1. ©2016 Australian Indigenous HealthInfoNet Core funding is provided by Australian Department of Health Key facts, figures and tables Overview of Australian Aboriginal and Torres Strait Islander health status 2015

2. 2 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet The Aboriginal and Torres Strait Islander population At 30 June 2015, the estimated Australian Aboriginal and Torres Strait Islander population was 729,048 people. For 2015, it was estimated that NSW had the highest number of Indigenous people (225,349 people, 31% of the total Indigenous population). For 2015, it was estimated that the NT had the highest proportion of Indigenous people in its population (30% of the NT population were Indigenous, 73,396 people).

3. 3 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2015, around 35% of Aboriginal and Torres Strait Islander people lived in a major city. There was a 21% increase in the number of Indigenous people counted in the 2011 Census compared with the 2006 Census. The Indigenous population is much younger than the non-Indigenous population.

4. 4 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Estimated Aboriginal and Torres Strait Islander (Indigenous) population, by jurisdiction, Australia, 30 June 2015 JurisdictionIndigenous populationProportion of Australian Indigenous population (%)Proportion of jurisdiction population (%) NSW 225,349313.0 Vic 52,2997.20.9 Qld 208,026294.3 WA 95,707133.5 SA 40,6465.62.4 Tas 26,4403.65.1 ACT 6,9020.91.7 NT 73,3961030 Australia 729,048100.03.0 Note: Australian population includes Jervis Bay Territory, the Cocos (Keeling) Islands, and Christmas Island Source: ABS, 2013, 2014

5. 5 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Population pyramid of Indigenous and non-Indigenous populations, 30 June 2011 Source: ABS, 2012

6. 6 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Births and pregnancy outcome In 2014, there were 17,779 births registered in Australia with one or both parents identified as Indigenous (6% of all births registered). In 2014, Indigenous mothers were younger than non-Indigenous mothers; the median age was 25.1 years for Indigenous mothers and 30.9 years for all mothers. In 2014, total fertility rates were 2,222 births per 1,000 for Aboriginal and Torres Strait Islander women and 1,804 per 1,000 for all women.

7. 7 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2013, the average birthweight of babies born to Aboriginal and Torres Strait Islander mothers was 3,200 grams compared with 3,361 grams for babies born to non-Indigenous mothers. In 2013, the proportion of low birthweight babies born to Indigenous women was twice that of non-Indigenous women (12% compared with 6.0%).

8. 8 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-specific fertility rates, by Indigenous status of mother, selected jurisdictions, Australia, 2013 Notes: 1. Rates per 1,000 women in each age-group; the 15-19 years age group includes births by girls aged 14 years or younger. Figures are not provided for the 45-49 years age group because of the small numbers involved 2. Figures are not provided for Tas and the ACT because of the small numbers involved and doubts about the level of identification of Indigenous births, but numbers for those jurisdictions are included in figures for Australia Source: ABS, 2015 Status of mother / age-group (years) Jurisdiction NSWVicQldWASANTAustralia Indigenous mothers 15-1944346288498357 20-24103110136174121126125 25-29112109130143109100119 30-34848889100737285 35-39446254 473448 40-449.31612 7.49.411 All mothers 15-19118.41815134313 20-2443386155499348 25-2991871079910310496 30-34117123119122126106120 35-3969756370676069 40-441516131413 14

9. 9 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Total fertility rates, by Indigenous status of mother, selected jurisdictions, Australia, 2014 Notes: 1. Total fertility rate is the number of children born to 1,000 women at the current level and age pattern of fertility 2. Figures are not provided for Tas and the ACT because of the small numbers involved and doubts about the level of identification of Indigenous births. Numbers for those jurisdictions are included in figures for Australia Source: ABS, 2015 Status of mother Jurisdiction NSWVicQldWASANTAustralia Aboriginal and Torres Strait Islander mothers 1,9762,0912,4122,8632,0312,1212,222 All mothers1,7331,7361,9091,8781,8582,1041,804

