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    Burden of Stroke in Indigenous Western Australians: A Study Using Data Linkage

    Access Status
    Open access via publisher
    Authors
    Katzenellenbogen, Judith
    Vos, T.
    Somerford, Peter
    Begg, S.
    Semmens, James
    Codde, James
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Katzenellenbogen, Judith M. and Vos, Theo and Somerford, Peter and Begg, Stephen and Semmens, James B. and Codde, James P. 2011. Burden of Stroke in Indigenous Western Australians: A Study Using Data Linkage. Stroke: A Journal of Cerebral Circulation. 42 (6): pp. 1515-1521.
    Source Title
    Stroke: A Journal of Cerebral Circulation
    DOI
    10.1161/STROKEAHA.110.601799
    ISSN
    00392499
    School
    Centre for International Health (Curtin Research Centre)
    URI
    http://hdl.handle.net/20.500.11937/14073
    Collection
    • Curtin Research Publications
    Abstract

    Background and Purpose: Despite the disproportionate burden of cardiovascular disease among indigenous Australians, information on stroke is sparse. This article documents the incidence and burden of stroke (in disability-adjusted life years) in indigenous and non-indigenous people in Western Australia (1997–2002), a state resident to 15% of indigenous Australians comprising 3.4% of the population of Western Australia. Methods: Indigenous and non-indigenous stroke incidence and excess mortality rates were estimated from linked hospital and mortality data, with adjustment for nonadmitted events. Nonfatal burden was calculated from nonfatal incidence, duration (modeled from incidence, excess mortality, and remission), and disability weights. Stroke death counts formed the basis of fatal burden. Nonfatal and fatal burden were summed to obtain disability-adjusted life years, by indigenous status.Results: The total burden was 55 099 and 2134 disability-adjusted life years in non-indigenous and indigenous Western Australians, respectively. The indigenous to non-indigenous age-standardized stroke incidence rate ratio (≥15 years) was 2.6 in males (95% CI, 2.3–3.0) and 3.0 (95% CI, 2.6–3.5) in females, with similar rate ratios of disability-adjusted life years. The burden profile differed substantially between populations, with rate ratios being highest at younger ages. Conclusions: The differential between indigenous and non-indigenous stroke burden is considerable, highlighting the need for comprehensive intersectoral interventions to reduce indigenous stroke incidence and improve outcomes. Programs to reduce risk factors and increase access to culturally appropriate stroke services are required. The results here provide the quantitative basis for policy development and monitoring of stroke outcomes.

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