Rising Ethnic Inequalities in Acute Rheumatic Fever and Rheumatic Heart Disease, New Zealand, 2000-2018

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Bennett, Julie ; Zhang, Jane ; Leung, William ; Jack, Susan ; Oliver, Jane ; Webb, Rachel ; Wilson, Nigel ; Sika-Paotonu, Dianne ; Harwood, Matire ; Baker, Michael G.
• Description:
  We describe trends in acute rheumatic fever (ARF), rheumatic heart disease (RHD), and RHD deaths among population groups in New Zealand. We analyzed initial primary ARF and RHD hospitalizations during 2000-2018 and RHD mortality rates during 2000-2016. We found elevated rates of initial ARF hospitalizations for persons of Māori (adjusted rate ratio aRR 11.8, 95% CI 10.0-14.0) and Pacific Islander (aRR 23.6, 95% CI 19.9-27.9) ethnicity compared with persons of European/other ethnicity. We also noted higher rates of initial RHD hospitalization for Māori (aRR 3.2, 95% CI 2.9-3.5) and Pacific Islander (aRR 4.6, 95% CI 4.2-5.1) groups and RHD deaths among these groups (Māori aRR 12.3, 95% CI 10.3-14.6, and Pacific Islanders aRR 11.2, 95% CI 9.1-13.8). Rates also were higher in socioeconomically disadvantaged neighborhoods. To curb high rates of ARF and RHD, New Zealand must address increasing social and ethnic inequalities.
• Subjects:
  • Bacteria
  • Child
  • Epidemiology
  • Poverty
• Source:
  Emerg Infect Dis. 27(1):36-46
• Pubmed ID:
  33350929
• Pubmed Central ID:
  PMC7774562
• Document Type:
  Text
• Genre:
  Journal Article
• Volume:
  27
• Issue:
  1
• Download URL:
  https://stacks.cdc.gov/view/cdc/99969/cdc_99969_DS1.pdf
• File Type:
  [PDF - 1.75 MB]
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha-512:d7fe06b6c35c15996aa838d923712224ad627e7582d00252130975730720673ff5bb607e39b6e232a2f1c324471c2611d31ca12a6f9342d4120540546cd8db5a