The temporospatial epidemiology of rheumatic heart disease in Far North Queensland, tropical Australia 1997-2017; impact of socioeconomic status on disease burden, severity and access to care

The incidence of rheumatic heart disease (RHD) among Indigenous Australians remains one of the highest in the world. Many studies have highlighted the relationship between the social determinants of health and RHD, but few have used registry data to link socioeconomic disadvantage to the delivery of...

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Bibliographic Details
Published in:PLoS neglected tropical diseases 2021-01, Vol.15 (1), p.e0008990-e0008990
Main Authors: Kang, Katherine, Chau, Ken W T, Howell, Erin, Anderson, Mellise, Smith, Simon, Davis, Tania J, Starmer, Greg, Hanson, Josh
Format: Article
Language:English
Subjects:
Adolescent
Adult
Australian aborigines
Care and treatment
Cost of Illness
Demographic aspects
Diagnosis
Evaluation
Female
Health aspects
Health Services Accessibility
Humans
Incidence
Male
Medicine and Health Sciences
People and places
Prevalence
Prognosis
Queensland - epidemiology
Research and Analysis Methods
Retrospective Studies
Rheumatic heart disease
Rheumatic Heart Disease - epidemiology
Rheumatic Heart Disease - mortality
Rheumatic Heart Disease - surgery
Sentinel health events
Severity of Illness Index
Social Class
Social Sciences
Young Adult
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Summary:The incidence of rheumatic heart disease (RHD) among Indigenous Australians remains one of the highest in the world. Many studies have highlighted the relationship between the social determinants of health and RHD, but few have used registry data to link socioeconomic disadvantage to the delivery of patient care and long-term outcomes. A retrospective study of individuals living with RHD in Far North Queensland (FNQ), Australia between 1997 and 2017. Patients were identified using the Queensland state RHD register. The Socio-Economic Indexes for Areas (SEIFA) Score-a measure of socioeconomic disadvantage-was correlated with RHD prevalence, disease severity and measures of RHD care. Of the 686 individuals, 622 (90.7%) were Indigenous Australians. RHD incidence increased in the region from 4.7/100,000/year in 1997 to 49.4/100,000/year in 2017 (p
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0008990