Children in Greenland: disease patterns and contacts to the health care system
Background: Previous studies of Greenlandic children’s disease pattern and contacts to the health care system are sparse and have focused on the primary health care sector. Objective: We aimed to identify the disease pattern and use of health care facilities of children aged 0–10 in two Greenlandic...
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Taylor & Francis Group
2016
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Online Access: | https://doi.org/10.3402/ijch.v75.32903 https://doaj.org/article/0d93e422987a45dba15d45c7f3bf7f48 |
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ftdoajarticles:oai:doaj.org/article:0d93e422987a45dba15d45c7f3bf7f48 2023-05-15T15:15:04+02:00 Children in Greenland: disease patterns and contacts to the health care system Marius Kløvgaard Nina Odgaard Nielsen Thomas Lund Sørensen Peter Bjerregaard Britta Olsen Henrik Thybo Christesen 2016-12-01T00:00:00Z https://doi.org/10.3402/ijch.v75.32903 https://doaj.org/article/0d93e422987a45dba15d45c7f3bf7f48 EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/32903/pdf_125 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v75.32903 https://doaj.org/article/0d93e422987a45dba15d45c7f3bf7f48 International Journal of Circumpolar Health, Vol 75, Iss 0, Pp 1-10 (2016) Greenland health paediatrics disease ICD-10 children health care system contacts Arctic medicine. Tropical medicine RC955-962 article 2016 ftdoajarticles https://doi.org/10.3402/ijch.v75.32903 2022-12-31T14:29:00Z Background: Previous studies of Greenlandic children’s disease pattern and contacts to the health care system are sparse and have focused on the primary health care sector. Objective: We aimed to identify the disease pattern and use of health care facilities of children aged 0–10 in two Greenlandic cohorts. Methods and design: In a retrospective, descriptive follow-up of the Ivaaq (The Greenland Child Cohort) and the CLEAR (climate changes, environmental contaminants and reproductive health) birth cohorts (total n=1,000), we reviewed medical records of children aged 6–10 in 2012 with residence in Nuuk or Ilulissat (n=332). Data on diseases and health care system contacts were extracted. Diagnoses were validated retrospectively. Primary health care contacts were reviewed for a random sample of 1:6. Results: In 311 children with valid social security number, the total number of health care system contacts was 12,471 equalling 4.6 contacts per child per year. The annual incidence rate of hospital admissions was 1:10 children (total n=266, 1,220 days, 4.6 days/admission), outpatient contacts 2:10 children and primary care 3.6 per child. Contacts were overall more frequent in boys compared with girls, 39.5 versus 34.6 during the study period, p=0.02. The highest annual contact rates for diseases were: hospitalisations/acute respiratory diseases 13.9:1,000; outpatient contacts/otitis media 5.1:1,000; primary care/conjunctivitis or nasopharyngitis 410:1,000 children. Outpatient screening for respiratory tuberculosis accounted 6.2:1,000, primary care non-disease (Z-diagnosis) 2,081:1,000 annually. Complete adherence to the child vaccination programme was seen in 40%, while 5% did not receive any vaccinations. Conclusions: In this first study of its kind, the health care contact pattern in Greenlandic children showed a relatively high hospitalisation rate and duration per admission, and a low primary health care contact rate. The overall contact rate and disease pattern resembled those in Denmark, except for tuberculosis ... Article in Journal/Newspaper Arctic Circumpolar Health Greenland greenlandic Ilulissat International Journal of Circumpolar Health Nuuk Directory of Open Access Journals: DOAJ Articles Arctic Greenland Ilulissat ENVELOPE(-51.099,-51.099,69.220,69.220) Nuuk ENVELOPE(-52.150,-52.150,68.717,68.717) International Journal of Circumpolar Health 75 1 32903 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Greenland health paediatrics disease ICD-10 children health care system contacts Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Greenland health paediatrics disease ICD-10 children health care system contacts Arctic medicine. Tropical medicine RC955-962 Marius Kløvgaard Nina Odgaard Nielsen Thomas Lund Sørensen Peter Bjerregaard Britta Olsen Henrik Thybo Christesen Children in Greenland: disease patterns and contacts to the health care system |
