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Health status of New Zealand European, Māori, and Pacific patients with diabetes in 242 New Zealand general practices

NZ Literature Abstract

posted by Research Admin on 2010-05-18 11:10:31.575

Authors

Andrew M. Tomlin
Murray W. Tilyard
A. G. Dawson
Susan M. Dovey

Year of Publication

2006

Source

New Zealand Medical Journal, 119(1235)

Publication Type

Journal article (peer reviewed)

Publication Status

Completed

Abstract

The objective of this study was to compare the care and health status of different ethnic groups attending general practices with diabetes. The authors analysed information about 13,281 patients with any type of diabetes, collected by 242 general practices in the first visit of the Southlink Independent Practitioner Association’s Get Checked program. These patients constituted about 60% of patients with diabetes in the South Island. 13,196 (99.4%) patients had Type 1 or Type 2 diabetes. Of these, 11,911 (90.3%) were Europeans, and 759 (5.8%) were Māori or Pacific Islanders (mostly of Samoan, Tongan, Niuean, or Cook Islands origin). There was no difference between ethnic groups in total cholesterol, proportions on oral therapy or statins, or having a foot check. Māori and Pacific Islanders had poorer glycaemic control, and were less likely to have retinopathy screening. In patients with Type 2 diabetes (and compared with Europeans) Māori and Pacific Islanders were younger, had higher mean body mass indices and diastolic blood pressures and were more likely to smoke. Overall, Māori and Pacific Islanders were more likely to be at high risk for microvascular complications. The authors conclude that, in this study, Māori and Pacific Island patients had a demographic profile suggesting greater health vulnerability (especially for those with Type 2 diabetes) yet similar routine diabetes care (especially for those with Type 1 diabetes). Ethnic inequalities were noted in seven of nine health status measures.

Type of Study

Quantitative, Analysis

How to Access

Available free online at http://www.nzma.org.nz/journal/119-1235/2004/