully realised.
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影响因子：
6.3
作者：
Bailie, Ross S.;McDonald, Elizabeth L.;Brewster, David R.
通讯作者：
Brewster, David R.
影响因子：
11.8
作者：
Carapetis, JR;Currie, BJ;Kaplan, EL
通讯作者：
Kaplan, EL
影响因子：
4.5
作者：
Bailie, Ross;Stevens, Matthew;Guthridge, Steve
通讯作者：
Guthridge, Steve
影响因子：
4.2
作者：
Carapetis, JR;Walker, AM;Currie, BJ
通讯作者：
Currie, BJ
DOI：
10.1111/j.1440-1584.2006.00804.x
发表时间：
2006-10-01
期刊：
The Australian journal of rural health
影响因子：
--
作者：
Bailie, Ross S;Wayte, Kayli J
通讯作者：
Wayte, Kayli J