Bernadette M Ricciardo, Heather-Lynn Kessaris, Noel Nannup, Dale Tilbrook, Jacinta Walton, Carol Michie, Brad Farrant, Ainslie Poore, Ingrid Amgarth-Duff, Nadia Rind, Richelle Douglas, Jodie Ingrey, Hannah Thomas, S Prasad Kumarasinghe, Jonathan R Carapetis, Asha C Bowen
{"title":"Koolungar（儿童）Moorditj（强壮）健康皮肤项目第二部分：生活在城市中的澳大利亚土著儿童的皮肤健康。","authors":"Bernadette M Ricciardo, Heather-Lynn Kessaris, Noel Nannup, Dale Tilbrook, Jacinta Walton, Carol Michie, Brad Farrant, Ainslie Poore, Ingrid Amgarth-Duff, Nadia Rind, Richelle Douglas, Jodie Ingrey, Hannah Thomas, S Prasad Kumarasinghe, Jonathan R Carapetis, Asha C Bowen","doi":"10.1111/pde.70016","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although essential for overall health and wellbeing, little is known about skin health in urban-living Australian Aboriginal children. This co-designed, research-service project aimed to describe skin health and document skin disease frequency in urban-living Aboriginal children and young people (CYP, i.e., 0-18 years) in Western Australia (WA) and investigate housing associations for skin infections.</p><p><strong>Methods: </strong>Cross-sectional studies were conducted at Aboriginal Community Controlled Health Organizations in Bunbury and Perth, WA, over 2 weeks in September-October 2022. Aboriginal CYP were eligible to participate. Questionnaire responses and examination findings were analyzed.</p><p><strong>Results: </strong>Of the 164 CYP recruited, 149 (91%) were urban-living Aboriginal CYP. Fifty-three percent (78/148) of caregivers described a dermatological concern in their child; with high caregiver diagnostic accuracy for impetigo (96%), tinea (92%), and atopic dermatitis (AD) (89%). AD (18%, 26/147), head lice (18%, 27/147), tinea (12%, 18/147) and impetigo (7%, 10/147) were most prevalent. Social housing predicted current head lice (odds ratio [OR] 4.63; 95% confidence interval [CI] 1.72-12.50), current tinea (OR 3.15; 95% CI 1.06-9.36) and ever impetigo (2.39; 95% CI 1.09-5.27). Crowded living conditions predicted ever impetigo (OR 6.28; 95% CI 2.03-19.37); whereas frequent bathing (p value 0.032) and regular swimming in a chlorinated pool (OR 0.12; 95% CI 0.02-0.95) were protective.</p><p><strong>Conclusions: </strong>We report high caregiver diagnostic accuracy for skin conditions. AD is prevalent, with undertreatment, frequent impetiginization, and sleep disturbance indicating barriers to care. Healthcare providers must advocate for improved housing, as the link between skin infections and socioeconomic disadvantage impacts overall health for urban-living Aboriginal CYP.</p>","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Koolungar (Children) Moorditj (Strong) Healthy Skin Project Part II: Skin Health in Urban-Living Australian Aboriginal Children.\",\"authors\":\"Bernadette M Ricciardo, Heather-Lynn Kessaris, Noel Nannup, Dale Tilbrook, Jacinta Walton, Carol Michie, Brad Farrant, Ainslie Poore, Ingrid Amgarth-Duff, Nadia Rind, Richelle Douglas, Jodie Ingrey, Hannah Thomas, S Prasad Kumarasinghe, Jonathan R Carapetis, Asha C Bowen\",\"doi\":\"10.1111/pde.70016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Although essential for overall health and wellbeing, little is known about skin health in urban-living Australian Aboriginal children. This co-designed, research-service project aimed to describe skin health and document skin disease frequency in urban-living Aboriginal children and young people (CYP, i.e., 0-18 years) in Western Australia (WA) and investigate housing associations for skin infections.</p><p><strong>Methods: </strong>Cross-sectional studies were conducted at Aboriginal Community Controlled Health Organizations in Bunbury and Perth, WA, over 2 weeks in September-October 2022. Aboriginal CYP were eligible to participate. Questionnaire responses and examination findings were analyzed.