Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people
Publication Details
Luke, J.,
Dalach, P.,
Tuer, L.,
Savarirayan, R.,
Ferdinand, A.,
McGaughran, J.,
Kowal, E.,
Massey, L.,
Garvey, G.,
Dawkins, H.,
Jenkins, M.,
Paradies, Y.,
Pearson, G.,
Stutterd, C. A.,
Baynam, G.,
&
Kelaher, M.
(2022).
Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people.
Nature Communications, 13.
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],
Keywords
epidemiology, genetic services
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