Respiratory disease (50+ years)

Chronic obstructive pulmonary disease (COPD) indicators

Table 20 shows that in the 50–64 years age group, Māori males were almost 5 times more likely to be hospitalised for COPD compared with non-Māori males the same age (RR 4.92, CI 4.53–5.34) and 4.5 times more likely than non-Māori to die from COPD (RR 4.60, CI 3.31-6.38). For females in this age group, the COPD hospitalisation rate was almost 7 times that of non-Māori females (RR 6.72, CI 6.29–7.17), and the COPD mortality rate was just over 5 times higher than that of non-Māori (RR 5.30, CI 3.96–7.11).

COPD hospitalisation and mortality rates for Māori males aged 65+ years were significantly higher than for non-Māori males of this age (RR 3.30, CI 3.07–3.55 for COPD hospitalisation; RR 2.28, CI 1.94–2.69 for COPD mortality). However, as with the 50–64 years age group, there were greater disparities for females. Māori females in the 65+ years age group had a COPD hospitalisation rate almost 5 times higher than non-Māori (RR 4.76, CI 4.44–5.10), while the COPD mortality rate was 3 times higher (RR 3.06, CI 2.61–3.59).

How to interpret results – tables

Table 20: Chronic obstructive pulmonary disease (COPD) indicators, Māori and non-Māori, by gender
  Males Females
  50–64 years 65+ years 50–64 years 65+ years
Indicator Māori non-Maori Māori non-Māori Māori non-Māori Māori non-Māori
COPD hospitalisation, 2007–09, rate per 100,000 991.8
(916.7–1073.0)
201.6
(190.0–213.8)
3333.9
(3074.4–3615.4)
1010.1
(969.4–1052.5)
1560.6
(1466.6–1660.7)
232.3
(218.5–246.9)
3823.0
(3542.6–4125.6)
803.2
(764.2–844.2)
COPD mortality, 2005–07, rate per 100,000 62.6
(46.3–82.7)
13.6
(11.4–16.1)
492.7
(418.9–575.8)
215.8
(206.4–225.4)
76.3
(58.9–97.3)
14.4
(12.2–16.9)
430.7
(369.6–499.0)
140.6
(134.1–147.3)

Sources: National Minimum Dataset (Hospital Events) (MNMDS), Ministry of Health; Mortality Collection (MORT), Ministry of Health

Notes:
Age standardised to the 2001 Census total Māori population.
Hospitalisations are ethnicity-adjusted rates; all other rates use prioritised ethnicity see Ngā Tapuae me ngā Raraunga: Methods and data sources for further information.

Pneumonia indicators

For Māori males aged 50–64 years, pneumonia hospitalisation was over 3.5 times that of non-Māori (RR 3.67, CI 3.34–4.02) (Table 21). However, the pneumonia mortality rate was 6 times higher for Māori compared with non-Māori in this group (RR 6.01, CI 2.54–14.21).

Table 21 also shows that in the 65+ years age group, Māori females have a pneumonia hospitalisation rate 3 times higher than non-Māori females (RR 3.23, CI 2.90–3.60), although there is no significant difference in the pneumonia mortality rate between the two groups.

How to interpret results – tables

Table 21: Pneumonia indicators, Māori and non-Māori, by gender
  Males Females
  50–64 years 65+ years 50–64 years 65+ years
Indicator Māori non-Maori Māori non-Māori Māori non-Māori Māori non-Māori
Pneumonia hospitalisation, 2007–09, rate per 100,000 706.2
(645.2–772.9)
192.6
(181.8–204.0)
1683.1
(1514.6–1870.2)
669.9
(639.4–701.8)
686.8
(629.4–749.5)
158.0
(148.0–168.6)
1399.3
(1254.1–1561.4)
433.3
(408.5–459.7)
Pneumonia mortality, 2005–07, rate per 100,000 9.5
(4.1–18.7)
1.6
(0.9–2.6)
43.5
(23.2–74.4)
32.3
(29.1–35.7)
1.4
(0.8–2.4)
40.4
(24.3–63.1)
31.7
(29.5–34.1)

Sources: National Minimum Dataset (Hospital Events) (MNMDS), Ministry of Health; Mortality Collection (MORT), Ministry of Health

Notes:
Age standardised to the 2001 Census total Māori population.
Hospitalisations are ethnicity-adjusted rates; all other rates use prioritised ethnicity see Ngā Tapuae me ngā Raraunga: Methods and data sources for further information.
A dash (−) indicates that the data were unavailable due to low counts.

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