Progress in closing the gap in life expectancy at birth for Aboriginal people in the Northern Territory, 1967-2012
| Autor: | Tony Barnes, Steven Guthridge, John R. Condon, Yuejen Zhao, Shu Qin Li, Nick Georges |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Native Hawaiian or Other Pacific Islander Adolescent Population Population health Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Age Distribution Life Expectancy Northern Territory Medicine Humans 030212 general & internal medicine Social determinants of health Mortality Sex Distribution education Child Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry 030503 health policy & services Infant Care Infant Newborn Infant General Medicine Middle Aged Infant mortality Epidemiological transition Trend analysis Socioeconomic Factors Child Preschool Chronic Disease Life expectancy Female 0305 other medical science business Demography |
| Zdroj: | The Medical journal of Australia. 207(1) |
| ISSN: | 1326-5377 1967-2012 |
| Popis: | Objectives To compare long term changes in mortality and life expectancy at birth (LE) of Aboriginal people in the Northern Territory and of the overall Australian population; to determine the contributions of changes in mortality in specific age groups to changes in LE for each population. Design, setting, participants Retrospective trend analysis of death and LE data for the NT Aboriginal and Australian populations, 1967-2012. Main outcome measures LE estimates based on abridged life tables; mortality estimates (deaths per 100 000 population); and age decomposition of LE changes by sex and time period. Results Between 1967 and 2012, LE increased for both NT Aboriginal and all Australians; the difference in LE between the two populations declined by 4.6 years for females, but increased by one year for males. Between 1967-1971 and 1980-1984, LE of NT Aboriginal people increased rapidly, particularly through reduced infant mortality; from 1980-1984 to 1994-1998, there was little change; from 1994-1998 to 2008-2012, there were modest gains in older age groups. Decomposition by age group identified the persistent and substantial contribution of the 35-74-year age groups to the difference in LE between NT Aboriginal people and all Australians. Conclusions Early gains in LE for NT Aboriginal people are consistent with improvements in nutrition, maternal and infant care, and infectious disease control. A rapid epidemiological transition followed, when LE gains in younger age groups plateaued and non-communicable diseases became more prevalent. Recent LE gains, across all adult age groups, are consistent with improved health service access and chronic disease management. If LE is to continue improving, socio-economic disadvantage and its associated risks must be reduced. |
| Databáze: | OpenAIRE |
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