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Epidemiology of physical-mental multimorbidity and its impact among Aboriginal and Torres Strait Islander in Australia: a cross-sectional analysis of a nationally representative sample.


ABSTRACT:

Objectives

This study aimed to examine the differences in multimorbidity between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, and the effect of multimorbidity on health service use and work productivity.

Setting

Cross-sectional sample of the Household, Income and Labour Dynamics in Australia wave 17.

Participants

A nationally representative sample of 16 749 respondents aged 18 years and above.

Outcome measures

Multimorbidity prevalence and pattern, self-reported health, health service use and employment productivity by Indigenous status.

Results

Aboriginal respondents reported a higher prevalence of multimorbidity (24.2%) compared with non-Indigenous Australians (20.7%), and the prevalence of mental-physical multimorbidity was almost twice as high (16.1% vs 8.1%). Multimorbidity pattern varies significantly among the Aboriginal and non-Indigenous Australians. Multimorbidity was associated with higher health service use (any overnight admission: adjusted OR=1.52, 95% CI=1.46 to 1.58), reduced employment productivity (days of sick leave: coefficient=0.25, 95% CI=0.19 to 0.31) and lower perceived health status (SF6D score: coefficient=-0.04, 95% CI=-0.05 to -0.04). These associations were found to be comparable in both Aboriginal and non-Indigenous populations.

Conclusions

Multimorbidity prevalence was significantly greater among Aboriginal and Torres Strait Islanders compared with the non-Indigenous population, especially mental-physical multimorbidity. Strategies are required for better prevention and management of multimorbidity for the aboriginal population to reduce health inequalities in Australia.

SUBMITTER: Carman W 

PROVIDER: S-EPMC9557280 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Epidemiology of physical-mental multimorbidity and its impact among Aboriginal and Torres Strait Islander in Australia: a cross-sectional analysis of a nationally representative sample.

Carman William W   Ishida Marie M   Trounson Justin S JS   Mercer Stewart W SW   Anindya Kanya K   Sum Grace G   Armstrong Gregory G   Oldenburg Brian B   McPake Barbara B   Lee John Tayu JT  

BMJ open 20221011 10


<h4>Objectives</h4>This study aimed to examine the differences in multimorbidity between Aboriginal and Torres Strait Islander people and non-Indigenous Australians, and the effect of multimorbidity on health service use and work productivity.<h4>Setting</h4>Cross-sectional sample of the Household, Income and Labour Dynamics in Australia wave 17.<h4>Participants</h4>A nationally representative sample of 16 749 respondents aged 18 years and above.<h4>Outcome measures</h4>Multimorbidity prevalence  ...[more]

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