topic_facet |
Greenland health paediatrics disease ICD-10 children health care system contacts Arctic medicine. Tropical medicine RC955-962 |
description |
Background: Previous studies of Greenlandic children’s disease pattern and contacts to the health care system are sparse and have focused on the primary health care sector. Objective: We aimed to identify the disease pattern and use of health care facilities of children aged 0–10 in two Greenlandic cohorts. Methods and design: In a retrospective, descriptive follow-up of the Ivaaq (The Greenland Child Cohort) and the CLEAR (climate changes, environmental contaminants and reproductive health) birth cohorts (total n=1,000), we reviewed medical records of children aged 6–10 in 2012 with residence in Nuuk or Ilulissat (n=332). Data on diseases and health care system contacts were extracted. Diagnoses were validated retrospectively. Primary health care contacts were reviewed for a random sample of 1:6. Results: In 311 children with valid social security number, the total number of health care system contacts was 12,471 equalling 4.6 contacts per child per year. The annual incidence rate of hospital admissions was 1:10 children (total n=266, 1,220 days, 4.6 days/admission), outpatient contacts 2:10 children and primary care 3.6 per child. Contacts were overall more frequent in boys compared with girls, 39.5 versus 34.6 during the study period, p=0.02. The highest annual contact rates for diseases were: hospitalisations/acute respiratory diseases 13.9:1,000; outpatient contacts/otitis media 5.1:1,000; primary care/conjunctivitis or nasopharyngitis 410:1,000 children. Outpatient screening for respiratory tuberculosis accounted 6.2:1,000, primary care non-disease (Z-diagnosis) 2,081:1,000 annually. Complete adherence to the child vaccination programme was seen in 40%, while 5% did not receive any vaccinations. Conclusions: In this first study of its kind, the health care contact pattern in Greenlandic children showed a relatively high hospitalisation rate and duration per admission, and a low primary health care contact rate. The overall contact rate and disease pattern resembled those in Denmark, except for tuberculosis ... |
format |
Article in Journal/Newspaper |
author |
Marius Kløvgaard Nina Odgaard Nielsen Thomas Lund Sørensen Peter Bjerregaard Britta Olsen Henrik Thybo Christesen |
author_facet |
Marius Kløvgaard Nina Odgaard Nielsen Thomas Lund Sørensen Peter Bjerregaard Britta Olsen Henrik Thybo Christesen |
author_sort |
Marius Kløvgaard |
title |
Children in Greenland: disease patterns and contacts to the health care system |
title_short |
Children in Greenland: disease patterns and contacts to the health care system |
title_full |
Children in Greenland: disease patterns and contacts to the health care system |
title_fullStr |
Children in Greenland: disease patterns and contacts to the health care system |
title_full_unstemmed |
Children in Greenland: disease patterns and contacts to the health care system |
title_sort |
children in greenland: disease patterns and contacts to the health care system |
publisher |
Taylor & Francis Group |
publishDate |
2016 |
url |
https://doi.org/10.3402/ijch.v75.32903 https://doaj.org/article/0d93e422987a45dba15d45c7f3bf7f48 |
long_lat |
ENVELOPE(-51.099,-51.099,69.220,69.220) ENVELOPE(-52.150,-52.150,68.717,68.717) |
geographic |
Arctic Greenland Ilulissat Nuuk |
geographic_facet |
Arctic Greenland Ilulissat Nuuk |
genre |
Arctic Circumpolar Health Greenland greenlandic Ilulissat International Journal of Circumpolar Health Nuuk |
genre_facet |
Arctic Circumpolar Health Greenland greenlandic Ilulissat International Journal of Circumpolar Health Nuuk |
op_source |
International Journal of Circumpolar Health, Vol 75, Iss 0, Pp 1-10 (2016) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/32903/pdf_125 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v75.32903 https://doaj.org/article/0d93e422987a45dba15d45c7f3bf7f48 |
op_doi |
https://doi.org/10.3402/ijch.v75.32903 |
container_title |
International Journal of Circumpolar Health |
container_volume |
75 |
container_issue |
1 |
container_start_page |
32903 |
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1766345456106864640 |