What prospects Norman Sharpe 2 Disproportionate universalism CVD mortality An increasing burden for Māori For Māori an actual increase in the absolute number of deaths is projected for males and a relatively stable number for females ID: 236985
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Slide1
Heart health equity
What prospects?
Norman SharpeSlide2
2
Disproportionate universalism: CVD mortality Slide3
An increasing burden
for Māori
For Māori, an actual increase in the absolute number of deaths is projected for males and a relatively stable number for females
IHD Mortality in NZ Trends and Projections
Tobias et al NZMedJ April 2006Slide4
Cigarette smoking, obesity prevalence and NZ Dep
NZ Health Survey 2006-7
NZ Dep Quintile
I
II
III
IV
V
Smoking %
11.8
17.0
20.0
24.4
33.1Obesity %BMI >40 % 20.9 2.1 20.6 1.7 23.0 2.8 26.0 2.2 37.6 7.9
Poverty and health risk in New ZealandSlide5
Risk Factors for Acute Rheumatic Fever 0-24 years New Zealand 2002-2006
NZ Dep Score
RR
1-2
1.00
3-4
2.74
5-6
5.52
7-8
7.83
9-10
28.65
Maori (29/100,000) 22.97
Pacific (62/100,000) 48.62
European (1.3/100,000) 1.00
Asian/Indian (1.3/100,000) 0.99
Maori 23 times and Pacific ~50 times more affected
PoorSlide6
Smaller health inequalities
Lakes
Whanganui
Tairawhiti
Waitemata
Cap/Coast
Canty
Counties M
Wairarapa
H Bay
W Coast
S’land
MidC
Taranaki
Hutt
Otago
Auckland
S Canty
BoP
Waikato
N-M
Northland
Shorter life expectancy
Longer life expectancy
Greater health inequalities
“Health inequality” = variation in life expectancy within each DHB’s area.
Life expectancy and health inequalities in NZ
Variation amongst DHB areasSlide7
Inequality of Access to Health Services
Hospital Discharges in 2009 with an Angiography Procedure
Slide8
Acute Coronary Syndrome Revascularisation Cohort Study
5,456 Māori and 62,294 non-Māori 1st
acute admissions 2000-2008 with ACS