Deprivation, Ethnicity and Eczema: Understanding Associations for Childhood Bone and Joint Infection.

IF 1.6 4区医学 Q2 PEDIATRICS

Journal of paediatrics and child health Pub Date : 2025-06-20 DOI:10.1111/jpc.70113

Sarah Hunter, Elsie Brown, John Mutu-Grigg, Haemish Crawford, Vanessa Selak, Cameron Grant

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引用次数: 0

Abstract

Background: Rates of childhood bone and joint infection (BJI) in New Zealand (NZ) are among the highest in the world, with a disproportionate burden experienced by Māori and Pacific children. Eczema, also inequitably distributed by ethnicity, is a potential risk factor for BJI. This study describes the recent incidence of BJI and investigates disease risk secondary to eczema.

Methods: BJI cases were children aged

Results: This study identified 563 cases and 8840 ethnicity-matched controls. Incidence of AHO remains higher for Māori (26.7/100 000) and Pacific (38.5/100 000) compared with European children (17/100 000). Eczema was seen more frequently in BJI cases (30% of BJI cases vs. 24% of NZHS controls (p = 0.0007)). For NZ Māori and Pacific children, a diagnosis of eczema increased the odds of developing BJI (Pacific aOR = 1.6, 95% CI: 1.1-2.3, Māori aOR = 1.6, 1.1-2.4). Pacific children with BJI were more likely than controls to reside in areas of greater socioeconomic deprivation (aOR 1.88, 95% CI: 1.3-2.5). European children were more likely to reside in areas of least socioeconomic deprivation (OR 2.3, 95% CI: 1.7-3.1).

Conclusions: Childhood BJI remains inequitably distributed by ethnicity. Eczema may be a suitable focus for strategies to lower disease risk.

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贫困，种族和湿疹：了解儿童骨和关节感染的关系。

背景：新西兰（NZ）的儿童骨骼和关节感染率（BJI）是世界上最高的，Māori和太平洋地区的儿童承受着不成比例的负担。湿疹也是BJI的潜在危险因素，按种族分布也不公平。本研究描述了最近BJI的发病率，并调查了继发于湿疹的疾病风险。结果：本研究确定563例BJI病例和8840例种族匹配的对照组。与欧洲儿童（17/10万）相比，Māori（26.7/10万）和太平洋地区（38.5/10万）的世卫组织发病率仍然较高。湿疹在BJI病例中更为常见（BJI病例的30% vs. nzs对照组的24% (p = 0.0007)）。对于新西兰Māori和太平洋地区的儿童，湿疹的诊断增加了发生BJI的几率（太平洋aOR = 1.6, 95% CI: 1.1-2.3, Māori aOR = 1.6, 1.1-2.4）。患有BJI的太平洋地区儿童比对照组更有可能生活在社会经济剥夺程度更高的地区（aOR 1.88, 95% CI: 1.3-2.5）。欧洲儿童更有可能居住在社会经济贫困程度最低的地区（OR 2.3, 95% CI: 1.7-3.1）。结论：儿童BJI按种族分布仍然不公平。湿疹可能是降低疾病风险策略的合适焦点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.