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在缩小北领地澳大利亚原住民和托雷斯海峡岛民的死亡率差距方面进展有限。

Limited progress in closing the mortality gap for Aboriginal and Torres Strait Islander Australians of the Northern Territory.

机构信息

Northern Institute, Charles Darwin University, Northern Territory.

Northern Territory Department of Health.

出版信息

Aust N Z J Public Health. 2019 Aug;43(4):340-345. doi: 10.1111/1753-6405.12921. Epub 2019 Jul 24.

DOI:10.1111/1753-6405.12921
PMID:31339611
Abstract

OBJECTIVES

To assess whether progress is being made towards reducing Aboriginal and Torres Strait Islander inequality in life expectancy and under-five mortality in the Northern Territory.

METHODS

Life tables for five-year periods from 1966-71 to 2011-16 were calculated using standard abridged life table methods with Aboriginal and Torres Strait Islander deaths and population estimates as inputs. The latter were calculated using reverse cohort survival.

RESULTS

In 2011-16, life expectancy at birth for the Aboriginal and Torres Strait Islander population was 68.2 years for females and 64.9 years for males. Limited progress in under-five mortality rates has been made in recent years.

CONCLUSIONS

Although Aboriginal and Torres Strait Islander life expectancy has increased in the long run, the gap with all-Australian life expectancy has not narrowed. The gap in under-five mortality rates is much lower than it was in the 1960s and 1970s, but progress has been limited over the past decade. Implications for public health: The 'Closing the Gap' target of halving the gap in under-five mortality by 2018 will not be met in the Northern Territory, and there is no evidence yet of progress on the target to eliminate the gap in life expectancy by 2031.

摘要

目的

评估北领地在减少原住民和托雷斯海峡岛民预期寿命和五岁以下儿童死亡率方面的不平等方面是否取得进展。

方法

使用标准的简略生命表方法,以原住民和托雷斯海峡岛民的死亡人数和人口估计数作为输入,计算了 1966-71 年至 2011-16 年的五年期生命表。后者是通过反向队列生存法计算的。

结果

2011-16 年,原住民和托雷斯海峡岛民女性的出生预期寿命为 68.2 岁,男性为 64.9 岁。近年来,五岁以下儿童死亡率的改善有限。

结论

尽管原住民和托雷斯海峡岛民的预期寿命从长远来看有所增加,但与全澳人口的预期寿命差距并未缩小。五岁以下儿童死亡率的差距远低于 20 世纪 60 年代和 70 年代,但在过去十年中进展有限。对公共卫生的影响:北领地到 2018 年将五岁以下儿童死亡率差距缩小一半的“缩小差距”目标将无法实现,而且到 2031 年消除预期寿命差距的目标目前还没有取得进展的迹象。

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