HEALTH STATISTICS New South Wales NSW Health Survey Data (Latest available - April 2014) More reports from Health Statistics NSW are available at: http://www.healthstats.nsw.gov.au/ Contents Contents .................................................................................................................................................. 1 About the NSW Health Survey and School Students Survey .................................................................. 3 Excellent, very good, or good self-rated health by year, persons aged 16 years and over, NSW 201211 High blood pressure by Local Health District, persons aged 16 years and over, NSW 2011 ................ 14 High cholesterol by Local Health District, persons aged 16 years and over, NSW 2011 ...................... 17 Diabetes or high blood glucose by Local Health District, persons aged 16 years and over, NSW 2012 .............................................................................................................................................................. 20 Current smoking by Local Health District, persons aged 16 years and over, NSW 2012...................... 23 Driving tobacco smoke-free car by Local Health District, persons aged 16 years and over who own a car, NSW 2012....................................................................................................................................... 29 Living in smoke-free household by Local Health District, persons aged 16 years and over, NSW 2012 .............................................................................................................................................................. 32 Alcohol consumption at levels posing lifetime risk to health by Local Health District, persons aged 16 years and over, NSW 2012 .................................................................................................................... 35 Overweight and obesity by Local Health District group, secondary school students aged 12-17 years: Overweight and obese, 2011 ................................................................................................................ 48 Obesity by Local Health District group, secondary school students aged 12-17 years, NSW 2011 ..... 51 Adequate physical activity by Local Health District, persons aged 16 years and over, NSW 2012 ...... 54 Physical activity by behaviour type and Local Health District, children aged 5-15 years, NSW 2012 .. 57 Adequate physical activity by Local Health District and sex, secondary school students aged 12-17 years, NSW 2011 ................................................................................................................................... 61 Fruit and vegetables: recommended consumption by Local Health District, children aged 2-15 years, NSW 2012.............................................................................................................................................. 72 Fruit and vegetables: recommended consumption by Local Health District group and sex, secondary school students aged 12-17 years, NSW 2011 ...................................................................................... 75 High or very high psychological distress by Local Health District, persons aged 16 years and over, NSW 2011.............................................................................................................................................. 82 Psychological distress by LHD, secondary school students aged 12-17 years, NSW High psychological distress, 2011 ........................................................................................................................................ 85 Current asthma by Local Health District, persons aged 16 years and over, NSW 2012 ....................... 91 Asthma by Local Health District and asthma status, children aged 2-15 years, NSW 2012 ................. 94 Difficulty accessing health care when needing it by Local Health District, persons aged 16 years and over, NSW 2010 .................................................................................................................................... 97 Able to ask neighbours to care for a child by Local Health District, persons aged 16 years and over, NSW 2011............................................................................................................................................ 100 Running into friends while shopping in local area by Local Health District, persons aged 16 years and over, NSW 2011 .................................................................................................................................. 103 1 Feeling safe walking after dark by Local Health District, persons aged 16 years and over, NSW 2011 ............................................................................................................................................................ 106 Sad to leave neighbourhood by Local Health District, persons aged 16 years and over, NSW 2011 . 109 Most people can be trusted by Local Health District, persons aged 16 years and over, NSW 2011.. 112 Visiting neighbours by Local Health District, persons aged 16 years and over, NSW 2011 ............... 115 Influenza immunisation by Local Health Districts, persons aged 65 years and over, NSW 2012 ....... 118 2 About the NSW Health Survey and School Students Survey NSW Population Health Survey The NSW Ministry of Health has conducted the Adult Population Health Survey (since 1997) and the Child Population Health Survey (since 2001) through the New South Wales Population Health Survey, an ongoing survey of the health of people in NSW using computer-assisted telephone interviewing (CATI). The main aims of the surveys are to provide detailed information on the health of adults and children in NSW and to support planning, implementation and evaluation of health services and programs in NSW. Survey instrument The survey instruments include question modules on health behaviours, health status, and other associated factors. The methods and all questions are approved for use by the NSW Population and Health Services Research Ethics Committee. The instrument is translated into 5 languages: Arabic, Chinese, Greek, Italian and Vietnamese. Survey sample The target population for the survey is all state residents living in private households. The target sample was approximately 1,000 persons in each of the health administrative areas (total sample 8,000-16,000 depending on the number of administrative areas). From 1997 to 2010 the random digit dialling (RDD) landline sampling frame was developed as follows. Records from the Australia on Disk electronic white pages (phone book) were geo-coded using MapInfo mapping software. The geo-coded telephone numbers were assigned to statistical local areas and area health services. The proportion of numbers for each telephone prefix was calculated by area health service. All prefixes were expanded with suffixes ranging from 0000 to 9999. The resulting list was then matched back to the electronic phone book. All numbers that matched numbers in the electronic phone book were flagged and the number was assigned to the relevant geo-coded area health service. Unlisted numbers were assigned to the area health service containing the greatest proportion of numbers with that prefix. Numbers were then filtered to eliminate continuous non-listed blocks of greater than 10 numbers. The remaining numbers were then checked against the business numbers in the electronic phone book to eliminate business numbers. From 2011 onwards the RDD landline sampling frame was developed as follows: Australian Communications and Media Authority exchange district and charge zone prefixes were generated for each of the strata (that being the current health administrative areas) using “best fit” postcode (ACMA 2011). All prefixes were expanded with suffixes ranging from 0000 to 9999. The sample was then randomly ordered within each strata. The estimated numbers required for each strata was then forwarded to Sampleworx for them to use proprietary software to test each numbers current status (valid, in-valid or unknown and business, nonbusiness or unknown). The resulting valid non-business or unknown numbers were then used for the survey. From 2012 onwards mobile only phone users were included into the surveys using an overlapping dual-frame design, which incorporates three groups of respondents: landline only users, mobile only users and landline and mobile users. The introduction of this design was prompted by the increasing numbers of mobile-only phone users in the general population. Because this design increases the representativeness of the survey sample the production of unbiased estimates over time is also improved. The RDD mobile sampling frame was developed by Sampleworx using all known Australian mobile prefixes and then using proprietary software each number was tested to identify valid and in-valid numbers. A random sample of valid mobile numbers was then provided for use for the survey. 3 In 2012, a total of 13,269 respondents participated in the adult survey. A third (31.6%) of respondents were in the mobile sample and two thirds (68.4%) were in the landline sample (landline or landline and mobile). Unweighted estimates indicate that a greater proportion of younger people, of males, and of people born overseas participated in the mobile sample compared with the landline sample. Comparison of the demographic characteristics of the survey sample for the first quarter of 2012 with the NSW population shows that the NSW Population Health Survey is now more representative of the NSW population (Barr et al. 2012). Due to this change in design, the 2012 NSW PHS estimates reflect both changes that have occurred in the population over time and changes due to the improved design of the survey. When the Australia on Disk electronic white pages became available and reliable introductory letters were sent to the selected households (1997 to 2008). Households were contacted using random digit dialling. Depending on the frame either one person from the household was randomly selected or the mobile phone holder was selected for inclusion in the survey. Interviews Interviews are carried out continuously between February and December each year. An 1800 freecall contact number and website details are provided to potential respondents, so they can verify the authenticity of the survey and ask any questions regarding the survey. Trained interviewers at the Health Survey Program CATI facility carried out interviews. Up to 7 calls were made to establish initial contact with a household, and up to 5 calls were made in order to contact a selected respondent. Data analysis For analysis, the survey sample was weighted to adjust for differences in the probabilities of selection among respondents. Post-stratification weights were used to reduce the effect of differing non-response rates among males and females and different age groups on the survey estimates. These weights were adjusted for differences between the age and sex structure of the survey sample and the Australian Bureau of Statistics latest mid-year population estimates (excluding residents of institutions) for each health administrative area. Call and interview data were manipulated and analysed using SAS version 9.2 (SAS). The Taylor expansion method was used to estimate sampling errors of estimators based on the stratified random sample. The 95 per cent confidence interval provides a range of values that should contain the actual value 95 per cent of the time. Estimates were smoothed using least-squares spline transformation (CEE, Adult survey methods: web page). Further information on the methods and weighting process is provided elsewhere (CEE, Child survey methods: web page). References Australian Communications and Media Authority (ACMA). Communications report 2010-11 series: Report 2 – Converging communications channels: Preferences and behaviours of Australian communications users. Commonwealth of Australia, 2011. Available at www.acma.gov.au/webwr/_assets/main/lib410148/report2convergent_comms.pdf Barr ML, Ritten JJ, Steel DG, Thackway SV. ‘Inclusion of mobile phone numbers into an ongoing population health survey in New South Wales, Australia: design, methods, call outcomes, costs and sample representativeness’. BioMed Central: Medical Research Methodology 2012, 12:177 (22 November, 2012). Available at www.biomedcentral.com/1471-2288/12/177. 