Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people

Joanne Luke (), Philippa Dalach, Lindsay Tuer, Ravi Savarirayan, Angeline Ferdinand, Julie McGaughran, Emma Kowal, Libby Massey, Gail Garvey, Hugh Dawkins, Misty Jenkins, Yin Paradies, Glenn Pearson, Chloe A. Stutterd, Gareth Baynam and Margaret Kelaher
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Joanne Luke: The University of Melbourne
Philippa Dalach: The University of Melbourne
Lindsay Tuer: Murdoch Children’s Research Institute
Ravi Savarirayan: Murdoch Children’s Research Institute
Angeline Ferdinand: The University of Melbourne
Julie McGaughran: Royal Brisbane and Women’s Hospital
Emma Kowal: Deakin University
Libby Massey: Machado Joseph Disease Foundation
Gail Garvey: Charles Darwin University
Hugh Dawkins: The University of Notre Dame Australia
Misty Jenkins: Walter Eliza Hall Institute
Yin Paradies: Deakin University
Glenn Pearson: University of Western Australia
Chloe A. Stutterd: Murdoch Children’s Research Institute
Gareth Baynam: University of Western Australia
Margaret Kelaher: The University of Melbourne

Nature Communications, 2022, vol. 13, issue 1, 1-11

Abstract: 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],

Date: 2022
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DOI: 10.1038/s41467-022-32707-0

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