Document Detail


End-stage renal disease in indigenous Australians: a disease of disadvantage.
MedLine Citation:
PMID:  12148708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the relation between area level indicators of socioeconomic disadvantage and the regional incidence of end-stage renal disease (ESRD) in indigenous Australians. DESIGN: Ecological study. SETTING: The 36 Aboriginal and Torres Strait Islander Commission regions of Australia. MAIN OUTCOME MEASURES: The relation between area-based measures of disadvantage and the standardized incidence of ESRD for 36 Australian regions was examined using non-parametric tests of correlation. RESULTS: Area-based measures of disadvantage showed a significant association with regional incidence of ESRD in indigenous Australians. (Early school leavers r = 0.68, P < .001, unemployment rate r = 0.72, P < .001, median household income r = -0.71, P < .001, number of persons per bedroom r = 0.84, P < .001, and low birthweight r = .49, P = .003). If it were possible to improve the health of all indigenous Australians to the level of that of the general Australian population, 87% of cases of ESRD could be avoided. CONCLUSIONS: Socioeconomic factors appear to be strongly associated with rates of ESRD among indigenous Australians. Therefore, reducing the burden of renal disease in indigenous Australians is likely to require interventions addressing socioeconomic disadvantage in conjunction with biomedical interventions.
Authors:
Alan Cass; Joan Cunningham; Paul Snelling; Zhiqiang Wang; Wendy Hoy
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ethnicity & disease     Volume:  12     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2002  
Date Detail:
Created Date:  2002-07-31     Completed Date:  2003-01-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  373-8     Citation Subset:  IM    
Affiliation:
Menzies School of Health Research, Casuarina, NT, Australia. alancass@menzies.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Australia / epidemiology
Ethnic Groups*
Female
Humans
Kidney Failure, Chronic / ethnology*
Male
Middle Aged
Oceanic Ancestry Group*
Socioeconomic Factors
Vulnerable Populations*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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