</p><p><strong>Results: </strong>Of the 164 CYP recruited, 149 (91%) were urban-living Aboriginal CYP. Fifty-three percent (78/148) of caregivers described a dermatological concern in their child; with high caregiver diagnostic accuracy for impetigo (96%), tinea (92%), and atopic dermatitis (AD) (89%). AD (18%, 26/147), head lice (18%, 27/147), tinea (12%, 18/147) and impetigo (7%, 10/147) were most prevalent. Social housing predicted current head lice (odds ratio [OR] 4.63; 95% confidence interval [CI] 1.72-12.50), current tinea (OR 3.15; 95% CI 1.06-9.36) and ever impetigo (2.39; 95% CI 1.09-5.27). Crowded living conditions predicted ever impetigo (OR 6.28; 95% CI 2.03-19.37); whereas frequent bathing (p value 0.032) and regular swimming in a chlorinated pool (OR 0.12; 95% CI 0.02-0.95) were protective.</p><p><strong>Conclusions: </strong>We report high caregiver diagnostic accuracy for skin conditions. AD is prevalent, with undertreatment, frequent impetiginization, and sleep disturbance indicating barriers to care. Healthcare providers must advocate for improved housing, as the link between skin infections and socioeconomic disadvantage impacts overall health for urban-living Aboriginal CYP.</p>\",\"PeriodicalId\":19819,\"journal\":{\"name\":\"Pediatric Dermatology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Dermatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/pde.70016\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/pde.70016","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：尽管对整体健康和幸福至关重要，但对生活在城市中的澳大利亚土著儿童的皮肤健康知之甚少。这项共同设计的研究服务项目旨在描述西澳大利亚（WA）城市生活的土著儿童和年轻人（CYP，即0-18岁）的皮肤健康状况和记录皮肤病频率，并调查住房与皮肤感染的关系。方法：横断面研究于2022年9月至10月在澳大利亚邦伯里和珀斯的土著社区控制卫生组织进行，为期2周。土著CYP有资格参加。对问卷调查结果和检查结果进行分析。结果：在招募的164名CYP中，149名（91%）是城市生活的土著CYP。53%（78/148）的护理人员描述了他们孩子的皮肤病问题；护理人员对脓疱疮（96%）、癣（92%）和特应性皮炎（89%）的诊断准确率较高。最常见的是AD（18%, 26/147）、头虱（18%,27/147）、癣（12%,18/147）和脓疱疮（7%,10/147）。社会住房预测当前的头虱（比值比[OR] 4.63； 95%可信区间[CI] 1.72-12.50），当前的癣（比值比[OR] 3.15； 95%可信区间[CI] 1.06-9.36）和永远的脓疱（比值比[OR] 2.39； 95%可信区间[CI] 1.09-5.27）。拥挤的生活条件预测脓疱病（OR 6.28; 95% CI 2.03-19.37）；而频繁洗澡（p值0.032）和定期在氯化池中游泳（OR 0.12; 95% CI 0.02-0.95）具有保护作用。结论：我们报告了护理人员对皮肤状况的高诊断准确性。阿尔茨海默病很普遍，治疗不足、频繁出现脓肿和睡眠障碍表明护理存在障碍。医疗保健提供者必须提倡改善住房，因为皮肤感染和社会经济劣势之间的联系影响城市生活土著CYP的整体健康。
Koolungar (Children) Moorditj (Strong) Healthy Skin Project Part II: Skin Health in Urban-Living Australian Aboriginal Children.
Background: Although essential for overall health and wellbeing, little is known about skin health in urban-living Australian Aboriginal children. This co-designed, research-service project aimed to describe skin health and document skin disease frequency in urban-living Aboriginal children and young people (CYP, i.e., 0-18 years) in Western Australia (WA) and investigate housing associations for skin infections.
Methods: Cross-sectional studies were conducted at Aboriginal Community Controlled Health Organizations in Bunbury and Perth, WA, over 2 weeks in September-October 2022. Aboriginal CYP were eligible to participate. Questionnaire responses and examination findings were analyzed.
Results: Of the 164 CYP recruited, 149 (91%) were urban-living Aboriginal CYP. Fifty-three percent (78/148) of caregivers described a dermatological concern in their child; with high caregiver diagnostic accuracy for impetigo (96%), tinea (92%), and atopic dermatitis (AD) (89%). AD (18%, 26/147), head lice (18%, 27/147), tinea (12%, 18/147) and impetigo (7%, 10/147) were most prevalent. Social housing predicted current head lice (odds ratio [OR] 4.63; 95% confidence interval [CI] 1.72-12.50), current tinea (OR 3.15; 95% CI 1.06-9.36) and ever impetigo (2.39; 95% CI 1.09-5.27). Crowded living conditions predicted ever impetigo (OR 6.28; 95% CI 2.03-19.37); whereas frequent bathing (p value 0.032) and regular swimming in a chlorinated pool (OR 0.12; 95% CI 0.02-0.95) were protective.
Conclusions: We report high caregiver diagnostic accuracy for skin conditions. AD is prevalent, with undertreatment, frequent impetiginization, and sleep disturbance indicating barriers to care. Healthcare providers must advocate for improved housing, as the link between skin infections and socioeconomic disadvantage impacts overall health for urban-living Aboriginal CYP.
期刊介绍：
Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.
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