Your browser doesn't support javascript.
loading
Mortality outcomes and inequities experienced by rural Maori in Aotearoa New Zealand.
Crengle, Sue; Davie, Gabrielle; Whitehead, Jesse; de Graaf, Brandon; Lawrenson, Ross; Nixon, Garry.
Afiliación
  • Crengle S; (Kai Tahu, Kati Mamoe, Waitaha) PhD. Ngai Tahu Maori Health Research Unit, Division of Health Sciences, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
  • Davie G; Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
  • Whitehead J; Te Ngira Institute for Population Research, Waikato University, Private Bag 3105, Hamilton 3240, New Zealand.
  • de Graaf B; Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
  • Lawrenson R; Waikato Medical Research Centre, Waikato University, Private Bag 3105, Hamilton 3240, New Zealand.
  • Nixon G; Department of General Practice and Rural Health, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
Lancet Reg Health West Pac ; 28: 100570, 2022 Nov.
Article en En | MEDLINE | ID: mdl-36042896
Background: Previous research identified inequities in all-cause mortality between Maori and non-Maori populations. Unlike comparable jurisdictions, mortality rates in rural areas have not been shown to be higher than those in urban areas for either population. This paper uses contemporary mortality data to examine Maori and non-Maori mortality rates in rural and urban areas. Methods: A population-level observational study using deidentified routinely collected all-cause mortality, amenable mortality and census data. For each level of the Geographic Classification for Health (GCH), Maori and non-Maori age-sex standardised all-cause mortality and amenable mortality incident rates, Maori:Non-Maori standardised incident rate ratios and Maori rural:urban standardised incident rate ratios were calculated. Age and deprivation stratified rates and rate ratios were also calculated. Findings: Compared to non-Maori, Maori experience excess all-cause (SIRR 1.87 urban; 1.95 rural) and amenable mortality (SIRR 2.45 urban; 2.34 rural) and in all five levels of the GCH. Rural Maori experience greater all-cause (SIRR 1.07) and amenable (SIRR 1.13) mortality than their urban peers. Maori and non-Maori all-cause and amenable mortality rates increased as rurality increased. Interpretation: The excess Maori all-cause mortality across the rural: urban spectrum is consistent with existing literature documenting other Maori health inequities. A similar but more pronounced pattern of inequities is observed for amenable mortality that reflects ethnic differences in access to, and quality of, health care. The excess all-cause and amenable mortality experienced by rural Maori, compared to their urban counterparts, suggests that there are additional challenges associated with living rurally. Funding: This work was funded by the Health Research Council of New Zealand (HRC19/488).
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Equity_inequality Idioma: En Revista: Lancet Reg Health West Pac Año: 2022 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Equity_inequality Idioma: En Revista: Lancet Reg Health West Pac Año: 2022 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Reino Unido