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Statistics about long-term health conditions, disability, lifestyle factors, physical harm and use of health services
Chronic conditions are long-term health conditions that contribute to premature mortality and morbidity. People diagnosed with one or more chronic conditions often have complex health needs, poorer quality of life and die prematurely [1]. More than four in 10 (46%) people had one or more selected chronic conditions [2], up from 2012–13 (40%). The proportion of people with one or more selected chronic conditions was:
Asthma is a chronic condition that can usually be managed through treatment, such as medication use and managing lifestyle behaviours, which can assist in avoiding and reducing asthma symptoms [1]. More than one in 10 (16%) people reported having asthma, about the same as in 2012–13 (18%). The proportion of people with asthma was:
Chronic obstructive pulmonary disease is a chronic condition associated primarily with smoking and environmental factors such as working or living in areas where there is dust, gas, chemical fumes, smoke or air pollution [2]. More than three in 100 (3.4%) people reported having chronic obstructive pulmonary disease, about the same as in 2012–13 (4.1%). The proportion of people with chronic obstructive pulmonary disease was:
Diabetes is a chronic condition which, if left undiagnosed or poorly managed, can lead to heart attack, stroke, kidney disease, limb amputation, depression, anxiety or blindness [1]. The two most common forms of diabetes are Type 1 and Type 2. Diabetes was the second leading cause of death for Aboriginal and Torres Strait Islander people in 2018 [2]. The proportion of people who reported having diabetes remained steady at 8%, the same as in 2012–13. The proportion of people with diabetes was:
Heart disease encompasses a number of chronic conditions associated with lifestyle risk factors such as smoking, high cholesterol, high blood pressure, diabetes, being inactive, being overweight and an unhealthy diet [1]. Heart disease was the leading cause of death for Aboriginal and Torres Strait Islander people in 2018 [2]. The proportion of people who reported having heart disease increased from 4% in 2012–13 to 5% in 2018–19. The proportion of people with heart disease was:
Kidney disease is a chronic condition which is often associated with other chronic conditions such as diabetes and heart disease. If kidney disease is detected early enough, the progress of the disease can be slowed and sometimes halted [1]. The proportion of people who reported having kidney disease (1.8%) was about the same as in 2012–13 (1.7%). The proportion of people with kidney disease was:
Mental and behavioural conditions encompass a number of chronic conditions resulting from a complex interplay of biological, social, psychological, environmental and economic factors, and can significantly affect how a person feels, thinks, behaves and interacts with other people [1]. Around one-quarter (24%) of people aged two years and over reported having a mental or behavioural condition [2]. The proportion of people with a mental or behavioural condition was:
Depression (including feelings of depression) was the second most common condition reported (13%). The proportion of females who reported depression (16%) was higher than for males (10%).
Anxiety and depression were the most common conditions reported for most age groups. The only exception was for children aged 2–14 years, where behavioural or emotional problems (11%) was the most common condition. A person’s level of psychological distress [4] provides an indication of their mental health and wellbeing. Around three in 10 (31%) people aged 18 years and over experienced high or very high levels of psychological distress. The proportion of people who experienced high or very high levels of psychological distress was:
For many people, hearing impairment is caused by long-term otitis media (middle ear infection) in childhood. Children who experience hearing impairment may have difficulty following what is being taught at school, which may lead to poorer educational and employment outcomes in later life [1]. The proportion of people who reported having ear disease or hearing problems remained about the same between 2012–13 (12%) and 2018–19 (14%). The proportion of people with ear disease or hearing problems was:
The proportion of people with ear disease or hearing problems generally increased with age. It increased from more than one in 10 for people aged 25–34 years (12%) or 35–44 years (15%) to more than three in 10 (34%) for people aged 55 years and over.One in 10 (10%) people reported having partial or complete deafness in one or both ears. The proportion of children aged 0–14 years who were deaf in one or both ears (4%) was about the same as in 2012–13 (3%) [2]. The proportion of children aged 0–14 years with long-term otitis media also did not change between 2012–13 and 2018–19 (both 3%) [2]. A voluntary hearing test was also offered at the time of interview for people aged seven years and over without a cochlear implant. See Hearing data (appendix) for more information. The hearing test indicated more than four in 10 (43%) people aged seven years and over had a hearing impairment in one or both ears at the time of interview. The proportion of people with a measured hearing impairment:
