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Declining incidence of atrial fibrillation-associated ischemic stroke in Auckland, New Zealand

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From Māori Health Review Issue 121
Authors:
  • Mahawish KM et al.
Summary:

An analysis of Auckland Regional Community Stroke study data found that although the incidence of atrial fibrillation-associated ischaemic stroke decreased for the year ended August 2021 compared with the year ended February 2012, persistent ethnic inequities remained. The overall crude incidence decreased from 49.0 to 32.7 per 100,000 population across the two time periods. When incidence was analysed by ethnicity, temporal reductions were evident for Europeans, but not for Māori or Pacific peoples. Dispensing of oral anticoagulants increased over the two time periods in all ethnic groups.

Comment:
An important reminder that a ‘one size fits all’ solution in health can widen disparities. As the authors note, to achieve equity we need interventions for those with the greatest disease burden so that they experience the greatest gains.
Reference: J Am Heart Assoc. 2026;15(5):e045260.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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