Ontology highlight
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
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]