4 Centre for Epidemiology and Evidence. NSW Adult Population Health Survey Methods. CEE, NSW Ministry of Health. Available at www.health.nsw.gov.au/PublicHealth/surveys/methods_adult.asp Centre for Epidemiology and Evidence. NSW Child Population Health Survey Methods. CEE, NSW Ministry of Health. Available at www.health.nsw.gov.au/PublicHealth/surveys/methods_child.asp Software used PitneyBowes Software. MapInfo (software). PBS as MapInfo Corporation: version 1997. Available at www.pbinsight.com.au Sampleworx Pty Ltd. Available at www.sampleworx.com.au.html SAS Institute. The SAS System for Windows version 9.2 (software). Cary, NC: SAS Institute Inc., 2009. Available at www.sas.com United Directory Systems. Australia on Disk (software). UDS: version 2004. Available at www.uniteddirectorysystems.com NSW School Students Health Behaviours Survey In 2011, the NSW Ministry of Health conducted the fourth New South Wales School Students Health Behaviours (SSHB) Survey. Previous SSHB surveys were conducted in 2002, 2005 and 2008, as part of the triennial Australian School Students Alcohol and Drugs (ASSAD) Survey, which began in 1984. This section describes the methods of data collection and analysis. Sample selection The target population was all students in Years 7-12 enrolled during the period February to December 2011 in New South Wales. Schools with fewer than 100 students were not included in the survey. Language schools were also excluded from the sampling frame. The survey used a 2-stage probability sampling procedure: schools were selected first; students within schools were selected second. Schools were stratified by the 3 sectors (Government, Catholic, and Independent) and randomly selected within each sector. The sampling procedure ensured the distribution of schools among the 3 sectors was reflected in the sample. Two samples were drawn: junior secondary (to Year 10); and senior secondary (Years 11 and 12). The target school sample was 126 secondary schools in 2008 and 2011. In 2011, to try and achieve this target, 225 schools were approached (190 in 2008) and 115 schools agreed to participate (118 in 2008) , giving an overall school response rate of 51.1 per cent (62.1% in 2008). The survey was conducted in the second half of the 2011 academic year. Survey procedure The 2011 questionnaire and survey procedures were approved by the Human Research Ethics Committees of the Cancer Council Victoria, the NSW Population and Health Research Ethics Committee, and the NSW Department of Education and Communities. The 2011 survey was also endorsed by the Catholic Education Commission and the Association of Independent Schools of New South Wales. Principals of selected schools were contacted by the NSW Ministry of Health’s Centre for Epidemiology and Evidence to obtain permission to conduct the survey at their schools. If a school refused, they were replaced by the school nearest to them within the same sector. The aim was to survey 80 students from each 5 participating school. For junior secondary, 1 class of 20 students (and 20 replacements) were randomly selected from each of Years 7-10; for senior secondary, 2 classes of 20 students (or 40 students and 40 replacements) were randomly selected from each of Years 11-12. A brochure and consent form was sent to the parents of each selected student and replacement. Consent forms were returned to the school and the school held the list of students who had parental consent. Written consent was sought from students with parental consent before the survey. McNair Ingenuity Research Pty Ltd was contracted to administer the pencil-and-paper questionnaire on the school premises. If a student from the sample list was not present at the time of the survey, a student from the replacement list for that year was surveyed. Students from different years were surveyed together. Students answered the questionnaire anonymously. Survey instrument The survey instrument was a written self-completion questionnaire, which included questions on alcohol, demographics, height and weight (including perception of body mass), injury, nutrition, physical activity, psychological distress, sedentary behaviour, substance use, sun protection (including sunburn experience and solarium use), and tobacco. Coding and data entry Responses were coded and the data entered onto a database by the Centre for Behavioural Research in Cancer at The Cancer Council Victoria. After data entry, the data were cleaned and prepared for data analysis. Students whose questionnaires had a large amount of missing data or whose responses were extreme were removed from the dataset before analyses started. In the analysis, responses were excluded if the respondent gave contradictory or multiple responses or did not answer the question. However, these respondents remained in the analysis for the questions that they had validly completed. Cleaning of data relating to questions about the use of alcohol, tobacco, or other substances involved checking for inconsistencies in reported use across time periods (lifetime, year, month, and week). This cleaning procedure ensured maximum use of data and operated on the principle that the student’s response about personal use in the most recent time period was accurate. Data analyses and reporting School students aged 12-17 years were included in the analysis. To ensure that disproportionate sampling of any school type, age level, and gender grouping, did not bias the prevalence estimates, data were weighted to bring the achieved sample into line with the population distribution. Reported prevalence estimates are based on these weighted data. Information about the enrolment details of male and female students in each age group at Government, Catholic and Independent schools was obtained from the Australian Bureau of Statistics (ABS Cat no. 4221.0 2006) Data were analysed using SAS version 9.2 (SAS Institute 2009). The SURVEYFREQ procedure in SAS was used to analyse the data and calculate point estimates and 95 per cent confidence intervals for the estimates. The SURVEYFREQ procedure calculates standard errors adjusted for the design effect factor or DEFF (the variance for a non-random sample divided by the variance for a simple random sample). It uses the Taylor expansion method to estimate sampling errors of estimators based on the stratified random sample (SAS Institute 2009). Estimates are presented for each response or indicator and by age group, sex, Local Health District (LHD) and year where possible. Although figures are provided in every instance in the tables , if the estimates are not reliable because of small sample sizes (relative standard errors greater than 25%) the estimate is not shown in the graph. Where possible, indicators have been aligned with those collected previously, so that trends can be examined. Analysis of change over time is compared across two time periods, between the base survey year and current survey year, and between the previous survey year and the current survey year. The base survey year for particular indicators may vary, as the survey instrument has changed over time. 6 The 95 per cent confidence interval provides a range of values that should contain the actual value 95 per cent of the time. In general, a wider confidence interval reflects less certainty in the estimate for that indicator. The width of the confidence interval relates to the differing sample size for each indicator. A wider confidence interval reflects less certainty in the estimate. If confidence intervals do not overlap then the observed estimates are significantly different. If confidence intervals overlap slightly the observed estimates may be significantly different but further testing needs to be done to establish that significance. For a pairwise comparison of subgroup estimates, the p value for a two-tailed test was calculated using the t-test for differences in means from independent samples and a modified form of t-test, which accounts for the dependence of the estimates, to test for differences between sub-group estimates and total estimates (CER 2008). The Local Health District (LHD) was derived from the student’s residential postcode. Although not possible to report for each LHD because of unequal sampling it was however possible to report on LHDs if some were grouped (ie Central Coast and Northern Sydney; South Eastern Sydney, Sydney and Illawarra Shoalhaven; Western Sydney and Nepean Blue Mountains; Mid North Coast and Northern NSW; Murrumbidgee and Southern NSW; and Western NSW and Far West). In this report, the term metropolitan means students who lived in 1 of the 8 geographical LHDs designated greater metropolitan: Central Coast, Illawarra Shoalhaven, Nepean Blue Mountains, Northern Sydney, South Eastern Sydney, South Western Sydney, Sydney, and Western Sydney. The term rural-regional means students who lived in 1 of the 7 geographical LHDs designated rural or regional: Far West, Hunter New England, Mid North Coast, Murrumbidgee, Northern NSW, Southern NSW, and Western NSW. Characteristics of final sample in 2011 A total of 8,179 students in Years 7-12 were surveyed during the second half of the 2011 academic year, 7,966 of whom were aged 12 to 17 years. Two thirds (66.6 per cent) were from Government schools, 20.0 per cent were from Catholic schools, and 13.4 per cent were from Independent schools. The final sample’s sex distribution was 43.7 per cent male and 56.3 per cent female and the age distribution was 60.5 per cent aged 12 to 15 years and 39.5 per cent were aged 16-17 years. When the sample were weighted to the secondary school student population in NSW by age and sex, 50.8 per cent were male and 49.2 per cent were female, 70.4 per cent were aged 12-15 years and 29.6 per cent were aged 16-17 years (ABS 2006). In 2011, the sample also consisted of 4.4 per cent Aboriginal or Torres Strait Islander students (similar to the national distribution of Aboriginal or Torres Strait Islander students in 2011 of 5.0 per cent).[1] The main language spoken at home in the final sample were English (74.1 per cent), followed by English and another language (21.8 per cent), and another language only (3.9 per cent). Among respondents who spoke a language other than English at home, the most common languages were: Chinese languages (28.3 per cent), Arabic languages (17.3 per cent), Indian languages (11.7 per cent) and Vietnamese (5.1 per cent). References Australian Bureau of Statistics. Schools Australia 2008. Catalogue no. 4221.0. Canberra: ABS, 2006. SAS Institute. The SAS System for Windows version 9.2. Cary, NC: SAS Institute Inc., 2009. Copyright notice: This work is copyright NSW Ministry of Health, 2011. It may be reproduced in whole or in part, subject to the inclusion of an acknowledgement of the source. Commercial usage or sale is prohibited. Suggested citation: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed (April 2014). 7 Produced by: Centre for Epidemiology and Evidence (http://www.health.nsw.gov.au/public-health/epi/), Population Health Division, NSW Ministry of Health (http://www.health.nsw.gov.au/). File created: Tuesday, 15 April 2014 About this report This is a summary of results from the state-wide NSW Health Survey for 2012 and the NSW School Students Survey. This report can be downloaded from: www.mlhd.health.nsw.gov.au/about/health-statistics/reports The NSW Health Survey Program no longer produces a separate annual report of results; all results are included in the Health Statistics web-site and can be found by searching for a particular topic i.e. “smoking” or “exercise” in the main search area or looking in the “All indicators” section under “Risk Behaviours” www.healthstats.nsw.gov.au. 8 Executive Summary Results from 2012 compared to previous years. 82.3 81.6 Good health 35.6 Risk drinking 27.9 MLHD NSW 49.8 51.6 Adequate fruit 10.7 9.1 Adequate vegetables 49.3 54.5 Physical activity 22.4 Smokers 16.0 89.1 Smoke-free house 93.1 91.2 Smoke-free car 90.9 15.2 10.7 Asthma 9.9 8.2 Diabetes 55.0 50.5 Overweight/obese 74.3 70.4 Flu vaccinnation 35.7 30.9 High blood pressure 28.9 High cholesterol 27.0 0 10 20 30 40 50 60 70 80 Fewer people are drinking alcohol at levels posing lifetime risk, although there are significantly more adults proportionally, drinking at risk levels than in NSW. Diabetes is increasing however overweight and or obesity are decreasing and more people are likely to say their health is “good”. Adequate fruit and vegetable intake has decreased slightly. High cholesterol levels were lower, high blood pressure levels had increased. 10.7 10.4 Psych. Distress The proportion of people in Murrumbidgee LHD who currently smoke has increased and the number of smoke-free households has decreased. 