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. 1982 Feb 1;126(3):249–252.

Morbidity in Canadian Indian and non-Indian children in the first year of life.

S E Evers, C G Rand
PMCID: PMC1862859  PMID: 7059900

Abstract

A cohort study of health status was undertaken to determine the patterns of morbidity in the first year of life for Indian and non-Indian infants living in southern Ontario. The annual incidence of office-reported health problems was 8.0 episodes for the 99 Indians and 4.5 for the 316 non-Indians studied. The risk of illness of most diagnostic categories was more than 1.5 times greater and the rate of hospital admission 4 times greater for the Indian infants. There was no difference between the two cohorts in the rates of visits to hospital emergency departments. The main cause of illness in both cohorts was respiratory tract infection; lower respiratory tract infections, particularly pneumonia, were a major health problem among the Indian infants. Only 36% of the Indian infants compared with 68% of the non-Indian infants attended five or more well-baby examinations. Part of the difference in morbidity between the Indian and non-Indian infants may be attributed to environmental factors, health care behaviour and geographic constraints.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERGMAN A. B., WERNER R. J. Failure of children to receive penicillin by mouth. N Engl J Med. 1963 Jun 13;268:1334–1338. doi: 10.1056/NEJM196306132682404. [DOI] [PubMed] [Google Scholar]
  2. Charney E., Bynum R., Eldredge D., Frank D., MacWhinney J. B., McNabb N., Scheiner A., Sumpter E. A., Iker H. How well do patients take oral penicillin? A collaborative study in private practice. Pediatrics. 1967 Aug;40(2):188–195. [PubMed] [Google Scholar]
  3. Colley J. R., Holland W. W., Corkhill R. T. Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet. 1974 Nov 2;2(7888):1031–1034. doi: 10.1016/s0140-6736(74)92148-5. [DOI] [PubMed] [Google Scholar]
  4. Colley J. R. Respiratory symptoms in children and parental smoking and phlegm production. Br Med J. 1974 Apr 27;2(5912):201–204. doi: 10.1136/bmj.2.5912.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cunningham A. S. Morbidity in breast-fed and artificially fed infants. II. J Pediatr. 1979 Nov;95(5 Pt 1):685–689. doi: 10.1016/s0022-3476(79)80711-8. [DOI] [PubMed] [Google Scholar]
  6. Cunningham A. S. Morbidity in breast-fed and artificially fed infants. J Pediatr. 1977 May;90(5):726–729. doi: 10.1016/s0022-3476(77)81236-5. [DOI] [PubMed] [Google Scholar]
  7. Ellestad-Sayed J., Coodin F. J., Dilling L. A., Haworth J. C. Breast-feeding protects against infection in Indian infants. Can Med Assoc J. 1979 Feb 3;120(3):295–298. [PMC free article] [PubMed] [Google Scholar]
  8. Gordis L., Markowitz M., Lilienfeld A. M. Studies in the epidemiology and preventability of rheumatic fever. IV. A quantitative determination of compliance in children on oral penicillin prophylaxis. Pediatrics. 1969 Feb;43(2):173–182. [PubMed] [Google Scholar]
  9. Houston C. S., Weiler R. L., Habbick B. F. Severity of lung disease in Indian children. Can Med Assoc J. 1979 May 5;120(9):1116–1121. [PMC free article] [PubMed] [Google Scholar]
  10. Koffman B. D., Merritt K. Analysis of after-hours calls and visits in a family practice. J Fam Pract. 1978 Dec;7(6):1185–1190. [PubMed] [Google Scholar]
  11. Leeder S. R., Corkhill R., Irwig L. M., Holland W. W., Colley J. R. Influence of family factors on the incidence of lower respiratory illness during the first year of life. Br J Prev Soc Med. 1976 Dec;30(4):203–212. doi: 10.1136/jech.30.4.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Mahon W. A., Herbert F. A., Wilkinson D., Morgante O., Burchak E. C., Costopoulos L. B. [Pneumonia in Indian and Eskimo infants and children. II. A controlled clinical trial of antibiotics]. Can Med Assoc J. 1967 Feb 4;96(5):265–268. [PMC free article] [PubMed] [Google Scholar]
  13. Maletzky A. J., Cooney M. K., Luce R., Kenny G. E., Grayston J. T. Epidemiology of viral and mycoplasmal agents associated with childhood lower respiratory illness in a civilian population. J Pediatr. 1971 Mar;78(3):407–414. doi: 10.1016/s0022-3476(71)80219-6. [DOI] [PubMed] [Google Scholar]
  14. Morris N. M., Hatch M. H., Chipman S. S. Deterrents to well-child supervision. Am J Public Health Nations Health. 1966 Aug;56(8):1232–1241. doi: 10.2105/ajph.56.8.1232. [DOI] [PMC free article] [PubMed] [Google Scholar]

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