Hearing impairment measured at the time of interview does not necessarily indicate a long-term hearing impairment. For example, a hearing impairment on the day of the test may have been due to a temporary cause (like a cold) or limitations with the hearing test (such as being undertaken with background noise present rather than in a soundproof room). However, the difference between reported and measured hearing impairment suggests a person may require further medical review for undiagnosed or untreated hearing impairment. Overall, almost eight in 10 (79%) people who had a measured hearing impairment in at least one ear did not report having a long-term hearing impairment. The proportion of people with measured hearing impairment was:
There are many different kinds of disability — some result from accidents, illness or genetic disorders, while others have no known cause. People with more restrictive disabilities may have difficulty with mobility, communication or caring for themselves. Having a disability may also affect a person’s participation in education, employment and social or community activities. Almost four in 10 (38%) people reported they had a disability. The proportion of people with disability was about the same for:
1. Refers to people with a profound or severe limitation when performing at least one selected task related to mobility, communication or self-care. See Disability in Methodology. In general, alcohol is consumed in Australia at levels of low immediate risk. However, some people drink at levels that may increase their risk of developing health problems over the course of their life, as well as increasing their risk of alcohol-related injury. A person’s alcohol consumption risk level was assessed using the National Health and Medical Research Council’s 2009 guideline for single occasion risk [1]. More than half (54%) of people aged 18 years and over had exceeded the single occasion risk guideline (more than four standard drinks on one occasion in the last 12 months). The proportion of people who had exceeded the single occasion risk guideline was:
A person’s alcohol consumption risk level was assessed using the National Health and Medical Research Council’s 2009 guideline for lifetime risk [1]. Two in 10 (20%) people aged 18 years and over had exceeded the lifetime risk guideline (consumed more than two standard drinks per day on average). The proportion of people who exceeded the lifetime risk guideline was:
The proportion of people aged 18 years and over who had exceeded the lifetime risk guideline was three times higher for males (30%) than females (10%). For those aged 18–24 years, the proportion for males (33%) was around four times higher than the proportion for females (8%). Around one-quarter (26%) of people aged 18 years and over had not consumed alcohol in the last 12 months or had never consumed alcohol, up from 2012–13 (23%). The proportion of people who had not consumed alcohol or never consumed alcohol was:
A balanced diet, including sufficient fruit and vegetables, reduces a person's risk of developing conditions such as heart disease and diabetes. Fruit and vegetable consumption is assessed using the National Health and Medical Research Council’s 2013 Australian Dietary Guidelines [1]. Almost four in 10 (39%) people aged 15 years and over met the guidelines for the recommended number of serves of fruit per day. The proportion of people who met the fruit guidelines was:
Source(s): 2012-13 National Aboriginal and Torres Strait Islander Health Survey Four per cent of people aged 15 years and over met the guidelines for the recommended number of serves of vegetables per day. The proportion of people who met the vegetable guidelines was:
Sugar sweetened and diet drinks have little nutritional value and are not an essential part of a healthy diet. High and frequent intake of these drinks may lead to adverse health outcomes, such as dental caries, high blood pressure, Type 2 diabetes, heart disease and an increased risk of weight gain. Around seven in 10 (71%) people aged 15 years and over usually consumed sugar sweetened drinks or diet drinks at least once a week. The proportion of people who usually consumed sugar sweetened or diet drinks was:
Being overweight or obese increases a person's risk of developing long-term health conditions such as heart disease, high blood pressure and Type 2 diabetes, while being underweight can also be a health risk factor for some people. Body Mass Index is an index of weight-for-height, used to classify people as underweight, normal weight, overweight or obese. Based on their measured height and weight:
The proportion of people who were obese was higher for females (45%) than for males (40%). However, there were no significant differences in the proportion of males and females who were:
The proportion of people who were overweight/obese was:
The increase between 2012–13 and 2018–19 was driven by the proportion of people who were overweight or obese increasing from 67% to 73% in non-remote areas.
