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Mortality trends in Australian Aboriginal peoples and New Zealand Māori

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Summary:

This analysis compared age-specific mortality and life expectancy (at birth) (LE) and adult all-cause mortality rates by sex for the indigenous populations of Australia (from 1990) and New Zealand (from 1950), and for all Australia and non-Māori of New Zealand (from 1890), to 2012–2014 (where data were available in published sources and national statistical agency reports). LE improved for all populations, although the LE gap overall between indigenous Australians and all Australians has not diminished over time. From the first estimates in 1950–1952, LE for Māori initially converged with non-Māori, widened during the 1990s, and have begun to close again since then. Recent LE gaps in Australia (males 12.5; females 12.0 years in 2010–2012) were larger than in New Zealand (males 7.3; females 6.8 years in 2012–2014). Premature adult mortality (15–59 years) improved for all populations, but mortality ratios show little change since 2000, with Indigenous at 3.5–4 times that of all Australians, and Māori 2–3 times that of non-Māori. Using decomposition analysis, the study researchers identified ages 35–59 years as the age interval contributing most strongly to differences in LE between Indigenous and all Australians (2010–2012), whereas it was 60–74 years between Māori and non-Māori (2012–2014).

Comment:
It’s really useful to have this information. However, with my ‘promoting indigenous leadership’ pōtae on, I would have liked to have seen a kaupapa Māori public health voice here too.
Reference: Population Health Metrics. 2017;15:25
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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