Aboriginal and Torres Strait Islander Health Survey Overview
1 Adult + 1 child (2+)
Non-remote - 1250 persons
Remote - 1750 persons
NATIONAL ABORIGINAL AND TORRES STRAIT
ISLANDER NUTRITION AND PHYSICAL
ACTIVITY SURVEY (NATSINPAS)
Dietary recall
Physical activity
Selected conditions
NATSINPAS
Telephone follow-up*
(Non-Remote)
2
nd
dietary recall
8-day pedometer (5+)
2 Adults + 2 children (non-remote) - 5900 persons
1 Adult + 1 child (remote) - 3400 persons
NATIONAL ABORIGINAL AND TORRES STRAIT
ISLANDER HEALTH SURVEY (NATSIHS)
Long-term health conditions
Health-related actions
Disability and recent injuries
Breastfeeding (0-3)
Days of reduced activity (5+)
Physical activity (5+)
Personal income (15+)
Family stressors (15+)
Immunisation (15+)
Alcohol & substance use (15+)
Private health insurance* (15+)
Female contraception (18-49)
Social & emotional wellbeing (18+)
Cultural identification (18+)
Discrimination (18+)
Male contraception (18+)
Women’s health (e.g. pap smears) (18+)
CORE CONTENT
1 Adult + 1 child (2 yrs +)
Household information
Demographics
Fruit & vegetable intake (2+)
Salt use (2+)
Physical measurements (2+)
Blood pressure (5+)
Se
lf-assessed body mass (15+)
Smoking (15+)
Se
lf-assessed health (15+)
NATIONAL ABORIGINAL AND TORRES STRAIT
ISLANDER HEALTH MEASURES SURVEY
(NATSIHMS)
All adult survey participants invited to
VOLUNTEER
Key blood and urine tests of nutritional status
and chronic disease markers (18+)
*Excludes remote
communities.
Population is all persons
unless otherwise
indicated.
Structure of the Australian Aboriginal and Torres Strait Islander Health Survey
Sample Size = 7,700 Households, 12,300 people
For Aboriginal and Torres Strait Islander people:
How do they perceive their health?
What kind of health conditions are most prevalent?
Are people using health services more?
Some key questions
Have smoking rates declined?
What are the patterns of alcohol consumption?
Are overweight/obesity rates different for males
and females?
Some key questions
Since 2002, the proportion of Aboriginal and
Torres Strait Islander people who, in 2012-13:
smoke on a daily basis…has fallen
have
never
smoked …has increased
Headline results
Fewer smokers
Smoking by remoteness
Fewer young smokers
Consuming alcohol
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*NHMRC guidelines 2009
Risky levels of alcohol consumption
Alcohol - single occasion risk
Alcohol - lifetime risk
Aboriginal and Torres Strait Islander people 15 years and over,
exceeded guidelines for lifetime risk, remoteness and sex 2012-13
%
Perceptions of Health
In 2012-13, 45% of Aboriginal and Torres Strait
Islander people were living with 3 or more long-
term health conditions.
-The comparable non-Indigenous rate was 39%.
*Age standardised
Long-term health conditions
Long-term health conditions
Overweight and obesity
Health-related actions
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Compared with non-Indigenous Australians in 2012-13,
Aboriginal and Torres Strait Islander people:
all ages - 3.3 times more likely to be living with
diabetes
15 years & over - 2.6 times more likely to be a daily
smoker
15 years & over - 1.5 times more likely to be obese
Prevalence of health conditions and health risks
Prevalence of health conditions and health risks
More information
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Questions…???
Welcome everyone from across Australia, my name is Sharon Pech, I am an Assistant Director in the National Centre for Aboriginal and Torres Strait Islander Statistics at the ABS. I am going to be presenting some of the first results from the Australian Aboriginal and Torres Strait Islander Health Survey which was released in November, 2013.
Before we begin, I would like to acknowledge the traditional owners of the lands we are meeting on today, and pay my respects to their elders, both past and present.