Source(s): 2012-13 National Aboriginal and Torres Strait Islander Health Survey The proportion of people who were overweight or obese increased with age from 15–17 years (42%) until it steadied at around 80% for people aged 35–44 years and over [3]. Waist circumference is a commonly used measure of whether a person is of a healthy weight. It provides a good estimate of body fat and, in conjunction with Body Mass Index, can indicate a person's potential risk of developing chronic conditions such as heart disease and Type 2 diabetes. Around seven in 10 (71%) people aged 18 years and over had a measured waist circumference that put them at increased risk of developing chronic disease [4]. The proportion of people with a measured waist circumference that put them at increased risk of developing chronic disease was:
The benefits of regular physical activity include reducing the risk of health conditions such as heart disease, Type 2 diabetes, certain forms of cancer, depression and some injuries [5]. In addition, physical activity is an important contributor for achieving and maintaining a healthy body mass. Physical activity is assessed based on an interpretation of Department of Health guidelines [6]. To meet the 2014 guidelines, people needed to do varying combinations of some or all of the following physical activities, depending on their age:
Almost nine in 10 (89%) people aged 15 years and over did not meet the physical activity guidelines for their age. There were no significant differences by sex or by age group. More than two in 10 (22%) people had done no physical activity at all in the last week. The proportion of males (20%) and females (23%) who had done no physical activity was about the same.
Healthy practices established early in life, such as a balanced diet with sufficient fruit and vegetables and limited intake of sugar sweetened and diet drinks, may continue into adolescence and adulthood, reducing a person's risk of developing conditions such as heart disease and Type 2 diabetes. Being overweight or obese in childhood may increase a person's risk of developing such health conditions later in life. Fruit and vegetable consumption is assessed using the National Health and Medical Research Council’s 2013 Australian Dietary Guidelines [1]. Almost seven in 10 (69%) children aged 2–14 years met the guidelines for the recommended number of serves of fruit each day. Seven per cent of children met the guidelines for the recommended number of serves of vegetables per day. More than six in 10 (63%) children aged 2–14 years usually consumed sugar sweetened drinks or diet drinks at least once a week. The proportion of children who usually consumed sugar sweetened drinks (59%) at least once a week was more than six times higher than those who usually consumed diet drinks (9%) at least once a week. Two in 10 (20%) children usually consumed sugar sweetened drinks daily, and 2% consumed diet drinks daily. Body Mass Index is an index of weight-for-height, used to classify people as underweight, normal weight, overweight or obese. Based on measured height and weight:
The proportion of children who were overweight or obese increased from 30% in 2012–13 [2] to 37% in 2018–19.
Source(s): 2012–13 National Aboriginal and Torres Strait Islander Health Survey There were no significant differences in the proportion of boys and girls who were:
Hypertension is a long-term health condition that can lead to serious health problems such as heart attack, stroke, heart failure or kidney disease [1]. The proportion of people who reported hypertension increased to 8%, up from 5% in 2012–13. The proportion of people with hypertension was:
The increase between 2012–13 and 2018–19 was driven by the proportion of people with hypertension doubling from 4% to 8% in non-remote areas.
Source(s): 2012-13 National Aboriginal and Torres Strait Islander Health Survey The proportion of people who reported having hypertension increased with age from 25 years and over, from 3% of people aged 25–34 years to 38% of people aged 55 years and over. Blood pressure measurements were also voluntarily taken at the time of interview for people aged 18 years and over. See Appendix - physical measurements for more information. More than two in 10 (23%) people aged 18 years and over had a high blood pressure reading at the time of interview. The proportion of people with a high reading at the time of interview was:
A high reading at the time of interview does not necessarily mean the person had hypertension. However, it can indicate a person may have undiagnosed or untreated hypertension. The gap between a high reading and reported hypertension narrowed as age increased from 25–34 years onwards.
