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Access and society as determinants of ischaemic heart disease in Indigenous populations

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Summary:

Ischaemic heart disease (IHD) is a leading cause of death in New Zealand and imposes a disproportionate burden on Māori, the indigenous population of Aotearoa New Zealand. Analyses of data for Māori:non-Māori disparities in risk factors, hospitalisations, the receipt of related procedures and mortality for IHD (over the years 2000–2005) revealed significant inequalities. IHD hospitalisation rates for Māori are 1.4 times that of non-Māori, however, mortality rates are more than twice that of non-Māori. In recent years, Māori revascularisation rates have increased (as have non-Māori rates) but are still considerably less than might be expected given the much higher mortality rates.

Comment:
Probably a bit cheeky of me, highlighting an article in which my name appears as co-author! But I have to say, I think the paper provides a great framework for (1) describing health inequalities and (2) presenting the ‘sites’ for interventions – society, policy and clinical decision making.
Reference: Heart Lung Circ. 2010 May 3. [Epub ahead of print]
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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