Auckland District Health Board



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Respiratory disease


Table : Hospitalisations for asthma, by age group, Auckland DHB, 2011–2013

Gender and age group

Māori

Non-Māori

Māori/non-Māori

ratio (95% CI)



Rate difference

Ave. no. per year

Age-standardised

rate per 100,000 (95% CI)



Ave. no. per year

Age-standardised

rate per 100,000 (95% CI)









0–14 years

Female

39

726.9

(605.8,

872.1)

165

457.7

(419.0,

499.9)

1.59

(1.30,

1.94)

269.2

Male

44

789.2

(665.4,

936.1)

233

614.2

(570.3,

661.5)

1.28

(1.07,

1.55)

175.0

Total

83

758.0

(669.3,

858.6)

398

535.9

(506.3,

567.3)

1.41

(1.23,

1.62)

222.1

15–34 years

Female

30

434.8

(352.6,

536.0)

81

114.1

(100.3,

129.8)

3.81

(2.98,

4.87)

320.7

Male

10

157.2

(109.7,

225.4)

55

79.9

(68.4,

93.4)

1.97

(1.33,

2.91)

77.3

Total

40

296.0

(247.0,

354.8)

136

97.0

(87.8,

107.1)

3.05

(2.48,

3.75)

199.0

35–64 years

Female

36

557.7

(460.0,

676.1)

112

133.6

(119.6,

149.1)

4.18

(3.34,

5.21)

424.1

Male

15

269.7

(201.4,

361.1)

54

69.8

(59.4,

81.9)

3.87

(2.77,

5.39)

199.9

Total

51

413.7

(352.2,

485.9)

166

101.7

(92.8,

111.4)

4.07

(3.38,

4.90)

312.0

65 years and over

Female

2

218.1

(97.8,

486.7)

37

153.8

(125.7,

188.3)

1.42

(0.62,

3.24)

64.3

Male

1

90.5

(22.3,

366.6)

14

72.5

(53.0,

99.2)

1.25

(0.30,

5.23)

18.0

Total

3

154.3

(76.6,

310.8)

51

113.2

(95.5,

134.2)

1.36

(0.66,

2.80)

41.1

Source: NMDS.
Note: Ratios in bold show that Māori rates were significantly different from non-Māori rates in the DHB.

During 2011–2013, there were 83 admissions for asthma per year among Māori children aged 0–14 years, at a rate 41% higher than that of non-Māori children, or 222 more admissions per 100,000. Among Māori adults aged 15–34 and 35–64 years, the rates of admission were respectively 3 and 4 times the rates of non-Māori. Among older Māori aged 65 years and over there was an average of three admissions per year.

Table : Hospitalisations for chronic obstructive pulmonary disease (COPD), 45 years and over, Auckland DHB, 2011–2013

Gender

Māori

Non-Māori

Māori/non-Māori

ratio (95% CI)



Rate difference

Ave. no. per year

Age-standardised
rate per 100,000 (95% CI)

Ave. no. per year

Age-standardised
rate per 100,000 (95% CI)

Female

61

1,292.8

(1,117.4,

1,495.8)

331

280.2

(260.9,

300.9)

4.61

(3.92,

5.43)

1,012.6

Male

59

1,435.2

(1,238.5,

1,663.1)

388

393.0

(369.4,

418.2)

3.65

(3.11,

4.28)

1,042.2

Total

120

1,364.0

(1,229.4,

1,513.3)

719

336.6

(321.2,

352.7)

4.05

(3.62,

4.54)

1,027.4

Source: NMDS.
Note: Ratios in bold show that Māori rates were significantly different from non-Māori rates in the DHB.

There were 120 hospitalisations per year on average for Māori with COPD, at a rate 4 times that of non-Māori, or over 1,000 more admissions per 100,000.

Table : Early deaths from respiratory disease, Auckland DHB, 2007–2011

Gender

Māori

Non-Māori

Māori/non-Māori

ratio (95% CI)



Rate difference

Ave. no. per year

Age-standardised
rate per 100,000 (95% CI)

Ave. no. per year

Age-standardised
rate per 100,000 (95% CI)







Female

7

28.9

(20.7,

40.3)

16

4.3

(3.4,

5.5)

6.74

(4.47,

10.17)

24.6

Male

3

13.1

(7.7,

22.2)

22

5.8

(4.8,

7.2)

2.24

(1.28,

3.94)

7.3

Total

10

21.0

(15.8,

27.8)

39

5.1

(4.3,

5.9)

4.15

(3.01,

5.72)

15.9

Source: Mortality data, Ministry of Health
Notes: “Early deaths” defined as those occurring under 75 years of age.
Ratios in bold show that Māori rates were significantly different from non-Māori rates in the DHB.

On average, 10 Auckland Māori per year died early from respiratory disease (seven of these were female), at a rate 4 times that of non-Māori, or 16 more deaths per 100,000.





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