Gracey M, Veroni M
Aboriginal Health Policy and Programmes Branch, Health Department of Western Australia, East Perth.
Aust N Z J Med. 1995 Feb;25(1):27-31. doi: 10.1111/j.1445-5994.1995.tb00574.x.
Aboriginals have higher hospitalisation and mortality rates and die, on average, about 15 years earlier than non-Aboriginals in Western Australia (WA).
To investigate Aboriginal morbidity and mortality rates in WA in comparison with the rest of the population, with particular reference to the ages of 50 to 65 years.
Mortality rates from 1983-1989 inclusive for Aboriginals and non-Aboriginals in WA were compared. Major causes of Aboriginal mortality in males and females were matched to the ages at which similar rates from the same causes occurred in non-Aboriginals. Rate ratios (Aboriginal:non-Aboriginal) for causes of death at ages 60-64 years were determined. Hospitalisation rates for Aboriginal and non-Aboriginal people aged 50-64 years in WA in 1988 were used to estimate hospitalisation rate ratios.
Hospitalisation rates in WA were much higher among 50 to 64 year old Aboriginals than non-Aboriginals for most diseases, particularly for infectious and parasitic diseases, and injury and poisoning. Admissions for circulatory diseases were double to four times as frequent among Aboriginals. The main causes of deaths in Aboriginal males were circulatory diseases, injury and poisoning, respiratory diseases, neoplasms, and digestive diseases; in Aboriginal females the main causes of deaths were circulatory diseases, neoplasms, diabetes, respiratory diseases, and injury and poisoning. Except for neoplasms, deaths from these causes occurred among 50-54 year old Aboriginals at rates that were experienced by non-Aboriginal people ten to 30 years later in life. These results underline special needs of the Aboriginal population that have not been adequately met by appropriate services.
在西澳大利亚州（WA），原住民的住院率和死亡率更高，平均而言，他们比非原住民早死约15年。
调查西澳大利亚州原住民的发病率和死亡率，并与其他人群进行比较，特别关注50至65岁年龄段。
比较了1983年至1989年（含）西澳大利亚州原住民和非原住民的死亡率。将原住民男性和女性的主要死亡原因与非原住民中由相同原因导致的相似死亡率出现的年龄进行匹配。确定了60至64岁年龄段死亡原因的比率（原住民：非原住民）。使用1988年西澳大利亚州50至64岁原住民和非原住民的住院率来估计住院率比率。
在西澳大利亚州，50至64岁的原住民因大多数疾病的住院率远高于非原住民，尤其是传染病和寄生虫病、损伤和中毒。原住民因循环系统疾病的入院率是其他人的两倍至四倍。原住民男性的主要死亡原因是循环系统疾病、损伤和中毒、呼吸系统疾病、肿瘤和消化系统疾病；原住民女性的主要死亡原因是循环系统疾病、肿瘤、糖尿病、呼吸系统疾病以及损伤和中毒。除肿瘤外，这些原因导致的死亡在50至54岁的原住民中出现的比率，是10至30年后非原住民人群才会经历的。这些结果突显了原住民人口的特殊需求，而适当的服务尚未充分满足这些需求。
