Mortality variation across Australia: descriptive data for states and territories, and statistical divisions.
OBJECTIVE
To describe variation in all cause and selected cause-specific mortality rates across Australia.


METHODS
Mortality and population data for 1997 were obtained from the Australian Bureau of Statistics. All cause and selected cause-specific mortality rates were calculated and directly standardised to the 1997 Australian population in 5-year age groups. Selected major causes of death included cancer, coronary artery disease, cerebrovascular disease, diabetes, accidents and suicide. Rates are reported by statistical division, and State and Territory.


RESULTS
All cause age-standardised mortality was 6.98 per 1000 in 1997 and this varied 2-fold from a low in the statistical division of Pilbara, Western Australia (5.78, 95% confidence interval 5.06-6.56), to a high in Northern Territory--excluding Darwin (11.30, 10.67-11.98). Similar mortality variation (all p < 0.0001) exists for cancer (1.01-2.23 per 1000) and coronary artery disease (0.99-2.23 per 1000), the two biggest killers. Larger variation (all p < 0.0001) exists for cerebrovascular disease (0.7-11.8 per 10,000), diabetes (0.7-6.9 per 10,000), accidents (1.7-7.2 per 10,000) and suicide (0.6-3.8 per 10,000). Less marked variation was observed when analysed by State and Territory, but Northern Territory consistently has the highest age-standardised mortality rates.


CONCLUSIONS
Analysed by statistical division, substantial mortality gradients exist across Australia, suggesting an inequitable distribution of the determinants of health. Further research is required to better understand this heterogeneity.
South Australian Centre for Rural and Remote Health, University of Adelaide. david.wilkinson@unisa.edu.au
D
D
Wilkinson
J
J
Hiller
J
J
Moss
P
P
Ryan
T
T
Worsley
D000367:Age Factors; D001315:Australia / Q000453:epidemiology; D002423:Cause of Death; D003625:Data Collection; D005843:Geography; D006801:Humans; D009026:Mortality / Q000639:trends*