Literature DB >> 20444647

Access and society as determinants of ischaemic heart disease in indigenous populations.

Elana Curtis1, Matire Harwood, Tania Riddell, Bridget Robson, Ricci Harris, Clair Mills, Papaarangi Reid.   

Abstract

BACKGROUND: Ischaemic Heart Disease (IHD) is a leading cause of death in New Zealand and the burden falls disproportionately on Māori, the indigenous population of Aotearoa New Zealand.
METHODS: Data for Māori:non-Māori 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 Māori and non-Māori are reported and compared.
RESULTS: Significant inequalities between Māori and non-Māori in IHD risk factors, hospitalisations, mortality and the receipt of related procedures exist. IHD hospitalisation rates for Māori are 1.4 times that of non-Māori, however mortality rates are more than twice that of non-Māori. In recent years Māori revascularisation rates have increased (as have non-Māori rates) but are still considerably less than might be expected given the much higher mortality rates.
CONCLUSION: Despite high need, Māori 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 Māori and non-Māori. Copyright 2010 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier B.V. All rights reserved.

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Year:  2010        PMID: 20444647     DOI: 10.1016/j.hlc.2010.04.129

Source DB:  PubMed          Journal:  Heart Lung Circ        ISSN: 1443-9506            Impact factor:   2.975


  9 in total

1.  Development and testing of study tools and methods to examine ethnic bias and clinical decision-making among medical students in New Zealand: The Bias and Decision-Making in Medicine (BDMM) study.

Authors:  Ricci Harris; Donna Cormack; Elana Curtis; Rhys Jones; James Stanley; Cameron Lacey
Journal:  BMC Med Educ       Date:  2016-07-11       Impact factor: 2.463

2.  Ethnic bias and clinical decision-making among New Zealand medical students: an observational study.

Authors:  Ricci Harris; Donna Cormack; James Stanley; Elana Curtis; Rhys Jones; Cameron Lacey
Journal:  BMC Med Educ       Date:  2018-01-23       Impact factor: 2.463

3.  Listening to First Nations women' expressions of heart health: mite achimowin digital storytelling study.

Authors:  Lorena Sekwan Fontaine; Sarah Wood; Lisa Forbes; Annette S H Schultz
Journal:  Int J Circumpolar Health       Date:  2019-12       Impact factor: 1.228

4.  Quality of prescribing predicts hospitalisation in octogenarians: life and living in advanced age: a cohort study in New Zealand (LiLACS NZ).

Authors:  Cristín Ryan; Ruth Teh; Simon Moyes; Tim Wilkinson; Martin Connolly; Anna Rolleston; Mere Kepa; Ngaire Kerse
Journal:  BMC Geriatr       Date:  2019-12-19       Impact factor: 3.921

5.  Retrospective analysis of the 13-year trend in acute and elective surgery for patients aged 60 years and over at Auckland City Hospital, New Zealand.

Authors:  Carolyn Deng; Simon Mitchell; Sarah-Jane Paine; Ngaire Kerse
Journal:  J Epidemiol Community Health       Date:  2019-10-24       Impact factor: 3.710

6.  Does potentially inappropriate prescribing predict an increased risk of admission to hospital and mortality? A longitudinal study of the 'oldest old'.

Authors:  Karen Cardwell; Ngaire Kerse; Carmel M Hughes; Ruth Teh; Simon A Moyes; Oliver Menzies; Anna Rolleston; Joanna B Broad; Cristín Ryan
Journal:  BMC Geriatr       Date:  2020-01-28       Impact factor: 3.921

7.  Observations by and Conversations with Health Workers and Hospital Personnel Involved in Transferring Māori Patients and Whānau to Waikato Hospital in Aotearoa New Zealand.

Authors:  Bridgette Masters-Awatere; Donna Cormack; Rebekah Graham; Rachel Brown
Journal:  Int J Environ Res Public Health       Date:  2020-11-27       Impact factor: 3.390

8.  Disentangling the varying associations between systolic blood pressure and health outcomes in the very old: an individual patient data meta-analysis.

Authors:  Jonathan M K Bogaerts; Rosalinde K E Poortvliet; Veerle M G T H van der Klei; Wilco P Achterberg; Jeanet W Blom; Ruth Teh; Marama Muru-Lanning; Ngaire Kerse; Anna Rolleston; Carol Jagger; Andrew Kingston; Louise Robinson; Yasumichi Arai; Ryo Shikimoto; Jacobijn Gussekloo
Journal:  J Hypertens       Date:  2022-07-11       Impact factor: 4.776

9.  Educating for Indigenous Health Equity: An International Consensus Statement.

Authors:  Rhys Jones; Lynden Crowshoe; Papaarangi Reid; Betty Calam; Elana Curtis; Michael Green; Tania Huria; Kristen Jacklin; Martina Kamaka; Cameron Lacey; Jill Milroy; David Paul; Suzanne Pitama; Leah Walker; Gillian Webb; Shaun Ewen
Journal:  Acad Med       Date:  2019-04       Impact factor: 6.893

  9 in total

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