aboriginal premature mortality within south australia 1999-2006 a cross-sectional analysis of small area results原住民过早死亡率在南澳大利亚1999 - 2006小面积的横断面分析结果.pdfVIP

Banham et al. BMC Public Health 2011, 11:286 /1471-2458/11/286 RESEARCH ARTICLE Open Access Aboriginal premature mortality within South Australia 1999-2006: a cross-sectional analysis of small area results 1* 1 1 2 3 David Banham , Heather Jury , Tony Woollacott , Robyn McDermott and Fran Baum Abstract Background: This paper initially describes premature mortality by Aboriginality in South Australia during 1999 to 2006. It then examines how these outcomes vary across area level socio-economic disadvantage and geographic remoteness. Methods: The retrospective, cross-sectional analysis uses estimated resident population by sex, age and small areas based on the 2006 Census, and Unit Record mortality data. Premature mortality outcomes are measured using years of life lost (YLL). Subsequent intrastate comparisons are based on indirect sex and age adjusted YLL results. A multivariate model uses area level socio-economic disadvantage rank, geographic remoteness, and an interaction between the two variables to predict premature mortality outcomes. Results: Aboriginal people experienced 1.1% of total deaths but 2.2% of YLL and Aboriginal premature mortality rates were 2.65 times greater than the South Australian average. Premature mortality for Aboriginal and non- Aboriginal people increased significantly as area disadvantage increased. Among Aboriginal people though, a significant main effect for area remoteness was also observed, together with an interaction between disadvantage and remoteness. The synergistic effect shows the social gradient between area disadvantage and premature mortality increased as remoteness increased. Conclusions: While confirming the gap in premature mortality rates between Ab