Mexico and Contemplation of NAFTA: Is the Government Abdicating the Rectoria del Estado

This report is the first full report on injury in the NT and provides a comprehensive summary of injury across the dimensions of mortality, public hospital admissions, presentations in Emergency Departments and importantly in the NT, interstate hospital transfers for the treatment of injury. The report also provides estimates for the health care costs of injury in the Northern Territory.Date:200

Incidence and survival after acute myocardial infarction in indigenous and non-indigenous people in the Northern Territory, 1992-2004

Objective: To estimate the incidence and survival rates of acute myocardial infarction (AMI) for Northern Territory Indigenous and non-Indigenous populations.Design and participants: Retrospective cohort study for all new AMI cases recorded in hospital inpatient data or registered as an ischaemic heart disease (IHD) death between 1992 and 2004.Main outcome measures: Population-based incidence and survival rates by age, sex, Indigenous status, remoteness of residence and year of diagnosis.Results: Over the 13-year study period, the incidence of AMI increased 60% in the NT Indigenous population (incidence rate ratio [IRR], 1.04; 95% CI, 1.02–1.06), but decreased 20% in the non-Indigenous population (IRR, 0.98; 95% CI, 0.97–1.00). Over the same period, there was an improvement in all-cases survival (ie, survival with and without hospital admission) for the NT Indigenous population due to a reduction in deaths both pre-hospital and after hospital admission (death rates reduced by 56% and 50%, respectively). The non-Indigenous all-cases death rate was reduced by 29% as a consequence of improved survival after hospital admission; there was no significant change in pre-hospital survival in this population. Important factors that affected outcome in all people after AMI were sex (better survival for women), age (survival declined with increasing age), remoteness (worse outcomes for non-Indigenous residents of remote areas), year of diagnosis and Indigenous status (hazard ratio, 1.44; 95% CI, 1.21–1.70).Conclusions: Our results show that the increasing IHD mortality in the NT Indigenous population is a consequence of a rise in AMI incidence, while at the same time there has been some improvement in Indigenous AMI survival rates. The simultaneous decrease in IHD mortality in NT non-Indigenous people was a result of reduced AMI incidence and improved survival after AMI in those admitted to hospital. Our results inform population-specific strategies for a systemwide response to AMI management

Health Inequity in the Northern Territory, Australia

INTRODUCTION: Understanding health inequity is necessary for addressing the disparities in health outcomes in many populations, including the health gap between Indigenous and non-Indigenous Australians. This report investigates the links between Indigenous health outcomes and socioeconomic disadvantage in the Northern Territory of Australia (NT).METHODS: Data sources include deaths, public hospital admissions between 2005 and 2007, and Socio-Economic Indexes for Areas from the 2006 Census. Age-sex standardisation, standardised rate ratio, concentration index and Poisson regression model are used for statistical analysis.RESULTS: There was a strong inverse association between socioeconomic status (SES) and both mortality and morbidity rates. Mortality and morbidity rates in the low SES group were approximately twice those in the medium SES group, which were, in turn, 50% higher than those in the high SES group. The gradient was present for most disease categories for both deaths and hospital admissions. Residents in remote and very remote areas experienced higher mortality and hospital morbidity than non-remote areas. Approximately 25-30% of the NT Indigenous health disparity may be explained by socioeconomic disadvantage.CONCLUSIONS: Socioeconomic disadvantage is a shared common denominator for the main causes of deaths and principal diagnoses of hospitalisations for the NT population. Closing the gap in health outcomes between Indigenous and non-Indigenous populations will require improving the socioeconomic conditions of Indigenous Australians

A multilevel analysis on the relationship between neighbourhood poverty and public hospital utilization: is the high Indigenous morbidity avoidable?

<p>Abstract</p> <p>Background</p> <p>The estimated life expectancy at birth for Indigenous Australians is 10-11 years less than the general Australian population. The mean family income for Indigenous people is also significantly lower than for non-Indigenous people. In this paper we examine poverty or socioeconomic disadvantage as an explanation for the Indigenous health gap in hospital morbidity in Australia.</p> <p>Methods</p> <p>We utilised a cross-sectional and ecological design using the Northern Territory public hospitalisation data from 1 July 2004 to 30 June 2008 and socio-economic indexes for areas (SEIFA) from the 2006 census. Multilevel logistic regression models were used to estimate odds ratios and confidence intervals. Both total and potentially avoidable hospitalisations were investigated.</p> <p>Results</p> <p>This study indicated that lifting SEIFA scores for family income and education/occupation by two quintile categories for low socio-economic Indigenous groups was sufficient to overcome the excess hospital utilisation among the Indigenous population compared with the non-Indigenous population. The results support a reframing of the Indigenous health gap as being a consequence of poverty and not simplistically of ethnicity.</p> <p>Conclusions</p> <p>Socio-economic disadvantage is a likely explanation for a substantial proportion of the hospital morbidity gap between Indigenous and non-Indigenous populations. Efforts to improve Indigenous health outcomes should recognise poverty as an underlying determinant of the health gap.</p

Mortality, morbidity & health care costs of injury in the Northern Territory, 1991- 2001

This report is the first full report on injury in the NT and provides a comprehensive summary of injury across the dimensions of mortality, public hospital admissions, presentations in Emergency Departments and importantly in the NT, interstate hospital transfers for the treatment of injury. The report also provides estimates for the health care costs of injury in the Northern Territory

Injury trends, Northern Territory

This fact sheet updates previously reported rates and trends in injury-related mortality and hospital admission in the NT

Injury trends, Northern Territory

This fact sheet updates previously reported rates and trends in injury-related mortality and hospital admission in the NT

Injury trends, Northern Territory

This fact sheet updates previously reported rates and trends in injury-related mortality and hospital admission in the NT.Date:2010-0

Mortality, morbidity & health care costs of injury in the Northern Territory, 1991-2001

In Australia, injury is a leading cause of mortality and permanent disability, including the principal cause of death in people under 45 years of age. Throughout the 1990s, injury was annually responsible for more than 7000 deaths, 400,000 hospitalisations and direct medical costs of $2.6 billion according to estimates by the National Health and Medical Research Council.1 For the Northern Territory previous reports have recorded injury rates that are generally higher than those in other Australian states. The starkest indicator of injury is that of the injury death rate which for the Northern Territory (NT) has been previously reported for 1997, as 88 deaths per l 00,000 of population which was more than twice the national rate of 41 deaths per 100,000. This report is the first full report on injury in the NT and provides a comprehensive summary of injury across the dimensions of mortality, public hospital admissions, presentations in Emergency Departments and importantly in the NT, interstate hospital transfers for the treatment of injury. The report also provides estimates for the health care costs of injury in the Northern Territory