Yuejen Zhao1, Steve Guthridge, Anne Magnus, Theo Vos. 1. Health Gains Planning, Northern Territory Department of Health and Community Services, Casuarina, NT. yuejen.zhao@nt.gov.au
Abstract
OBJECTIVE: To quantify the burden of disease and injury for the Aboriginal and non-Aboriginal populations in the Northern Territory. DESIGN AND SETTING: Analysis of Northern Territory data for 1 January 1994 to 30 December 1998 from multiple sources. MAIN OUTCOME MEASURES: Disability-adjusted life-years (DALYs), by age, sex, cause and Aboriginality. RESULTS: Cardiovascular disease was the leading contributor (14.9%) to the total burden of disease and injury in the NT, followed by mental disorders (14.5%) and malignant neoplasms (11.2%). There was also a substantial contribution from unintentional injury (10.4%) and intentional injury (4.9%). Overall, the NT Aboriginal population had a rate of burden of disease 2.5 times higher than the non-Aboriginal population; in the 35-54-year age group their DALY rate was 4.1 times higher. The leading causes of disease burden were cardiovascular disease for both Aboriginal men (19.1%) and women (15.7%) and mental disorders for both non-Aboriginal men (16.7%) and women (22.3%). CONCLUSIONS: A comprehensive assessment of fatal and non-fatal conditions is important in describing differentials in health status of the NT population. Our study provides comparative data to identify health priorities and facilitate a more equitable distribution of health funding.
OBJECTIVE: To quantify the burden of disease and injury for the Aboriginal and non-Aboriginal populations in the Northern Territory. DESIGN AND SETTING: Analysis of Northern Territory data for 1 January 1994 to 30 December 1998 from multiple sources. MAIN OUTCOME MEASURES: Disability-adjusted life-years (DALYs), by age, sex, cause and Aboriginality. RESULTS:Cardiovascular disease was the leading contributor (14.9%) to the total burden of disease and injury in the NT, followed by mental disorders (14.5%) and malignant neoplasms (11.2%). There was also a substantial contribution from unintentional injury (10.4%) and intentional injury (4.9%). Overall, the NT Aboriginal population had a rate of burden of disease 2.5 times higher than the non-Aboriginal population; in the 35-54-year age group their DALY rate was 4.1 times higher. The leading causes of disease burden were cardiovascular disease for both Aboriginal men (19.1%) and women (15.7%) and mental disorders for both non-Aboriginal men (16.7%) and women (22.3%). CONCLUSIONS: A comprehensive assessment of fatal and non-fatal conditions is important in describing differentials in health status of the NT population. Our study provides comparative data to identify health priorities and facilitate a more equitable distribution of health funding.
Authors: Sandra C Thompson; Michelle L Digiacomo; Julie S Smith; Kate P Taylor; Lyn Dimer; Mohammed Ali; Marianne M Wood; Timothy G Leahy; Patricia M Davidson Journal: Aust New Zealand Health Policy Date: 2009-12-30