90 100 Per cent of adult population Psychological distress is similar to NSW and has decreased in the past few years. Asthma has increased in recent years. # Numbers in red indicate a statitisically significant difference between MLHD and NSW, yellow arrows show recent trend , no arrow shows steady rates. The secondary school student’s survey revealed that 9.6 per cent of combined Murrumbidgee LHD and Southern NSW LHD students (12-17 years) said they were current smokers and 33.5 per cent said they had had a drink of alcohol in the past month both rates had decreased since 2008. The rate of overweight and obesity had increased to 27 per cent, the highest among all LHD groupings for 2012. Major issues for MLHD: Alcohol consumption Tobacco Smoking Overweight and obesity Adequate physical activity Asthma 9 Where MLHD (including Albury LGA) ranks among the 15 LHDs in NSW Indicator Ranking Excellent, very good, or good self-rated health by year, persons aged 16 years and over, NSW 2012 High blood pressure by Local Health District, persons aged 16 years and over, NSW 2011 High cholesterol by Local Health District, persons aged 16 years and over, NSW 2011 Diabetes or high blood glucose by Local Health District, persons aged 16 years and over, NSW 2012 Current smoking by Local Health District, persons aged 16 years and over, NSW 2012 Driving tobacco smoke-free car by Local Health District, persons aged 16 years and over who own a car, NSW 2012 Living in smoke-free household by Local Health District, persons aged 16 years and over, NSW 2012 Alcohol consumption at levels posing lifetime risk to health by Local Health District, persons aged 16 years and over, NSW 2012 Overweight or obesity by Local Health District, persons aged 16 years and over, NSW 2012 Adequate physical activity by Local Health District, persons aged 16 years and over, NSW 2012 Vegetables: recommended consumption by Local Health District, persons aged 16 years and over, NSW 2012 Fruit: recommended consumption by Local Health District, children aged 2-15 years, NSW 2012 High or very high psychological distress by Local Health District, persons aged 16 years and over, NSW 2011 Current asthma by Local Health District, persons aged 16 years and over, NSW 2012 Difficulty accessing health care when needing it by Local Health District, persons aged 16 years and over, NSW 2010 Able to ask neighbours to care for a child by Local Health District, persons aged 16 years and over, NSW 2011 Running into friends while shopping in local area by Local Health District, persons aged 16 years and over, NSW 2011 Feeling safe walking after dark by Local Health District, persons aged 16 years and over, NSW 2011 Sad to leave neighbourhood by Local Health District, persons aged 16 years and over, NSW 2011 Most people can be trusted by Local Health District, persons aged 16 years and over, NSW 2011 Visiting neighbours by Local Health District, persons aged 16 years and over, NSW 2011 Influenza immunisation by Local Health Districts, persons aged 65 years and over, NSW 2012 In the top 5 or bottom 5 of 15 LHDs: “good” health outcome = BLUE “poor” health outcome = RED 4 4 5 6 2 7 13 2 9 13 5 10 8 1 7 3 2 5 9 4 1 2 MLHD ranks poorly against other LHDs for a number of major health risk behaviours most importantly smoking and alcohol consumption, as well as having the highest percentage of adults currently suffering from asthma. MLHD ranks highly however for positive indicators of social connectedness and high influenza vaccination rates. 10 Excellent, very good, or good self-rated health by year, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 11 Excellent, very good, or good self-rated health by year, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 970 85.1 86.7 83.7 89.7 1.8 South Eastern Sydney 757 84.7 85.8 82.2 89.5 2.2 Sydney 887 82.4 82.9 79.7 86.0 1.9 Murrumbidgee 1,020 82.3 83.4 79.2 87.6 2.6 Southern NSW 837 82.2 80.3 75.8 84.9 2.9 Western Sydney 904 81.4 83.0 78.4 87.6 2.8 Hunter New England 929 80.9 82.7 78.5 87.0 2.6 South Western Sydney 968 80.5 81.8 77.8 85.8 2.5 Central Coast 876 80.2 80.1 76.4 83.9 2.4 Western NSW 859 80.2 78.1 73.7 82.4 2.8 Mid North Coast 880 79.3 79.7 75.4 84.1 2.8 Northern NSW 825 78.9 78.1 74.0 82.2 2.7 Nepean Blue Mountains 912 78.5 76.8 72.6 80.9 2.8 Illawarra Shoalhaven 833 78.0 78.7 74.7 82.6 2.6 Far West 714 78.0 78.6 73.8 83.3 3.1 All LHDs 13,171 81.6 82.4 81.2 83.6 0.7 Methods for indicator: Self-rated health Self-rated health is the single most reliable and valid measure of health-related quality of life (HRQL). A large number of cross-sectional and longitudinal studies have demonstrated how a person's appraisal of his or her general health is a powerful predictor of future morbidity and mortality, even after controlling for a variety of factors such as age, sex, socioeconomic status, health behaviours, and health status. The indicator includes those responding to a global self-rated health status question. The question used to define the indicator was: Overall, how would you rate your health during the last 4 weeks: Was it excellent, very good, good, fair, poor, or very poor? The question used to define the indicator in 1997 and 1998 was: In general would you say your health is excellent, very good, good, fair, or poor? 12 Excellent, very good, or good self-rated health, persons aged 16 years and over, Murrumbidgee LHD, NSW 2002 to 2012 Excellent, very good, or good self-rated health, persons aged 16 years and over, Murrumbidgee LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 83.7 83.9 81.1 86.7 1.7 2003 825 83.1 83.8 81.0 86.6 1.7 2004 578 82.5 82.0 78.4 85.6 2.2 2005 906 81.9 83.2 80.3 86.0 1.8 2006 613 81.4 80.6 76.5 84.7 2.6 2007 844 81.0 81.3 78.1 84.4 2.0 2008 730 80.7 80.2 76.3 84.1 2.5 2009 760 80.7 82.3 78.7 85.8 2.2 2010 705 80.9 79.0 75.2 82.9 2.5 2011 1,086 81.4 80.7 77.3 84.1 2.1 2012 1,020 82.3 83.4 79.2 87.6 2.6 13 High blood pressure by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 14 High blood pressure by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Far West 845 42.8 43.0 38.6 47.4 5.2 Hunter New England 750 38.7 38.9 34.1 43.7 6.3 Central Coast 852 36.4 35.3 30.9 39.7 6.4 Murrumbidgee* 1,065 35.7 36.2 32.3 40.2 5.6 Southern NSW 860 34.6 34.4 30.1 38.8 6.4 Illawarra Shoalhaven 882 34.4 34.1 30.0 38.2 6.1 Northern NSW 819 33.3 33.1 29.1 37.2 6.2 Mid North Coast 872 32.6 32.8 28.9 36.7 6.0 Western NSW 749 32.3 32.4 27.9 36.9 7.1 South Western Sydney 904 31.3 31.9 28.0 35.8 6.3 Nepean Blue Mountains 764 28.7 29.0 24.4 33.6 8.0 Northern Sydney 823 27.9 27.7 23.2 32.2 8.3 Western Sydney 909 26.2 26.7 23.2 30.2 6.8 Sydney 929 26.0 26.5 23.1 29.9 6.6 South Eastern Sydney 853 25.5 25.2 21.6 28.8 7.3 All LHDs 12,876 30.9 30.9 29.7 32.2 2.0 Methods for indicator: High blood pressure The question used to define the indicator was: Have you ever been told by a doctor or hospital you have high blood pressure, sometimes called hypertension? 15 High blood pressure, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. High blood pressure, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 788 25.5 24.6 21.1 28.1 7.3 2005 894 29.0 31.3 27.7 34.8 5.8 2008 600 32.1 30.2 25.5 35.0 8.1 2011 1,065 35.7 36.2 32.3 40.2 5.6 16 High cholesterol by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 17 High cholesterol by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Far West 782 34.9 34.8 30.5 39.0 6.2 Mid North Coast 799 29.8 29.6 25.8 33.4 6.6 South Western Sydney 823 29.5 29.1 25.0 33.1 7.1 Central Coast 763 29.4 29.3 25.2 33.3 7.1 Murrumbidgee* 954 28.9 28.5 24.8 32.2 6.7 Hunter New England 671 28.8 28.6 24.1 33.2 8.1 Illawarra Shoalhaven 794 28.6 29.2 25.2 33.2 7.0 Northern NSW 722 27.5 27.3 23.5 31.1 7.2 South Eastern Sydney 769 26.1 26.3 22.4 30.2 7.6 Sydney 807 25.7 26.0 22.4 29.6 7.0 Northern Sydney 760 25.4 25.7 21.8 29.7 7.9 Southern NSW 776 25.2 25.2 21.2 29.3 8.2 Nepean Blue Mountains 674 25.1 24.9 20.8 29.0 8.4 Western Sydney 832 24.5 24.5 20.9 28.1 7.5 Western NSW 672 24.2 24.1 20.1 28.1 8.5 NSW 11,598 27.0 27.0 25.8 28.2 2.3 Method for indicator: Cholesterol in blood The question used to define indicator was: Have you ever been told by a doctor or hospital you have high cholesterol? 18 High cholesterol, persons aged 16 years and over, NSW, Murrumbidgee* LHD, 2002 to 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. High cholesterol, persons aged 16 years and over, NSW, Murrumbidgee* LHD, 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 583 23.1 22.1 18.3 25.9 8.7 2005 699 28.3 27.6 23.5 31.7 7.5 2008 507 31.7 33.0 27.6 38.4 8.3 2011 954 28.9 28.5 24.8 32.2 6.7 19 Diabetes or high blood glucose by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 20 Diabetes or high blood glucose by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Mid North Coast 881 11.3 12.0 8.2 15.9 16.4 Illawarra Shoalhaven 832 10.5 11.3 8.6 14.1 12.3 Far West 715 10.4 9.9 7.2 12.6 13.7 Western NSW 854 10.1 10.5 7.3 13.7 15.5 South Western Sydney 965 9.9 10.6 7.5 13.7 15.0 Murrumbidgee 1,017 9.9 9.9 6.6 13.2 17.1 Southern NSW 836 8.7 8.4 5.5 11.4 18.0 Western Sydney Central Coast Nepean Blue Mountains 902 877 8.6 8.1 9.0 7.5 5.8 5.6 12.3 9.4 18.4 12.8 912 8.0 7.6 5.4 9.8 15.0 Northern NSW South Eastern Sydney 820 7.6 7.8 5.3 10.4 16.6 755 7.3 6.7 3.9 9.6 21.6 926 887 970 13,149 7.3 6.2 6.1 8.2 7.2 6.0 7.1 8.4 4.0 4.1 4.9 7.5 10.5 7.8 9.3 9.2 22.7 16.0 16.0 5.3 Hunter New England Sydney Northern Sydney All LHDs 21 Diabetes or high blood glucose, persons aged 16 years and over, Murrumbidgee LHD, NSW 1997 to 2012 Diabetes or high blood glucose, persons aged 16 years and over, Murrumbidgee LHD, NSW 1997 to 2012 Year 1997 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 1,141 3.8 4.1 2.9 5.3 15.0 1998 1,139 4.9 4.5 3.2 5.7 14.3 2002 802 7.4 8.3 5.9 10.8 15.1 2003 826 7.6 7.4 5.4 9.3 13.8 2004 577 7.7 6.2 4.2 8.3 16.8 2005 906 7.8 8.8 6.5 11.1 13.4 2006 615 7.9 7.4 5.3 9.5 14.7 2007 561 8.0 9.5 6.6 12.5 15.8 2008 612 8.1 7.4 4.9 9.9 17.0 2009 756 8.4 8.5 6.2 10.8 13.7 2010 702 8.7 7.7 5.6 9.7 13.7 2011 1,083 9.2 9.9 7.8 12.0 10.6 2012 1,017 9.9 9.9 6.6 13.2 17.1 22 Current smoking by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 23 Current smoking by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Far West 716 23.5 22.6 17.1 28.2 12.5 Murrumbidgee* 1,019 22.4 24.3 17.3 31.4 14.7 Nepean Blue Mountains 913 20.2 21.6 17.2 26.0 10.4 Northern NSW 826 19.5 20.9 16.5 25.2 10.7 Illawarra Shoalhaven 832 17.9 19.2 14.7 23.6 11.8 Hunter New England 931 17.8 17.8 12.5 23.2 15.3 Mid North Coast 881 17.8 20.8 15.8 25.8 12.3 Western Sydney 905 17.1 21.8 14.5 29.0 17.0 Central Coast 878 16.9 17.6 13.6 21.6 11.6 Western NSW 859 16.7 18.1 14.0 22.3 11.7 South Western Sydney 969 16.3 17.0 12.6 21.3 13.0 Sydney 888 14.4 14.4 11.4 17.3 10.4 Southern NSW 840 14.4 12.2 8.4 16.1 16.0 South Eastern Sydney 756 13.9 14.3 10.2 18.5 14.8 Northern Sydney 973 9.5 9.6 7.0 12.3 14.2 All LHDs 13,186 16.0 17.1 15.6 18.6 4.4 Methods for indicator: Current smoking in adults The indicator covering current smoking includes those who smoked daily or occasionally. The question used to define the indicator was: Which of the following best describes your smoking status: smoke daily, smoke occasionally, do not smoke now but I used to, I have tried it a few times but never smoked regularly, or I have never smoked? 24 Current smoking, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Current smoking, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 22.2 21.6 17.7 25.4 9.1 2003 825 21.2 23.1 19.6 26.6 7.8 2004 578 20.2 19.1 15.2 23.0 10.4 2005 908 19.4 20.1 16.9 23.4 8.3 2006 615 18.7 15.9 12.0 19.8 12.5 2007 552 18.3 20.6 15.3 25.8 13.0 2008 645 18.2 18.5 14.0 23.1 12.5 2009 769 18.5 18.3 14.3 22.2 11.1 2010 715 19.3 21.1 16.6 25.6 10.9 2011 1,078 20.6 16.6 13.2 19.9 10.3 2012 1,019 22.4 24.3 17.3 31.4 14.7 25 Current smoking by Local Health District group, secondary school students aged 12-17 years, NSW 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Current smoking in students is defined as heavy, light or occasional smoking. Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. 26 Current smoking by Local Health District group, secondary school students aged 12-17 years, NSW 2011 Local Health Districts South Western Sydney LHD Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs Western Sydney and Nepean Blue Mountains LHDs Central Coast and Northern Sydney LHDs Hunter New England LHD Mid North Coast and Northern NSW LHDs Murrumbidgee and Southern NSW* LHDs Western NSW and Far West LHDs Metropolitan LHDs Rural and regional LHDs All LHDs Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) UL 95% CI 6.4 LL 95% CI 4 1,401 6.4 772 Relative Standard Error (Per cent) 8.8 19.4 10.7 10.7 6 15.4 22.4 1,469 4.4 4.4 3 5.8 16.5 1,545 878 9 7 9 7 6 4.3 11.9 9.8 16.7 20 340 4.9 4.9 0.6 9.3 45.1 923 460 5,187 2,601 7,926 9.6 9.5 7.2 8.1 7.5 9.6 9.5 7.2 8.1 5.7 5.8 5.7 5.7 6.2 6.3 13.4 13.4 8.7 9.9 8.7 20.3 20.5 10.8 11.8 8.1 Current smoking, secondary school students aged 12-17 years: Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. 27 Current smoking in students, secondary school students aged 12-17 years: Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Year 2005 Number of Respondents Actual estimate (Per cent) Smoothed estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 444 14.1 14.1 11.4 16.8 9.8 2008 470 11.8 11.8 5.0 18.6 29.5 2011 923 9.6 9.6 5.8 13.4 20.3 28 Driving tobacco smoke-free car by Local Health District, persons aged 16 years and over who own a car, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 29 Driving tobacco smoke-free car by Local Health District, persons aged 16 years and over who own a car, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 918 96.1 95.8 94.4 97.2 0.7 Sydney 759 93.6 94.3 92.5 96.1 1.0 Southern NSW 799 93.2 93.2 90.4 96.0 1.5 South Eastern Sydney 689 93.0 93.0 90.4 95.6 1.4 Central Coast 809 92.4 91.4 88.2 94.6 1.8 Western NSW 797 91.7 91.0 87.6 94.4 1.9 Murrumbidgee* 968 91.2 90.9 87.1 94.8 2.2 Illawarra Shoalhaven 774 90.7 90.7 87.7 93.8 1.7 Western Sydney 852 89.8 89.4 84.9 93.9 2.6 South Western Sydney 907 88.9 88.8 85.7 91.8 1.8 Nepean Blue Mountains 858 87.9 87.5 84.0 91.0 2.0 Far West 664 87.7 89.1 85.1 93.1 2.3 Hunter New England 874 87.4 87.2 82.4 92.0 2.8 Mid North Coast 823 87.2 86.6 81.7 91.4 2.8 Northern NSW 766 87.0 86.4 82.5 90.4 2.3 All LHDs 12,257 90.9 90.7 89.7 91.7 0.6 Methods for indicator: Smoking in the car not allowed The indicator includes those who had a car. The question used to define the indicator was: Are people allowed to smoke in your car: yes, no, and don't have a car? 30 Driving tobacco smoke-free car, persons aged 16 years and over who own a car, Murrumbidgee* LHD, NSW 2003 to 2012 Driving tobacco smoke-free car, persons aged 16 years and over who own a car, Murrumbidgee* LHD, NSW 2003 to 2012 Year 2003 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 759 76.0 74.0 70.2 77.8 2.6 2004 536 81.8 86.5 82.8 90.1 2.1 2005 855 85.9 83.8 80.5 87.1 2.0 2006 577 88.7 88.0 84.3 91.7 2.2 2007 519 90.4 90.2 87.2 93.2 1.7 2008 602 91.3 90.5 87.7 93.4 1.6 2009 680 91.5 92.6 90.0 95.2 1.4 2010 646 91.4 91.8 88.9 94.6 1.6 2012 968 91.2 90.9 87.1 94.8 2.2 31 Living in smoke-free household by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 32 Living in smoke-free household by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 973 97.8 97.3 96.2 98.4 0.6 South Eastern Sydney 758 95.3 93.8 91.9 95.7 1.0 Western Sydney 905 95.3 94.7 93.0 96.3 0.9 Central Coast 879 93.6 92.9 90.1 95.7 1.5 Sydney 888 92.7 92.4 90.4 94.5 1.1 Hunter New England 931 92.6 92.0 88.4 95.6 2.0 Mid North Coast 882 92.5 93.0 90.0 96.0 1.6 Southern NSW 840 92.4 92.3 88.5 96.2 2.1 Illawarra Shoalhaven 831 91.4 91.5 88.5 94.4 1.6 Northern NSW 823 91.4 91.2 88.0 94.4 1.8 South Western Sydney 969 91.0 90.1 87.2 93.0 1.6 Western NSW 857 90.1 89.5 86.1 92.9 1.9 Murrumbidgee* 1,021 89.1 89.5 83.3 95.7 3.5 Nepean Blue Mountains 913 89.0 88.7 85.4 92.0 1.9 Far West 716 87.9 88.1 84.2 92.0 2.3 All LHDs 13,186 93.1 92.6 91.8 93.4 0.4 33 Living in smoke-free household, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Living in smoke-free household, persons aged 16 years and over, NSW, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 78.9 80.8 77.6 84.0 2.0 2003 826 81.3 79.0 75.7 82.3 2.1 2004 578 83.7 83.9 80.2 87.7 2.3 2005 902 85.9 84.4 81.3 87.4 1.8 2006 615 87.8 89.6 87.0 92.3 1.5 2007 546 89.4 89.9 87.1 92.7 1.6 2008 638 90.5 90.0 87.0 93.0 1.7 2009 729 91.2 92.1 89.6 94.7 1.4 2010 679 91.2 89.7 86.3 93.2 2.0 2012 1,021 89.1 89.5 83.3 95.7 3.5 34 Alcohol consumption at levels posing lifetime risk to health by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes To assist monitoring lifetime risk of harm, as defined by Guideline 1 of the 2009 National Health And Medical Research Council Guidelines, this indicator provides information on the proportion of adults who consume more than 2 standard drinks on a day when they consume alcohol (see Methods tab for further information). Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 35 Alcohol consumption at levels posing lifetime risk to health by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) UL 95% CI LL 95% CI Relative Standard Error (Per cent) Hunter New England 928 39.8 42.1 49.8 34.5 9.3 Murrumbidgee* 1,012 35.6 36.5 43.2 29.7 9.4 Northern NSW 817 33.8 34.5 39.4 29.5 7.4 Far West 710 33.6 34.9 41.4 28.4 9.5 Mid North Coast 879 32.6 31.9 37.7 26.1 9.3 Illawarra Shoalhaven 819 31.4 29.9 35.0 24.9 8.6 Nepean Blue Mountains 908 30.0 29.6 34.4 24.8 8.2 Western NSW 855 30.0 31.7 37.3 26.2 8.9 South Eastern Sydney 754 29.6 29.2 34.3 24.1 8.9 Central Coast 873 29.3 28.9 33.7 24.1 8.5 Northern Sydney 965 28.8 26.8 31.1 22.5 8.2 Southern NSW 837 28.7 29.8 36.9 22.8 12.0 Sydney 884 23.9 25.4 29.5 21.4 8.2 South Western Sydney 959 18.2 16.1 19.7 12.4 11.6 Western Sydney 898 15.1 13.7 16.8 10.7 11.3 All LHDs 13,098 27.9 27.6 29.3 25.9 3.2 36 Alcohol consumption at levels posing lifetime risk to health, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Alcohol consumption at levels posing lifetime risk to health, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 797 35.4 34.7 30.1 39.3 6.7 2003 822 35.5 36.0 32.0 40.0 5.7 2004 576 35.7 38.3 33.2 43.4 6.8 2005 902 36.1 32.6 28.5 36.7 6.4 2006 610 36.5 39.5 33.8 45.3 7.4 2007 541 36.8 31.9 26.4 37.4 8.8 2008 624 37.1 39.9 34.1 45.7 7.4 2009 762 37.1 37.5 32.6 42.5 6.7 2010 707 36.9 38.7 33.4 43.9 6.9 2011 1,070 36.4 33.6 29.4 37.9 6.5 2012 1,012 35.6 36.5 29.7 43.2 9.4 37 Alcohol drinking by Local Health District group, secondary school students aged 12-17 years, Drank alcohol: in the past 4 weeks, 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. Methods for indicator: Alcohol drinking in secondary school students The indicator includes those students who have ever had even part of an alcoholic drink, had an alcoholic drink in the previous 12 months, previous 4 weeks and previous 7 days. The questions used to define indicator were: Have you had an alcoholic drink in the last 4 weeks? (Any alcoholic drink, including beer, wine, wine coolers, alcoholic sodas, spirits, premixed spirit drinks, liqueurs, alcoholic cider, sherry or port, was included). 38 Alcohol drinking by Local Health District group, secondary school students aged 12-17 years, Drank alcohol: in the past 4 weeks, 2011 Local Health Districts South Western Sydney LHD Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs Western Sydney and Nepean Blue Mountains LHDs Central Coast and Northern Sydney LHDs Hunter New England LHD Mid North Coast and Northern NSW LHDs Murrumbidgee and Southern NSW* LHDs Western NSW and Far West LHDs Metropolitan LHDs Rural and regional LHDs All LHDs Number of Respondents 1,398 Smoothed estimate (Per cent) 20.7 Actual estimate (Per cent) 20.7 LL 95% CI 14.7 UL 95% CI 26.7 Relative Standard Error (Per cent) 14.8 776 29.6 29.6 17.9 41.3 20.2 1,468 18.8 18.8 14.3 23.3 12.2 1,548 882 27.5 35.1 27.5 35.1 22 25.3 32.9 44.9 10.1 14.2 339 28 28 18.5 37.4 17.2 929 459 5,190 2,609 7,940 33.5 36 23.5 33.7 25.5 33.5 36 23.5 33.7 26.9 24.2 19.7 20.1 28.2 23.9 42.8 52.3 26.9 39.1 29.9 14.1 23 7.4 8.3 5.7 Alcohol drinking by secondary school students aged 12-17 years, Drank alcohol: Murrumbidgee and Southern NSW* LHDs, in the past 4 weeks, NSW 2005 to 2011 39 Alcohol drinking by secondary school students aged 12-17 years, Drank alcohol: Murrumbidgee and Southern NSW* LHDs, in the past 4 weeks, NSW 2005 to 2011 Year 2005 Number of Respondents Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 440 44.3 37.8 50.8 7.4 2008 474 47.6 36.0 59.1 12.3 2011 929 33.5 24.2 42.8 14.1 40 Overweight or obesity by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 41 Overweight or obesity by Local Health District, persons aged 16 years and over, NSW 2012 Body mass index Local Health Districts Sydney Number of Respondents 846 South Western Sydney 912 South Eastern Sydney 723 Illawarra Shoalhaven 774 Western Sydney Nepean Blue Mountains Northern Sydney Central Coast 861 862 942 833 Smoothed estimate (Per cent) 27.0 31.7 32.2 35.3 28.6 33.2 31.5 33.6 Actual estimate UL 95% LL 95% Relative Standard Error (Per cent) CI CI (Per cent) 26.5 8.2 30.7 22.2 41.6 24.8 37.4 26.7 39.7 29.7 31.2 21.0 40.0 30.7 33.5 25.2 39.4 29.4 40.1 25.6 33.6 24.6 44.2 32.8 39.8 27.9 32.9 22.0 33.7 23.9 40.3 27.3 32.9 29.2 33.2 12.9 32.0 8.5 34.7 7.3 26.1 10.0 35.3 6.7 29.4 7.2 34.4 7.4 Overweight Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW Far West All LHDs Sydney 881 789 836 787 957 810 666 12,479 846 31.7 29.4 37.0 36.9 30.6 29.6 32.5 31.4 13.3 32.9 11.2 29.1 7.9 38.5 7.6 33.8 9.0 27.4 10.1 28.8 8.7 33.8 9.8 31.1 3.0 11.8 9.2 11.1 14.3 Obese South Western 912 25.6 26.4 15.2 42 Body mass index Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate UL 95% LL 95% Relative Standard Error (Per cent) CI CI (Per cent) Sydney 34.3 South Eastern Sydney 723 Illawarra Shoalhaven 774 Western Sydney Nepean Blue Mountains Northern Sydney 11.6 10.6 18.5 7.4 15.6 13.9 861 862 942 22.1 17.8 24.2 11.1 23.0 9.2 27.2 18.8 22.2 13.4 28.8 20.2 17.8 12.6 24.5 9.0 11.5 8.6 12.9 14.5 Central Coast Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW Far West All LHDs Sydney Overweight or obese 833 881 789 836 787 957 810 666 12,479 846 South Western Sydney 912 South Eastern Sydney 723 Illawarra Shoalhaven 774 22.1 22.4 19.3 19.1 22.7 24.4 28.6 32.4 19.1 40.3 57.2 43.8 57.4 21.4 9.2 25.2 17.6 23.1 15.1 21.8 13.9 23.0 15.2 30.2 18.9 28.3 18.2 36.5 25.9 35.5 23.5 20.1 17.2 43.0 33.5 67.4 51.9 48.2 37.1 63.2 52.2 19.1 10.6 17.9 11.2 19.1 10.4 24.6 11.7 23.3 11.1 31.2 8.7 29.5 10.4 18.6 3.9 38.2 6.3 59.6 6.6 42.6 6.6 57.7 4.9 43 Body mass index Local Health Districts Number of Respondents Western Sydney 861 Nepean Blue Mountains 862 Northern Sydney 942 Central Coast 833 Hunter New England 881 Northern NSW 789 Mid North Coast 836 Southern NSW 787 Murrumbidgee* 957 Western NSW 810 Far West All LHDs 666 12,479 Smoothed estimate (Per cent) 46.3 57.4 42.7 55.8 54.1 48.7 56.1 59.5 55.0 58.2 65.0 50.5 Actual estimate UL 95% LL 95% Relative Standard Error (Per cent) CI CI (Per cent) 43.8 7.5 50.3 37.4 64.8 54.9 45.6 36.2 61.3 50.3 59.4 44.5 52.1 41.8 63.7 51.6 65.3 51.5 57.8 43.6 65.6 54.3 70.3 56.3 51.6 47.7 59.8 4.2 40.9 5.9 55.8 5.0 52.0 7.3 47.0 5.6 57.7 5.4 58.4 6.1 50.7 7.1 60.0 4.8 63.3 5.6 49.7 2.0 Methods for indicator: Body Mass Index The questions used to define the indicator were: How tall are you without shoes? How much do you weigh without clothes or shoes? For 18 years and over, BMI is calculated as follows: BMI = weight(kg)/height(m)². Categories for this indicator include: underweight (BMI less than 20.0), healthy weight (BMI from 20.0 to 24.9), overweight (BMI from 25.0 to 29.9) and obese (BMI of 30.0 and over). Obesity was further classified into: Obesity Class I (BMI between 30.0 and 34.9), Obesity Class II (BMI between 35.0 and 39.9) and Obesity Class III (BMI of 40.0 or over). For children and adolescents, the same categories are used but they are linked to international cut off points by sex, between 2 and 18 years of age, defined to pass through a BMI of 16, 17, and 18.5 for underweight, 25 for overweight, and 30 for obesity at age 18 years (Cole et al. 2000; Cole et al. 2007). The validity of self-reported height and weight has been investigated in adult, adolescent, and young adult populations. While many studies have observed a high correlation (96 per cent agreement) between BMI calculated from self-reported and measured height and weight, there is ample evidence that self-reported 44 height and weight is not as exact as measured height and weight but is adequate for conducting epidemiological research. The indicator covering Overweight or Obesity includes those who are overweight or obese: that is, with a Body Mass Index (BMI) of 25.0 or higher: overweight (BMI from 25.0 to 29.9) and obese (BMI of 30.0 and over). Overweight or obesity, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 45 Overweight or obesity, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Body mass index Year Number of Respondents Smoothed estimate (Per Actual estimate (Per LL 95% UL 95% cent) cent) CI CI 742 32.5 33.2 2002 37.6 6.7 35.7 6.3 40.0 7.0 40.2 5.7 40.6 7.4 34.8 8.1 46.8 6.7 39.2 6.8 42.0 7.0 41.5 6.0 32.9 10.1 22.6 9.4 26.2 7.7 21.7 11.2 25.0 7.9 25.2 11.9 30.0 9.7 25.2 10.2 28.9 789 33.2 31.8 2003 27.8 558 34.1 35.2 2004 30.4 881 35.1 36.2 2005 32.2 588 35.9 35.4 2006 Overweight Relative Standard Error (Per cent) 30.3 578 36.5 30.0 2007 25.2 594 36.7 41.4 2008 36.0 727 36.4 34.6 2009 30.0 681 35.3 37.0 2010 31.9 1,024 33.5 37.1 2011 32.7 957 30.6 27.4 2012 22.0 742 19.0 19.0 2002 15.5 789 19.9 22.8 2003 19.3 558 20.8 17.8 2004 13.9 Obese 881 21.6 21.6 2005 18.3 588 22.3 20.5 2006 15.7 578 23.0 25.2 2007 20.5 594 23.6 21.0 46 2008 16.8 727 24.0 24.7 2009 681 24.3 27.4 2010 1,024 24.4 23.9 31.7 8.1 27.3 7.3 28.3 11.1 56.9 4.5 58.7 3.9 58.1 4.9 62.0 3.7 61.6 5.2 60.8 5.1 67.5 4.2 64.1 4.1 69.4 3.9 65.4 3.6 57.8 7.1 20.5 957 24.4 23.3 2012 18.2 742 51.5 52.3 2002 47.7 789 53.1 54.5 2003 50.3 558 54.9 53.0 2004 47.9 881 56.7 57.8 2005 53.7 588 58.3 55.9 2006 50.2 578 59.5 55.3 2007 49.7 594 60.3 62.4 2008 57.2 727 60.3 59.3 2009 54.5 681 59.6 64.4 2010 59.4 1,024 57.9 61.0 2011 56.7 957 2012 9.1 23.1 2011 Overweight or obese 29.1 20.3 55.0 50.7 43.6 47 Overweight and obesity by Local Health District group, secondary school students aged 12-17 years: Overweight and obese, 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. 48 Overweight and obesity by Local Health District group, secondary school students aged 12-17 years: Overweight and obese, 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Murrumbidgee and Southern NSW* LHDs 483 27.0 27.0 22.2 31.8 9.1 Western NSW and Far West LHDs 267 24.5 24.5 18.0 31.0 13.5 Rural and regional LHDs 1,442 23.6 23.6 20.5 26.7 6.7 South Western Sydney LHD 767 21.9 21.9 17.3 26.5 10.6 512 21.5 21.5 16.1 27.0 12.8 Hunter New England LHD Western Sydney and Nepean Blue Mountains LHDs 791 20.1 20.1 16.9 23.4 8.2 Mid North Coast and Northern NSW LHDs 180 19.6 19.6 16.2 23.1 9.0 Metropolitan LHDs 2,926 18.9 18.9 16.7 21.0 5.9 910 16.9 16.9 13.5 20.4 10.3 458 15.1 15.1 12.4 17.7 9.0 4,424 20.4 20.4 18.6 22.3 4.7 Central Coast and Northern Sydney LHDs Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs All LHDs 49 Overweight and obesity by Local Health District group, secondary school students aged 12-17 years: Overweight, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Overweight and obesity by Local Health District group, secondary school students aged 12-17 years: Overweight, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Year 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 109 19.6 19.6 13.6 25.6 15.6 2008 312 14.2 14.2 10.6 17.7 12.7 2011 483 19.2 19.2 15.5 23.0 9.8 50 Obesity by Local Health District group, secondary school students aged 12-17 years, NSW 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. Data for some LHDs are not included due to low numbers. 