Objective: To assess the extent to which indigenous status confounds the association between remoteness and neonatal mortality in Queensland.
Methods: We used routine data from the Queensland Perinatal Data Collection. Poisson regression modelling was used to assess confounding.
Results: Babies born to Indigenous mothers have mortality rates 2.42 times those of the rest of the population, regardless of whether they live in urban, rural or remote areas (95% CI 2.09-2.80). The babies of non-Indigenous women who live in remote areas have a low risk of neonatal death, similar to their rural and urban counterparts.
Conclusion: In Queensland, the key demographic variable that determines neonatal mortality is indigenous status, not remoteness.
Implications: Policymakers should not assume that an excess of a particular health problem in remote areas necessarily reflects equal disadvantage for all the Australians who live there.