Socio-economic gradients in self-reported diabetes for Indigenous and non-Indigenous Australians aged 18-64

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To examine and compare socio-economic gradients in diabetes among Indigenous and non-Indigenous Australians. Methods: I analysed weighted data on self-reported diabetes and a range of socio-economic status (SES) measures 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. Results: After adjusting for age, diabetes prevalence was significantly higher among those of lower SES in both Indigenous and non-Indigenous populations. The age- and sex-adjusted odds ratios (OR) for diabetes for the lowest versus the highest SES group were similar for the two populations on many variables. For example, the OR for the lowest quintile of equivalised household income (compared with quintiles 3-5 combined) was 2.3 (95% CI 1.6-3.4) for the Indigenous population and 2.0 (95% CI 1.5-2.8) for the non-Indigenous population. However, Indigenous people of high SES had greater diabetes prevalence than low SES non-Indigenous people on every SES measure examined. Conclusion: Socio-economic status explains some but not all of the difference in diabetes prevalence between Indigenous and non-Indigenous Australians. Other factors that may operate across the socio-economic spectrum, such as racism, stress, loss and grief, may also be relevant and warrant further examination. Implications: Indigenous Australians do not constitute a homogeneous group with respect to socio-economic status or diabetes prevalence, and this diversity must be recognised in developing measures to redress Indigenous health disadvantage. � 2010 The Authors. Journal Compilation.
    Original languageEnglish
    Pages (from-to)18-24
    Number of pages7
    JournalAustralian and New Zealand Journal of Public Health
    Volume34
    Issue numberS1
    Publication statusPublished - 2010

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    @article{0ce20cbcf1ce4325bd2e766ae20aaf21,
    title = "Socio-economic gradients in self-reported diabetes for Indigenous and non-Indigenous Australians aged 18-64",
    abstract = "Objective: To examine and compare socio-economic gradients in diabetes among Indigenous and non-Indigenous Australians. Methods: I analysed weighted data on self-reported diabetes and a range of socio-economic status (SES) measures 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. Results: After adjusting for age, diabetes prevalence was significantly higher among those of lower SES in both Indigenous and non-Indigenous populations. The age- and sex-adjusted odds ratios (OR) for diabetes for the lowest versus the highest SES group were similar for the two populations on many variables. For example, the OR for the lowest quintile of equivalised household income (compared with quintiles 3-5 combined) was 2.3 (95{\%} CI 1.6-3.4) for the Indigenous population and 2.0 (95{\%} CI 1.5-2.8) for the non-Indigenous population. However, Indigenous people of high SES had greater diabetes prevalence than low SES non-Indigenous people on every SES measure examined. Conclusion: Socio-economic status explains some but not all of the difference in diabetes prevalence between Indigenous and non-Indigenous Australians. Other factors that may operate across the socio-economic spectrum, such as racism, stress, loss and grief, may also be relevant and warrant further examination. Implications: Indigenous Australians do not constitute a homogeneous group with respect to socio-economic status or diabetes prevalence, and this diversity must be recognised in developing measures to redress Indigenous health disadvantage. � 2010 The Authors. Journal Compilation.",
    keywords = "Aborigine, adolescent, adult, age distribution, article, Australia, comparative study, demography, diabetes mellitus, economics, ethnology, female, human, male, middle aged, prevalence, risk factor, self disclosure, sex ratio, social class, socioeconomics, statistics, Adolescent, Adult, Age Distribution, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Oceanic Ancestry Group, Prevalence, Residence Characteristics, Risk Factors, Self Disclosure, Sex Distribution, Social Class, Socioeconomic Factors, Young Adult",
    author = "Joan Cunningham",
    year = "2010",
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    volume = "34",
    pages = "18--24",
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    Socio-economic gradients in self-reported diabetes for Indigenous and non-Indigenous Australians aged 18-64. / Cunningham, Joan.

