Access and Society as Determinants of Ischaemic Heart Disease in Indigenous Populations

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dc.contributor.author Curtis, Elana en
dc.contributor.author Harwood, Matire en
dc.contributor.author Riddell, Tania en
dc.contributor.author Robson, B en
dc.contributor.author Harris, Ricci en
dc.contributor.author Mills, Clair en
dc.contributor.author Reid, Mary-Jane en
dc.date.accessioned 2012-03-04T19:16:01Z en
dc.date.issued 2010 en
dc.identifier.citation Heart Lung Circ 19(5-6):316-324 May 2010 en
dc.identifier.issn 1443-9506 en
dc.identifier.uri http://hdl.handle.net/2292/12665 en
dc.description.abstract Background: Ischaemic Heart Disease (IHD) is a leading cause of death in New Zealand and the burden falls disproportionately on Maori, the indigenous population of Aotearoa New Zealand. ¯ Methods: Data for Maori:non-M ¯ aori disparities in risk factors, hospitalisation, procedure receipt and mortality for ¯ IHD are analysed. Age-adjusted rates of IHD mortality (2000–2004) and publicly funded hospitalisations and procedures (2003–2005) for Maori and non-M ¯ aori are reported and compared. ¯ Results: Significant inequalities between Maori and non-M ¯ aori in IHD risk factors, hospitalisations, mortality and ¯ the receipt of related procedures exist. IHD hospitalisation rates for Maori are 1.4 times that of non-M ¯ aori, however ¯ mortality rates are more than twice that of non-Maori. In recent years M ¯ aori revascularisation rates have increased (as ¯ have non-Maori rates) but are still considerably less than might be expected given the much higher mortality rates. ¯ Conclusion: Despite high need, Maori receive relatively low access to appropriate care for IHD. The role of society, ¯ policy, and the clinician are three key factors to be considered in reducing inequalities for IHD between Maori and ¯ non-Maori. en
dc.publisher Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand; Elsevier Inc. en
dc.relation.ispartofseries Heart Lung and Circulation en
dc.rights "Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1443-9506/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Access and Society as Determinants of Ischaemic Heart Disease in Indigenous Populations en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.hlc.2010.04.129 en
pubs.begin-page 316 en
pubs.volume 19 en
dc.rights.holder Copyright: Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand; Elsevier Inc. en
dc.identifier.pmid 20444647 en
pubs.end-page 324 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 102784 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id Te Kupenga Hauora Maori en
pubs.org-id TKHM Teaching en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20444647 en


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