Aboriginal Health Data for Our Region Newcastle/Hunter Aboriginal - PowerPoint PPT Presentation

Aboriginal Health Data for Our Region Newcastle/Hunter Aboriginal Partnership Forum Planning Day July 2017

Aboriginal Health Needs Assessment • Aimed to identify local health priorities for action, and inform and guide our activities in achieving better health outcomes for Aboriginal communities across the region.

Aboriginal Health Needs Assessment • A range of publicly available quantitative data was collated, along with general practice and workforce data held internally. • Key data sources: • Australian Bureau of Statistics • Australian Childhood Immunisation Register • Australian Government Department of Human Services • Australian Health Ministers’ Advisory Council • Australian Indigenous Health Info Net • Australian Institute of Health and Welfare • Cancer Institute NSW • Centre for Epidemiology and Evidence • Public Health Information Development Unit

Aboriginal Health Needs Assessment PEN CAT Data • As at 31 st July 2016, 117 General Practices had submitted data using the online PAT CAT data tool, providing aggregated data for almost 1,000,000 patients across the region. This represented one quarter of general practices and did not include any Aboriginal Medical Services. • Just under 4% of all data submitted was for patients identified as Aboriginal and/or Torres Strait Islander. For Aboriginal and Torres Strait Islander patients, practice data submissions were evenly spread between major cities (50%) and inner regional areas (38%), with the remainder (12%) from outer regional and remote areas.

Aboriginal Health Needs Assessment • Interviewed stakeholders from across the region between July and September 2016. This information was integrated with quantitative data to supplement, support and build a deeper understanding of health needs and issues. • Stakeholder groups represented included: Aboriginal consumers and communities; Aboriginal Medical Services; General Practitioners and other general practice staff; private health providers; non-government organisations; and local, state and commonwealth government organisations. • Conducted a literature review examining the experience of health service access for Aboriginal people.

Demographics

Age Distribution Percentage of the local Aboriginal population within each age group • Note the young age profile, with the greatest proportions aged 24 years and • younger Age Groups (%), Aboriginal Persons, 2016 ERP Region 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Lake Macquarie LGA 13.1 10.8 10.7 10.7 9.7 7.5 6.1 5.0 5.2 5.2 4.4 4.0 2.9 4.7 Maitland LGA 13.5 11.6 10.8 10.3 10.4 7.4 6.0 5.6 5.1 4.9 4.3 3.3 2.9 3.8 Newcastle LGA 12.5 10.0 9.6 10.4 11.2 8.1 6.3 5.3 5.2 5.0 4.5 4.0 3.2 4.6 HNECC 12.3 11.6 11.0 10.8 9.8 7.2 6.0 4.9 5.1 5.1 4.6 4.0 2.9 4.7 NSW 12.0 11.2 10.7 10.7 9.7 7.7 6.2 5.0 5.3 5.3 4.6 4.0 2.9 4.7 Australia 11.8 11.1 10.7 10.5 9.7 8.2 6.7 5.4 5.5 5.3 4.5 3.7 2.7 4.2

Age Distribution Number of Aboriginal people in each age group in the Lake Macquarie, • Maitland and Newcastle LGAs. Age Groups (numbers), Aboriginal Persons, 2016 ERP LGA 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Total Lake 1,014 837 828 826 752 580 473 389 403 399 339 306 224 362 7,734 Macquarie Maitland 475 410 382 364 365 260 211 198 180 173 150 117 103 133 3,521 Newcastle 697 558 539 583 626 454 355 294 293 281 251 222 180 259 5,593

General Practice Data • Data extracted from PATCAT clinical data aggregation tool (25 July 2017) • Includes only General Practices submitting data in Lake Macquarie, Maitland and Newcastle LGAs – 60 out of a total 150 practices • Data restricted to active patients (those seen 3 or more times within the last 3 years as per RACGP definition) Total active patients at 25 July 2017 254,928 Total Aboriginal or Torres Strait Islander patients 8,437 Total Non-Indigenous patients 195,974 Total patients where Indigenous status was not recorded 50,517

General Practice Data

Socioeconomic Disadvantage • There is strong evidence that socioeconomic disadvantage directly correlates with poor health, higher incidence of risky health behaviours and reduced access to health care services. • Stakeholders have identified that socioeconomic disadvantage is contributing to poorer health outcomes for Aboriginal people across the region.

