Socioeconomic disparities in self-reported cardiovascular disease for Indigenous and non-Indigenous Australian adults: analysis of national survey data
Open Access
- 24 November 2010
- journal article
- Published by Springer Science and Business Media LLC in Population Health Metrics
- Vol. 8 (1), 31
- https://doi.org/10.1186/1478-7954-8-31
Abstract
Little is known about the relationship between socioeconomic status (SES) and cardiovascular disease (CVD) among Indigenous Australians, or whether any such relationship is similar to that in non-Indigenous Australians. Weighted data on self-reported CVD and several SES measures were analyzed for 5,417 Indigenous and 15,432 non-Indigenous adults aged 18-64 years from two nationally representative surveys conducted in parallel by the Australian Bureau of Statistics in 2004-05. After adjusting for age and sex, self-reported CVD prevalence was generally higher among those of lower SES in both the Indigenous and non-Indigenous populations. The relative odds of self-reported CVD were generally similar in the two populations. For example, the relative odds of self-reported CVD for those who did not complete Year 10 (versus those who did) was 1.4 (95% confidence interval [CI]: 1.1-1.8) among Indigenous people and 1.3 (95% CI: 1.2-1.5) among non-Indigenous people. However, Indigenous people generally had higher self-reported CVD levels than non-Indigenous people of the same age and SES group. Although smoking history varied by SES, smoking did not explain the observed relationships between SES and self-reported CVD. Socioeconomic disparities in self-reported CVD among Indigenous Australians appear similar in relative terms to those seen in non-Indigenous Australians, but absolute differences remain. As with other population groups, the socioeconomic heterogeneity of the Indigenous population must be considered in developing and implementing programs to promote health and prevent illness. In addition, factors that operate across the SES spectrum, such as racism, stress, dispossession, and grief, must also be addressed to reduce the burden of CVD.Keywords
This publication has 26 references indexed in Scilit:
- Socioeconomic and Ethnic Disparities in Cardiovascular Risk In the United States, 2001–2006Annals of Epidemiology, 2010
- Socio‐economic gradients in self‐reported diabetes for Indigenous and non‐Indigenous Australians aged 18–64Australian and New Zealand Journal of Public Health, 2010
- Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunitiesAnnals of the New York Academy of Sciences, 2010
- Socioeconomic status and self-reported asthma in Indigenous and non-Indigenous Australian adults aged 18-64 years: analysis of national survey dataInternational Journal for Equity in Health, 2010
- Environmental and Socio-Economic Factors as Contributors to Racial Disparities in Diabetes PrevalenceJournal of General Internal Medicine, 2009
- Associations of Acculturation and Socioeconomic Status With Subclinical Cardiovascular Disease in the Multi-Ethnic Study of AtherosclerosisAmerican Journal of Public Health, 2008
- Socioeconomic status and diabetes among urban Indigenous Australians aged 15–64 years in the DRUID studyEthnicity & Health, 2008
- A systematic review of empirical research on self-reported racism and healthInternational Journal of Epidemiology, 2006
- Role of stress in the pathogenesis of the metabolic syndromePsychoneuroendocrinology, 2005
- Global Burden of Cardiovascular DiseasesCirculation, 2001