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Published VersionCC BY V4.0, Open Access
Journal article
Trajectories of otitis media and association with health determinants among Indigenous children in Australia: The Longitudinal Study of Indigenous Children
Public Health, Vol.225, pp.53-62
2023
PMID: 37922586
Abstract
Objectives
Indigenous children in Australia experience high burden of persistent otitis media (OM) from very early age. The aim was to identify distinct trajectories of OM in children up to age 10–12 years and examine the association with socio-economic determinants.
Study design
A multistage clustered national panel survey.
Methods
The study analysed the birth cohort of the Longitudinal Study of Indigenous Children from 2008 to 2018, comprising 11 study waves. Group-based trajectory modelling was used to identify different trajectories of OM outcome. Multinomial logistic regression was applied to examine the relationship between trajectories and individual, household and community-level socio-economic determinants.
Results
This analysis included 894 children with at least three responses on OM over the 11 waves, and the baseline mean age was 15.8 months. Three different trajectories of OM were identified: non-severe OM prone, early/persistent severe OM and late-onset severe OM. Overall, 11.4% of the children had early/persistent severe OM from birth to 7.5 to nine years, while late-onset severe OM consisted of 9.8% of the children who had first OM from age 3.5 to five years. Children in communities with middle and the highest socio-economic outcomes have lower relative risk of early/persistent severe OM (adjusted relative risk ratio = 0.39, 95% confidence interval = 0.22–0.70 and adjusted relative risk ratio = 0.22, 95% confidence interval = 0.09–0.52, respectively) compared to children in communities with lowest socio-economic outcomes.
Conclusion
Efforts to close the gap in the quality of life of Indigenous children must prioritise strategies that prevent severe ear disease (runny ears and perforation), including improved healthcare access, reduced household crowding, and better education, and more employment opportunities.
Details
- Title
- Trajectories of otitis media and association with health determinants among Indigenous children in Australia: The Longitudinal Study of Indigenous Children
- Authors
- Victor Oguoma (Corresponding Author) - The University of QueenslandSaira Mathew - The University of QueenslandTahmina Begun - The University of QueenslandE Dyson - The University of QueenslandJ Ward - The University of QueenslandA J Leach - Charles Darwin UniversityF Barzi - The University of Queensland
- Publication details
- Public Health, Vol.225, pp.53-62
- Publisher
- Elsevier Ltd
- Date published
- 2023
- DOI
- 10.1016/j.puhe.2023.09.010
- ISSN
- 1476-5616; 0033-3506
- PMID
- 37922586
- Copyright note
- © 2023 The Author(s). Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Data Availability
- The LSIC data are available from the Australian Government Department of Social Services at https://dataverse.ada.edu.au/dataverse/lsic
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991113151302621
- Output Type
- Journal article
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