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Canadian Journal of Public Health

, Volume 106, Issue 8, pp e483–e488 | Cite as

Prevalence and risk factors of asthma in First Nations children living on reserves in Canada

  • Ambikaipakan SenthilselvanEmail author
  • Selvanayagam John Niruban
  • Malcolm King
  • Carina Majaesic
  • Paul Veugelers
  • Lory Laing
  • Brian H. Rowe
Quantitative Research

Abstract

OBJECTIVES: To explore the prevalence and determine the risk factors of asthma in First Nations children aged 0 to 11 years living on reserves in Canada.

METHODS: In this cross-sectional study, we considered the data collected as part of the First Nations Regional Health Survey involving 6,657 children living in 238 First Nations communities in the 10 Canadian provinces, the Northwest Territories and the Yukon.

RESULTS: The overall prevalence of asthma that has lasted or is expected to last at least six months (ever-asthma) among children living on reserves was 14.6%: a prevalence of 12.9% among 0 to 4 year olds and 15.6% among 5 to 11 year olds. The prevalence of ever-asthma was greater among boys (16.1%) than girls (13.2%). Children from homes with two or more children aged less than 11 years and those who were engaged in daily physical activities were less likely to have a report of ever-asthma. Children from high-income families and smoke-free homes were more likely to have a report of ever-asthma. The association between allergy and ever-asthma was stronger in children with low birth weight. The association between chronic ear infections and ever-asthma was stronger in girls than boys.

CONCLUSIONS: The overall prevalence of ever-asthma and factors associated with ever-asthma in First Nations children living on reserves were similar to those reported for off-reserve Aboriginal children and non-Aboriginal Canadian children.

Keywords

Asthma children First Nations prevalence risk factors 

Résumé

OBJECTIFS : Explorer la prévalence et déterminer les facteurs de risque de l’asthme chez les enfants des Premières Nations de 0 à 11 ans vivant dans les réserves au Canada.

MÉTHODE : Dans cette étude transversale, nous avons examiné les données recueillies dans le cadre de l’Enquête régionale longitudinale sur la santé des Premières Nations auprès de 6 657 enfants vivant dans 238 communautés des Premières nations dans les 10 provinces canadiennes, les Territoires du Nord-Ouest et au Yukon.

RÉSULTATS : La prévalence globale d’asthme ayant duré ou devant durer au moins six mois (« asthme passé ») chez les enfants vivant dans les réserves était de 14,6 %: elle était de 12,9 % chez les 0 à 4 ans et de 15,6 % chez les 5 à 11 ans. La prévalence de l’asthme passé était plus élevée chez les garçons (16,1 %) que chez les filles (13,2 %). Les enfants des ménages comptant deux enfants ou plus de moins de 11 ans et les enfants qui faisaient de l’activité physique quotidiennement étaient moins susceptibles de déclarer de l’asthme passé. Les enfants des familles à revenu élevé et ceux vivant dans des foyers sans fumée étaient plus susceptibles de déclarer de l’asthme passé. L’association entre les allergies et l’asthme passé était plus forte chez les enfants avec insuffisance de poids à la naissance. L’association entre les otites chroniques et l’asthme passé était plus forte chez les filles que chez les garçons.

CONCLUSIONS : La prévalence globale de l’asthme passé et les facteurs associés à l’asthme passé chez les enfants des Premières Nations vivant dans les réserves étaient semblables aux résultats déclarés pour les enfants autochtones vivant hors des réserves et pour les enfants canadiens non autochtones.

Mots Clés

asthme enfant Premiéres Nations prévalence facteurs de risque 

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Copyright information

© The Canadian Public Health Association 2015

Authors and Affiliations

  • Ambikaipakan Senthilselvan
    • 1
    Email author
  • Selvanayagam John Niruban
    • 1
  • Malcolm King
    • 2
  • Carina Majaesic
    • 3
  • Paul Veugelers
    • 1
  • Lory Laing
    • 1
  • Brian H. Rowe
    • 1
    • 4
  1. 1.School of Public HealthUniversity of AlbertaEdmontonCanada
  2. 2.Faculty of Health SciencesSimon Fraser UniversityVancouverCanada
  3. 3.Department of PediatricsUniversity of AlbertaEdmontonCanada
  4. 4.Department of Emergency MedicineUniversity of AlbertaEdmontonCanada

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