10. 10 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Mean birthweights and percentage of low birthweight for babies born to Aboriginal and Torres Strait Islander mothers and all mothers, by jurisdictions, Australia, 2012 Note: 1. Low birthweight is defined as less than 2,500 grams Source: Hilder L, Zhichao Z, Parker M, Jahan S, Chambers GM, 2014 NSWVicQldWASATasACTNTAustralia Aboriginal and Torres Strait Islander mothers Mean birthweight3,2453,2983,2333,1283,1313,3133,1333,1283,211 % low birthweight10.59.611.114.514.811.014.913.611.8 All mothers Mean birthweight3,369 3,3803,3523,3383,3823,3523,3033,367 % low birthweight5.76.16.66.17.27.17.48.26.2

11. 11 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Aboriginal and Torres Strait Islander mortality In 2014, the age-standardised death rate for Aboriginal and Torres Strait Islander people was 1.8 times the rate for non-Indigenous people. Between 1998 and 2013, there was a 16% reduction in the death rates for Aboriginal and Torres Strait Islander people in WA, SA and the NT. For Indigenous people born 2010-2012, life expectancy was estimated to be 69.1 years for males and 73.7 years for females, around 10-11 years less than the estimates for non- Indigenous males and females. In 2010-2014, age-specific death rates were higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people across all age-groups, and were much higher in the young and middle adult years.

12. 12 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Aboriginal and Torres Strait Islander mortality For 2012-2014, the infant mortality rate was almost twice as high for Aboriginal and Torres Strait Islander infants than for non-Indigenous infants in NSW, Qld, WA, SA and the NT; the rate for Indigenous infants was highest in the NT. From 1998 to 2012, there were significant declines in infant mortality rates for Aboriginal and Torres Strait Islander infants. For 2013, the leading causes of death among Aboriginal and Torres Strait Islander people were coronary heart disease, diabetes, chronic lower respiratory disease and lung cancer. In 2008-2012, for direct maternal deaths the rate ratio was twice as high for Indigenous women than for non-Indigenous women.

13. 13 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates, by Indigenous status, and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2009-2013 Notes: 1. Rates per 100,000 are directly age-standardised using the 2001 Australia estimated resident population 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. Due to the incomplete identification of Indigenous status, these figures probably under-estimate the true difference between Indigenous and non-Indigenous rates Source: AIHW, 2015 JurisdictionIndigenous rateNon-Indigenous rateRate ratio NSW8045851.4 Qld9645901.6 WA1,3235522.2 SA8186111.3 NT1,4616122.4 NSW, Qld, WA, SA and the NT9855851.7

14. 14 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Expectation of life at birth in years for Indigenous people and the total population, by sex, selected jurisdictions, Australia, 2010-2012 Note: 1. This table includes two estimates for Australia. The ‘headline’ estimate includes adjustments based on Australia-wide census-related information. The headline estimates should be used in all situations except those requiring comparisons with the estimates for the states and territories, for which Australia-wide information could not be applied. The unadjusted Australian estimate should be used in situations requiring such a comparison. 2. The Australian Indigenous estimates are based on deaths in all states and territories Source: ABS, 2015 PopulationMalesFemales Indigenous Australia (unadjusted)67.472.3 Australia (headline)69.173.7 NSW70.574.6 Qld68.774.4 WA65.070.2 NT63.468.7 Total population Australia (unadjusted)79.883.2 Australia (headline)79.783.1

15. 15 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Median age at death, by Indigenous status and sex, NSW, Qld, WA, SA and the NT, 2014 Notes: 1. Information is not available for the other jurisdictions because of the relatively small numbers of deaths 2. Median age of death is the age below which 50% of deaths occur Source: ABS, 2015 Jurisdiction IndigenousNon-Indigenous MaleFemaleMaleFemale NSW57.764.179.085.3 Qld57.462.877.784.4 WA49.960.077.984.5 SA56.560.580.385.8 NT53.457.568.371.3 NSW, Qld, WA, SA and the NT55.461.578.685.0

