Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth
BACKGROUND: Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279448/ http://www.ncbi.nlm.nih.gov/pubmed/30530610 https://doi.org/10.1503/cmaj.180198 |
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ftpubmed:oai:pubmedcentral.nih.gov:6279448 2023-05-15T16:13:51+02:00 Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth Latimer, Margot Rudderham, Sharon Lethbridge, Lynn MacLeod, Emily Harman, Katherine Sylliboy, John R. Filiaggi, Corey Finley, G. Allen 2018-12-10 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279448/ http://www.ncbi.nlm.nih.gov/pubmed/30530610 https://doi.org/10.1503/cmaj.180198 en eng Joule Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279448/ http://www.ncbi.nlm.nih.gov/pubmed/30530610 http://dx.doi.org/10.1503/cmaj.180198 © 2018 Joule Inc. or its licensors Research Text 2018 ftpubmed https://doi.org/10.1503/cmaj.180198 2019-12-15T01:12:32Z BACKGROUND: Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in First Nations and non–First Nations children. METHODS: Data from a study population of age- and sex-matched First Nations and non–First Nations children and youth were accessed from a specific region of Atlantic Canada. The primary objective of the study was to compare diagnosis rates of painful conditions and specialist visits between cohorts. The secondary objective was to determine whether there were correlations between early physical pain exposure and pain in adolescence (physical and mental health). RESULTS: Although ear- and throat-related diagnoses were more likely in the First Nations group than in the non–First Nations group (ear 67.3% v. 56.8%, p < 0.001; throat 89.3% v. 78.8%, p < 0.001, respectively), children in the First Nations group were less likely to see a relevant specialist (ear 11.8% v. 15.5%, p < 0.001; throat 12.7% v. 16.1%, p < 0.001, respectively). First Nations newborns were more likely to experience an admission to the neonatal intensive care unit (NICU) than non–First Nations newborns (24.4% v. 18.4%, p < 0.001, respectively). Non–First Nations newborns experiencing an NICU admission were more likely to receive a mental health diagnosis in adolescence, but the same was not found with the First Nations group (3.4% v. 5.7%, p < 0.03, respectively). First Nations children with a diagnosis of an ear or urinary tract infection in early childhood were almost twice as likely to have a diagnosis of headache or abdominal pain as adolescents (odds ratio [OR] 1.9, 95% confidence interval [CI] 1.1–3.0, and OR 1.7, 95% CI 1.2–2.3, respectively). INTERPRETATION: First Nations children were diagnosed with more pain than non–First Nations children, but did not access specific ... Text First Nations PubMed Central (PMC) Canada Canadian Medical Association Journal 190 49 E1434 E1440 |
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Research Latimer, Margot Rudderham, Sharon Lethbridge, Lynn MacLeod, Emily Harman, Katherine Sylliboy, John R. Filiaggi, Corey Finley, G. Allen Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
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Research |
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BACKGROUND: Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in First Nations and non–First Nations children. METHODS: Data from a study population of age- and sex-matched First Nations and non–First Nations children and youth were accessed from a specific region of Atlantic Canada. The primary objective of the study was to compare diagnosis rates of painful conditions and specialist visits between cohorts. The secondary objective was to determine whether there were correlations between early physical pain exposure and pain in adolescence (physical and mental health). RESULTS: Although ear- and throat-related diagnoses were more likely in the First Nations group than in the non–First Nations group (ear 67.3% v. 56.8%, p < 0.001; throat 89.3% v. 78.8%, p < 0.001, respectively), children in the First Nations group were less likely to see a relevant specialist (ear 11.8% v. 15.5%, p < 0.001; throat 12.7% v. 16.1%, p < 0.001, respectively). First Nations newborns were more likely to experience an admission to the neonatal intensive care unit (NICU) than non–First Nations newborns (24.4% v. 18.4%, p < 0.001, respectively). Non–First Nations newborns experiencing an NICU admission were more likely to receive a mental health diagnosis in adolescence, but the same was not found with the First Nations group (3.4% v. 5.7%, p < 0.03, respectively). First Nations children with a diagnosis of an ear or urinary tract infection in early childhood were almost twice as likely to have a diagnosis of headache or abdominal pain as adolescents (odds ratio [OR] 1.9, 95% confidence interval [CI] 1.1–3.0, and OR 1.7, 95% CI 1.2–2.3, respectively). INTERPRETATION: First Nations children were diagnosed with more pain than non–First Nations children, but did not access specific ... |
format |
Text |
author |
Latimer, Margot Rudderham, Sharon Lethbridge, Lynn MacLeod, Emily Harman, Katherine Sylliboy, John R. Filiaggi, Corey Finley, G. Allen |
author_facet |
Latimer, Margot Rudderham, Sharon Lethbridge, Lynn MacLeod, Emily Harman, Katherine Sylliboy, John R. Filiaggi, Corey Finley, G. Allen |
author_sort |
Latimer, Margot |
title |
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
title_short |
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
title_full |
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
title_fullStr |
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
title_full_unstemmed |
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non–First Nations children and youth |
title_sort |
occurrence of and referral to specialists for pain-related diagnoses in first nations and non–first nations children and youth |
publisher |
Joule Inc. |
publishDate |
2018 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279448/ http://www.ncbi.nlm.nih.gov/pubmed/30530610 https://doi.org/10.1503/cmaj.180198 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279448/ http://www.ncbi.nlm.nih.gov/pubmed/30530610 http://dx.doi.org/10.1503/cmaj.180198 |
op_rights |
© 2018 Joule Inc. or its licensors |
op_doi |
https://doi.org/10.1503/cmaj.180198 |
container_title |
Canadian Medical Association Journal |
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190 |
container_issue |
49 |
container_start_page |
E1434 |
op_container_end_page |
E1440 |
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1765999728749707264 |