Social disadvantage and variation in the incidence of end-stage renal disease in Australian capital cities.

Author(s)
Cass, A
Cunningham, J
Wang, Z
Hoy, W
Publication Date
2001-08
Abstract
To evaluate variation in the incidence of end-stage renal disease (ESRD) within Australian capital cities. To explore the relation between the incidence of ESRD and socioeconomic disadvantage. We obtained data from the Australian and New Zealand Dialysis and Transplant Registry (ANZDATA) regarding 5,013 patients from capital cities who started ESRD treatment between 1 April 1993 and 31 December 1998. We used the postcode at the start of treatment to calculate the average annual incidence of ESRD for each of 51 capital city regions using 1996 Census counts based on place of usual residence. We calculated standardised incidence ratios with 95% confidence intervals for each region. The standardised incidence ratios were examined in relation to the SEIFA Index of Relative Socio-economic Disadvantage (IRSD), derived from the 1996 Census. Low IRSD values indicate more disadvantaged areas. There is significant variation in the standardised incidence of ESRD within capital cities. There was a significant correlation (r=-0.41, p=0.003) between the standardised incidence ratio for ESRD and the SEIFA IRSD. Capital city areas that are more disadvantaged have a higher incidence of ESRD. Socioeconomic factors may be important determinants of the risk of developing ESRD.
Affiliation
Menzies School of Health Research, Royal Darwin Hospital, Northern Territory, Casuarina. alancass@menzies.edu.au.
Citation
Australian and New Zealand journal of public health 2001-08; 25(4): 322-6
ISSN
1326-0200
Pubmed ID
https://pubmed.ncbi.nlm.nih.gov/11529612/?otool=iaurydwlib
Link
MESH subject
Australia
Cultural Deprivation
Female
Geography
Humans
Incidence
Kidney Failure, Chronic
Male
Registries
Urban Health
Poverty Areas
Social Class
Title
Social disadvantage and variation in the incidence of end-stage renal disease in Australian capital cities.
Type of document
Journal Article
Entity Type
Publication

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