A case study of physical and social barriers to hygiene and child growth in remote Australian Aboriginal communities

Elizabeth McDonald, Ross Stewart Bailie, J GRACE, D BREWSTER

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background. Despite Australia's wealth, poor growth is common among Aboriginal children living in remote communities. An important underlying factor for poor growth is the unhygienic state of the living environment in these communities. This study explores the physical and social barriers to achieving safe levels of hygiene for these children. Methods. A mixed qualitative and quantitative approach included a community level cross-sectional housing infrastructure survey, focus groups, case studies and key informant interviews in one community. Results. We found that a combination of crowding, non-functioning essential housing infrastructure and poor standards of personal and domestic hygiene underlie the high burden of infection experienced by children in this remote community. Conclusion. There is a need to address policy and the management of infrastructure, as well as key parenting and childcare practices that allow the high burden of infection among children to persist. The common characteristics of many remote Aboriginal communities in Australia suggest that these findings may be more widely applicable. � 2009 McDonald et al.
    Original languageEnglish
    Pages (from-to)-
    JournalBMC Public Health
    Volume9
    Issue number346
    DOIs
    Publication statusPublished - 2009

    Fingerprint

    Architectural Accessibility
    Hygiene
    Growth
    Crowding
    Parenting
    Infection
    Focus Groups
    Intercellular Signaling Peptides and Proteins
    Interviews

    Cite this

    McDonald, Elizabeth ; Bailie, Ross Stewart ; GRACE, J ; BREWSTER, D. / A case study of physical and social barriers to hygiene and child growth in remote Australian Aboriginal communities. In: BMC Public Health. 2009 ; Vol. 9, No. 346. pp. -.
    @article{95893e3f1f524bb9a57dcf7b42700556,
    title = "A case study of physical and social barriers to hygiene and child growth in remote Australian Aboriginal communities",
    abstract = "Background. Despite Australia's wealth, poor growth is common among Aboriginal children living in remote communities. An important underlying factor for poor growth is the unhygienic state of the living environment in these communities. This study explores the physical and social barriers to achieving safe levels of hygiene for these children. Methods. A mixed qualitative and quantitative approach included a community level cross-sectional housing infrastructure survey, focus groups, case studies and key informant interviews in one community. Results. We found that a combination of crowding, non-functioning essential housing infrastructure and poor standards of personal and domestic hygiene underlie the high burden of infection experienced by children in this remote community. Conclusion. There is a need to address policy and the management of infrastructure, as well as key parenting and childcare practices that allow the high burden of infection among children to persist. The common characteristics of many remote Aboriginal communities in Australia suggest that these findings may be more widely applicable. � 2009 McDonald et al.",
    keywords = "article, attitude to health, Australia, child growth, community structure, controlled study, diarrhea, environmental factor, health behavior, health education, housing, human, human relation, infection, interview, personal hygiene, qualitative research, quantitative study, respiratory tract disease, skin infection, Aborigine, case report, child, comparative study, cross-sectional study, crowding, cultural factor, female, health care policy, health service, hygiene, male, methodology, public health service, rural population, social environment, standard, statistics, Child, Cross-Sectional Studies, Crowding, Cultural Characteristics, Female, Health Education, Health Policy, Health Services Needs and Demand, Humans, Hygiene, Male, Oceanic Ancestry Group, Public Health Practice, Rural Population, Social Environment, South Australia",
    author = "Elizabeth McDonald and Bailie, {Ross Stewart} and J GRACE and D BREWSTER",
    year = "2009",
    doi = "10.1186/1471-2458-9-346",
    language = "English",
    volume = "9",
    pages = "--",
    journal = "BMC Public Health",
    issn = "1471-2458",
    publisher = "BioMed Central",
    number = "346",

    }

    A case study of physical and social barriers to hygiene and child growth in remote Australian Aboriginal communities. / McDonald, Elizabeth; Bailie, Ross Stewart; GRACE, J; BREWSTER, D.

    In: BMC Public Health, Vol. 9, No. 346, 2009, p. -.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - A case study of physical and social barriers to hygiene and child growth in remote Australian Aboriginal communities

    AU - McDonald, Elizabeth

    AU - Bailie, Ross Stewart

    AU - GRACE, J

    AU - BREWSTER, D

    PY - 2009

    Y1 - 2009

    N2 - Background. Despite Australia's wealth, poor growth is common among Aboriginal children living in remote communities. An important underlying factor for poor growth is the unhygienic state of the living environment in these communities. This study explores the physical and social barriers to achieving safe levels of hygiene for these children. Methods. A mixed qualitative and quantitative approach included a community level cross-sectional housing infrastructure survey, focus groups, case studies and key informant interviews in one community. Results. We found that a combination of crowding, non-functioning essential housing infrastructure and poor standards of personal and domestic hygiene underlie the high burden of infection experienced by children in this remote community. Conclusion. There is a need to address policy and the management of infrastructure, as well as key parenting and childcare practices that allow the high burden of infection among children to persist. The common characteristics of many remote Aboriginal communities in Australia suggest that these findings may be more widely applicable. � 2009 McDonald et al.

    AB - Background. Despite Australia's wealth, poor growth is common among Aboriginal children living in remote communities. An important underlying factor for poor growth is the unhygienic state of the living environment in these communities. This study explores the physical and social barriers to achieving safe levels of hygiene for these children. Methods. A mixed qualitative and quantitative approach included a community level cross-sectional housing infrastructure survey, focus groups, case studies and key informant interviews in one community. Results. We found that a combination of crowding, non-functioning essential housing infrastructure and poor standards of personal and domestic hygiene underlie the high burden of infection experienced by children in this remote community. Conclusion. There is a need to address policy and the management of infrastructure, as well as key parenting and childcare practices that allow the high burden of infection among children to persist. The common characteristics of many remote Aboriginal communities in Australia suggest that these findings may be more widely applicable. � 2009 McDonald et al.

    KW - article

    KW - attitude to health

    KW - Australia

    KW - child growth

    KW - community structure

    KW - controlled study

    KW - diarrhea

    KW - environmental factor

    KW - health behavior

    KW - health education

    KW - housing

    KW - human

    KW - human relation

    KW - infection

    KW - interview

    KW - personal hygiene

    KW - qualitative research

    KW - quantitative study

    KW - respiratory tract disease

    KW - skin infection

    KW - Aborigine

    KW - case report

    KW - child

    KW - comparative study

    KW - cross-sectional study

    KW - crowding

    KW - cultural factor

    KW - female

    KW - health care policy

    KW - health service

    KW - hygiene

    KW - male

    KW - methodology

    KW - public health service

    KW - rural population

    KW - social environment

    KW - standard

    KW - statistics

    KW - Child

    KW - Cross-Sectional Studies

    KW - Crowding

    KW - Cultural Characteristics

    KW - Female

    KW - Health Education

    KW - Health Policy

    KW - Health Services Needs and Demand

    KW - Humans

    KW - Hygiene

    KW - Male

    KW - Oceanic Ancestry Group

    KW - Public Health Practice

    KW - Rural Population

    KW - Social Environment

    KW - South Australia

    UR - http://www.universityoffice.com.au/content/universityOffice/index.html

    U2 - 10.1186/1471-2458-9-346

    DO - 10.1186/1471-2458-9-346

    M3 - Article

    VL - 9

    SP - -

    JO - BMC Public Health

    JF - BMC Public Health

    SN - 1471-2458

    IS - 346

    ER -