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Incidence of acute rheumatic fever in New Zealand children and youth
- Source :
- Journal of Paediatrics and Child Health. 48:685-691
- Publication Year :
- 2012
- Publisher :
- Wiley, 2012.
-
Abstract
- Aim: To estimate acute rheumatic fever (ARF) incidence rates for New Zealand children and youth by ethnicity, socioeconomic deprivation and region. Methods: National hospital admissions with a principal diagnosis of ARF (ICD9_AM 390-392; ICD10-AM I00-I02) were obtained from routine statistics and stratified by age, ethnicity, socioeconomic deprivation index (NZDep2006) and District Health Board (DHB). Results: The mean incidence rate for ARF in 2000–2009 peaked at 9 to 12 years of age. Incidence rates for children 5 to 14 years of age for Māori were 40.2 (95% confidence interval 36.8, 43.8), Pacific 81.2 (73.4, 89.6), non-Māori/Pacific 2.1 (1.6, 2.6) and all children 17.2 (16.1, 18.3) per 100 000. Māori and Pacific incidence rates increased by 79% and 73% in 1993–2009, while non-Māori/Pacific rates declined by 71%. Overall rates increased by 59%. In 2000–2009, Māori and Pacific children comprised 30% of children 5–14 years of age but accounted for 95% of new cases. Almost 90% of index cases of ARF were in the highest five deciles of socioeconomic deprivation and 70% were in the most deprived quintile. A child living in the most deprived decile has about one in 150 risk of being admitted to the hospital for ARF by 15 years of age. Ten DHBs containing 76% of the population 5 to 14 years of age accounted for 94% of index cases of ARF. Conclusions: ARF with its attendant rheumatic heart disease is an increasing public health issue for disadvantaged North Island communities with high concentrations of Māori and/or Pacific families.
- Subjects :
- education.field_of_study
medicine.medical_specialty
Pediatrics
business.industry
Public health
Incidence (epidemiology)
Population
Prevalence
medicine.disease
Confidence interval
Pediatrics, Perinatology and Child Health
Epidemiology
medicine
Rheumatic fever
education
business
Socioeconomic status
Demography
Subjects
Details
- ISSN :
- 10344810
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Journal of Paediatrics and Child Health
- Accession number :
- edsair.doi...........c78b9caf1a5388912c527c711505ff37