Examining relationships between parent‐reported factors and recurring ear symptoms among Aboriginal and Torres Strait Islander children

Author:

Constantinides Fina1,Orr Neil1ORCID,Nash Kai1ORCID,Evans John Robert2ORCID,McMahon Catherine M.1ORCID,Gunasekera Hasantha34ORCID,Harkus Samantha5ORCID,Clague Liesa6ORCID,Cross Cara1,Halvorsen Luke1ORCID,Lumby Noeleen1,Coates Harvey7ORCID,Macniven Rona18ORCID

Affiliation:

1. Department of Linguistics, Faculty of Medicine, Health and Human Sciences Macquarie University Hearing, Macquarie University Sydney New South Wales Australia

2. Moondani Toombadool Centre Swinburne University of Technology Melbourne Victoria Australia

3. Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia

4. Children’s Hospital Westmead Clinical School Sydney New South Wales Australia

5. National Acoustic Laboratories Macquarie University Sydney New South Wales Australia

6. School of Nursing and Midwifery University of Notre Dame Sydney New South Wales Australia

7. School of Medicine The University of Western Australia Perth Western Australia Australia

8. School of Population Health UNSW Sydney Sydney New South Wales Australia

Abstract

AbstractIssue addressedAboriginal and Torres Strait Islander child ear health is complex and multiple. We examined relationships between parent‐reported sociodemographic, child health, health service access factors and ear symptoms among Aboriginal and Torres Strait Islander children aged 3 to 7 years.MethodsThe Longitudinal Study of Indigenous Children is a large child cohort study with annual parent‐reported data collection. Generalised linear mixed model analyses examined Wave 1 (1309 children 0‐5 years; 2008) predictors of being free of parent‐reported ear symptoms in both Waves 2 and 3.ResultsA total of 1030 (78.7%) had no reported ear symptoms in either Wave 2 or 3. In the fully adjusted model, children who had been hospitalised in the past year (aOR = 2.16; 95% CI 1.19‐3.93) and those with no ear symptoms (aOR = 2.94; 95% CI, 1.59‐5.46) at Wave 1 had higher odds of no ear symptoms in both the subsequent waves. There were also relationships between parent main source of income–government pension or allowance as well as parents who reported no history of their own ear symptoms and higher odds of no ear symptoms in Waves 2 and 3 after partial adjustment for sociodemographic factors.ConclusionThese findings suggest relationships between different sociodemographic and health factors and parent‐reported ear symptoms among Aboriginal and Torres Strait Islander children that warrant further investigation.So what? Children with parent‐reported ear symptoms during the early years need holistic support to prevent future ear symptoms that impact health, social and educational life trajectories.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Community and Home Care

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