Improving participation by Aboriginal children in blood lead screening services in Broken Hill, NSW.

Susan L Thomas, Frances Boreland, David M Lyle
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Abstract

Unlabelled: Lead poses a health risk to young children with detrimental effects on their intellectual development. Attendance rates for Aboriginal children at routine blood lead screening and at follow-up appointments in Broken Hill, NSW, have declined in recent years. This study sought to identify strategies to improve the participation of Aboriginal children aged 1-4 years in blood lead screening services in Broken Hill.

Methods: Attendance rates during the period 2000-2010 were determined using the Broken Hill Lead Management database. From June to August 2011, Aboriginal community members, service providers and public health staff were invited to interviews and focus groups to explore barriers, enablers and suggestions for improving participation.

Results: In 2009, 27% of Aboriginal children aged 1-4 years attended blood lead screening and 29% of these children with blood lead levels over 15 µg/dL attended follow-up appointments. Barriers to participation in lead screening services included community perceptions, reduced service capacity, socio-economic and interorganisational factors. Enablers included using a culturally acceptable model, linking lead screening with routine health checks and using the finger-prick method of testing.

Conclusions: The final report for the study included recommendations to improve participation rates of Aboriginal children including using social marketing, formalising collaboration between health services, supporting disadvantaged families and employing an Aboriginal Health Worker.

提高新南威尔士州布罗肯希尔原住民儿童对血铅筛查服务的参与度。
无标签:铅对幼儿的健康构成威胁,并对他们的智力发育产生不利影响。近年来,新南威尔士州布罗肯希尔(Broken Hill)的原住民儿童参加常规血铅筛查和复诊的比率有所下降。本研究旨在确定改善布罗肯希尔 1-4 岁原住民儿童参加血铅筛查服务的策略:方法:利用布罗肯希尔铅管理数据库确定了 2000-2010 年期间的就诊率。2011 年 6 月至 8 月,原住民社区成员、服务提供者和公共卫生工作人员应邀参加了访谈和焦点小组,以探讨提高参与率的障碍、促进因素和建议:2009 年,27% 的 1-4 岁原住民儿童接受了血铅筛查,其中 29% 血铅水平超过 15 µg/dL 的儿童接受了随访。参加铅筛查服务的障碍包括社区观念、服务能力下降、社会经济和组织间因素。促进因素包括使用文化上可接受的模式、将铅筛查与常规健康检查联系起来以及使用手指刺入法进行检测:该研究的最终报告提出了提高原住民儿童参与率的建议,包括使用社会营销、使医疗服务之间的合作正规化、为弱势家庭提供支持以及雇用一名原住民健康工作者。
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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