Gracey M, Williams P, Smith P
Office of Aboriginal Health, Health Department of Western Australia.
Aust N Z J Public Health. 2000 Apr;24(2):145-52. doi: 10.1111/j.1467-842x.2000.tb00134.x.
To examine death data for Aboriginal and non-Aboriginal persons in Western Australia (WA) in 1985-89 and 1990-94.
Population estimates were provided by the Health Information Centre of the WA Health Department based on data from the Australian Bureau of Statistics (ABS). Death data came from the WA Registrar-General's Office. Standard methods were used to obtain rates and levels of significance.
Main causes of deaths among Aboriginal males in 1990-94 were circulatory conditions, respiratory, injury and poisoning, neoplasms and endocrine diseases; in Aboriginal females they were circulatory, neoplasms, endocrine diseases, respiratory diseases, and injury and poisoning. From 1985-89 to 1990-94, the Aboriginal male all-cause age-standardised death rates fell 3% (ns) while the non-Aboriginal male rate fell 11% (p < 0.05). The Aboriginal female all-cause death rate rose 11% (ns) while the non-Aboriginal rate fell 5% (p < 0.05). The all-cause death rate ratio (Aboriginal:non-Aboriginal) changed from 2.4 to 2.6 (males) and 2.5 to 2.9 (females). There was a major increase in deaths from endocrine diseases among Aborigines and non-Aborigines. This increase was proportionally much greater among Aborigines. In non-Aborigines there was a significant decrease in deaths from circulatory diseases (mainly ischaemic heart disease); this did not occur among Aborigines.
Over the study period, Aboriginal health standards, as reflected by death rates, apparently worsened relative to non-Aboriginal standards.
Better health promotion, disease prevention and disease care are required to help achieve acceptable health standards among Aboriginal peoples.
研究1985 - 1989年及1990 - 1994年西澳大利亚州（WA）原住民和非原住民的死亡数据。
西澳大利亚州卫生部健康信息中心根据澳大利亚统计局（ABS）的数据提供人口估计数。死亡数据来自西澳大利亚州总登记官办公室。采用标准方法获取发病率和显著性水平。
1990 - 1994年原住民男性的主要死因是循环系统疾病、呼吸系统疾病、损伤和中毒、肿瘤及内分泌疾病；原住民女性的主要死因是循环系统疾病、肿瘤、内分泌疾病、呼吸系统疾病以及损伤和中毒。从1985 - 1989年到1990 - 1994年，原住民男性全因年龄标准化死亡率下降了3%（无显著性差异），而非原住民男性死亡率下降了11%（p < 0.05）。原住民女性全因死亡率上升了11%（无显著性差异），而非原住民死亡率下降了5%（p < 0.05）。全因死亡率比值（原住民：非原住民）从2.4变为2.6（男性），从2.5变为2.9（女性）。原住民和非原住民中内分泌疾病导致的死亡人数大幅增加。原住民中的这种增长比例更大。非原住民中循环系统疾病（主要是缺血性心脏病）导致的死亡人数显著下降；原住民中未出现这种情况。
在研究期间，以死亡率反映的原住民健康标准相对于非原住民标准明显恶化。
需要更好地开展健康促进、疾病预防和疾病护理工作，以帮助原住民达到可接受的健康标准。
