Exploring disparities in acute myocardial infarction events between Aboriginal and non-Aboriginal Australians: Roles of age, gender, geography and area-level disadvantage

被引：8

作者：

Randall, D. A. ^{[1
]}

Jorm, L. R. ^{[1
,2
]}

Lujic, S. ^{[1
]}

Eades, S. J. ^{[3
,4
]}

Churches, T. R. ^{[2
]}

O'Loughlin, A. J. ^{[5
]}

Leyland, A. H. ^{[6
]}

机构：

[1] Univ Western Sydney, Sch Med, Ctr Hlth Res, Penrith, NSW 2751, Australia

[2] Sax Inst, Haymarket, NSW 1240, Australia

[3] Univ Sydney, Sydney Med Sch, Sydney Sch Publ Hlth, Sydney, NSW 2006, Australia

[4] Baker IDI Heart & Diabet Inst, Melbourne, Vic 8008, Australia

[5] Univ Western Sydney, Sch Med, Penrith, NSW 2751, Australia

[6] Univ Glasgow, MRC CSO Social & Publ Hlth Sci Unit, Glasgow G12 8RZ, Lanark, Scotland

来源：

HEALTH & PLACE | 2014年 / 28卷

基金：

英国医学研究理事会;

关键词：

Acute myocardial infarction; Aboriginal health; Multilevel modeling; Data linkage; CORONARY-HEART-DISEASE; STRAIT ISLANDER PEOPLES; BRIEF CONCEPTUAL TUTORIAL; SOCIAL EPIDEMIOLOGY; MULTILEVEL ANALYSIS; DATA LINKAGE; HEALTH; RISK; ENVIRONMENTS; NEIGHBORHOOD;

D O I：

10.1016/j.healthplace.2014.03.009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We investigated disparities in rates of acute myocardial infarction (AML) between Aboriginal and nonAboriginal people in the 199 Statistical Local Areas (SLAs) in New South Wales, Australia. Using routinely collected and linked hospital and mortality data from 2002 to 2007, we developed multilevel Poisson regression models to estimate the relative rates of first AMI events in the study period accounting for area of residence. Rates of AMI in Aboriginal people were more than two Limes that in non-Aboriginal people, with the disparity greatest in more disadvantaged and remote areas. ANIL rates in Aboriginal people varied significantly by SLA, as did the Aboriginal to non-Aboriginal rate ratio. We identified almost 30 priority areas for universal and targeted preventive interventions that had both high rates of AMI for Aboriginal people and large disparities in rates. (C) 2014 The Authors. Published by Elsevier Ltd.

引用

页码：58 / 66

页数：9

共 3 条

[1] Disparities in Revascularization Rates After Acute Myocardial Infarction Between Aboriginal and Non-Aboriginal People in Australia
Randall, Deborah A.
Jorm, Louisa R.
Lujic, Sanja
O'Loughlin, Aiden J.
Eades, Sandra J.
Leyland, Alastair H.
CIRCULATION, 2013, 127 (07) : 811 - 819
[2] Incidence of and Case Fatality Following Acute Myocardial Infarction in Aboriginal and Non-Aboriginal Western Australians (2000-2004): A Linked Data Study
Katzenellenbogen, Judith M.
Sanfilippo, Frank M.
Hobbs, Michael S. T.
Briffa, Tom G.
Ridout, Steve C.
Knuiman, Matthew W.
Dimer, Lyn
Taylor, Kate P.
Thompson, Peter L.
Thompson, Sandra C.
HEART LUNG AND CIRCULATION, 2010, 19 (12) : 717 - 725
[3] Disparities experienced by Aboriginal compared to non-Aboriginal metropolitan Western Australians in receiving coronary angiography following acute ischaemic heart disease: the impact of age and comorbidities
Lopez, Derrick
Katzenellenbogen, Judith M.
Sanfilippo, Frank M.
Woods, John A.
Hobbs, Michael S. T.
Knuiman, Matthew W.
Briffa, Tom G.
Thompson, Peter L.
Thompson, Sandra C.
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2014, 13

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