Document Detail


Lower respiratory tract infections among american Indian and Alaska Native children and the general population of U.S. Children.
MedLine Citation:
PMID:  15818295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Lower respiratory tract infections (LRTIs) cause substantial childhood morbidity. This study characterizes and compares LRTI-associated morbidity among American Indian/Alaska Native (AI/AN) children and the general population of U.S. children. METHODS: Hospitalization and outpatient records with a diagnosis indicating LRTIs were evaluated for children aged younger than 5 years during 1990-2001. RESULTS: For 1999-2001, the LRTI-associated hospitalization rate was significantly higher for AI/AN children than for U.S. children (116.1 versus 63.2/1000, respectively), with the disparity being greater for infants than for 1- to 4-year-old children. Also the rate of LRTI-associated outpatient visits among AI/AN infants was higher than that for all U.S. infants (737.7 versus 207.2/1000, respectively). LRTI hospitalization and outpatient visit rates were highest in the Alaska and Southwest Indian Health Service regions. During 1990-2001, the LRTI hospitalization rate among AI/AN infants in the Alaska region and among the general U.S. infant population increased. Bronchiolitis-associated hospitalization rates increased for AI/AN and U.S. infants, whereas the pneumonia-associated hospitalization rate decreased among AI/AN infants and remained stable among U.S. infants. CONCLUSIONS: LRTIs continue to be an important cause of morbidity in children, especially among AI/AN infants in the Alaska and Southwest regions. Strategies to reduce LRTI hospitalizations and outpatient visits are warranted for all infants, but the greatest potential impact would be among AI/AN infants.
Authors:
Angela J Peck; Robert C Holman; Aaron T Curns; Jairam R Lingappa; James E Cheek; Rosalyn J Singleton; Karen Carver; Larry J Anderson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  24     ISSN:  0891-3668     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-08     Completed Date:  2005-06-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  342-51     Citation Subset:  IM    
Affiliation:
Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Atlanta, GA, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Alaska / epidemiology,  ethnology
Bronchiolitis / epidemiology,  ethnology
Child
Child, Preschool
Female
Hospitalization / statistics & numerical data
Humans
Indians, North American / statistics & numerical data*
Infant
Infant, Newborn
Inuits / statistics & numerical data*
Male
Outpatients / statistics & numerical data
Pneumonia / epidemiology,  ethnology
Respiratory Tract Infections / epidemiology*,  ethnology*
Sex Distribution
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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