Article2018

Chronic wet cough in Aboriginal children: It's not just a cough

Pamela J. Laird · Roz Walker · Anne Bernadette Chang · André Schultz

39 citations0/0 files storedJournal of Paediatrics and Child Health

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Indigenous Health, Education, and Rights Health Literacy and Information Accessibility Cultural Competency in Health Care

Abstract

AIM: Chronic respiratory disease is common among Aboriginal Australians. Chronic wet cough is an early marker of chronic disease in children but often goes undetected due, in part, to delayed health seeking by families. Currently, no studies have examined the reasons for delayed health seeking for children's chronic cough. To identify the barriers to, and enablers for, seeking medical help for chronic wet cough in Aboriginal children. METHODS: This was a qualitative study, gathering data through individual semi-structured, in-depth interviews and focus groups to ascertain Aboriginal family knowledge, attitudes and beliefs about seeking health care for chronic wet cough in children in a regional Kimberley town, Western Australia between October 2017 and March 2018. RESULTS: Forty Aboriginal community members participated. The three key barriers identified were: 'Cough normalisation', that is, 70% of participants considered chronic cough normal (with 53% of participants' previous interactions with doctors informing their understanding of chronic cough); the lack of health literacy information; and a sense of disempowerment (belief that no medical action would be taken and inability to challenge doctors). The key expressed enablers were provision of health literacy information and health practitioner training to assess and treat chronic wet cough in children. All participants reported that they would seek help for chronic wet cough once they were informed that it could signify underlying disease. CONCLUSION: Results highlight the need for a culturally appropriate information and education to inform Aboriginal families and their health practitioners of the importance of chronic wet cough in children.

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References

2015Aboriginal and Torres Strait Islander health performance framework 2014 report 2012Strategic approaches to enhanced health service delivery for Aboriginal and Torres Strait Islander people with chronic illness: a qualitative study 2015Enablers and barriers to the implementation of primary health care interventions for Indigenous people with chronic diseases: a systematic review

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2020Recognition and Management of Protracted Bacterial Bronchitis in Australian Aboriginal Children 2019We won't find what we don't look for: Identifying barriers and enablers of chronic wet cough in Aboriginal children 2019Prevalence of chronic wet cough and protracted bacterial bronchitis in Aboriginal children 2021Respiratory follow-up to improve outcomes for Aboriginal children: twelve key steps 2022Prevalence of chronic respiratory diseases in Aboriginal children: A whole population study 2020Concepts of Health-Related Quality of Life of Australian Aboriginal and Torres Strait Islander Children: Parent Perceptions

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