Randall, D.A., Jorm, L.R., Lujic, S., Eades, S.J., Churches, T.R., O’Loughlin, A.J. and Leyland, A.H. (2014) Exploring disparities in acute myocardial infarction events between Aboriginal and non-Aboriginal Australians: roles of age, gender, geography and area-level disadvantage. Health and Place, 28, pp. 58-66. (doi: 10.1016/j.healthplace.2014.03.009)
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Abstract
We investigated disparities in rates of acute myocardial infarction (AMI) between Aboriginal and non-Aboriginal 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 times that in non-Aboriginal people, with the disparity greatest in more disadvantaged and remote areas. AMI 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.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Leyland, Professor Alastair |
| Authors: | Randall, D.A., Jorm, L.R., Lujic, S., Eades, S.J., Churches, T.R., O’Loughlin, A.J., and Leyland, A.H. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
| Journal Name: | Health and Place |
| Publisher: | Elsevier |
| ISSN: | 1353-8292 |
| ISSN (Online): | 1873-2054 |
| Copyright Holders: | Copyright © 2014 The Authors |
| First Published: | First published in Health and Place 28:58-66 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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