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Ethnic counts on mortality and census data 2001-06: New Zealand census-mortality study update

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Summary:

This paper reports updated outcomes for the assessment of discrepancies in ethnicity counts in the 2001 census and mortality data for the 2004–2006 period. 2001 census data were anonymously and probabilistically linked to 5 years of subsequent mortality data (135,849 eligible mortality records), in order to compare ethnicity recording for the years 2001–2004 and 2004–2006. When using total ethnicity, little bias occurs in census and mortality ethnic group counts for 2004–06 and resemble comparisons in 2001–04, except at younger ages where counts for Pacific and Asian ethnicities are up to a third less for mortality data. Due to multiple ethnicities being more commonly recorded on census data, sole ethnicity counts are generally greater on mortality than census data, particularly for Māori ethnicity.

Comment:
The main point to take from this paper is that the census definition for ethnicity continues to be the gold standard. This is particularly important in health care settings. We are encouraged to continue using the census question for accurate ethnicity data.
Reference: N Z Med J. 2010;123(1320):37-44.
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.

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