51 Obesity by Local Health District group, secondary school students aged 12-17 years, NSW 2011 Local Health Districts Rural and regional LHDs Western NSW and Far West LHDs Hunter New England LHD Western Sydney and Nepean Blue Mountains LHDs South Western Sydney LHD Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs Metropolitan LHDs All LHDs Number of Respondents 1,442 267 Smoothed estimate (Per cent) 5.9 5.2 Actual estimate (Per cent) 5.9 5.2 LL 95% CI 4.0 4.1 UL 95% CI 7.7 6.4 Relative Standard Error (Per cent) 15.9 10.8 512 4.8 4.8 2.6 7.1 23.3 791 4.4 4.4 2.6 6.1 20.2 767 458 3.9 3.8 3.9 3.8 2.2 2.4 5.6 5.2 22.3 18.4 2,926 4,424 3.8 4.5 3.8 4.5 3.0 3.6 4.7 5.4 11.4 10.0 Methods Methods for indicator: Body Mass Index The questions used to define the indicator were: How tall are you without shoes? How much do you weigh without clothes or shoes? For 18 years and over, BMI is calculated as follows: BMI = weight(kg)/height(m)². Categories for this indicator include: underweight (BMI less than 20.0), healthy weight (BMI from 20.0 to 24.9), overweight (BMI from 25.0 to 29.9) and obese (BMI of 30.0 and over). Obesity was further classified into: Obesity Class I (BMI between 30.0 and 34.9), Obesity Class II (BMI between 35.0 and 39.9) and Obesity Class III (BMI of 40.0 or over). For children and adolescents, the same categories are used but they are linked to international cut off points by sex, between 2 and 18 years of age, defined to pass through a BMI of 16, 17, and 18.5 for underweight, 25 for overweight, and 30 for obesity at age 18 years (Cole et al. 2000; Cole et al. 2007). The validity of self-reported height and weight has been investigated in adult, adolescent, and young adult populations. While many studies have observed a high correlation (96 per cent agreement) between BMI calculated from self-reported and measured height and weight, there is ample evidence that self-reported height and weight is not as exact as measured height and weight but is adequate for conducting epidemiological research. The indicator covering Overweight or Obesity includes those who are overweight or obese: that is, with a Body Mass Index (BMI) of 25.0 or higher: overweight (BMI from 25.0 to 29.9) and obese (BMI of 30.0 and over). 52 Obesity, secondary school students aged 12-17 years: Rural and regional LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Obesity, secondary school students aged 12-17 years: Rural and regional LHDs, NSW 2005 to 2011 Year 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 452 4.8 4.8 2.9 6.7 20.2 2008 1,259 4.3 4.3 3.1 5.6 14.4 2011 1,442 5.9 5.9 4.0 7.7 15.9 53 Adequate physical activity by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 54 Adequate physical activity by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) South Eastern Sydney 720 63.7 67.1 62.1 72.1 3.8 Sydney 844 62.9 65.7 61.1 70.3 3.6 Northern Sydney 930 59.7 60.8 56.0 65.5 4.0 Northern NSW 769 57.6 59.3 54.2 64.3 4.4 Western NSW 793 53.8 55.1 49.4 60.8 5.2 Southern NSW 786 53.4 52.7 46.6 58.7 5.9 Nepean Blue Mountains 853 53.3 53.9 48.9 58.9 4.7 South Western Sydney 914 51.8 54.6 46.6 62.6 7.5 Illawarra Shoalhaven 791 51.8 49.6 44.2 55.0 5.5 Far West 664 51.4 51.0 44.0 57.9 6.9 Central Coast 833 51.0 53.2 48.1 58.3 4.9 Western Sydney 862 50.6 53.8 47.1 60.4 6.3 Murrumbidgee* 942 49.3 49.4 42.2 56.6 7.4 Hunter New England 870 47.3 48.7 41.2 56.3 7.9 Mid North Coast 843 46.0 43.5 37.7 49.3 6.8 All LHDs 12,414 54.5 56.2 54.2 58.1 1.8 Methods for indicator: Adequate physical activity in adults The indicator includes those who did adequate physical activity. Adequate physical activity is defined as undertaking physical activity for a total of at least 150 minutes per week over 5 separate occasions. The total minutes are calculated by adding minutes in the last week spent walking continuously for at least 10 minutes, minutes doing moderate physical activity, and minutes doing vigorous physical activity multiplied by 2. This calculation corresponds with definition and questions asked in Active Australia Survey (AIHW 2003). The questions used to define the indicator were: In the last week, how many times have you walked continuously for at least 10 minutes for recreation or exercise or to get to or from places? What do you estimate was the total time you spent walking in this way in the last week? In the last week, how many times did you do any vigorous physical activity that made you breathe harder or puff and pant? What do you estimate was the total time you spent doing this vigorous physical activity in the last week? In the last week, how many times did you do any other more moderate physical activity that you have not already mentioned? 55 Adequate physical activity, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Adequate physical activity, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 44.5 47.9 43.5 52.3 4.7 2003 826 46.0 40.1 36.0 44.2 5.2 2004 578 47.7 46.9 41.8 51.9 5.5 2005 899 49.5 51.8 47.7 55.9 4.0 2006 583 51.2 53.5 48.0 59.0 5.2 2007 359 52.7 52.5 45.7 59.4 6.6 2008 566 53.6 55.2 49.6 60.8 5.2 2009 689 53.9 51.4 46.4 56.4 5.0 2010 656 53.5 51.3 46.2 56.4 5.1 2011 1,032 52.0 53.8 49.5 58.1 4.1 2012 942 49.3 49.4 42.2 56.6 7.4 56 Physical activity by behaviour type and Local Health District, children aged 5-15 years, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Parent-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Estimates are based on a single year for 2001 but are aggregated over two years from 2003-04 to the latest period. Murrumbidgee * Local Health District includes Albury Local Government Area. 57 Physical activity by behaviour type and Local Health District, children aged 5-15 years, NSW 2012 Local Health Districts Behaviour Adequate physical activity Number of Respondents Smoothed estimate (Per cent) 84 19.7 Actual estimate LL 95% UL 95% Relative Standard Error (Per cent) CI CI (Per cent) 19.7 6.8 33.4 32.6 Sydney South Western Sydney South Eastern Sydney Illawarra Shoalhaven Sedentary behaviours 104 Adequate physical activity 155 Sedentary behaviours 209 Adequate physical activity 142 Sedentary behaviours 161 Adequate physical activity 158 Sedentary behaviours 180 Adequate physical activity 159 Sedentary behaviours 201 Adequate physical activity 164 Sedentary behaviours 201 Adequate physical activity 153 Sedentary behaviours 176 Adequate physical activity 160 Sedentary behaviours 181 Adequate physical activity 132 36.6 27.0 45.1 22.0 52.9 34.9 47.6 15.3 36.6 16.5 24.8 48.4 18.4 35.7 36.8 53.5 13.5 30.5 43.6 62.1 25.5 44.4 38.5 56.6 27.0 16.3 45.1 9.5 22.0 19.6 52.9 8.9 34.9 13.8 47.6 15.3 9.7 9.3 19.9 21.2 Western Sydney Nepean Blue Mountains 36.7 31.2 45.8 20.5 36.7 11.7 28.3 45.2 22.7 39.6 37.6 53.9 13.0 28.0 26.0 43.2 17.3 32.0 40.6 58.0 28.7 49.0 31.2 13.9 45.8 9.1 20.5 18.7 Northern Sydney 34.6 24.6 34.6 12.7 24.6 15.2 Central Coast Hunter New England Sedentary 156 49.3 38.8 50.9 49.3 9.0 38.8 50.9 13.3 9.4 58 Local Health Districts Behaviour Number of Respondents Smoothed estimate (Per cent) Actual estimate LL 95% UL 95% Relative Standard Error (Per cent) CI CI (Per cent) behaviours Adequate physical activity 133 Sedentary behaviours 154 Adequate physical activity 148 Sedentary behaviours 180 Adequate physical activity 153 Sedentary behaviours 172 Adequate physical activity 210 Sedentary behaviours 238 Adequate physical activity 158 Sedentary behaviours 198 Adequate physical activity 114 Sedentary behaviours 135 31.5 41.5 60.3 21.9 41.1 32.1 50.6 21.2 38.3 36.8 53.8 17.2 33.7 27.5 45.0 24.2 41.3 33.5 49.6 29.9 48.5 38.3 55.1 18.1 37.4 32.4 54.1 24.3 29.5 41.0 46.3 31.5 15.6 Northern NSW 41.4 29.7 41.4 11.4 29.7 14.7 Mid North Coast 45.3 25.5 45.3 9.6 25.5 16.5 Southern NSW 36.2 32.7 36.2 12.3 32.7 13.3 Murrumbidgee* 41.6 39.2 41.6 9.9 39.2 12.1 Western NSW 46.7 27.7 46.7 9.2 27.7 17.8 Far West Adequate physical activity 2,223 Sedentary behaviours 2,646 43.3 26.9 43.3 12.8 26.9 4.9 All LHDs 43.7 43.7 3.1 Methods for indicator: Physical activity in children and adolescents Adequate physical activity: the indicator includes children who do adequate physical activity. It is defined as 1 hour or more of physical activity outside of school hours each day. Sedentary behaviour: the indicator includes children who spent more than 2 hours per day on sedentary leisure activities. The questions used to define adequate physical activity were: On about how many days during the school week does child usually do physical activity outside of school hours? On those days, about how many hours 59 does child usually do physical activity? On about how many weekend days does child usually do physical activity? On a typical weekend day, about how many hours does child usually do physical activity? The questions used to define sedentary behaviour were: On about how many days, during the school week and on a typical week day, does child usually watch TV, videos or DVDs at home? On those days, about how many hours does child usually spend watching TV, videos or DVDs? On about how many weekend days does child usually watch TV, videos or DVDs at home? On those days, about how many hours does child usually spend watching TV, videos or DVDs? On about how many days, during the school week does child usually play video or computer games or work on the computer? On those days, about how many hours does child usually spend playing video or computer games or work on the computer? On about how many weekend days does child usually play video or computer games or work on the computer? On those days, about how many hours does child usually spend playing video or computer games or work on the computer? 60 Adequate physical activity by Local Health District and sex, secondary school students aged 12-17 years, NSW 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. 61 Adequate physical activity by Local Health District and sex, secondary school students aged 12-17 years, NSW 2011 Local Health Districts Sex Males Number of Respondents 542 Smoothed estimate (Per cent) 17.8 Actual estimate (Per cent) LL 95% UL 95% Relative Standard Error CI CI (Per cent) 17.8 12.3 13.5 South Western Sydney LHD 834 9.1 9.1 7.1 Females 1,376 Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs 13.3 13.3 297 459 14.3 12.2 15.7 11.3 17.4 14.3 12.2 10.8 9.4 756 Western Sydney and Nepean Blue Mountains LHDs Females 13.2 13.2 594 851 15.9 11.8 7.4 11.3 15.1 12.4 19.4 15.9 11.8 11.1 9.5 1,445 13.7 13.7 703 785 16.0 10.3 7.6 11.6 15.7 12.4 19.5 16.0 10.3 11.4 8.5 Females 1,488 Hunter New England LHD 13.5 13.5 420 433 15.6 10.2 9.2 11.0 15.9 10.2 21.1 15.6 10.2 17.8 6.5 Females 18.4 13.9 853 13.2 13.2 9.1 Persons Males 9.0 12.1 Persons Males 10.0 14.1 Persons Males 12.0 15.1 Persons Central Coast and Northern Sydney LHDs 9.1 10.9 Females Males 11.4 11.2 Persons Males 22.1 15.8 17.3 155 16.0 16.0 9.1 22.1 23.0 Mid North Coast and Northern NSW LHDs 169 11.6 11.6 Females 6.9 20.7 16.3 324 14.2 14.2 14.1 62 Local Health Districts Sex Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) Persons Males LL 95% UL 95% Relative Standard Error CI CI (Per cent) 10.2 414 12.7 12.7 18.1 8.0 18.6 17.3 Murrumbidgee and Southern NSW* LHDs 446 7.6 7.6 4.3 Females 860 10.4 10.4 6.9 Persons Males Western NSW and Far West LHDs 21.9 10.9 16.9 13.9 147 18.4 18.4 19.0 11.6 25.3 9.1 308 7.7 7.7 6.3 455 11.7 11.7 7.6 9.3 Females Persons Males 2,136 16.2 16.2 6.2 14.3 Metropolitan LHDs 2,929 10.7 10.7 5,065 13.4 13.4 1,136 1,356 15.0 9.0 4.8 12.2 14.7 12.0 18.0 15.0 9.0 10.1 7.1 Females 2,492 All LHDs 12.1 12.1 3,331 4,360 15.8 10.3 8.7 10.1 14.2 14.1 17.5 15.8 10.3 5.4 9.2 Females 5.4 11.4 7,691 Persons 10.5 10.8 Persons Males 5.8 11.9 Persons Rural and regional LHDs 18.2 9.5 Females Males 18.0 15.9 13.1 13.1 4.4 11.9 14.2 63 Adequate physical activity by sex, secondary school students aged 12-17 years, Murrumbidgee & Southern NSW LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Murrumbidgee and Southern NSW* LHD group includes Albury LGA. See Methods for definitions of Metropolitan and Rural and regional LHDs. 64 Adequate physical activity by sex, secondary school students aged 12-17 years, Murrumbidgee Southern NSW LHDs, NSW 2005 to 2011 Year Sex Males 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% UL 95% CI CI Relative Standard Error (Per cent) 194 14.2 14.2 10.3 18.0 13.9 240 11.8 11.8 8.8 14.9 13.2 434 13.1 13.1 10.7 15.5 9.4 195 17.9 17.9 13.6 22.3 12.4 272 10.0 10.0 6.1 14.0 20.1 467 13.7 13.7 11.8 15.5 6.9 414 12.7 12.7 8.0 17.3 18.6 446 7.6 7.6 4.3 10.9 21.9 860 10.4 10.4 6.9 13.9 16.9 Females Persons Males Females 2008 Persons Males Females 2011 Persons 65 Fruit and vegetables: recommended consumption by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 66 Fruit and vegetables: recommended consumption by Local Health District, persons aged 16 years and over, NSW 2012 Usual consumption adequate Local Health Districts Sydney Number of Respondents 861 Smoothed estimate (Per cent) 7.8 Actual estimate LL 95% UL 95% (Per cent) CI CI 8.4 5.7 Relative Standard Error (Per cent) 16.1 11.0 South Western Sydney 926 5.1 5.5 3.8 South Eastern Sydney 738 8.5 10.0 6.0 Illawarra Shoalhaven 806 Western Sydney 7.2 15.6 20.2 13.9 10.2 13.3 8.8 17.3 17.7 876 11.0 13.0 5.9 27.7 20.1 Nepean Blue Mountains Northern Sydney 889 6.4 5.7 4.0 941 8.1 9.3 6.9 7.5 15.5 12.9 11.6 Central Coast 851 9.8 9.6 7.1 13.0 12.0 Vegetables Hunter New England Northern NSW 900 10.3 9.8 7.2 800 14.5 16.6 12.4 12.6 Mid North Coast 13.6 12.4 856 12.5 12.3 20.7 9.0 13.5 15.5 Southern NSW 810 11.7 12.2 8.8 14.4 15.7 Murrumbidgee* 982 10.7 11.1 7.7 15.7 14.4 Western NSW 836 9.8 9.7 7.0 14.2 12.4 Far West 683 6.3 8.3 5.6 17.0 11.1 All LHDs 12,755 9.1 10.0 8.8 6.0 11.1 Sydney 875 55.1 58.5 4.2 53.7 63.3 Fruit South Western Sydney 959 53.5 55.3 7.2 67 Usual consumption adequate Local Health Districts Number of Respondents South Eastern Sydney 751 Illawarra Shoalhaven 825 Western Sydney Nepean Blue Mountains Northern Sydney Central Coast Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW