Health Gains Planning, Northern Territory Department of Health, Darwin, NT, Australia.
Med J Aust. 2012 Sep 17;197(6):341-4. doi: 10.5694/mja11.11487.
To examine trends in hospitalisation for alcohol-attributable conditions in the Northern Territory Aboriginal and non-Aboriginal populations between the financial years 1998-99 and 2008-09.
Retrospective descriptive analysis of inpatient discharge data from NT public hospitals.
Alcohol-attributable hospitalisation by age, sex, Aboriginality, region of residence and medical conditions, with annual time trends.
Annual rates of hospitalisation for alcohol-attributable conditions across the NT increased from 291.3 per 10,000 population to 460.0 per 10,000 (57.9%) among Aboriginal males and from 181.8 per 10,000 to 387.4 per 10,000 (113.1%) among Aboriginal females over the study period. The alcohol-attributable hospitalisation rate also increased from 58.8 per 10,000 population to 87.4 per 10,000 (48.6%) among non-Aboriginal males and from 16.8 per 10,000 to 37.2 per 10,000 (121.4%) among non-Aboriginal females. Alcohol-attributable hospitalisation rates among Aboriginal people living in Central Australia were much higher than in the Top End. In Central Australia, the rates for Aboriginal females increased throughout the study period, but for Aboriginal males declined from 2004-05 onwards.
Rates of hospitalisation for alcohol-attributable conditions were high among NT Aboriginal people and increased during the study period. Although not statistically significant, the moderation in rates among Central Australian Aboriginal males after 2004-05 is encouraging. This apparent improvement is consistent with another recent study and provides tentative support that recent policy changes and interventions may be having an impact. The results of this study highlight the burden of alcohol use in the NT and emphasise the need for ongoing investment in comprehensive alcohol-management programs.
考察 1998-99 财政年度至 2008-09 财政年度期间北领地土著居民和非土著居民因酒精相关疾病住院治疗的趋势。
对北领地公立医院住院患者数据进行回顾性描述性分析。
按年龄、性别、土著身份、居住地和医疗条件划分的因酒精相关疾病住院的情况，以及每年的时间趋势。
在整个北领地，因酒精相关疾病而住院的人数每年都在增加，土著男性从每 10000 人 291.3 人增加到每 10000 人 460.0 人（增加 57.9%），土著女性从每 10000 人 181.8 人增加到每 10000 人 387.4 人（增加 113.1%）。在研究期间，非土著男性的因酒精相关疾病而住院的人数从每 10000 人 58.8 人增加到每 10000 人 87.4 人（增加 48.6%），非土著女性的因酒精相关疾病而住院的人数从每 10000 人 16.8 人增加到每 10000 人 37.2 人（增加 121.4%）。居住在澳大利亚中部地区的土著居民的因酒精相关疾病而住院的人数远高于北部地区。在澳大利亚中部地区，土著女性的住院率在整个研究期间都在增加，但土著男性的住院率从 2004-05 年开始下降。
北领地土著居民因酒精相关疾病住院的比例很高，而且在研究期间呈上升趋势。尽管没有统计学意义，但 2004-05 年之后澳大利亚中部地区土著男性的住院率有所缓和，这是令人鼓舞的。这种明显的改善与最近的另一项研究结果一致，初步表明最近的政策变化和干预措施可能正在产生影响。本研究的结果突显了北领地酗酒问题的严重性，强调了持续投资于全面的酒精管理计划的必要性。
