Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people.
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Date
2022-09-06
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Affiliation(s)
(Luke, Dalach, Ferdinand, Kelaher) Centre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia
(Tuer, Savarirayan, Stutterd) Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia
(Tuer, Massey) Machado Joseph Disease Foundation, Alyangula, NT, Australia
(McGaughran) Genetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
(McGaughran) School of Medicine, University of Queensland, St Lucia, QLD, Australia
(Kowal) Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Geelong, VIC, Australia
(Massey) James Cook University, Townsville, QLD, Australia
(Garvey) Wellbeing and Preventable Chronic Disease Division, Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia
(Dawkins) School of Medicine, The University of Notre Dame Australia, Sydney, NSW, Australia
(Jenkins) Immunology, Walter Eliza Hall Institute, Parkville, VIC, Australia
(Paradies) School of Humanities and Social Science, Deakin University, Burwood, VIC, Australia
(Pearson, Baynam) Telethon Kids Institute and Division of Paediatrics, Faculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia
(Stutterd) Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia
(Baynam) Genetic Services of Western Australia, Western Australian Department of Health, Perth, WA, Australia
(Baynam) Western Australian Register of Developmental Anomalies, Western Australian Department of Health, Perth, WA, Australia
(Tuer, Savarirayan, Stutterd) Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia
(Tuer, Massey) Machado Joseph Disease Foundation, Alyangula, NT, Australia
(McGaughran) Genetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia
(McGaughran) School of Medicine, University of Queensland, St Lucia, QLD, Australia
(Kowal) Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Geelong, VIC, Australia
(Massey) James Cook University, Townsville, QLD, Australia
(Garvey) Wellbeing and Preventable Chronic Disease Division, Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia
(Dawkins) School of Medicine, The University of Notre Dame Australia, Sydney, NSW, Australia
(Jenkins) Immunology, Walter Eliza Hall Institute, Parkville, VIC, Australia
(Paradies) School of Humanities and Social Science, Deakin University, Burwood, VIC, Australia
(Pearson, Baynam) Telethon Kids Institute and Division of Paediatrics, Faculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia
(Stutterd) Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia
(Baynam) Genetic Services of Western Australia, Western Australian Department of Health, Perth, WA, Australia
(Baynam) Western Australian Register of Developmental Anomalies, Western Australian Department of Health, Perth, WA, Australia
Year
2022
Citation
Nature Communications. Vol.13(1), 2022.
Journal
Nature Communications
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The authors acknowledge the project funders; including the National Health and Medical Research Council (Australia): 114737 and Lowitja Institute: 1364
Abstract
Globally, there is a recognised need that all populations should be able to access the benefits of genomics and precision medicine. However, achieving this remains constrained by a paucity of data that quantifies access to clinical genomics, particularly amongst Indigenous populations. Using administrative data from clinical genetic health services across three Australian jurisdictions (states/territories), we investigate disparities in the scheduling and attendance of appointments among Aboriginal and/or Torres Strait Islander people, compared to non-Indigenous people. For 14,870 appointments scheduled between 2014-2018, adjusted Multivariate Poisson Regression models revealed that Aboriginal and/or Torres Strait Islander people were scheduled fewer appointments (IRR 0.73 [0.68-0.80], <0.001) and attended at lower rates (IRR 0.85 [0.78-0.93], <0.001). Within this population, adults, females, remote residents, and those presenting in relation to cancer or prenatal indications experienced the greatest disparity in access. These results provide important baseline data related to disparities in access to clinical genomics in Australia.Copyright © 2022, The Author(s).
PubMed ID
36002448 [https://www.ncbi.nlm.nih.gov/pubmed/?term=36002448]
Type
Article
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Subjects
Genetics