Burden of disease and injury in Aboriginal and non-Aboriginal populations in the Northern Territory

<b>Objective:</b><br>To quantify the burden of disease and injury for the Aboriginal and non-Aboriginal populations in the Northern Territory.<br><br><b>Design and setting: </b><br>Analysis of Northern Territory data for 1 January 1994 to 30 December 1998 from multiple sources.<br><br><b>Main outcome measures:</b><br>Disability-adjusted life-years (DALYs), by age, sex, cause and Aboriginality.<br><br><b>Results:</b><br>Cardiovascular disease was the leading contributor (14.9%) to the total burden of disease and injury in the NT, followed by mental disorders (14.5%) and malignant neoplasms (11.2%). There was also a substantial contribution from unintentional injury (10.4%) and intentional injury (4.9%). Overall, the NT Aboriginal population had a rate of burden of disease 2.5 times higher than the non-Aboriginal population; in the 35-54-year age group their DALY rate was 4.1 times higher. The leading causes of disease burden were cardiovascular disease for both Aboriginal men (19.1%) and women (15.7%) and mental disorders for both non-Aboriginal men (16.7%) and women (22.3%).<br><br><b>Conclusions:</b><br>A comprehensive assessment of fatal and non-fatal conditions is important in describing differentials in health status of the NT population. Our study provides comparative data to identify health priorities and facilitate a more equitable distribution of health funding.<br><br><br>