Ethnic inequity in diabetes outcomes-inaction in the face of need

McKree Jansen, Rawiri; Sundborn, Gerhard; Cutfield, Rick; Yu, Dahai; Simmons, David

Abstract

Evaluation of a longstanding primary care audit and diabetes care support service (DCSS) programme was reported in a paper published in Lancet Global Health on 15 October 2020. The paper showed 24 years of health outcome inequity among people with type 2 diabetes in South, East and West Auckland.1 Mortality decreased and hospital admissions increased across European, Māori and Pacific ethnic groups over the period. However, Māori and Pacific had consistently higher hospitalisation rates than European patients. After adjusting for sex, age, socio-economic status, smoking, obesity, birth-cohort and period effects, Māori but not Pacific patients had higher all-cause mortality (adjusted incidence rates ratio (IRR): 1.96 [95% confidence interval 1.8–2.14), cardiovascular mortality (1.93 [1.63–2.29]), and cancer mortality (1.64 [1.40–1.93]) compared with European patients. The excess mortality for Māori occurred at a young age affecting people in their most productive years. Most of this excess mortality can be attributed to diabetes and its complications.

Citation

McKree Jansen, R., Sundborn, G., Cutfield, R., Yu, D., & Simmons, D. (2020). Ethnic inequity in diabetes outcomes-inaction in the face of need. New Zealand Medical Journal, 133(1525),

• Journal Article Type: Article
• Online Publication Date: Nov 20, 2020
• Publication Date: Nov 20, 2020
• Deposit Date: Jun 23, 2023
• Journal: New Zealand Medical Journal
• Print ISSN: 0028-8446
• Publisher: New Zealand Medical Association
• Peer Reviewed: Peer Reviewed
• Volume: 133
• Issue: 1525
• Publisher URL: https://journal.nzma.org.nz/journal-articles/ethnic-inequity-in-diabetes-outcomes-inaction-in-the-face-of-need