Far West All LHDs 893 904 963 872 924 819 869 828 1,009 850 706 13,047 Smoothed estimate (Per cent) 56.4 50.2 48.9 52.5 51.4 49.5 47.0 52.8 53.0 54.4 49.8 47.7 38.5 51.6 Actual estimate LL 95% UL 95% (Per cent) CI CI 47.4 63.1 51.2 62.1 46.9 57.4 43.6 56.9 48.9 58.6 48.2 58.4 48.8 59.3 41.5 56.0 48.3 58.4 47.4 59.1 49.8 62.7 46.9 60.3 44.5 55.6 34.2 47.0 51.5 55.3 Relative Standard Error (Per cent) 56.7 4.9 52.1 5.2 50.2 6.8 53.7 4.6 53.3 4.9 54.0 5.0 48.7 7.6 53.4 4.8 53.2 5.6 56.3 5.9 53.6 6.4 50.1 5.7 40.6 8.1 53.4 1.8 Methods for indicator: Recommended fruit and vegetable consumption The New South Wales Population Health Survey includes a dietary questionnaire on usual consumption of fruit, vegetables, breads, cereals, red meat, and usual consumption of foods high in fat, salt, and sugar. The Dietary Guidelines for Australian Adults stress the importance of eating plenty of fruit and vegetables. The Go for 2 & 5 fruit and vegetable campaign website provides information on why adults should eat at least 2 serves of fruit and 5 serves of vegetables each day to maintain good health and healthy weight. For fruit, the indicator includes those who consumed 2 or more serves of fruit a day. The recommended fruit intake is at least 2 serves a day for persons aged 19 years and over, depending on their overall diet. For 68 simplification, this recommendation is applied to 16-18 year olds. One serve is equivalent to 1 medium piece or 2 small pieces of fruit. The question used to define the indicator was: How many serves of fruit do you usually eat each day? For vegetables, the indicator includes those who consumed 5 or more serves of vegetables a day. The recommended vegetable intake is at least 5 serves a day for persons aged 16 years and over, depending on their overall diet. One serve is equivalent to 1/2 cup of cooked vegetables or 1 cup of salad vegetables. The question used to define the indicator was: How many serves of vegetables do you usually eat each day? Fruit and vegetables: recommended consumption, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. 69 Fruit and vegetables: recommended consumption, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Usual consumption adequate Year Number of Respondents Smoothed estimate (Per Actual estimate (Per LL 95% UL 95% cent) cent) CI CI Relative Standard Error (Per cent) 794 8.4 7.8 5.4 10.2 15.4 824 9.2 10.3 8.0 12.5 11.2 573 10.0 10.8 8.0 13.5 13.1 902 10.8 9.2 7.1 11.4 11.7 606 11.5 11.7 8.7 14.7 13.0 532 12.1 12.8 9.4 16.3 13.7 585 12.5 11.6 8.2 14.9 14.8 740 12.6 13.6 16.8 12.2 2002 2003 2004 2005 2006 Vegetables 2007 2008 2009 10.3 690 12.4 11.9 9.1 14.7 11.9 1,069 11.8 11.4 8.7 14.0 11.9 982 10.7 11.1 7.7 14.4 15.7 795 41.5 43.1 47.5 5.2 43.3 5.1 46.9 5.9 52.4 4.4 53.6 5.9 59.1 5.3 56.5 5.7 2010 2011 2012 2002 38.8 824 43.0 39.4 2003 35.5 576 44.6 42.0 2004 37.1 Fruit 903 46.2 48.3 2005 44.1 611 47.8 48.1 2006 42.6 539 49.2 53.5 2007 47.9 587 50.4 50.8 70 Usual consumption adequate Year Number of Respondents Smoothed estimate (Per Actual estimate (Per LL 95% UL 95% cent) cent) CI CI 2008 45.1 748 51.1 49.8 2009 54.6 4.9 56.5 5.0 49.5 4.9 60.3 6.4 45.0 697 51.3 51.5 2010 46.4 1,077 50.9 45.2 2011 40.9 1,009 2012 Relative Standard Error (Per cent) 49.8 53.6 46.9 71 Fruit and vegetables: recommended consumption by Local Health District, children aged 2-15 years, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Parent-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Estimates are based on a single year for 2001 but are aggregated over two years from 2003-04 to the latest period. Murrumbidgee * Local Health District includes Albury Local Government Area. 72 Fruit and vegetables: recommended consumption by Local Health District, children aged 2-15 years, NSW 2012 Usual consumption adequate Local Health Districts Sydney 281 South Eastern Sydney 225 Illawarra Shoalhaven 239 Nepean Blue Mountains Northern Sydney Central Coast Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW All LHDs Sydney Fruit 165 South Western Sydney Western Sydney Vegetables Number of Respondents South Western Sydney South Eastern 292 286 261 232 223 196 230 220 312 268 3,606 165 288 227 Smoothed estimate (Per cent) 39.5 39.5 41.7 43.3 35.0 44.8 43.6 47.7 46.0 51.2 47.8 45.5 53.0 37.0 42.7 76.6 70.4 81.5 Actual estimate LL 95% UL 95% (Per cent) CI CI 39.7 13.1 29.5 49.9 31.7 46.9 34.9 50.2 37.3 52.5 28.7 42.4 39.0 53.4 37.4 52.9 41.3 56.9 38.2 53.5 44.1 61.1 42.6 57.8 36.5 53.2 46.8 61.1 31.2 44.9 41.1 45.7 67.2 84.3 63.8 76.9 39.3 9.9 42.5 9.1 44.9 8.6 35.6 9.8 46.2 7.9 45.1 8.8 49.1 8.1 45.9 8.5 52.6 8.3 50.2 7.7 44.8 9.5 54.0 6.8 38.1 9.2 43.4 2.7 75.7 5.8 70.3 81.3 Relative Standard Error (Per cent) 4.8 3.7 73 Usual consumption adequate Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate LL 95% UL 95% (Per cent) CI CI Sydney Illawarra Shoalhaven Western Sydney Nepean Blue Mountains Northern Sydney Central Coast Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW All LHDs 239 294 287 261 233 224 198 230 223 313 268 3,628 78.1 69.7 70.9 77.2 67.2 70.3 77.7 72.4 69.3 71.6 72.4 73.3 75.5 87.2 71.9 83.9 63.4 76.8 64.3 77.1 70.6 82.8 60.2 75.0 62.8 77.2 71.5 83.7 65.1 78.7 60.7 77.2 65.8 79.0 65.6 79.1 71.1 75.2 Relative Standard Error (Per cent) 77.9 3.9 70.1 4.9 70.7 4.6 76.7 4.1 67.6 5.6 70.0 5.2 77.6 4.0 71.9 4.8 68.9 6.1 72.4 4.7 72.3 4.7 73.2 1.4 Methods for indicator: Recommended fruit and vegetable consumption in children Healthy eating promotes physical growth and cognitive development during childhood. Children are nutritionally vulnerable and their nutrient and energy requirements per kilo of bodyweight are greater than adults. Dietary factors are linked to health and wellbeing, and there is a relationship between nutrition in childhood and the development of diseases in adulthood. Current dietary recommendations are fully described in the Dietary Guidelines for Children and Adolescents in Australia incorporating the Infant Feeding Guidelines for Health Workers. The minimum recommended daily consumption of fruit is 1 serve for children aged 4-11 years, and 3 serves for children aged 12-18 years, depending on their overall diet. One serve is equivalent to 1 medium piece or 2 small pieces of fruit. As the guidelines do not provide minimum recommendations for children aged 2-3 years, the minimum recommendations for 4-11 year olds have been applied. 74 The minimum recommended daily consumption of vegetables is 2 serves for children aged 4-7 years and 3 serves for children aged 8 years and over, depending on their overall diet. One serve is equivalent to 1/2 cup of cooked vegetables or 1 cup of salad vegetables. As the guidelines do not provide minimum recommendations for children aged 2-3 years, the minimum recommendations for 4-7 year olds have been applied. The questions used to define the indicator were: How many serves of fruit does child usually eat each day? How many serves of vegetables does child usually eat each day? Fruit and vegetables: recommended consumption by Local Health District group and sex, secondary school students aged 12-17 years, NSW 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. 75 Fruit and vegetables: recommended consumption by Local Health District group and sex, secondary school students aged 12-17 years, NSW 2011 Local Health District Group Usual consumption adequate Sex Vegetables Number of Respondents 549 Smoothed estimate (Per cent) 26.1 LL Actual estimate 95% (Per cent) CI UL Relative Standard 95% Error (Per cent) CI 26.1 7.4 22.3 29.8 43.9 54.1 20.0 26.5 Males South Western Sydney LHD Fruit Females Fruit 547 Vegetables 845 841 45.9 45.9 49.0 23.2 42.1 49.0 5.3 23.2 7.1 49.7 4.2 1,390 24.6 24.6 21.8 Vegetables 27.4 5.8 51.2 4.1 24.9 34.7 41.7 51.8 16.3 27.1 Persons Fruit 1,392 Vegetables Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs 47.4 299 47.4 29.8 43.6 29.8 8.4 Males Fruit Females Fruit 300 Vegetables 470 466 49.0 49.0 46.7 21.7 41.0 46.7 5.5 21.7 12.6 57.0 8.3 765 25.4 25.4 20.9 Vegetables 29.9 9.0 53.0 5.3 25.9 39.0 45.4 55.0 21.3 27.8 Persons Fruit 770 Vegetables Western Sydney and Nepean Blue Mountains LHDs 48.0 604 48.0 32.5 42.9 32.5 10.2 Males Fruit Females Vegetables 603 855 50.2 24.6 50.2 4.8 24.6 6.7 76 Local Health District Group Usual consumption adequate Sex Fruit 856 48.0 Number of Respondents 48.0 Smoothed estimate (Per cent) 43.3 LL Actual estimate 95% (Per cent) CI UL Relative Standard 95% Error (Per cent) CI 52.6 4.9 1,459 28.2 28.2 24.6 Vegetables 31.8 6.6 52.8 3.9 16.5 25.1 39.0 47.6 23.2 28.4 Persons Fruit 1,459 Vegetables 49.0 717 49.0 20.8 45.2 20.8 10.5 Males Central Coast and Northern Sydney LHDs Fruit Females Fruit 718 Vegetables 801 799 50.0 50.0 43.3 25.8 46.4 43.3 5.1 25.8 5.1 53.5 3.6 1,516 23.0 23.0 19.6 Vegetables 26.4 7.4 49.8 3.8 22.4 31.9 34.1 49.0 24.2 34.6 Persons Fruit 1,519 Vegetables 46.3 429 46.3 27.2 42.8 27.2 9.0 Males Hunter New England Fruit LHD Females Fruit 430 Vegetables 443 442 40.7 40.7 41.6 29.4 33.3 41.6 9.1 29.4 9.0 48.2 9.3 871 28.2 28.2 25.0 Vegetables 31.4 5.8 47.8 8.1 31.5 44.7 40.6 51.5 20.3 33.8 Persons Fruit 873 Vegetables 41.2 158 41.2 38.1 34.6 38.1 8.8 Males Mid North Coast and Northern NSW LHDs Fruit Females Vegetables 161 172 46.1 27.1 46.1 6.0 27.1 12.7 77 Local Health District Group Usual consumption adequate Sex Fruit 169 51.2 Number of Respondents 51.2 Smoothed estimate (Per cent) 41.4 LL Actual estimate 95% (Per cent) CI UL Relative Standard 95% Error (Per cent) CI 61.0 9.7 330 33.5 33.5 30.3 Vegetables 36.6 4.8 53.1 5.2 19.3 28.9 31.5 44.1 19.8 25.5 Persons Fruit 330 Vegetables 48.2 436 48.2 24.1 43.2 24.1 10.2 Males Murrumbidgee and Southern NSW* LHDs Fruit Females Fruit 436 Vegetables 463 461 40.7 40.7 37.8 22.7 33.0 37.8 8.4 22.7 6.3 48.4 9.6 897 23.5 23.5 20.1 Vegetables 26.8 7.2 44.5 7.1 18.1 34.1 33.0 56.9 20.9 26.5 Persons Fruit 899 Vegetables 39.1 148 39.1 26.1 33.7 26.1 15.6 Males Western NSW and Far West LHDs Fruit Females Fruit 147 Vegetables 309 308 40.2 40.2 44.9 23.7 35.0 44.9 13.5 23.7 6.1 45.3 6.6 456 24.6 24.6 21.2 Vegetables 28.0 7.0 47.8 7.1 23.0 29.7 43.9 50.3 22.3 25.9 Persons Fruit 456 Vegetables 41.9 2,169 41.9 26.4 36.0 26.4 6.4 Males Metropolitan LHDs Fruit Females Vegetables 2,168 2,961 47.1 24.1 47.1 3.5 24.1 3.8 78 Local Health District Group Fruit Sex Usual consumption adequate 2,972 48.1 Number of Respondents 48.1 Smoothed estimate (Per cent) 45.4 LL Actual estimate 95% (Per cent) CI UL Relative Standard 95% Error (Per cent) CI 50.7 2.8 5,130 25.2 25.2 23.3 Vegetables 27.2 4.0 49.8 2.4 24.5 30.8 37.3 45.3 23.2 28.0 Persons Fruit 5,140 Vegetables 47.6 1,171 47.6 27.6 45.3 27.6 5.8 Males Rural and regional LHDs Fruit Females Fruit 1,174 Vegetables 1,384 1,383 41.9 41.9 41.3 25.6 37.9 41.3 5.0 25.6 4.8 45.9 4.9 2,554 26.7 26.7 24.6 Vegetables 28.8 4.0 44.9 4.0 24.5 29.3 42.4 47.5 23.1 26.0 Persons Fruit 2,558 Vegetables 41.6 3,399 41.6 27.1 38.3 26.9 4.6 Males All LHDs Fruit Females Fruit 4,435 3,402 Vegetables 4,423 46.0 46.0 45.0 25.0 43.6 45.0 2.9 24.5 3.0 48.4 2.6 7,822 26.1 25.7 24.2 Vegetables 27.2 2.9 47.4 2.2 Persons Fruit 7,837 45.5 45.5 43.5 Methods for indicator: Recommended fruit and vegetable consumption in secondary school students Dietary factors are linked to health and wellbeing, and there is a relationship between nutrition in childhood and adolescence and the development of diseases in adulthood. Current dietary recommendations are fully described in the Dietary Guidelines for Children and Adolescents in Australia incorporating the Infant Feeding Guidelines for Health Workers. 79 The minimum recommended daily consumption of fruit and vegetables for adolescents aged 12-18 years are: 3 servings of fruit and 4 of vegetables. One serve of fruit is equivalent to 1 medium piece or 2 small pieces of fruit. One serve of vegetables is equivalent to 1/2 cup of cooked vegetables or 1 cup of salad vegetables. The questions used to define the indicator were: How many serves of fruit do you usually eat each day? How many serves of vegetables do you usually eat each day? Fruit and vegetables: recommended consumption by sex, secondary school students aged 12-17 years, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. 80 Fruit and vegetables: recommended consumption by sex, secondary school students aged 12-17 years, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Year Sex Males 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% UL 95% CI CI Relative Standard Error (Per cent) 384 53.3 53.3 38.7 67.8 28.6 481 65.1 65.1 56.7 73.5 13.3 865 58.8 58.8 49.6 68.0 15.5 396 51.7 51.7 42.9 60.6 19.1 544 65.2 65.2 52.8 77.6 22.0 940 58.9 58.9 50.3 67.6 16.9 872 61.9 61.9 50.8 73.0 18.6 924 63.4 63.4 52.8 73.9 15.9 1,796 62.6 62.6 53.8 71.3 14.3 Females Persons Males Females 2008 Persons Males Females 2011 Persons 81 High or very high psychological distress by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. Methods for indicator: Psychological distress The New South Wales Population Health Survey uses Kessler 10 Plus (K10) to measure psychological distress in people aged 16 years and over. K10 is a 10-item questionnaire that measures anxiety, depression, agitation, and psychological fatigue in the most recent 4-week period, with additional questions to establish the effect of the distress. For each item in the questionnaire there is a 5-level response scale based on the amount of time (from none of the time to all of the time) the person experienced the particular symptom. When scoring responses, 1-5 points were assigned to each symptom, with 1 indicating none of the time and 5 indicating all of the time. The total score ranges from 10 points (all responses none of the time) to 50 points (all responses all of the time). Responses are classified into 4 categories: low when the score is 10-15, moderate when the score is 16-21, high when the score is 22-29, and very high when the score is 30 or higher. 