This annual report - Taranaki District Health Board

Distribution by Ethnicity, NZ Deprivation Index Decile and GenderIn New Zealand during 2005–2009, neonatal mortality was significantly higher for Pacificand Māori infants than for European infants, for males and for those from average to moredeprived (NZDep deciles 5–10) areas. During the same period, post neonatal mortalitywas also significantly higher for Māori and Pacific infants than for European andAsian/Indian infants, for males and for those from more deprived (NZDep deciles 7–10)areas (Table 61).Table 61. Distribution of Neonatal and Post Neonatal Mortality by NZ Deprivation IndexDecile, Ethnicity and Gender, New Zealand 2005–2009Variable Rate RR 95% CI Variable Rate RR 95% CINZ Deprivation Index DecileNeonatal MortalityEthnicityDeciles 1–2 175.12 1.00 Asian/Indian 219.03 0.86 0.67–1.12Deciles 3–4 198.74 1.13 0.85–1.51 European 253.38 1.00Deciles 5–6 267.82 1.53 1.17–1.99 Māori 341.65 1.35 1.16–1.56Deciles 7–8 315.99 1.80 1.40–2.32 Pacific 352.98 1.39 1.14–1.71Deciles 9–10 404.58 2.31 1.82–2.93 GenderNZ Deprivation Index DecilePost Neonatal MortalityFemale 256.91 1.00Male 318.91 1.24 1.09–1.42EthnicityDeciles 1–2 127.17 1.00 Asian/Indian 88.26 0.63 0.42–0.94Deciles 3–4 119.25 0.94 0.66–1.33 European 139.59 1.00Deciles 5–6 153.78 1.21 0.87–1.67 Māori 354.67 2.54 2.14–3.02Deciles 7–8 204.89 1.61 1.19–2.17 Pacific 279.45 2.00 1.57–2.55Deciles 9–10 367.25 2.89 2.19–3.80 GenderFemale 181.35 1.00Male 243.54 1.34 1.15–1.57Source: Numerator: National Mortality Collection; Denominator: Birth Registration Dataset; Note: Rates are per100,000 live births; Rate Ratios are unadjusted; Ethnicity is Level 1 prioritisedMidland Region Distribution and TrendsMidland Region TrendsIn all of the DHBs in the Midland Region during 1990–2009, while there were large year toyear fluctuations in rates (possibly as a result of small numbers), total infant mortalityexhibited a general downward trend. While neonatal mortality rates were relatively static,post neonatal mortality exhibited a general downward trend in all Midland DHBs exceptTaranaki (Figure 111, Figure 112).Midland Region vs. New ZealandIn all of the DHBs in the Midland Region during 2005–2009, while neonatal mortality rateswere higher than the New Zealand rate, in no case did these differences reach statisticalsignificance. Similarly while post neonatal mortality rates in the Waikato, Lakes DHB,Tairawhiti and Taranaki were all higher than the New Zealand rate, in no Midland DHB didthese differences reach statistical significance (Table 62).Infant Mortality and SUDI - 263