Auckland District Health Board



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Mental disorders


Table : Hospitalisations for mental disorders, all ages, Auckland DHB, 2011–2013

Disorder

Māori

Non-Māori

Māori/non-Māori ratio (95% CI)

Rate difference

Ave. no. per year

Age-standardised
rate (95% CI)

Ave. no. per year

Age-standardised
rate (95% CI)

Female

All disorders

107

488.8

(437.3,

546.5)

706

257.9

(245.1,

271.4)

1.90

(1.68,

2.14)

230.9

Schizophrenia

41

183.8

(153.7,

219.7)

143

49.1

(44.4,

54.4)

3.74

(3.04,

4.59)

134.6

Mood (affective)

20

90.2

(69.9,

116.4)

118

41.1

(36.5,

46.3)

2.20

(1.66,

2.91)

49.1

—Bipolar

16

69.2

(51.9,

92.2)

52

18.1

(15.3,

21.4)

3.82

(2.73,

5.32)

51.0

—Depressive
episode

2

9.3

(4.2,

20.8)

49

18.0

(14.9,

21.8)

0.52

(0.23,

1.18)

-8.7

Substance use

27

122.7

(98.2,

153.3)

147

64.7

(58.4,

71.7)

1.90

(1.48,

2.42)

58.0

—Alcohol

22

100.8

(78.8,

128.9)

130

57.3

(51.3,

63.9)

1.76

(1.35,

2.30)

43.6

Anxiety,
stress-related

10

46.6

(32.0,

67.9)

127

45.7

(40.4,

51.6)

1.02

(0.69,

1.52)

0.9

Male

All disorders

145

724.6

(658.7,

797.1)

814

305.4

(292.2,

319.1)

2.37

(2.14,

2.64)

419.2

Schizophrenia

71

356.5

(311.4,

408.2)

227

90.2

(83.4,

97.5)

3.95

(3.38,

4.62)

266.3

Mood (affective)

15

74.2

(55.4,

99.5)

104

35.5

(31.5,

40.0)

2.09

(1.52,

2.87)

38.7

—Bipolar

11

54.4

(38.7,

76.5)

52

18.6

(15.7,

21.9)

2.93

(2.00,

4.29)

35.8

—Depressive
episode

2

11.9

(5.6,

25.1)

41

13.6

(11.3,

16.5)

0.87

(0.40,

1.88)

-1.7

Substance use

39

191.4

(159.2,

230.2)

289

112.7

(105.0,

121.1)

1.70

(1.39,

2.07)

78.7

—Alcohol

28

138.4

(111.4,

171.8)

251

95.8

(88.6,

103.4)

1.44

(1.15,

1.82)

42.6

Anxiety,
stress-related

9

40.4

(27.4,

59.5)

77

28.6

(24.8,

33.1)

1.41

(0.93,

2.13)

11.7

Total

All disorders

252

606.7

(564.3,

652.3)

1520

281.7

(272.4,

291.2)

2.15

(1.99,

2.33)

325.1

Schizophrenia

113

270.2

(242.5,

301.0)

370

69.7

(65.5,

74.1)

3.88

(3.42,

4.39)

200.5

Mood (affective)

36

82.2

(67.8,

99.7)

222

38.3

(35.2,

41.7)

2.15

(1.74,

2.65)

43.9

—Bipolar

27

61.8

(49.6,

77.0)

103

18.3

(16.3,

20.7)

3.37

(2.62,

4.33)

43.4

—Depressive
episode

4

10.6

(6.1,

18.3)

90

15.8

(13.8,

18.1)

0.67

(0.38,

1.18)

-5.2

Substance use

65

157.0

(136.2,

181.0)

436

88.7

(83.6,

94.1)

1.77

(1.52,

2.06)

68.3

—Alcohol

50

119.6

(101.6,

140.7)

380

76.5

(71.8,

81.5)

1.56

(1.31,

1.86)

43.1

Anxiety,
stress-related

18

43.5

(33.2,

57.0)

204

37.1

(33.8,

40.8)

1.17

(0.88,

1.56)

6.3

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

Māori had just over twice the rate of admission for mental disorders of non-Māori.

Among Māori females, the most common cause of admission was schizophrenia related disorders, with 41 admissions per year on average, at a rate 3.7 times the non-Māori rate. Substance use disorders were the second most common cause of admission with a rate 90% higher than for non-Māori. Māori women also had twice the rate of admission for mood disorders.

Among Māori males, the overall admission rate was 2.4 times the non-Māori rate. Admissions for schizophrenia type disorders were the most common, at a rate nearly 4 times the non-Māori rate. The second most common cause of admission was for substance use disorders (mostly alcohol), with a rate 70% higher than that of non-Māori. Mood disorders were the third leading cause of admission with the rate of admission for bipolar disorders 3 times the non-Māori rate.





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