82 The indicator showing high and very high distress includes responses with a Kessler 10 (K10) score of 22 or above. High or very high psychological distress by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) South Western Sydney 897 12.3 12.9 10.0 15.8 11.5 Northern NSW 822 12.1 12.6 9.4 15.8 12.9 Illawarra Shoalhaven 882 12.0 11.1 8.2 14.0 13.2 Nepean Blue Mountains 761 11.7 12.5 8.2 16.7 17.4 Western Sydney 913 11.5 12.2 9.1 15.3 12.8 Central Coast 847 11.2 10.2 7.1 13.4 15.8 Far West 832 10.9 12.3 9.3 15.4 12.7 Murrumbidgee* 1,069 10.7 11.6 8.5 14.7 13.5 Mid North Coast 873 10.4 9.5 6.8 12.2 14.6 Southern NSW 858 10.3 9.8 6.6 13.0 16.6 Northern Sydney 816 10.2 9.7 5.7 13.7 21.0 Sydney 937 9.2 9.8 7.6 12.0 11.4 South Eastern Sydney 850 9.0 7.9 5.2 10.6 17.5 Hunter New England 752 8.7 7.5 4.9 10.1 17.9 Western NSW 744 8.1 8.3 6.0 10.6 14.2 All LHDs 12,853 10.4 10.3 9.3 11.2 4.6 83 High or very high psychological distress, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 High or very high psychological distress, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 801 11.4 11.9 9.0 14.8 12.5 2003 821 11.3 10.5 8.0 12.9 11.9 2004 576 11.3 12.5 8.9 16.0 14.4 2005 899 11.2 8.5 6.3 10.8 13.4 2006 605 11.1 11.6 8.3 14.9 14.5 2007 550 11.0 12.1 8.6 15.5 14.5 2008 593 11.0 12.7 9.2 16.1 13.9 2009 749 10.9 10.4 7.4 13.5 15.0 2010 699 10.8 8.9 6.4 11.4 14.4 2011 1,069 10.7 11.6 8.5 14.7 13.5 84 Psychological distress by LHD, secondary school students aged 12-17 years, NSW High psychological distress, 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. Commentary Felt unhappy or sad or depressed In 2011, among students aged 12-17 years, 39.3 per cent had not experienced feelings of unhappiness or sadness or depression in the last 6 months, 23.8 per cent experienced 'about usual' feelings, 13.5 per cent experienced 'worse than usual' feelings, 12.5 per cent experienced 'quite bad' feelings, and 14.7 per cent experienced levels of feelings that were 'almost more than I could take'. 85 Felt nervous or stressed or under pressure In 2011, among students aged 12-17 years, 29.9 per cent had not experienced feelings of nervousness or stress or pressure in the last 6 months, 32.6 per cent experienced 'about usual' feelings, 14.0 per cent experienced 'worse than usual' feelings, 16.5 per cent experienced 'quite bad' feelings, and 7.1 per cent experienced levels of feelings that were 'almost more than I could take'. Was in trouble because of behaviour In 2011, among students aged 12-17 years, 47.9 per cent had not been in trouble because of their behaviour in the last 6 months, 33.5 per cent experienced 'about usual' levels of being in trouble, 7.0 per cent experienced 'worse than usual' levels, 8.8 per cent experienced 'quite bad' levels, and 2.8 per cent experienced levels that were 'almost more than I could take'. High psychological distress A student who responded 'almost more than I can take' to 1 or more of the above 3 components was considered to experience high psychological distress. In 2011, 13.7 per cent of students aged 12-17 years experienced high psychological distress in the last 6 months. Males (11.0 per cent) were significantly less likely than females (17.0 per cent) to experience high psychological distress in the last 6 months. There were no significant differences among local health district groups. The proportion of students who experienced high psychological distress in the last 6 months did not change significantly between 1996 (15.4 per cent) and 2011 (14.0 per cent). 86 Psychological distress by LHD, secondary school students aged 12-17 years, NSW High psychological distress, 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Western Sydney and Nepean Blue Mountains LHDs 1,416 15.4 15.4 13.4 17.4 6.7 Central Coast and Northern Sydney LHDs 1,452 14.8 14.8 12.0 17.5 9.4 Metropolitan LHDs Sydney, South Eastern Sydney and Illawara Shoalhaven LHDs 4,964 14.7 14.7 13.4 16.1 4.8 743 14.3 14.3 11.0 17.6 11.8 South Western Sydney LHD 1,353 14.2 14.2 11.9 16.6 8.4 Murrumbidgee and Southern NSW* LHDs 825 13.0 13.0 10.4 15.6 10.2 Rural and regional LHDs 2,424 12.4 12.4 10.8 14.0 6.6 Hunter New England LHD 833 11.7 11.7 10.3 13.0 5.9 Mid North Coast and Northern NSW LHDs 320 11.7 11.7 6.8 16.7 21.5 All LHDs 7,518 13.7 14.0 12.8 15.1 4.1 Methods for indicator: Psychological distress in secondary school students Since 1996 psychological distress in students has been identified by 3 components: feeling unhappy or sad or depressed during the last 6 months; feeling nervous or stressed or under pressure during the last 6 months; and being in trouble because of your behaviour during the last 6 months. These 3 components were developed in New South Wales from a single question on stress nominated from the Western Australian Child Health Survey. A student who responded 'almost more than I can take' to 1 or more components was considered to experience high psychological distress. The questions used were: When you were feeling unhappy or sad or depressed how bad was it for you: almost more than I could take, quite bad, worse than usual, about usual? When you were feeling nervous or stressed or under pressure how bad was it for you: almost more than I could take, quite bad, worse than usual, about usual? When you were in trouble because of your behaviour how bad was it for you: almost more than I could take, quite bad, worse than usual, about usual? 87 Psychological distress by Local Health District group, secondary school students aged 12-17 years High psychological distress, All LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. 88 Psychological distress by Local Health District group, secondary school students aged 12-17 years High psychological distress, All LHDs, NSW 2005 to 2011 Year Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 2005 2,644 15.9 16.6 14.8 18.5 5.8 2008 7,285 14.0 13.3 12.3 14.3 3.8 2011 7,518 13.7 14.0 12.8 15.1 4.1 Psychological distress by Local Health District group, secondary school students aged 12-17 years High psychological distress, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Sources NSW School Students Health Behaviours Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Self-completed data were collected through pen and paper questionnaires administered within secondary schools. Estimates were weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated secondary school student population using the latest available Australian Bureau of Statistics estimates. 89 Psychological distress by Local Health District group, secondary school students aged 12-17 years High psychological distress, Murrumbidgee and Southern NSW* LHDs, NSW 2005 to 2011 Year 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 208 22.4 22.4 16.7 28.2 13.0 2008 457 12.4 12.4 9.2 15.5 13.0 2011 825 13.0 13.0 10.4 15.6 10.2 90 Current asthma by Local Health District, persons aged 16 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 91 Current asthma by Local Health District, persons aged 16 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Murrumbidgee* 1,022 15.2 15.2 10.9 19.6 14.6 Central Coast 878 14.1 14.8 10.6 18.9 14.3 Nepean Blue Mountains 913 14.0 12.3 9.6 15.1 11.4 Northern NSW 822 13.9 15.0 11.2 18.8 12.9 Western NSW 857 12.9 11.2 8.1 14.4 14.2 Far West 716 12.8 10.6 7.5 13.7 15.1 Hunter New England 926 12.7 12.5 7.2 17.7 21.4 Southern NSW 838 12.1 12.0 8.3 15.7 15.7 Illawarra Shoalhaven 833 12.0 12.1 8.6 15.6 14.8 Mid North Coast 879 10.8 9.0 6.2 11.7 15.8 South Eastern Sydney 759 10.3 11.0 7.3 14.7 17.1 Western Sydney 903 9.4 7.9 5.7 10.1 14.2 South Western Sydney Northern Sydney Sydney All LHDs 967 972 883 13,168 8.5 7.9 6.9 10.7 7.8 6.6 6.3 10.1 5.7 4.6 4.4 9.1 10.0 8.5 8.1 13.8 15.2 15.0 5.1 11.1 Methods for indicator: Asthma in adults The indicator includes those who had symptoms of asthma or treatment for asthma in the last 12 months. The questions used to define the indicator were: Have you ever been told by a doctor or hospital you have asthma? Have you had symptoms of asthma or treatment for asthma in the last 12 months? 92 Current asthma, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Current asthma, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 13.7 13.0 9.9 16.0 12.0 2003 826 13.4 12.2 9.5 14.9 11.3 2004 578 13.0 16.1 12.0 20.2 12.9 2005 906 12.8 13.5 10.8 16.3 10.5 2006 613 12.6 14.3 10.7 17.9 12.9 2007 544 12.5 9.4 6.5 12.4 16.0 2008 597 12.5 12.4 9.0 15.8 13.9 2009 761 12.8 10.8 7.9 13.6 13.6 2010 705 13.3 15.2 11.2 19.2 13.5 2011 1,087 14.1 14.1 11.3 16.9 10.1 2012 1,022 15.2 15.2 10.9 19.6 14.6 93 Asthma by Local Health District and asthma status, children aged 2-15 years, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. Parent-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates weighted to adjust for differences in the probability of selection among respondents and benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Estimates are based on a single year for 2001 but are aggregated over two years from 2003-04 to the latest period. Murrumbidgee * Local Health District includes Albury Local Government Area. 94 Asthma by Local Health District and asthma status, children aged 2-15 years, NSW 2012 Asthma status Local Health Districts Sydney Number of Respondents Smoothed estimate (Per cent) 173 15.4 Actual estimate (Per cent) 15.4 LL 95% UL 95% Relative Standard Error CI CI (Per cent) 8.8 21.7 21.9 South Western Sydney 289 South Eastern Sydney 226 Illawarra Shoalhaven 240 Western Sydney Nepean Blue Mountains Northern Sydney Central Coast Ever had asthma Hunter New England Northern NSW Mid North Coast Southern NSW Murrumbidgee* Western NSW Far West All LHDs Current asthma Sydney 295 288 263 254 220 197 252 223 320 273 183 3,696 173 23.6 21.6 24.7 26.1 29.0 19.6 27.5 28.0 16.7 18.7 21.2 26.3 27.7 28.8 23.7 6.9 23.5 15.0 16.5 30.4 15.2 28.3 18.5 30.9 20.4 33.3 22.0 34.6 14.3 26.1 20.1 33.1 21.0 34.9 11.0 23.8 13.3 24.4 15.4 29.5 20.4 32.0 20.6 33.3 19.3 35.5 21.8 25.7 21.8 15.3 24.7 12.8 26.8 12.3 28.3 11.3 20.2 14.9 26.6 12.4 27.9 12.6 17.4 18.7 18.8 15.0 22.4 16.0 26.2 11.3 27.0 11.9 27.4 15.1 23.7 7.0 4.2 3.4 26.2 10.6 South Western 289 15.8 15.2 9.5 19.0 95 Asthma status Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% UL 95% Relative Standard Error CI CI (Per cent) Sydney 20.8 South Eastern Sydney 226 Illawarra Shoalhaven 240 Western Sydney Nepean Blue Mountains Northern Sydney Central Coast Hunter New England Northern NSW 295 288 263 254 219 197 16.4 15.6 14.8 19.1 15.3 16.8 17.5 11.2 16.6 18.7 10.5 22.8 10.8 21.1 10.4 20.3 13.2 23.8 10.4 21.0 11.2 21.9 12.0 23.0 15.9 16.6 15.3 16.5 18.5 14.5 15.7 17.2 16.5 16.5 17.5 11.7 16.1 6.8 21.4 16.6 Mid North Coast 252 8.4 8.2 4.6 22.2 11.7 Southern NSW Murrumbidgee* Western NSW Far West All LHDs 222 320 272 183 3,693 14.0 18.0 20.0 22.2 15.4 15.2 17.5 10.0 20.4 13.3 23.1 13.5 24.8 14.8 30.1 13.8 17.1 18.2 13.6 19.2 15.0 22.5 17.3 15.4 5.3 Methods for indicator: Asthma in children Ever had asthma: the indicator includes children who have ever been told by a doctor or hospital that they have asthma. The question used to define the indicator was: Has child ever been told by a doctor or hospital he or she has asthma? Current asthma: the indicator includes children with symptoms of asthma or who had treatment for asthma in the last 12 months.The questions used to define the indicator were: Has child ever been told by a doctor or hospital he or she has asthma? Has child had symptoms of asthma or treatment for asthma in the last 12 months? 