Experiences of both physical and threatened physical harm have an impact on the levels of wellbeing experienced by individuals and communities. More than one in 10 (16%) people aged 15 years and over had experienced physical harm or threatened physical harm at least once in the 12 months prior to interview [1]. There was no significant difference between males (17%) and females (14%). Six per cent of people aged 15 years and over had experienced physical harm at least once in the last 12 months. The proportion was the same for males and females (both 6%). For all experiences of physical harm in the last 12 months, a higher proportion of females (74%) than males (56%) identified an intimate partner/family member as at least one of the offenders [2]. More than seven in 10 (72%) people were physically injured in their most recent experience of physical harm. The proportion of people who were injured was about the same for males (75%) and females (72%). More than four in 10 (44%) people reported their most recent experience of physical harm to the police. The proportion of females who reported it (59%) was more than double the proportion for males (28%). More than one in 10 (13%) people aged 15 years and over had experienced threatened physical harm at least once in the last 12 months. There was no significant difference between males (13%) and females (11%). A higher proportion of people had experienced at least one threat face-to-face (9%) than non-face-to-face (6%). Face-to-face threats were more common than non-face-to-face for both males (9% compared with 6%) and females (8% compared with 5%). Of those who had experienced at least one face-to-face threat:
Around six in 10 (61%) people who had received at least one non-face-to-face threat had received at least one of those threats via text message, phone, email or writing.
Tobacco smoking is one of the main preventable causes of death. It is associated with an increased risk of a wide range of health conditions, including heart disease, diabetes, stroke, cancer, kidney disease, eye disease and respiratory conditions such as asthma, emphysema and bronchitis. Around four in 10 (41%) people aged 15 years and over were current smokers — 37% smoked every day and 3% smoked but not every day. The proportion of people who smoked every day was:
People aged 15 years and over who smoked every day averaged 12 cigarettes per day. The proportion of people aged 18 years and over who smoked every day steadily decreased in non-remote areas over the last 14 years, from 49% in 2004–05 to 37% in 2018–19, while the proportion in remote areas did not change significantly.
Source(s): 2001 National Health Survey, 2004–05 National Aboriginal and Torres Strait Islander Health Survey, 2012–13 National Aboriginal and Torres Strait Islander Health Survey More than two in 10 (22%) people aged 15 years and over were ex-smokers. The proportion of people who were ex-smokers was:
More than three in 10 (37%) people aged 15 years and over had never smoked. The proportion of people who had never smoked was:
There was no change in the proportion of people who had never smoked between 2012–13 and 2018–19 (both 37%). However, the proportion of young people who had never smoked increased — from 77% to 85% for those aged 15–17 years and from 43% to 50% for those aged 18–24 years.
Source(s): 2012–13 National Aboriginal and Torres Strait Islander Health Survey The use of substances for non-medical purposes can lead to health problems including heart disease, liver problems, blood-borne viruses (like hepatitis and HIV), and mental health problems, as well as accidents or injuries leading to hospitalisation or death [1]. More than one-quarter (28%) of people aged 15 years and over had used substances for non-medical purposes in the previous year [2], up from 22% in 2012–13 [3]. The proportion of people who had used substances was:
Marijuana was the most commonly reported substance used by people aged 15 years and over. In the previous year:
The most common age group(s) for people who had used each substance varied.
Self-assessed health status is a useful measure of a person's current health status and also provides a broad picture of a population's overall health. The proportion of people aged 15 years and over who rated their own health as excellent or very good improved, up from 39% in 2012–13 to 45% in 2018–19. More than three in 10 (32%) people rated their own health as good, down from 36% in 2012–13.
Source(s): 2012-13 National Aboriginal and Torres Strait Islander Health Survey There was no significant difference between the proportion of males and females who rated their own health as:
There was no difference in the proportion of people living in non-remote and remote areas who rated their own health as excellent or very good (both 45%). However, the proportion of people who rated their health as fair or poor was higher for people living in non-remote areas (25%) than remote areas (20%). Regular monitoring of health may help prevent illness or injury. Consultations with health professionals can assist in many ways, including the treatment and management of short-term illnesses and injuries and long-term health conditions, monitoring lifestyle risk factors, and general maintenance of good health. A majority of people (86%) had seen a general practitioner (GP) or specialist in the last 12 months. The proportion of people who had seen a GP or specialist was higher for:
There was no significant difference between children and adults — 84% for those aged 0–17 years and 87% for those aged 18 years and over. More than one in 10 (13%) people said they had needed to see a GP in the last 12 months but had not gone to one on at least one occasion.
