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首页> 外文期刊>Australian and New Zealand journal of public health. >Trends in chronic disease mortality in the Northern Territory Aboriginal population, 1997-2004: using underlying and multiple causes of death.
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Trends in chronic disease mortality in the Northern Territory Aboriginal population, 1997-2004: using underlying and multiple causes of death.

机译：北领地土著居民慢性疾病死亡率趋势，1997-2004年：使用潜在的和多种死亡原因。

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OBJECTIVE: To assess trends in chronic disease mortality in the Aboriginal population of the Northern Territory (NT), using both underlying and multiple causes of death. METHOD: Death registration data from 1997 to 2004, were used for the analysis of deaths from five chronic diseases; ischaemic heart disease (IHD), diabetes, chronic obstructive pulmonary disease (COPD), renal failure and stroke. Negative binomial regression models were used to estimate the average annual change in mortality rates for each of the five diseases. Chi squared tests were conducted to determine associations between the five diseases. RESULTS: The five chronic diseases contributed to 49.3% of all Aboriginal deaths in the NT. The mortality rate ratio of NT Aboriginal to all Australian death rates from each of the diseases ranged from 4.3 to 13.0, with the lowest rate ratio for stroke and highest for diabetes. There were significant statistical associations between IHD, diabetes, renal failure and stroke. The mortality rates for diabetes, COPD and stroke declined at estimated annual rates for NT Aboriginal males of 3.6%, 1.0% and 11.7% and for Aboriginal females by 3.5%, 6.1% and 7.1% respectively. There were increases in mortality rates for Aboriginal males and females for IHD and a mixed result for renal failure. CONCLUSION: NT Aboriginal people experience high chronic disease mortality, however, mortality rates appear to be declining for diabetes, COPD and stroke. The impact of chronic disease on mortality is greater than previously reported by using a single underlying cause of death. The results highlight the importance of integrated chronic disease interventions.
机译：目的：使用潜在和多种死亡原因，评估北领地（NT）原住民的慢性病死亡率趋势。方法：使用1997年至2004年的死亡登记数据对五种慢性疾病的死亡进行分析。缺血性心脏病（IHD），糖尿病，慢性阻塞性肺疾病（COPD），肾衰竭和中风。负二项式回归模型用于估计五种疾病中每一种的平均年死亡率变化。卡方检验用于确定五种疾病之间的关联。结果：在北领地，这五种慢性疾病占所有原住民死亡的49.3％。在每种疾病中，新台币原住民与所有澳大利亚人的死亡率之比为4.3至13.0，中风死亡率最低，糖尿病最高。 IHD，糖尿病，肾衰竭和中风之间存在显着的统计学联系。新界土著男性的糖尿病，COPD和中风的死亡率以估计的年率下降，分别为3.6％，1.0％和11.7％，土著女性的死亡率分别下降3.5％，6.1％和7.1％。 IHD的土著男性和女性死亡率增加，而肾衰竭的结果则好坏参半。结论：北领地原住民的慢性病死亡率较高，但是，糖尿病，COPD和中风的死亡率似乎正在下降。慢性疾病对死亡率的影响大于以前通过使用单一的潜在死亡原因所报告的影响。结果突出了综合性慢性病干预措施的重要性。

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