16. 16 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-specific death rates, by Indigenous status and sex, and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2010-2014 Age-group (years) IndigenousNon-IndigenousRate ratio MalesFemalesMalesFemalesMalesFemales NSW 0 4.64.13.93.11.21.3 1-4 272416141.7 5–14 7.09.19.08.00.81.1 15-24 713545211.61.7 25-34 1608667302.42.9 35-44 345195119662.93.0 45-54 6823552741642.52.2 55-64 1,1799266473821.82.4 65+ 3,6333,7353,9523,6010.91.0 Qld 0 7.56.34.54.11.71.5 1-4 353320151.82.1 5–14 2011 8.11.81.4 15-24 1055653252.02.2 25-34 21511279362.73.1 35-44 422248129703.33.5 45-54 8794862641653.32.9 55-64 1,6211,2156313702.63.3 65+ 5,1374,0113,7453,3531.41.2

17. 17 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-group (years) IndigenousNon-IndigenousRate ratio MalesFemalesMalesFemalesMalesFemales WA 0 7.84.52.52.33.12.0 1-4 624419153.33.0 5–14 35319.19.23.93.4 15-24 20910052244.04.1 25-34 29417479293.76.1 35-44 694398121645.76.2 45-54 1,2477592341495.35.1 55-64 2,1941,5325573323.94.6 65+ 5,6294,5773,5943,1841.61.4 SA 0 7.16.13.22.52.22.5 1-4 113318 0.61.9 5–14 279.57.88.83.51.1 15-24 1006946182.23.8 25-34 21516975362.94.7 35-44 597449148854.05.3 45-54 1,1235913071783.73.3 55-64 1,5291,2296623902.33.2 65+ 3,7242,9174,0973,8300.90.8

18. 18 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-group (years) IndigenousNon-IndigenousRate ratio MalesFemalesMalesFemalesMalesFemales NT 0 14.011.93.04.14.72.9 1-4 59101344.61.722.1 5–14 465516132.84.2 15-24 26415085363.14.2 25-34 40623685274.88.6 35-44 858603113517.611.9 45-54 1,5891,3403171385.09.7 55-64 2,7512,0826833244.06.4 65+ 6,1625,9183,1192,3622.02.5 All jurisdictions 0 7.15.83.83.21.91.8 1-4 393718152.22.5 5–14 21199.68.32.2 15-24 1266649232.63.0 25-34 23713573323.24.2 35-44 508311125694.14.5 45-54 9655832691633.6 55-64 1,6521,2536313722.63.4 65+ 4,5914,1133,8603,5041.2 Notes: 1. Rates are per 100,000 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. Information is not available for Vic, Tas and the ACT because of the small number of deaths registered in thoseSource: ABS, 2015

19. 19 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Infant mortality rates, by Indigenous status and sex, and Indigenous:non-Indigenous rate ratios, NSW, Qld, SA, WA and the NT, 2012-2014 Notes: 1. Infant mortality rate is the number of infant deaths per 1,000 live births 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. The Indigenous rates are likely to be under-estimated, due to the incomplete identification of Indigenous status on births and deaths records 4. Due to the small number of deaths registered in Vic, Tas and the ACT, these jurisdictions have been excluded Source: Derived from ABS, 2015 Jurisdiction IndigenousNon-IndigenousRate ratio MalesFemalesMalesFemalesMalesFemales NSW4.64.23.73.11.21.4 Qld6.75.54.1 1.61.3 WA5.84.42.1 2.82.1 SA9.06.03.02.43.02.5 NT13123.14.24.12.9 All jurisdictions6.55.53.53.21.91.7