Almost seven in 10 (68%) people living in remote areas usually saw a GP who was part of an Aboriginal Medical Service or community clinic, compared with almost three in 10 (29%) in non-remote areas. More than four in 10 (44%) people aged two years and over had seen a dentist or dental professional in the last 12 months. The proportion of people who had seen a dentist or dental professional was:
More than one in 10 (17%) people had been admitted to hospital in the last 12 months. The proportion of people who had been admitted to hospital was:
More than four in 10 (46%) people reported one or more selected chronic conditions [1]. Among the states and territories, the proportion of people with one or more selected chronic conditions was:
More than one in 10 (16%) people reported having asthma. Among the states and territories, the proportion of people with asthma was lower for people living in the Northern Territory (6%) than any other state or the Australian Capital Territory [2]. More than two in 10 (24%) people aged two years and over reported having a mental or behavioural condition [3]. Among the states and territories, the proportion of people with a mental or behavioural condition was:
More than one in 10 people (14%) reported having ear disease or hearing problems. Among the states and territories, the proportion of people with ear disease or hearing problems was higher for people living in the Australian Capital Territory (21%) than any other state or the Northern Territory [4]. A person’s alcohol consumption risk level was assessed using the National Health and Medical Research Council’s 2009 guideline for single occasion risk [5]. More than half (54%) of people aged 18 years and over had exceeded the single occasion risk guideline (more than four standard drinks on one occasion in the last 12 months). Among the states and territories, the proportion of people who had exceeded this guideline was lower for people living in the Northern Territory (42%) than any other state or the Australian Capital Territory [2]. Around one-quarter (26%) of people aged 18 years and over had not consumed alcohol in the last 12 months or had never consumed alcohol. Among the states and territories, the proportion of people who had not consumed or never consumed alcohol was higher for people living in the Northern Territory (44%) than any other state or the Australian Capital Territory [2]. Physical activity is assessed based on an interpretation of Department of Health guidelines [6]. To meet the 2014 guidelines, people needed to do varying combinations of some or all of the following physical activities, depending on their age:
Around one in 10 (11%) people aged 15 years and over met the physical activity guidelines for their age. Among the states and territories, the Australian Capital Territory had the highest proportion of people who met the guidelines (21%) than any other state or the Northern Territory [4]. More than two in 10 (22%) people aged 15 years and over had done no physical activity at all in the last week. Among the states and territories, the Australian Capital Territory had the lowest proportion of people who had done no physical activity (10%) than any other state or the Northern Territory [4]. A majority of people (86%) had seen a general practitioner (GP) or specialist in the last 12 months. Among the states and territories, the proportion of people who had seen a GP or specialist was higher for the Australian Capital Territory (94%) than any other state and territory, except Victoria and Tasmania [4].
15/09/2020 - A feature article about the under-reporting of hearing impairment in the Aboriginal and Torres Strait Islander population has been added.Information about response rates and imputation rates for the hearing test by remoteness has been added to the Hearing data appendix. A reference to "undiagnosed or untreated hearing impairment" has been changed to "unreported hearing impairment", and a footnote has been added.In the hearing data cubes, Table 33 has been renumbered as Table 33a and a new table inserted as Table 33b. Labour force data for people aged 18–64 years has been added to Table 34. 31/07/2020 - Replacement of the following Pdf files in the Data downloads section:
23/06/2020 - State and territory and regional information about Aboriginal and Torres Strait Islander peoples' self-assessed health status, health conditions, lifestyle factors, physical measurements and dietary indicators has been added:
The hearing content released on 26 March 2020 has been replaced to implement changes to some of the terminology used. No changes were made to the data. Data Cube for Tasmania has been updated. No data changes. 26/05/2020 - A correction has been applied to total persons with and without a disability. People with an impairment but no core activity limitation or schooling/employment restriction have been moved from total persons without a disability to total persons with a disability. This correction has been applied to the commentary in the 'Disability' section and data cubes 2 to 5. The wording of the definition of 'disability' has also been improved in the Glossary and Explanatory notes, and definitions for 'limitation', 'restriction (schooling or employment)' and 'impairment' have been added to the Glossary. 26/03/2020 - Information covering the hearing test results has been added:
This release previously used catalogue number 4715.0. |