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Avoidable mortality in Victoria between 1979 and 2001.

Leonard S Piers1, Norman J Carson, Kaye Brown

  • 1Chronic Disease Surveillance and Epidemiology Section, Public Health Branch, Department of Human Services, Melbourne, Victoria. leonard.piers@dhs.vic.gov.au

Australian and New Zealand Journal of Public Health
|March 6, 2007
PubMed
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Avoidable mortality (AM) in Victoria declined significantly for males and females, yet disparities persist based on sex, socioeconomic status, and remoteness. Targeted interventions are crucial to reduce these health inequalities.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Avoidable mortality (AM) represents deaths that could potentially be prevented through public health and healthcare interventions.
  • Understanding trends and disparities in AM is crucial for effective public health policy and resource allocation.
  • Socioeconomic status and geographic remoteness are known social determinants of health influencing mortality patterns.

Purpose of the Study:

  • To analyze trends in avoidable mortality (AM) in Victoria, Australia, from 1979 to 2001.
  • To examine disparities in AM rates by sex, socioeconomic disadvantage, and geographic remoteness.
  • To identify specific disease-related AM trends for targeted public health interventions.

Main Methods:

  • Utilized Australian Bureau of Statistics mortality and population data for Victoria (1979-2001).

Related Experiment Videos

  • Calculated age-standardized total and disease-specific AM rates using the direct method.
  • Compared AM rates across metropolitan vs. rural local government areas (LGAs), socioeconomic quintiles, and remoteness categories (1997-2001).
  • Main Results:

    • Significant decline in total AM rates for both males and females observed between 1979 and 2001.
    • Males consistently exhibited higher total AM rates than females.
    • Higher AM rates were noted in rural LGAs compared to metropolitan areas, and in more socioeconomically disadvantaged and remote areas.

    Conclusions:

    • Despite overall declines, significant disparities in avoidable mortality persist in Victoria based on sex, socioeconomic status, and remoteness.
    • Specific disease AM rates, including ischaemic heart disease and stroke, showed significant declines in males and females.
    • Findings highlight the need for targeted public health and health service interventions to address health inequalities among vulnerable populations.