20. 20 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers and rates of the leading causes of Aboriginal and Torres Strait Islander deaths and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2013 Notes: 1. See source for the ICD codes for the causes of death 2. Rates are deaths per 100,000, standardised to the Australian 2001 Estimated Resident Population 3. Rate ratio is the Indigenous rate divided by the non-Indigenous rate (not shown) Source: ABS, 2015 Cause of deathNumberRateRate ratio Coronary heart disease3211271.6 Diabetes mellitus202906.0 Chronic lower respiratory disease148652.4 Lung cancer140561.8 Suicide138242.2 Cirrhosis and other liver diseases124314.7 Cerebrovascular disease122671.6 Land transport accidents72132.4 Diseases of the urinary system66353.1 Certain conditions originating in the perinatal period605.52.3

21. 21 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates, by Indigenous status and cause, and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2008-2012 Notes: 1. Due to under-identification of Indigenous deaths, these rates are likely to under-estimate the true differences between the Indigenous and non-Indigenous populations 2. Rates per 100,000 population 3. Rate ratio is the Indigenous rate divided by the non-Indigenous rate Source: AIHW, 2015 Cause of death Rate Rate ratio IndigenousNon-Indigenous Circulatory diseases262861.5 Neoplasms202241.3 External causes15752.0 Endocrine, metabolic and nutritional disorders (including diabetes)9.11034.6 Respiratory diseases7.6961.9 Digestive diseases5.6472.3 Nervous system diseases2.5240.9 Kidney diseases2.5302.6 Infectious and parasitic diseases2.4192.1 Conditions originating in the perinatal period2.14.31.6 Other causes7.4761.6 All causes1009861.7

22. 22 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of women who gave birth and maternal deaths, and maternal mortality ratios, by Indigenous status, Australia, 2008-2012 Notes: 1. Maternal mortality ratio is the number of maternal deaths divided by the number of women who gave birth (in 100,000s) 2. Due to some uncertainty about the numbers of Indigenous deaths and confinements, some caution must be exercised in the interpretation of the ratios 3. The non-Indigenous numbers and ratios include deaths for which Indigenous status was not known. This probably results in a slight, unknown over-estimate of non-Indigenous numbers and ratios, and a resultant under-estimate of the differences between Indigenous and non-Indigenous women Source: Derived from Laws, Li, Sullivan, 2010, Li, McNally, Hilder, Sullivan, 2011, Li, Zeki, Hilder, Sullivan, 2012, Zeki, Hilder, Sullivan, 2013, Hilder, Zhichao, Parker, Jahan, Chambers, 2014, Humphrey, Bonello, Chughtai, Macaldowie, Harris, Chambers, 2015 Indigenous statusWomen who gave birthMaternal deathsMaternal mortality ratio Indigenous57,979 Direct and indirect maternal deaths 813.8 Direct maternal deaths 46.9 Non-Indigenous1,428,131 Direct and indirect maternal deaths 946.6 Direct maternal deaths 453.2

23. 23 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Aboriginal and Torres Strait Islander hospitalisation In 2013-14, 4.2% of all hospitalisations were of Aboriginal and Torres Strait Islander people. In 2013-14, the age-standardised separation rate for Aboriginal and Torres Strait Islander people was 2.3 times higher than for other Australians. In 2011-13, the main cause of hospitalisation for Indigenous people was for care involving dialysis, responsible for 45% of Aboriginal and Torres Strait Islander separations.

24. 24 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of hospital separations and age-standardised separation rates, by Indigenous status and jurisdiction, and Indigenous:non-Indigenous rate ratios, NSW, Vic, Qld, WA, SA and the NT, 2013-14 Notes: 1. Rates per 1,000 population 2. Non-Indigenous rates and numbers include separations for which Indigenous status was not stated 3. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 4. Numbers and rates for the NT are for public hospitals only; separate numbers and rates are not included for Tas or the ACT, but included in totals where applicable 5. The incomplete identification of Indigenous status means that these figures probably under-estimate the true difference between Indigenous and non-Indigenous rates Source: AIHW, 2015 Jurisdiction Aboriginal and Torres Strait IslanderNon-Indigenous Rate ratio NumberRateNumberRate NSW83,5765532,787,7563531.6 Vic21,1666532,467,5124031.6 Qld99,9567951,971,1744181.9 WA85,8011,554984,5983943.9 SA23,816927701,7983782.5 NT86,5361,87437,2973195.9 Australia408,1658969,294,1393842.3

