Document Detail


Ethnic differences in cause specific mortality among hospitalised patients with diabetes: a linkage study in New Zealand.
MedLine Citation:
PMID:  16234424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To describe patterns of excess mortality among patients with diabetes in three ethnic groups. DESIGN: A linkage study of national hospital discharge records to death records. SETTING: New Zealand. PARTICIPANTS: The study included 74 847 patients (11,268 Māori, 5730 Pacific, and 57,849 non-Māori/non-Pacific) aged over 25 years with a hospital discharge diagnosis of diabetes between 1988 and 2001. By the end of 2001, 29,295 (39%) of the cohort had died. Based on the underlying cause of death, standardised mortality ratios (SMRs) (95% confidence intervals) were calculated for each ethnic group and sex. MAIN RESULTS: Comparing the mortality patterns of patients with diabetes to the general population of the same ethnic group, adjusting for age and calendar period, all cause SMRs were higher for Māori women and men: 3.80 (95% CI: 3.64 to 3.97) and 3.44 (95%CI: 3.30 to 3.58) than for Pacific (men: 2.41 (95%CI: 2.21 to 2.61); women: 2.23 (95%CI: 2.06 to 2.41)) and non-Māori/non-Pacific (men: 2.98 (95%CI: 2.93 to 3.04); women: 2.99 (95%CI: 2.93 to 3.04)) people. SMRs were significantly raised for several causes of death, including cardiovascular disease and many site specific cancers. CONCLUSIONS: The pattern of excess mortality among Māori with diabetes may relate to severity of disease. This needs further investigation, as the excess mortality may be amenable to intervention.
Authors:
Mona Jeffreys; Craig Wright; Andrea 't Mannetje; Ken Huang; Neil Pearce
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  59     ISSN:  0143-005X     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-19     Completed Date:  2006-04-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  961-6     Citation Subset:  IM    
Affiliation:
Centre for Public Health Research, Massey University, Private Bag 756, Wellington, New Zealand. m.jeffreys@massey.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Cause of Death
Cohort Studies
Diabetes Mellitus / ethnology*,  mortality*
Ethnic Groups / ethnology
Europe / ethnology
Female
Hospital Records
Hospitalization
Humans
Male
New Zealand / epidemiology
Pacific Islands / ethnology
Comments/Corrections

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


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