IRSEO values closer to 100 = most socioeconomically disadvantaged IRSEO values closer to 0 = least socioeconomically disadvantaged Newcastle (15), Maitland (28) and Lake Macquarie (28) have lower IRSEO values, so are among the least socioeconomic disadvantaged LGAs in our region, and are less disadvantaged than the averages for NSW (41) and Australia (46).

Life Expectancy • Life expectancy for the Aboriginal population is around 10 years less than the non-Indigenous population due to higher rates of fertility and deaths occurring at younger ages • The increased prevalence of health risk factors and chronic illness contributes substantially to the shorter life expectancy

Chronic Disease

Chronic Disease • Aboriginal people experience higher rates of chronic disease. In 2012-13, in the HNECC PHN region, 73% of Aboriginal people reported having a long-term health condition, with 21.2% having one condition and 51.9% having two or more conditions • Of particular concern to stakeholders are diabetes, cancer and kidney disease

Chronic Disease Based on PAT CAT data extracted 25.7.17, in Lake Macquarie, Maitland and Newcastle LGAs, higher proportions of Aboriginal patients had COPD, asthma, mental health, anxiety and depression compared to non- Indigenous patients. Note: COPD and Mental Health figures include patients diagnosed with these diseases as well as patients whose profile indicates they have these diseases although it was not recorded in their medical record.

Diabetes • In 2012-13, in Australia, 4.7% of Aboriginal adults were at a high risk of developing diabetes • Aboriginal adults are 1.8 times as likely to be at a high risk of diabetes than non-Indigenous adults • Aboriginal people are hospitalised for diabetes at 4 times the rate for non-Indigenous people. • In NSW in 2015, 17.2% of Aboriginal adults aged 16 years+ had diabetes or high blood glucose, more than two times the non-Indigenous rate (8.5%) • Health professionals in our region have identified diabetes as a health need for Aboriginal people

Chronic Kidney Disease (CKD) • In 2010-12, the rate of treated end stage kidney disease was over 6 times higher for Aboriginal people • In 2012-13, 45% of hospitalisations of Aboriginal people were due to CKD, with 99% of these being for dialysis, the leading cause of hospitalisation among Aboriginal people • Over this period, Aboriginal people were 10 times as likely to be hospitalised for CKD as non-Indigenous people • Health professionals in our region have identified kidney disease as a health need for Aboriginal people

Cancer and Smoking

Cancer • Aboriginal communities have a higher incidence of cancer than non- Indigenous communities (461 per 100,000 compared with 434 per 100,000) • Aboriginal people are more likely to die from cancer than non- Indigenous people (252 per 100,000 compared with 172 per 100,000) • Lung cancer is the most commonly diagnosed cancer for Aboriginal people followed by breast cancer for females, than colorectal cancer and prostate cancer • Cervical cancer occurs in Aboriginal women at 4 times the rate of non- Indigenous women • Health professionals in our region have identified cancer as a health need for Aboriginal people.

Breast Screening • In 2014-15, the breast screening participation rate for all women aged 50-69 years in the HNECC region was 57.5% (NSW: 51.6%). • Breast screening participation rates for Aboriginal women were lower, at 52% for the HNECC region (NSW: 40.2%). The participation rates for • Newcastle (51.8%: N=313), Lake Macquarie (57.7%: N=390) and Maitland (61.5%: N=171) were higher than the NSW rate.

Cervical and Bowel Screening • General practice data indicates that Aboriginal women across the HNECC region are approximately 40% less likely than non-Indigenous women to participate in cervical screening • Data on participation in Bowel Screening by Aboriginal people is of poor quality, however the participation rates for the total population aged 50-74 years are low, in 2015: • Lake Macquarie 41% • Maitland 37% • Newcastle 37.5% • HNECC 38.1%

Smoking • In the HNECC region in 2012-13, 36.7% of Aboriginal people aged 15 years+ smoked daily • In NSW in 2015, 34.9% of Aboriginal adults aged 16 years and over were current smokers at more than two and a half times the non-Indigenous rate (12.9%) • Smoking has been identified by health Current smoking by Aboriginality, persons aged 16 years professionals in HNECC region as an area and over, NSW 2015, (Centre for Epidemiology and Evidence, NSW Ministry of Health). of need for Aboriginal people