25. 25 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-specific hospital separation rates, by sex and Indigenous status, and Indigenous:non-Indigenous rate ratios, Australia, 2011-13 Notes: 1. Rates per 1,000 population 2. Non-Indigenous includes separations for which Indigenous status was not stated 3. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 4. Rates have not been adjusted for likely under-identification of Indigenous separations, so it is likely that the Indigenous rates, and hence the rate ratios, could be 25-30% higher Source: Derived from AIHW, 2015 Age-group (years) MalesFemales IndigenousNon-IndigenousRate ratioIndigenousNon-IndigenousRate ratio 0-43242641.22642021.3 5-14106971.192801.2 15-241431311.13532251.6 25-342281371.74673591.3 35-443491921.84243311.3 45-544602811.64463251.4 55-645434731.15474491.2 65+7949800.87538370.9

26. 26 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers, proportions (%), age-standardised rates, and Aboriginal and Torres Strait Islander:non- Indigenous rate ratios for leading causes of hospital separations, Australia, 2011-13 Note: Information for the NT is for public hospitals only Source: AIHW, 2015 Principal diagnosis (ICD)Number of separationsProportion of separations (%)Age-standardised separation rateRate ratio Injury, poisoning and certain other consequences of external causes 54,0797.2451.8 Pregnancy, childbirth and the puerperium44,3315.9581.3 Diseases of the respiratory system42,2095.6392.4 Diseases of the digestive system37,6125.0360.9 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 36,0544.837 1.4 Mental and behavioural disorders31,4024.2282.0 Diseases of the circulatory system22,5803.0311.5 Diseases of the genitourinary system19,7352.6211.2 Diseases of the skin and subcutaneous tissue16,3042.2142.2 Certain infectious and parasitic diseases12,5911.7101.7 Endocrine, nutritional and metabolic diseases11,0661.5122.3 Other87,58612910.7 Care involving dialysis334,265454329.9 All causes751,6981008272.2

27. 27 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Cardiovascular disease In 2012-2013, 13% of Indigenous people reported having a long-term heart or related condition; after age-adjustment, these conditions were around 1.2 times more common for Indigenous people than for non-Indigenous people. In 2013-14, hospitalisation rates for circulatory disease were twice as high for Indigenous people than for non-Indigenous people. In 2013, cardiovascular disease was the leading cause of death for Indigenous people, accounting for 24% of Indigenous deaths. In 2013, the age-adjusted death rate for Indigenous people was 1.6 times the rate for non- Indigenous people.

28. 28 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Prevalence (%) of cardiovascular disease, Indigenous people by sex and type, and Indigenous:non- Indigenous age-adjusted rate ratios, Australia, 2012-2013 Notes: 1. Prevalences are expressed as percentages 2. See source for details of specific conditions included in each CVD type Source: ABS, 2014 Cardiovascular disease type MalesFemales PrevalenceRatioPrevalenceRatio Hypertensive heart disease5.61.06.01.1 Heart, stroke and vascular diseases1.41.53.81.7 All cardiovascular disease11.11.214.21.3

29. 29 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Cancer In 2005-2009, age-adjusted cancer incidence rates were slightly lower for Indigenous people than for non-Indigenous people. In 2004-2008, the most common cancers diagnosed among Indigenous people were lung and breast cancer. In 2012-13, age-standardised hospitalisation rates for cancer were lower for Indigenous people than for non-Indigenous people. In 2013, the age-standardised death rate for cancer for Indigenous people was 1.3 times higher than for non-Indigenous people.

