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) 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+) *Excludes remote communities. Population is all persons unless otherwise indicated. 1 Adult + 1 child (2+) Non-remote - 1250 persons Remote - 1750 persons CORE CONTENT 1 Adult + 1 child (2 yrs +) NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER NUTRITION AND PHYSICAL ACTIVITY SURVEY (NATSINPAS) 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+) 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+) Dietary recall Physical activity Selected conditions NATSINPAS Telephone follow-up* (Non-Remote) 2nd dietary recall 8-day pedometer (5+) 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 never smoked …has increased Fewer smokers Aboriginal and Torres Strait Islander people 15 years and over, smoker status, 2002, 2008 & 2012-13 60 50 % 40 49 Current daily smokers 45 41 34 33 Never smoked 37 30 20 20 15 21 10 0 2002 2008 2012-13 Ex-smokers Smoking by remoteness Aboriginal and Torres Strait Islander people 15 years and over, current daily smokers, by remoteness, 2002, 2008 & 2012-13 60 50 48 50 43 40 % 50 49 38 30 20 10 0 2002 2008 2012-13 Non-remote Remote Fewer young smokers Aboriginal and Torres Strait Islander people 15-24 years, smoker status, 2002 and 2012-13 60 50 54 44 Current daily smokers 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 40 20 0 Females Risky levels of alcohol consumption 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 – ‘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 60 50 % 40 30 20 10 0 64 55 44 48 Male Female Non-remote Remote 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 % 15 10 5 0 10 17 Males Females Non-remote Remote Perceptions of Health Aboriginal and Torres Strait Islander people 15 years and over, self-reported health status, 2012-13 40 35 30 25 % 20 15 10 5 0 36 26 18 13 7 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 longterm health conditions. -The comparable non-Indigenous rate was 39%. *Age standardised Long-term health conditions Aboriginal and Torres Strait Islander people living with long term health conditions, 2012-13 40 35.3 35 30 25 % 20 23.2 21.2 20.3 Non-remote 14.1 15 Remote 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 35 30 25 20 15 10 5 0 40 34 30 36 33 27 Male Female Overweight Obese Neither overweight nor obese Health-related actions Proportion of Aboriginal and Torres Strait Islander people who had consulted with health professionals in the previous 2 weeks, 2012-13 38 40 35 30 30 % 23 25 20 15 10 5 20 17 16 12 5 5 25 26 With GP/specialist 28 24 4 5 5 With other health professional 22 19 21 6 5 0 0–14 15–24 25–34 35–44 45–54 Age group (years) 55 and over Total With dental professional 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: Updated results (June 2014) ABS National Information Referral Service: 1300 135 070 Biomedical Results (September 2014) www.abs.gov.au First Results – Nov 2013 (cat. no. 4727.0.55.001) Physical Activity (September 2014) Nutrition — Foods, Nutrients and Supplements (September 2014) www.facebook.com/absstats Questions…???