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首页> 外文期刊>Australian and New Zealand journal of public health. >Avoidable mortality trends in Aboriginal and non-Aboriginal populations in the Northern Territory, 1985-2004.
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Avoidable mortality trends in Aboriginal and non-Aboriginal populations in the Northern Territory, 1985-2004.

机译：1985-2004年，北领地土著居民和非土著居民的可避免的死亡率趋势。

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OBJECTIVES: To analyse rates of avoidable mortality in Aboriginal and non-Aboriginal residents of the Northern Territory (NT) from 1985 to 2004, in order to assess the contribution of health care to life expectancy improvements. METHODS: Australian Bureau of Statistics (ABS) death registration data for NT residents were used to identify 'avoidable' deaths, with further separation into three categories of conditions amenable to either medical care or health policy, and a category for ischaemic heart disease (IHD). A Poisson regression model was used to calculate the average annual change in avoidable mortality by sex and Aboriginality in the NT compared with Australia as a whole. RESULTS: In the 20 years between 1985 and 2004, avoidable mortality rates fell 18.9% in NT Aboriginal people, 61.1% in NT non-Aboriginal people and 59.5% in Australians overall. NT Aboriginal people continued to experience higher avoidable mortality than other Australians and the disparity increased over time. Most of the decline in avoidable mortality for Aboriginal Territorians occurred for conditions amenable to medical care. CONCLUSION: Medical care has made a significant contribution to improvements in Aboriginal life expectancy in the NT; however, reductions in avoidable mortality from IHD and conditions amenable to health policy have been variable. IMPLICATIONS: The results highlight the need for ongoing investment in comprehensive programs incorporating appropriate health policy interventions and management of chronic diseases.
机译：目的：分析1985年至2004年北领地（NT）原住民和非原住民的可避免死亡率，以评估医疗保健对预期寿命改善的贡献。方法：使用澳大利亚统计局（ABS）的NT居民死亡登记数据来识别“可避免的”死亡，并将其进一步分为三类适合医疗或健康政策的疾病，以及一类缺血性心脏病（IHD） ）。与整个澳大利亚相比，使用泊松回归模型来计算北领地按性别和原住民可避免死亡率的年平均变化。结果：在1985年至2004年的20年中，新约原住民的可避免死亡率降低了18.9％，新约非原住民的可避免死亡率下降了61.1％，澳大利亚人整体下降了59.5％。北领地原住民的可避免死亡率继续高于其他澳大利亚人，并且随着时间的流逝，差距越来越大。原住民领土可避免死亡率的下降大部分发生在适合医疗的情况下。结论：医疗保健为改善北领地原住民预期寿命做出了重大贡献。但是，减少因IHD而导致的可避免死亡率的降低以及适合卫生政策的情况是可变的。后果：结果突出表明，需要持续投资于综合计划，其中应包括适当的卫生政策干预措施和慢性病管理。

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