• In November 2013 ABS released life expectancy figures for Aboriginal and Torres Strait Islander people. Those figures show the gap in life expectancy between Aboriginal and Torres strait Islander people and other Australians, is estimated at 10.6 years for males and 9.5 years for females.
• A key driver for the lower life expectancy rates of Aboriginal and Torres Strait Islander men and women are the poor health outcomes experienced by many Aboriginal and Torres Strait Islander men and women.
• Information from the Australian Aboriginal and Torres Strait Islander Health Survey about the health of Aboriginal and Torres Strait Islander people provides the evidence base required to inform the policies and programs designed to close the gap in health outcomes.
The Australian Aboriginal and Torres Strait Islander Health Survey encompasses a sample size of 7,700 households and 12,300 individuals, focusing on various aspects including health conditions, health-related actions, cultural identification, discrimination, physical measurements, dietary recall, and more. The survey aims to understand key health indicators among the Indigenous population, such as smoking rates, alcohol consumption patterns, and prevalence of overweight/obesity. Notable findings include a decline in smoking rates and an increase in the proportion of individuals who have never smoked. The survey provides valuable insights into the health landscape of Aboriginal and Torres Strait Islander communities, shedding light on their health perceptions, service usage, and prevalent conditions.
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Presentation Transcript
Structure of the Australian Aboriginal and Torres Strait Islander Health Survey Sample Size = 7,700 Households, 12,300 people 2 Adults + 2 children (non-remote) - 5900 persons 1 Adult + 1 child (remote) - 3400 persons NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SURVEY (NATSIHS) 1 Adult + 1 child (2+) Non-remote - 1250 persons Remote - 1750 persons NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER NUTRITION AND PHYSICAL ACTIVITY SURVEY (NATSINPAS) CORE CONTENT 1 Adult + 1 child (2 yrs +) Long-term health conditions Health-related actions Disability and recent injuries Breastfeeding (0-3) Days of reduced activity (5+) Physical activity (5+) Personal income (15+) Family stressors (15+) Immunisation (15+) Alcohol & substance use (15+) Private health insurance* (15+) Female contraception (18-49) Social & emotional wellbeing (18+) Cultural identification (18+) Discrimination (18+) Male contraception (18+) Women s health (e.g. pap smears) (18+) Dietary recall Physical activity Selected conditions Household information Demographics Fruit & vegetable intake (2+) Salt use (2+) Physical measurements (2+) Blood pressure (5+) Self-assessed body mass (15+) Smoking (15+) Self-assessed health (15+) NATSINPAS Telephone follow-up* (Non-Remote) 2nd dietary recall 8-day pedometer (5+) NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH MEASURES SURVEY (NATSIHMS) All adult survey participants invited to VOLUNTEER Key blood and urine tests of nutritional status and chronic disease markers (18+) *Excludes remote communities. Population is all persons unless otherwise indicated.
Some key questions For Aboriginal and Torres Strait Islander people: How do they perceive their health? What kind of health conditions are most prevalent? Are people using health services more?
Some key questions Have smoking rates declined? What are the patterns of alcohol consumption? Are overweight/obesity rates different for males and females?
