Divergent mortality trends by ethnicity in Fiji

Taylor, Richard, Carter, Karen, Naidu, Shivnay, Linhart, Christine, Azim, Syed, Rao, Chalapati and Lopez, Alan D. (2013) Divergent mortality trends by ethnicity in Fiji. Australian and New Zealand Journal of Public Health, 37 6: 509-515. doi:10.1111/1753-6405.12116


Author Taylor, Richard
Carter, Karen
Naidu, Shivnay
Linhart, Christine
Azim, Syed
Rao, Chalapati
Lopez, Alan D.
Title Divergent mortality trends by ethnicity in Fiji
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
1753-6405
Publication date 2013-12-01
Sub-type Article (original research)
DOI 10.1111/1753-6405.12116
Open Access Status Not Open Access
Volume 37
Issue 6
Start page 509
End page 515
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Objective: To examine trends in infant mortality rate (IMR), adult mortality and life expectancy (LE) in the two major Fijian ethnic groups since 1975.

Methods: Estimates of IMR, adult mortality (15-59 years) and LE by ethnicity are calculated from previously unreported Fiji Ministry of Health data and extracted from published sources.

Results: Over 1975-2008: IMR decreased from 33 to 20 deaths/1,000 live births in i-Taukei (Fiji Melanesians); and 38 to 18 in Fijians of Indian descent. Increased adult male mortality among i-Taukei and decline among Fijians of Indian descent led to an equal probability of dying in 2007 of 29%; while in female adults the probability trended upwards in i-Taukei to 25%, and declined in Fijians of Indian descent to 17%. Life expectancy in both ethnicities increased until 1985 (to 64 years for males; 68 for females) then forming a plateau in males of both ethnicities, and Fijian females of Indian descent, but declining in i-Taukei females to 66 years in 2007.

Conclusions: Despite IMR declines over 1975-2008, LE for i-Taukei and Fijians of Indian descent has not increased since 1985, and has actually decreased in i-Taukei women, consistent with trends in adult mortality (15-59 years). Mortality analyses in Fiji that consider the entire population mask divergent trends in the major ethnic groups. This situation is most likely a consequence of non-communicable disease mortality, requiring further assessment and a strengthened response.
Keyword Infant mortality
Adult mortality
Life expectancy
Fiji
Non-communicable disease
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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