Heart failure & cardiomyopathies
Widening ethnic inequities in heart failure incidence in New Zealand
Authors' conclusion
Ethnic inequities in incident HF hospitalisation have widened in NZ over the past 13 years.
Study context
- Population
- Adults ≥20 years with incident heart failure (HF) hospitalisation, New Zealand, 2006–2018
- Participants
- 116,113 incident HF hospitalisations
- Exposure
- Māori, Pacific people and Asians vs European/others
- Outcome
- Incident HF hospitalisation rate by ethnicity
- Follow-up
- 2006–2018
Methodological detailsnational hospitalisation records, age standardised, joinpoint regression
- National hospitalisation records
- Age standardised
- Joinpoint regression
Main finding
As reported in the abstract
Incident HF hospitalisation, IRR vs European/others · 2018
Each group vs European/othersIncidence rate ratio (95% CI)
Māoriaged 20-49 years
6.0(4.9–7.3)
Pacific peopleaged 20-49 years
7.5(6.0–9.4)
Asiansaged 20-49 years
0.5(0.3–0.8)
Māoriaged 50-69 years
3.7(3.4–4.0)
Pacific peopleaged 50-69 years
3.6(3.2–4.1)
Asiansaged 50-69 years
0.5(0.4–0.6)
Māoriaged ≥70 years
1.5(1.4–1.6)
Pacific peopleaged ≥70 years
1.5(1.3–1.7)
Asiansaged ≥70 years
0.5(0.5–0.6)
Observational data: associations, not effects.
Further findings
Ethnic distribution of incident HF hospitalisations
Annual percentage change (APC)
| Outcome | Māori | Pacific people | Asians | European/others | |
|---|---|---|---|---|---|
| Trend in incident HF hospitalisation, aged ≥70 years · 2006–2018 | Not reported in the abstract | Not reported in the abstract | −3.3% (95% CI −4.4%–-2.1%) | −2.0% (95% CI −2.5%–-1.6%) | Māori, Pacific people: not reported in the abstract |
- Ethnic distribution of incident HF hospitalisations — Aged <70 years: Māori and Pacific
- 64%
- Ethnic distribution of incident HF hospitalisations — Aged <70 years: Asian
- 37%
- Ethnic distribution of incident HF hospitalisations — Aged <70 years: European/others
- 19%
Trend in incident HF hospitalisation, aged ≥70 years · 2006–2018
- Rates unchanged for Māori and Pacific people
Trend in incident HF hospitalisation, aged <70 years · 2006–2018
- Rates increased or unchanged regardless of ethnicity
Original publication
Widening ethnic inequities in heart failure incidence in New Zealand. Heart. Published 3 August 2023. doi:10.
Summarised from the published abstract; every number is checked against it