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    Mortality in a cohort of remote-living Aboriginal Australians and associated factors

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    Author
    Hyde, Z; Smith, K; Flicker, L; Atkinson, D; Almeida, OP; Lautenschlager, NT; Dwyer, A; LoGiudice, D
    Date
    2018-04-05
    Source Title
    PLoS One
    Publisher
    PUBLIC LIBRARY SCIENCE
    University of Melbourne Author/s
    Lautenschlager, Nicola; Flicker, Leon; Logiudice, Dina
    Affiliation
    Medicine and Radiology
    Metadata
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    Document Type
    Journal Article
    Citations
    Hyde, Z., Smith, K., Flicker, L., Atkinson, D., Almeida, O. P., Lautenschlager, N. T., Dwyer, A. & LoGiudice, D. (2018). Mortality in a cohort of remote-living Aboriginal Australians and associated factors. PLOS ONE, 13 (4), https://doi.org/10.1371/journal.pone.0195030.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253590
    DOI
    10.1371/journal.pone.0195030
    Abstract
    OBJECTIVES: We aimed to describe mortality in a cohort of remote-living Aboriginal Australians using electronic record linkage. METHODS: Between 2004 and 2006, 363 Aboriginal people living in remote Western Australia (WA) completed a questionnaire assessing medical history and behavioural risk factors. We obtained mortality records for the cohort from the WA Data Linkage System and compared them to data for the general population. We used Cox proportional hazards regression to identify predictors of mortality over a 9-year follow-up period. RESULTS: The leading causes of mortality were diabetes, renal failure, and ischaemic heart disease. Diabetes and renal failure accounted for 28% of all deaths. This differed from both the Australian population as a whole, and the general Indigenous Australian population. The presence of chronic disease did not predict mortality, nor did behaviours such as smoking. Only age, male sex, poor mobility, and cognitive impairment were risk factors. CONCLUSIONS: To reduce premature mortality, public health practitioners should prioritise the prevention and treatment of diabetes and renal disease in Aboriginal people in remote WA. This will require a sustained and holistic approach.

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