    In: Australian and New Zealand Journal of Public Health, Vol. 34, No. S1, 2010, p. 18-24.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Socio-economic gradients in self-reported diabetes for Indigenous and non-Indigenous Australians aged 18-64

    AU - Cunningham, Joan

    PY - 2010

    Y1 - 2010

    N2 - Objective: To examine and compare socio-economic gradients in diabetes among Indigenous and non-Indigenous Australians. Methods: I analysed weighted data on self-reported diabetes and a range of socio-economic status (SES) measures 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. Results: After adjusting for age, diabetes prevalence was significantly higher among those of lower SES in both Indigenous and non-Indigenous populations. The age- and sex-adjusted odds ratios (OR) for diabetes for the lowest versus the highest SES group were similar for the two populations on many variables. For example, the OR for the lowest quintile of equivalised household income (compared with quintiles 3-5 combined) was 2.3 (95% CI 1.6-3.4) for the Indigenous population and 2.0 (95% CI 1.5-2.8) for the non-Indigenous population. However, Indigenous people of high SES had greater diabetes prevalence than low SES non-Indigenous people on every SES measure examined. Conclusion: Socio-economic status explains some but not all of the difference in diabetes prevalence between Indigenous and non-Indigenous Australians. Other factors that may operate across the socio-economic spectrum, such as racism, stress, loss and grief, may also be relevant and warrant further examination. Implications: Indigenous Australians do not constitute a homogeneous group with respect to socio-economic status or diabetes prevalence, and this diversity must be recognised in developing measures to redress Indigenous health disadvantage. � 2010 The Authors. Journal Compilation.

    AB - Objective: To examine and compare socio-economic gradients in diabetes among Indigenous and non-Indigenous Australians. Methods: I analysed weighted data on self-reported diabetes and a range of socio-economic status (SES) measures 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. Results: After adjusting for age, diabetes prevalence was significantly higher among those of lower SES in both Indigenous and non-Indigenous populations. The age- and sex-adjusted odds ratios (OR) for diabetes for the lowest versus the highest SES group were similar for the two populations on many variables. For example, the OR for the lowest quintile of equivalised household income (compared with quintiles 3-5 combined) was 2.3 (95% CI 1.6-3.4) for the Indigenous population and 2.0 (95% CI 1.5-2.8) for the non-Indigenous population. However, Indigenous people of high SES had greater diabetes prevalence than low SES non-Indigenous people on every SES measure examined. Conclusion: Socio-economic status explains some but not all of the difference in diabetes prevalence between Indigenous and non-Indigenous Australians. Other factors that may operate across the socio-economic spectrum, such as racism, stress, loss and grief, may also be relevant and warrant further examination. Implications: Indigenous Australians do not constitute a homogeneous group with respect to socio-economic status or diabetes prevalence, and this diversity must be recognised in developing measures to redress Indigenous health disadvantage. � 2010 The Authors. Journal Compilation.

    KW - Aborigine

    KW - adolescent

    KW - adult

    KW - age distribution

    KW - article

    KW - Australia

    KW - comparative study

    KW - demography

    KW - diabetes mellitus

    KW - economics

    KW - ethnology

    KW - female

    KW - human

    KW - male

    KW - middle aged

    KW - prevalence

    KW - risk factor

    KW - self disclosure

    KW - sex ratio

    KW - social class

    KW - socioeconomics

    KW - statistics

    KW - Adolescent

    KW - Adult

    KW - Age Distribution

    KW - Diabetes Mellitus

    KW - Female

    KW - Humans

    KW - Male

    KW - Middle Aged

    KW - Oceanic Ancestry Group

    KW - Prevalence

    KW - Residence Characteristics

    KW - Risk Factors

    KW - Self Disclosure

    KW - Sex Distribution

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    KW - Socioeconomic Factors

    KW - Young Adult

    M3 - Article

    VL - 34

    SP - 18

    EP - 24

    JO - Australian and New Zealand Journal of Public Health

    JF - Australian and New Zealand Journal of Public Health

    SN - 1326-0200

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    ER -