{"title":"在新南威尔士州布罗肯希尔改善土著儿童参与血铅筛查服务。","authors":"Susan L Thomas, Frances Boreland, David M Lyle","doi":"10.1071/NB11056","DOIUrl":null,"url":null,"abstract":"<p><strong>Unlabelled: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":29974,"journal":{"name":"NSW Public Health Bulletin","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":"{\"title\":\"Improving participation by Aboriginal children in blood lead screening services in Broken Hill, NSW.\",\"authors\":\"Susan L Thomas, Frances Boreland, David M Lyle\",\"doi\":\"10.1071/NB11056\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Unlabelled: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":29974,\"journal\":{\"name\":\"NSW Public Health Bulletin\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"NSW Public Health Bulletin\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1071/NB11056\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"NSW Public Health Bulletin","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1071/NB11056","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7
摘要
未标示:铅对幼儿的健康构成威胁,对他们的智力发育有不利影响。近年来,新南威尔士州布罗肯希尔的土著儿童在常规血铅筛查和后续预约中的出勤率有所下降。本研究旨在确定策略,以提高参与血铅筛查服务的土著儿童1-4岁在布罗肯希尔。方法:使用Broken Hill Lead Management数据库确定2000-2010年期间的出勤率。2011年6月至8月,邀请土著社区成员、服务提供者和公共卫生工作人员参加访谈和焦点小组,探讨改善参与的障碍、促进因素和建议。结果:2009年,27%的1-4岁土著儿童参加了血铅筛查,29%的血铅水平超过15微克/分升的儿童参加了随访预约。参与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。促成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,以及使用手指刺破检测方法。结论:该研究的最终报告包括提高土著儿童参与率的建议,包括利用社会营销、使保健服务之间的合作正式化、支持弱势家庭和雇用土著保健工作者。
Improving participation by Aboriginal children in blood lead screening services in Broken Hill, NSW.
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.