Headline results Since 2002, the proportion of Aboriginal and Torres Strait Islander people who, in 2012-13: smoke on a daily basis has fallen have neversmoked has increased
Fewer smokers Aboriginal and Torres Strait Islander people 15 years and over, smoker status, 2002, 2008 & 2012-13 60 Current daily smokers 49 50 45 41 Never smoked 37 40 34 33 % 30 Ex-smokers 21 20 20 15 10 0 2002 2008 2012-13
Smoking by remoteness Aboriginal and Torres Strait Islander people 15 years and over, Aboriginal and Torres Strait Islander people 15 years and over, current daily smokers, by remoteness, 2002, 2008 & 2012 current daily smokers, by remoteness, 2002, 2008 & 2012- -13 13 60 50 50 49 48 50 43 38 40 Non-remote Remote % 30 20 10 0 2002 2008 2012-13
Fewer young smokers Aboriginal and Torres Strait Islander people 15-24 years, smoker status, 2002 and 2012-13 60 54 Current daily smokers 50 44 44 40 34 Never smoked % 30 20 Ex-smokers 10 7 10 0 2002 2012-13
Consuming alcohol Proportion of Aboriginal and Torres Strait Islander people 15 years and over, who had consumed alcohol in the past year, 2012-13 100 77 80 68 Males 60 Females % 40 20 0
Risky levels of alcohol consumption Single occasion risk Single occasion risk no more than 4 standard drinks on a single occasion reduces the risk of alcohol-related injury arising from that occasion . Lifetime risk Lifetime risk no more than 2 standard drinks on any day reduces the lifetime risk of harm from alcohol-related disease or injury . *NHMRC guidelines 2009
Alcohol - single occasion risk Aboriginal and Torres Strait Islander people 15 years and over, exceeded guidelines for single occasion risk, 2012-13 70 64 55 60 48 50 44 % 40 Male 30 Female 20 Non-remote 10 Remote 0
Alcohol - lifetime risk Aboriginal and Torres Strait Islander people 15 years and over, exceeded guidelines for lifetime risk, remoteness and sex 2012-13 30 26 25 18 20 17 15 % Males Females Non-remote Remote 10 10 5 0
Perceptions of Health Aboriginal and Aboriginal and Torres self self- -reported health status, 2012 reported health status, 2012- -13 Torres Strait Islander people 15 years and over, Strait Islander people 15 years and over, 13 40 36 35 30 26 25 18 % 20 13 15 7 10 5 0 Excellent Very good Good Fair Poor
Long-term health conditions In 2012-13, 45% of Aboriginal and Torres Strait Islander people were living with 3 or more long- term health conditions. -The comparable non-Indigenous rate was 39%. *Age standardised
Long-term health conditions Aboriginal and Torres Strait Islander people living with l Aboriginal and Torres Strait Islander people living with long term health conditions term health conditions, 2012 , 2012- -13 ong 13 40 35.3 35 30 23.2 25 21.2 20.3 % Non-remote 20 14.1 Remote 15 11.6 10 5 0 One health condition Two or more health conditions Three or more health conditions
Overweight and obesity Aboriginal and Torres Strait Islander people 15 years and over, Obesity and overweight rates by sex, 2012-13 45 40 40 36 34 33 35 30 30 27 25 % Male 20 Female 15 10 5 0 Overweight Obese Neither overweight nor obese
Health-related actions Proportion of Aboriginal and Torres Strait Islander people who had consulted with Proportion of Aboriginal and Torres Strait Islander people who had consulted with health professionals in the previous 2 weeks, 2012 health professionals in the previous 2 weeks, 2012- -13 13 38 40 With GP/specialist 35 30 28 30 26 25 24 23 25 With other health professional 22 21 % 20 19 20 17 16 15 12 With dental professional 10 6 5 5 5 5 5 4 5 0 0 14 15 24 25 34 35 44 45 54 55 and over Total Age group (years)
Prevalence of health conditions and health risks Compared with non-Indigenous Australians in 2012-13, Aboriginal and Torres Strait Islander people: all ages - 3.3 times more likely to be living with diabetes 15 years & over - 2.6 times more likely to be a daily smoker 15 years & over - 1.5 times more likely to be obese
More information Release schedule: ABS National Information ABS National Information Referral Service: Referral Service: 1300 135 070 1300 135 070 First Results Nov 2013 (cat. no. 4727.0.55.001) Updated results (June 2014) Biomedical Results (September 2014) www.abs.gov.au www.abs.gov.au Physical Activity (September 2014) www.facebook.com/absstats www.facebook.com/absstats Nutrition Foods, Nutrients and Supplements (September 2014)
