Ethnic disparities in community antibacterial dispensing in New Zealand, 2015

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dc.contributor.author Whyler, N en
dc.contributor.author Tomlin, A en
dc.contributor.author Tilyard, M en
dc.contributor.author Thomas, Mark en
dc.date.accessioned 2019-03-21T01:45:12Z en
dc.date.issued 2018-08-17 en
dc.identifier.citation New Zealand Medical Journal 131(1480):50-60 17 Aug 2018 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/46242 en
dc.description.abstract AIMS: There are significant ethnic disparities in the incidence of various infectious diseases in New Zealand. Antimicrobial stewardship interventions which ignore these disparities may have negative e ects on the health of some ethnic groups. We aimed to determine the relationship between ethnicity and community antimicrobial dispensing in New Zealand, to inform the development of antimicrobial stewardship interventions in New Zealand. METHODS: Demographic data on all patients registered with a general practice in New Zealand and on all community pharmacy antibacterial dispensings during 2015 were obtained from national healthcare databases. The rates of dispensing were measured as the number of dispensings per 1,000 population per day and as defined daily doses per 1,000 population per day. RESULTS: The rate of community antibacterial dispensing for the total population surveyed was 3.01 dispensings per 1,000 population per day, and was 3.49 for Pacific, 3.23 for Māori, 3.02 for European, 2.70 for Middle Eastern, Latin American and African, and 2.35 for Asian people. In all ethnic groups the rate of community antibacterial dispensing increased with increasing socioeconomic deprivation. Seasonal variation in antibacterial dispensing ranged between 34% in Asian people and 24% in European people. CONCLUSIONS: The ethnic disparities in the rates of antibacterial dispensing in New Zealand are consistent with, but less marked than, the ethnic disparities in the incidence of infectious diseases in New Zealand. Improved community-wide understanding of both the benefits and the harms of antibacterial medicines is necessary to support improved antibacterial use in New Zealand in the future. en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal 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. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://www.nzma.org.nz/journal/contribute en
dc.title Ethnic disparities in community antibacterial dispensing in New Zealand, 2015 en
dc.type Journal Article en
pubs.issue 1480 en
pubs.begin-page 50 en
pubs.volume 131 en
dc.rights.holder Copyright: NZMA en
pubs.author-url https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2018/vol-131-no-1480-17-august-2018/7664 en
pubs.end-page 60 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 760144 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Molecular Medicine en
pubs.record-created-at-source-date 2019-01-25 en


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