Recent patterns in chronic disease mortality in remote living Indigenous Australians

Andreasyan, K. and Hoy, W. E. (2010) Recent patterns in chronic disease mortality in remote living Indigenous Australians. BMC Public Health, 10 . doi:10.1186/1471-2458-10-483

Author Andreasyan, K.
Hoy, W. E.
Title Recent patterns in chronic disease mortality in remote living Indigenous Australians
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2010-08
Sub-type Article (original research)
DOI 10.1186/1471-2458-10-483
Open Access Status DOI
Volume 10
Total pages 6
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
Background: Despite the well-recognised Indigenous-non-Indigenous health disparity, some reports suggest improvements in Indigenous mortality. Our aim was to quantify Indigenous mortality in Outer Regional (OR), Remote (R), and Very Remote (VR) areas in New South Wales, Queensland, South Australia, Western Australia, and the Northern Territory and changes in mortality from 1998 to 2005. 

Methods: We calculated rates, standardized mortality ratios (SMRs) and percentage change in annual rates of Indigenous cardiovascular, diabetes and renal mortality mentioned anywhere on the death certificate by using ICD-10 codes and the 2001 total Australian population as the reference population. 

Results: In 1998-2001, Indigenous SMRs for all-cause mortality were 241%, 421% and 220% in OR, R and VR, respectively. In 2001-03, corresponding SMRs were 202%, 331% and 176%. Percentage changes (95% confidence interval) in annual all-cause mortality were -3.0% (-5.3%, -0.7%) in OR, -4.2% (-7.4%, -0.9%) in R and -0.5 (-9.1%, -0.7%) in VR. In 2002-2005, compared with 1998-2001, changes in the number of Indigenous deaths were -147, -195, and -197 in OR, R and VR, respectively. Similar patterns and trends were observed for cardiovascular mortality. 

Conclusions: Mortality was elevated about 2-fold in OR, 4-fold in R and 2-fold in VR areas. The downward trend in mortality regardless of remoteness of residence was partly attributable to a decrease in the absolute number of deaths. These patterns were observed for each of the states/territories individually. 
Keyword Northern Territory
Aboriginal Communities
Western Australia
Healthy Country
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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