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Related Experiment Videos

Age standardisation - an indigenous standard?

Bridget Robson1, Gordon Purdie, Fiona Cram

  • 1Te Rōpū Rangahau a Eru Pōmare (Eru Pōmare Māori Health Research Centre), University of Otago, Wellington, P O Box 7343, Wellington South, New Zealand. bridget.robson@otago.ac.nz

Emerging Themes in Epidemiology
|May 15, 2007
PubMed
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This summary is machine-generated.

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Choosing the right age standard significantly impacts Indigenous health equity data. Using an international indigenous population standard is recommended for accurate health policy and monitoring of Indigenous Peoples' rights.

Area of Science:

  • Public Health
  • Health Equity Research
  • Indigenous Health

Background:

  • Monitoring government obligations to Indigenous Peoples requires studying health inequities.
  • Māori in Aotearoa/New Zealand have a younger age structure than non-Māori, necessitating age adjustment for health outcome comparisons.
  • Age-standardised rates are crucial for comparing populations with different age structures.

Purpose of the Study:

  • To compare the age structure of Māori and non-Māori populations with standard populations used in New Zealand.
  • To evaluate the impact of different age standards on Māori and non-Māori mortality data.
  • To assess how the choice of age standard influences health disparities data and policy.

Main Methods:

  • Comparison of Māori and non-Māori population age structures against Segi's world and WHO world standard populations.

Related Experiment Videos

  • Measurement of the performance of these standards using Māori and non-Māori mortality data.
  • Benchmarking against the use of the Māori population as the standard for analysis.
  • Main Results:

    • The selection of a population standard demonstrably affects mortality rates, rate ratios, and rate differences.
    • Different age standards alter the ranking of causes of death and the width of confidence intervals.
    • These variations impact the monitoring of health outcome trends and health policy decisions.

    Conclusions:

    • The choice of age standard has significant political implications for Indigenous health equity.
    • Current standard populations may not accurately reflect Indigenous demographics and health outcomes.
    • Development and use of an international indigenous population standard should be considered for improved accuracy and policy relevance.