Heart Failure Hospitalisations and Deaths in New Zealand: Patterns by Deprivation and Ethnicity

Overview

Journal N Z Med J

Specialty General Medicine

Date 2005 Feb 1

PMID 15682203

Citations 5

Authors

Tania Riddell

Affiliations

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Abstract

Aim: To examine the association between socioeconomic deprivation and heart failure outcomes in Maori and non-Maori New Zealanders.

Methods: Retrospective analysis of heart failure mortality and hospital admissions among Maori and non-Maori aged 45 year and older assigned to small area deprivation (NZDep91/96) during the period 1988-1998.

Results: Deprivation was associated with an increase in risk of heart failure deaths and hospitalisations for both Maori and non-Maori. Within all socioeconomic strata, this risk was higher for Maori than non-Maori.

Conclusion: Socioeconomic deprivation was associated with an increased chance of death and hospitalisation from heart failure in New Zealand. Maori disparities in heart failure outcomes do not simply reflect differences in deprivation, however, and further studies are needed to explain the influence of other determinants such as lifecourse and lifestyle exposures, neighbourhood characteristics, access to medical care, and racism.

Citing Articles

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Hikaka J, Abey-Nesbit R, McIntosh B, Schluter P, Nishtala P, Scrase R Drugs Aging. 2023; 40(9):847-855.

PMID: 37386345 PMC: 10450015. DOI: 10.1007/s40266-023-01044-2.

What are the gaps in cardiovascular risk assessment and management in primary care for Māori and Pacific people in Aotearoa New Zealand? Protocol for a systematic review.

Brewer K, Grey C, Paynter J, Winter-Smith J, Hanchard S, Selak V BMJ Open. 2022; 12(6):e060145.

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Effect of Capacity to Undertake Instrumental Activities of Daily Living on Entry to Aged Residential Care in Older People With Heart Failure.

Jamieson H, Abey-Nesbit R, Pickering J Front Med (Lausanne). 2020; 7:386.

PMID: 32850900 PMC: 7411176. DOI: 10.3389/fmed.2020.00386.

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Looi K, Lever N, Gavin A, Doughty R BMJ Open. 2019; 9(5):e025634.

PMID: 31133581 PMC: 6538077. DOI: 10.1136/bmjopen-2018-025634.

Long-term outcomes of heart failure patients who received primary prevention implantable cardioverter-defibrillator: An observational study.

Looi K, Sidhu K, Cooper L, Dawson L, Slipper D, Gavin A J Arrhythm. 2018; 34(1):46-54.

PMID: 29721113 PMC: 5828273. DOI: 10.1002/joa3.12027.