Skin health of urban-living Aboriginal children attending a primary care Aboriginal Community Controlled Health Organisation clinic.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Australian Journal of General Practice Pub Date : 2024-11-01 DOI:10.31128/AJGP-03-24-7177

Bernadette M Ricciardo, Heather-Lynn Kessaris, Uncle Noel Nannup, Aunty Dale Tilbrook, Richelle Douglas, Daniel Hunt, Kim Isaacs, Jessamy Stirling, Jacinta Walton, Carol Michie, Brad Farrant, Eloise Delaney, S Prasad Kumarasinghe, Jonathan R Carapetis, Asha C Bowen

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Abstract

Background and objectives: Despite increasing urbanisation, little is known about skin health for urban-living Aboriginal children and young people (CYP, aged <18 years). This study aimed to investigate the primary care burden and clinical characteristics of skin conditions in this cohort.

Method: A one-year retrospective cohort study of urban-living Aboriginal CYP presenting for general practitioner (GP) consultation at an Aboriginal Community Controlled Health Organisation (ACCHO) was conducted.

Results: At least one dermatological diagnosis was made in 27% (253/939) of GP face-to-face consultations for the 585 urban-living Aboriginal CYP included. Infections and dermatitis accounted for 54% (152/284) and 18% (50/284) of all dermatological diagnoses, respectively. Bacterial skin infection (BSI) cumulative incidence was 13% (74/585; 95% CI 10-16%), with recurrent BSI affecting <1% (5/585; 95% CI 0.3-2%) and hospitalisation required in 1% (1/82; 95% CI 0.06-7%) of incident BSI cases.

Discussion: We present a culturally secure, multidisciplinary skin health assessment model within an urban ACCHO, where dermatological conditions account for a significant proportion of GP workload.

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在原住民社区控制健康组织初级保健诊所就诊的城市原住民儿童的皮肤健康。

背景和目的：尽管城市化进程日益加快，但人们对生活在城市中的土著儿童和青少年（CYP，年龄在 35 岁以下）的皮肤健康状况却知之甚少：对在原住民社区控制医疗机构（ACCHO）接受全科医生（GP）咨询的城市原住民儿童和青少年进行了为期一年的回顾性队列研究：结果：在585名城市原住民CYP的全科医生面对面咨询中，27%（253/939）的人至少做出了一项皮肤病诊断。在所有皮肤病诊断中，感染和皮炎分别占54%（152/284）和18%（50/284）。细菌性皮肤感染（BSI）的累积发病率为 13% (74/585; 95% CI 10-16%)，反复发作的 BSI 影响了讨论：我们介绍了一种文化安全的多学科皮肤健康评估模式，该模式适用于皮肤病占全科医生工作量很大比例的城市 ACCHO。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.

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