96 Difficulty accessing health care when needing it by Local Health District, persons aged 16 years and over, NSW 2010 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 97 Difficulty accessing health care when needing it by Local Health District, persons aged 16 years and over, NSW 2010 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Western NSW 1,053 33.6 32.7 28.8 36.6 6.1 Southern NSW 484 32.8 33.2 27.4 39.1 9.0 Mid North Coast 567 30.8 30.5 25.4 35.6 8.5 Far West 107 28.4 31.7 18.9 44.5 20.6 Hunter New England 1,186 27.4 27.8 24.1 31.5 6.9 Northern NSW 829 24.9 23.9 20.3 27.4 7.6 Murrumbidgee 697 24.9 25.6 21.3 30.0 8.7 Central Coast 424 24.4 24.5 19.1 29.9 11.2 Illawarra Shoalhaven 520 22.4 23.0 17.5 28.6 12.3 Sydney 518 14.1 14.6 10.6 18.7 14.0 Northern Sydney 848 13.0 12.4 9.1 15.7 13.5 South Western Sydney 793 11.8 12.6 9.7 15.6 11.9 Nepean Blue Mountains 442 11.8 10.4 7.3 13.5 15.3 Western Sydney 816 11.2 10.2 7.7 12.6 12.3 South Eastern Sydney 723 10.4 10.5 7.4 13.6 15.0 NSW 10,007 18.0 17.9 16.9 19.0 3.1 Methods for indicator: Difficulty accessing health care The question used to define the indicator was: Do you have any difficulties getting health care when you need it? The indicator includes those who had difficulties getting health care when they needed it. It excludes those who said they do not need health care. 98 Difficulty accessing health care when needing it, persons aged 16 years and over, NSW, Murrumbidgee LHD, 2002 to 2010 Difficulty accessing health care when needing it, persons aged 16 years and over, NSW, Murrumbidgee LHD, 2002 to 2010 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 770 26.2 25.4 21.5 29.3 7.8 2003 801 24.5 25.7 22.0 29.3 7.2 2004 555 24.2 26.8 22.1 31.5 9.0 2005 893 25.0 20.2 16.9 23.5 8.4 2006 598 26.1 25.1 20.1 30.1 10.1 2007 946 27.2 31.8 28.0 35.6 6.1 2008 724 27.7 27.3 22.9 31.6 8.1 2009 752 27.1 25.1 21.0 29.1 8.2 2010 697 24.9 25.6 21.3 30.0 8.7 99 Able to ask neighbours to care for a child by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 100 Able to ask neighbours to care for a child by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 764 65.9 65.9 60.3 71.4 4.3 Southern NSW 824 63.6 63.4 58.4 68.3 4.0 Murrumbidgee* 1,026 63.1 63.2 58.9 67.4 3.4 Western NSW 717 62.4 62.4 56.8 68.0 4.6 Mid North Coast 827 62.3 62.4 57.6 67.2 3.9 Northern NSW 773 61.1 61.2 56.3 66.0 4.0 Nepean Blue Mountains 736 60.9 60.8 55.6 66.1 4.4 Hunter New England 713 58.4 58.5 53.4 63.7 4.5 Central Coast 794 58.1 58.0 52.8 63.1 4.5 South Eastern Sydney 806 57.8 58.0 53.2 62.7 4.2 Far West 796 55.8 54.6 49.9 59.3 4.4 Illawarra Shoalhaven 840 55.5 55.8 51.1 60.5 4.3 Sydney 871 52.0 52.3 48.2 56.5 4.0 Western Sydney 864 50.5 50.8 46.1 55.4 4.7 South Western Sydney 835 42.9 43.0 38.5 47.5 5.3 All LHDs 12,186 56.6 56.7 55.3 58.2 1.3 Methods for indicator: Able to ask neighbours to care for child The indicator includes those who would definitely or possibly be able to ask someone in their neighbourhood for help to care for a child. The question used to define the indicator was: If you were caring for a child and needed to go out for a while, and could not take the child with you, would you ask someone in your neighbourhood for help? 101 Able to ask neighbours to care for a child, persons aged 16 years and over: Murrumbidgee* LHD, 2005 to 2011 Able to ask neighbours to care for a child, persons aged 16 years and over: Murrumbidgee* LHD, 2005 to 2011 Year 2005 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 868 64.5 64.6 60.5 68.6 3.2 2007 503 69.1 68.4 62.9 73.9 4.1 2008 592 67.8 69.0 63.9 74.1 3.7 2009 540 65.7 65.0 59.5 70.5 4.3 2011 1,026 63.1 63.2 58.9 67.4 3.4 102 Running into friends while shopping in local area by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 103 Running into friends while shopping in local area by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Far West 848 94.0 93.8 91.3 96.3 1.4 Murrumbidgee* 1,072 91.5 91.3 89.3 93.4 1.1 Western NSW 750 91.3 91.5 88.7 94.3 1.6 Southern NSW 858 90.0 89.3 86.7 92.0 1.5 Northern NSW 826 88.6 88.4 85.7 91.2 1.6 Mid North Coast 876 86.1 86.4 82.9 89.9 2.1 Hunter New England 754 85.6 85.6 81.7 89.4 2.3 Illawarra Shoalhaven 895 85.4 85.4 82.1 88.6 1.9 Nepean Blue Mountains 770 83.5 84.2 79.9 88.6 2.6 All LHDs 12,978 81.8 81.8 80.7 82.9 0.7 Northern Sydney 831 81.2 80.9 76.9 85.0 2.5 Central Coast 851 80.5 80.9 76.9 84.9 2.5 South Western Sydney 914 79.9 80.0 76.5 83.5 2.2 South Eastern Sydney 860 79.0 78.9 75.1 82.7 2.5 Western Sydney 921 75.3 75.1 71.1 79.1 2.7 Sydney 952 73.0 73.3 69.9 76.7 2.4 Methods for indicator: Running into friends or acquaintances when shopping in local area The indicator includes those who run into friends and acquaintances when shopping in their local area at least some of the time. The question used to define the indicator was: When you go shopping in your local area how often are you likely to run into friends and acquaintances? 104 Running into friends while shopping in local area, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Running into friends while shopping in local area, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 801 92.5 92.5 90.2 94.7 1.2 2003 824 92.2 91.9 89.5 94.3 1.3 2005 908 92.3 93.6 91.8 95.4 1.0 2006 612 92.5 91.7 89.2 94.2 1.4 2007 522 92.7 91.7 88.1 95.2 2.0 2008 621 92.7 92.9 90.4 95.3 1.4 2009 559 92.7 93.4 91.2 95.6 1.2 2011 1,072 91.5 91.3 89.3 93.4 1.1 105 Feeling safe walking after dark by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 106 Feeling safe walking after dark by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 802 90.7 90.8 88.7 93.0 1.2 Southern NSW 818 85.6 85.5 82.4 88.6 1.8 South Eastern Sydney 828 76.7 76.4 72.2 80.6 2.8 Mid North Coast 836 76.2 76.3 72.5 80.1 2.5 Murrumbidgee* 1,031 76.2 76.3 72.8 79.8 2.3 Nepean Blue Mountains 741 76.1 75.7 71.5 80.0 2.9 Western NSW 702 75.3 75.7 71.5 79.9 2.8 Western Sydney 890 74.8 74.3 70.5 78.1 2.6 Sydney 922 73.7 73.5 69.9 77.1 2.5 Illawarra Shoalhaven 856 73.2 73.0 68.9 77.0 2.8 Northern NSW 788 72.0 72.3 68.2 76.4 2.9 Far West 803 70.8 71.5 67.4 75.5 2.9 Hunter New England 719 70.7 70.7 65.9 75.4 3.4 Central Coast 826 70.0 70.0 65.6 74.5 3.3 South Western Sydney 855 67.1 67.1 62.9 71.2 3.1 All LHDs 12,417 75.5 75.4 74.2 76.6 0.8 Methods for indicator: Feeling safe walking down their street after dark The indicator includes those who strongly agree or agree that they feel safe walking down their street after dark. The question used to define the indicator was: Do you strongly agree, agree, disagree or strongly disagree with the statement 'I feel safe walking down my street after dark'? 107 Feeling safe walking down their street after dark, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Feeling safe walking down their street after dark, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 776 67.7 67.6 63.5 71.6 3.1 2003 798 70.2 70.4 66.8 74.1 2.6 2005 878 72.4 72.6 69.0 76.2 2.5 2006 596 72.7 72.0 67.5 76.6 3.2 2007 503 72.8 72.5 67.8 77.2 3.3 2008 606 72.9 74.5 70.3 78.8 2.9 2009 529 73.4 72.4 67.4 77.4 3.5 2011 1,031 76.2 76.3 72.8 79.8 2.3 108 Sad to leave neighbourhood by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 109 Sad to leave neighbourhood by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 793 78.7 79.0 74.9 83.2 2.7 Northern NSW 798 77.6 77.3 73.3 81.4 2.7 South Eastern Sydney 841 77.1 76.4 72.2 80.6 2.8 Far West 824 75.8 75.3 71.4 79.2 2.7 Mid North Coast 858 74.7 74.0 69.7 78.3 3.0 Western NSW 728 74.4 74.3 69.3 79.4 3.5 Central Coast 832 74.3 74.8 70.6 79.0 2.9 Illawarra Shoalhaven 865 72.9 73.8 69.6 78.0 2.9 Murrumbidgee* 1,045 72.7 73.6 69.8 77.4 2.6 Southern NSW 838 71.9 72.4 67.5 77.3 3.4 Nepean Blue Mountains 750 71.6 71.7 66.5 76.9 3.7 Sydney 915 70.3 70.9 67.1 74.7 2.8 Hunter New England 729 69.3 69.4 64.6 74.3 3.6 Western Sydney 888 65.9 66.8 62.5 71.1 3.3 South Western Sydney 874 64.1 64.1 59.6 68.6 3.6 All LHDs 12,578 71.9 72.1 70.8 73.4 0.9 Methods for indicator: Sad to leave neighbourhood The indicator includes those who would be sad if they had to leave their neighbourhood. The question used to define the indicator was: Would you be sad if you had to leave this neighbourhood? 110 Sad to leave neighbourhood, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Sad to leave neighbourhood, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 781 76.5 77.2 73.4 81.0 2.5 2003 807 75.0 74.6 70.9 78.3 2.5 2005 889 75.1 71.4 67.5 75.2 2.8 2006 592 75.9 78.8 74.7 83.0 2.7 2007 505 76.6 79.5 75.1 83.9 2.8 2008 611 77.1 76.9 72.1 81.7 3.2 2009 543 76.8 73.7 68.6 78.9 3.6 2011 1,045 72.7 73.6 69.8 77.4 2.6 111 Most people can be trusted by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 112 Most people can be trusted by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Northern Sydney 803 89.4 89.5 85.8 93.2 2.1 Southern NSW 843 89.3 90.1 87.4 92.8 1.5 Nepean Blue Mountains 750 82.1 81.9 77.9 85.8 2.5 Murrumbidgee* 1,049 81.5 82.0 78.6 85.4 2.1 South Eastern Sydney 820 80.5 80.4 76.3 84.6 2.6 Hunter New England 736 79.9 79.5 75.1 83.9 2.8 Northern NSW 797 79.3 79.8 75.8 83.8 2.5 Mid North Coast 856 77.8 78.0 74.1 81.9 2.6 Western NSW 731 77.2 77.7 73.1 82.2 3.0 Western Sydney 876 76.4 76.6 72.7 80.5 2.6 Central Coast 825 76.4 76.5 72.1 80.9 2.9 Illawarra Shoalhaven 869 76.3 76.8 72.7 80.8 2.7 Far West 823 75.9 75.3 71.1 79.4 2.8 Sydney 892 74.9 75.1 71.4 78.8 2.5 South Western Sydney 852 70.6 70.3 66.1 74.5 3.0 All LHDs 12,522 79.1 79.2 78.0 80.4 0.8 Methods for indicator: Most people can be trusted The indicator includes those who strongly agree or agree that most people can be trusted. The question used to define the indicator was: Do you strongly agree, agree, disagree or strongly disagree with the statement 'Most people can be trusted'? 113 Most people can be trusted, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Most people can be trusted, persons aged 16 years and over: Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 783 69.3 70.3 66.0 74.5 3.1 2003 800 75.1 73.5 69.7 77.3 2.6 2005 898 78.7 78.4 74.9 81.8 2.2 2006 603 78.0 79.0 74.1 83.8 3.1 2007 514 76.7 77.9 73.4 82.3 2.9 2008 611 75.6 75.4 70.8 80.1 3.1 2009 548 75.5 74.0 68.8 79.2 3.6 2011 1,049 81.5 82.0 78.6 85.4 2.1 114 Visiting neighbours by Local Health District, persons aged 16 years and over, NSW 2011 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 115 Visiting neighbours by Local Health District, persons aged 16 years and over, NSW 2011 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Murrumbidgee* 1,075 71.1 71.1 67.2 75.0 2.8 Northern NSW 826 70.8 70.6 66.5 74.8 3.0 Hunter New England 754 69.5 69.9 65.2 74.7 3.5 Western NSW 751 67.6 67.9 63.0 72.8 3.7 Mid North Coast 877 67.4 67.0 62.4 71.5 3.5 Nepean Blue Mountains 772 65.1 64.7 59.9 69.4 3.8 Southern NSW 861 64.6 63.6 58.8 68.5 3.9 Central Coast 855 64.3 65.5 60.7 70.3 3.8 Far West 846 64.2 63.8 59.3 68.2 3.6 Illawarra Shoalhaven 895 64.0 64.3 59.9 68.7 3.5 South Eastern Sydney 863 60.2 60.4 55.8 65.1 3.9 Sydney 953 60.0 60.9 57.1 64.8 3.2 Northern Sydney 830 59.0 59.1 53.6 64.6 4.7 Western Sydney 922 57.8 58.2 53.7 62.8 4.0 South Western Sydney 915 53.7 54.0 49.5 58.4 4.2 All LHDs 12,995 62.2 62.5 61.1 63.9 1.2 Methods for indicator: Visited neighbours at least once in the previous week The indicator includes those who visited someone in their neighbourhood at least once in the last week. The question used to define the indicator was: How often have you visited someone in your 116 Visiting neighbours, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 Visiting neighbours, persons aged 16 years and over, Murrumbidgee* LHD, NSW 2002 to 2011 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 806 71.8 71.7 67.8 75.7 2.8 2003 824 72.8 73.1 69.4 76.8 2.6 2005 907 71.6 69.9 66.1 73.7 2.8 2006 615 70.2 73.9 69.6 78.3 3.0 2007 523 68.7 65.0 59.4 70.6 4.4 2008 619 67.7 69.4 64.5 74.3 3.6 2009 561 67.5 67.2 61.9 72.5 4.1 2011 1,075 71.1 71.1 67.2 75.0 2.8 117 Influenza immunisation by Local Health Districts, persons aged 65 years and over, NSW 2012 Sources NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes Smoothed estimates are shown in the graph. Both the smoothed and actual estimates are shown in the table. The actual estimates have been statistically adjusted to minimise random variation from year to year and provide more stable smoothed estimates for population health planning and monitoring. The indicator shows self-reported data collected through Computer Assisted Telephone Interviewing (CATI). Estimates were weighted to adjust for differences in the probability of selection among respondents and were benchmarked to the estimated residential population using the latest available Australian Bureau of Statistics mid-year population estimates. Murrumbidgee * Local Health District includes Albury Local Government Area. 118 Influenza immunisation by Local Health Districts, persons aged 65 years and over, NSW 2012 Local Health Districts Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) Hunter New England 259 74.3 72.8 64.4 81.2 5.9 Murrumbidgee* 403 74.3 72.7 56.0 89.4 11.7 Southern NSW 308 73.1 69.6 61.4 77.7 6.0 Central Coast 358 72.8 70.7 64.5 76.9 4.5 Mid North Coast 376 72.5 70.0 63.3 76.8 4.9 Northern NSW 305 71.7 70.9 64.3 77.4 4.7 Western NSW 305 71.7 68.4 60.1 76.8 6.2 Western Sydney 138 70.6 71.3 59.8 82.9 8.2 Illawarra Shoalhaven 271 70.5 69.6 62.2 76.9 5.4 South Eastern Sydney 172 69.2 66.4 53.5 79.2 9.9 Sydney 161 68.5 67.3 57.6 76.9 7.3 Northern Sydney 256 68.1 65.8 56.8 74.8 7.0 Far West 291 67.9 66.5 58.2 74.7 6.3 Nepean Blue Mountains 254 67.2 61.0 52.6 69.3 7.0 South Western Sydney 162 64.9 61.8 48.5 75.1 11.0 All LHDs 4,019 70.4 68.4 65.3 71.4 2.3 Methods for indicator: Immunised against influenza or pneumococcal disease Because influenza immunisation significantly reduces morbidity and preventable mortality, it is recommended and funded for all people aged 65 years and over, Aboriginal and Torres Strait Islander people aged 15 years and over, pregnant women, and people aged 6 months or over with conditions predisposing to severe influenza. The indicator includes those aged 65 years and over who have been immunised against influenza in the last 12 months. The questions used to define the indicator were: Were you vaccinated or immunised against flu in the 119 Influenza immunisation, persons aged 65 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Influenza immunisation, persons aged 65 years and over, Murrumbidgee* LHD, NSW 2002 to 2012 Year 2002 Number of Respondents Smoothed estimate (Per cent) Actual estimate (Per cent) LL 95% CI UL 95% CI Relative Standard Error (Per cent) 218 73.6 76.9 70.9 82.9 4.0 2003 231 73.8 73.9 67.4 80.3 4.4 2004 154 73.3 71.8 63.2 80.4 6.1 2005 272 72.5 73.1 66.1 80.1 4.9 2006 192 71.4 72.2 64.8 79.7 5.3 2007 191 70.5 65.5 56.8 74.2 6.8 2008 192 69.8 68.9 61.5 76.3 5.5 2009 271 69.6 73.4 67.8 79.1 3.9 2010 237 70.1 70.6 64.1 77.1 4.7 2011 410 71.6 72.6 67.4 77.8 3.7 2012 403 74.3 72.7 56.0 89.4 11.7 120