dc.contributor.author | Keijzers, Gerben | |
dc.contributor.author | Sweeny, Amy | |
dc.contributor.author | Crilly, Julia | |
dc.contributor.author | Good, Norm | |
dc.contributor.author | Cameron, Cate M | |
dc.contributor.author | Mihala, Gabor | |
dc.contributor.author | Scott, Rani | |
dc.contributor.author | Scuffham, Paul A | |
dc.date.accessioned | 2019-05-29T13:04:20Z | |
dc.date.available | 2019-05-29T13:04:20Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1471-2431 | |
dc.identifier.doi | 10.1186/s12887-018-1148-1 | |
dc.identifier.uri | http://hdl.handle.net/10072/379865 | |
dc.description.abstract | Background: To measure rates of parental-report of allergic disorders and ED presentations for allergic disorders in children, and to describe factors associated with either.
Methods: An existing cohort of 3404 children born between 2006 and 2011 (Environments for Healthy Living) with prospectively collected pre-natal, perinatal and follow-up data were linked to i) nationwide Medicare and pharmaceutical data and ii) Emergency Department (ED) data from four hospitals in Australia. Parental-reported allergy was assessed in those who returned follow-up questionnaires. ED presentation was defined as any presentation for a suite of allergic disorders, excluding asthma. Univariate analysis and multivariate logistic regression were used to descibe risk factors for both parental-reported allergy and ED presentation for an allergic disorder.
Results: The incidence of parental-reported child allergy at 1, 3 and 5 years of age was 7.8, 7.8 and 12.6%, respectively. Independent predictors of parental-report of allergy in multivariate analysis were parental-report of asthma (OR 2.2, 95% CI 1.4–3.4) or eczema (OR 4.3, 95% CI 3.1–6.1) and age > 6 months at introduction of solids (OR 1.3, 95% CI 1.0–1.7). Factors associated with ED presentations for allergy, which occurred in 3.6% of the cohort, were presence of maternal asthma (OR 2.3 95% CI:1.1, 4.9) and child born in spring (OR 1.7, 95% CI 1.1, 2.7).
Conclusions: More than 10% of children up to 5 years have a parental-reported allergic disorder, and 3.6% presented to ED. Parental-report of eczema and/or asthma and late introduction of solids were predictors of parental-report of allergy. Spring birth and maternal asthma were predictors for ED presentation for allergy. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BioMed Central | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofchapter | 169 | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 12 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | BMC Pediatrics | |
dc.relation.ispartofvolume | 18 | |
dc.subject.fieldofresearch | Paediatrics | |
dc.subject.fieldofresearch | Reproductive medicine not elsewhere classified | |
dc.subject.fieldofresearch | Midwifery | |
dc.subject.fieldofresearchcode | 3213 | |
dc.subject.fieldofresearchcode | 321599 | |
dc.subject.fieldofresearchcode | 4204 | |
dc.title | Parental-reported allergic disorders and emergency department presentations for allergy in the first five years of life; a longitudinal birth cohort | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | https://creativecommons.org/licenses/by/4.0/ | |
dc.description.version | Version of Record (VoR) | |
gro.faculty | Griffith Health, School of Medicine | |
gro.rights.copyright | © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Crilly, Julia | |
gro.griffith.author | Scuffham, Paul A. | |