The respiratory health of urban Indigenous children aged less than 5 years: Study protocol for a prospective cohort study

Hall, Kerry, Chang, Anne B., Sloots, Theo P., Anderson, Jennie, Kemp, Anita, Hammill, Janet, Otim, Michael, & O'Grady, Kerry-Ann (2015) The respiratory health of urban Indigenous children aged less than 5 years: Study protocol for a prospective cohort study. BMC Pediatrics, 15, p. 56.

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Despite the burden of acute respiratory illnesses (ARI) among Aboriginal and Torres Strait Islander children being a substantial cause of childhood morbidity and associated costs to families, communities and the health system, data on disease burden in urban children are lacking. Consequently evidence-based decision-making, data management guidelines, health resourcing for primary health care services and prevention strategies are lacking. This study aims to comprehensively describe the epidemiology, impact and outcomes of ARI in urban Aboriginal and Torres Strait Islander children (hereafter referred to as Indigenous) in the greater Brisbane area.


A prospective cohort study of Indigenous children aged less than five years registered with a primary health care service in Northern Brisbane, Queensland, Australia. Children are recruited at time of presentation to the service for any reason. Demographic, epidemiological, risk factor, microbiological, economic and clinical data are collected at enrolment. Enrolled children are followed for 12 months during which time ARI events, changes in child characteristics over time and monthly nasal swabs are collected. Children who develop an ARI with cough as a symptom during the study period are more intensely followed-up for 28(±3) days including weekly nasal swabs and parent completed cough diary cards. Children with persistent cough at day 28 post-ARI are reviewed by a paediatrician.


Our study will be one of the first to comprehensively evaluate the natural history, epidemiology, aetiology, economic impact and outcomes of ARIs in this population. The results will inform studies for the development of evidence-based guidelines to improve the early detection, prevention and management of chronic cough and setting of priorities in children during and after ARI.

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ID Code: 83978
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Acute Respiratory Illness; Urban; Economics; Primary health care centre; Aboriginal and Torres Strait Islander; Children
DOI: 10.1186/s12887-015-0375-y
ISSN: 1471-2431
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > QUT Faculties and Divisions > Faculty of Law
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2015 Hall et al.; licensee BioMed Central.
Copyright Statement: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Deposited On: 07 May 2015 23:15
Last Modified: 15 Nov 2015 22:58

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