Mortality in a cohort of remote-living aboriginal australians and associated factors

Zoë Hyde, Kate Smith, Leon Flicker, David Atkinson, Osvaldo P. Almeida, Nicola T. Lautenschlager, Anna Dwyer, Dina LoGiudice

Research output: Contribution to journalArticle

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Abstract

Objectives We aimed to describe mortality in a cohort of remote-living Aboriginal Australians using electronic record linkage. Methods Between 2004 and 2006, 363 Aboriginal people living in remote Western Australia (WA) completed a questionnaire assessing medical history and behavioural risk factors. We obtained mortality records for the cohort from the WA Data Linkage System and compared them to data for the general population. We used Cox proportional hazards regression to identify predictors of mortality over a 9-year follow-up period. Results The leading causes of mortality were diabetes, renal failure, and ischaemic heart disease. Diabetes and renal failure accounted for 28% of all deaths. This differed from both the Australian population as a whole, and the general Indigenous Australian population. The presence of chronic disease did not predict mortality, nor did behaviours such as smoking. Only age, male sex, poor mobility, and cognitive impairment were risk factors. Conclusions To reduce premature mortality, public health practitioners should prioritise the prevention and treatment of diabetes and renal disease in Aboriginal people in remote WA. This will require a sustained and holistic approach.

Original languageEnglish
Article numbere0195030
JournalPLoS One
Volume13
Issue number4
DOIs
Publication statusPublished - 1 Apr 2018

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Medical problems
Western Australia
Mortality
diabetes
indigenous peoples
Renal Insufficiency
Public health
renal failure
linkage (genetics)
Hazards
risk factors
Premature Mortality
Information Storage and Retrieval
medical history
Population Groups
Information Systems
Population
Myocardial Ischemia
myocardial ischemia
kidney diseases

Cite this

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title = "Mortality in a cohort of remote-living aboriginal australians and associated factors",
abstract = "Objectives We aimed to describe mortality in a cohort of remote-living Aboriginal Australians using electronic record linkage. Methods Between 2004 and 2006, 363 Aboriginal people living in remote Western Australia (WA) completed a questionnaire assessing medical history and behavioural risk factors. We obtained mortality records for the cohort from the WA Data Linkage System and compared them to data for the general population. We used Cox proportional hazards regression to identify predictors of mortality over a 9-year follow-up period. Results The leading causes of mortality were diabetes, renal failure, and ischaemic heart disease. Diabetes and renal failure accounted for 28{\%} of all deaths. This differed from both the Australian population as a whole, and the general Indigenous Australian population. The presence of chronic disease did not predict mortality, nor did behaviours such as smoking. Only age, male sex, poor mobility, and cognitive impairment were risk factors. Conclusions To reduce premature mortality, public health practitioners should prioritise the prevention and treatment of diabetes and renal disease in Aboriginal people in remote WA. This will require a sustained and holistic approach.",
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Mortality in a cohort of remote-living aboriginal australians and associated factors. / Hyde, Zoë; Smith, Kate; Flicker, Leon; Atkinson, David; Almeida, Osvaldo P.; Lautenschlager, Nicola T.; Dwyer, Anna; LoGiudice, Dina.

In: PLoS One, Vol. 13, No. 4, e0195030, 01.04.2018.

Research output: Contribution to journalArticle

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AU - Smith, Kate

AU - Flicker, Leon

AU - Atkinson, David

AU - Almeida, Osvaldo P.

AU - Lautenschlager, Nicola T.

AU - Dwyer, Anna

AU - LoGiudice, Dina

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