30. 30 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised incidence rates for selected cancers, by Aboriginal and Torres Strait Islander status, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, NSW, Qld, WA and the NT, 2005-2009 Notes: 1. Cancers are ordered by numbers among Aboriginal and Torres Strait Islander people (not shown in table) 2. Rates per 100,000 population, age-standardised to the Australian population at 30 June 2001 3. Rate ratio is the Aboriginal and Torres Strait Islander rate divided by the non-Indigenous rate 4. Due to the incomplete identification of Aboriginal and Torres Strait Islander status, these figures probably under-estimate the true difference between Aboriginal and Torres Strait Islander and non-Indigenous rates 5. Rounding may result in inconsistencies in calculated ratios Source: AIHW and Australasian Association of Cancer Registries, 2013 Primary cancerAboriginal and Torres Strait Islander peopleNon-Indigenous peopleRate ratio Lung74431.7 Breast (females)781070.7 Colorectal45590.8 Prostate (males)951560.6 Unknown primary site20111.8 Uterine (females)25151.6 Liver1552.8 Non-Hodgkin lymphoma12160.7 Cervical (females)1672.3 Pancreatic13111.3 All cancers4214431.0

31. 31 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates for selected cancers, by Indigenous status, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2008-2012 Notes: 1. Cancers are ordered by numbers among Aboriginal and Torres Strait Islander people (not shown in table) 2. Rates per 100,000 population, age-standardised to the Australian population at 30 June 2001 3. Rate ratio is the Aboriginal and Torres Strait Islander rate divided by the non-Indigenous rate 4. Due to the incomplete identification of Aboriginal and Torres Strait Islander status, these figures probably under-estimate the true difference between Aboriginal and Torres trait Islander and non-Indigenous rates 5. Rounding may result in inconsistencies in calculated ratios Source: AIHW and National Mortality Database, 2013 Primary cancerAboriginal and Torres Strait Islander peopleNon-Indigenous peopleRate ratio Lung56331.7 Liver1653.0 Breast (females)24211.1 Colorectal13160.8 Unknown primary site1491.5 Pancreatic11101.2 Prostate (males)24300.8 Cervix (females)723.4 Non-Hodgkin lymphoma560.9 Uterine (females)531.6 All cancers2211721.3

32. 32 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Diabetes In 2012-2013, 9% of Indigenous people reported having diabetes; after age-adjustment, Indigenous people were more than 3 times more likely to report having some form of diabetes than were non-Indigenous people. In 2013-14, there were 6,391 hospital separations for ICD ‘Endocrine, nutritional and metabolic diseases’ (which includes diabetes) among Aboriginal and Torres Strait Islander people accounting for 1.6% of separations identified as Indigenous. In 2013, Indigenous people died from diabetes at 6 times the rate of non-Indigenous people.

33. 33 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Proportions (%) of people reporting diabetes/high sugar levels as a long-term health condition, by Indigenous status, and age-group, Australia, 2012-2013 Note: Proportions are expressed as percentages Source: ABS, 2014

34. 34 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Social and emotional wellbeing In 2012-13, 69% of Aboriginal and Torres Strait Islander adults experienced at least one significant stressor in the previous 12 months. The most prevalent stressors were: death of a family member or close friend; serious illness; unable to get a job; alcohol or drug related problems; and mental illness. In 2012-13, after age-adjustment, Aboriginal and Torres Strait Islander people were 2.7 times as likely as non-Indigenous people to feel high or very high levels of psychological distress.

35. 35 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2013-14, there were 16,070 hospital separations with a principal diagnosis of ICD ‘Mental and behavioural disorders’ identified as Aboriginal and Torres Strait Islander. In 2009-2013, death rates for ICD ‘Intentional self-harm’ (suicide) for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT ranged from 12 per 100,000 (NSW) to 36 per 100,000 (WA) and were overall higher than for their non-Indigenous counterparts.

36. 36 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers and rates of deaths from mental health related conditions, excluding intentional self-harm, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, by sex and condition, NSW, Qld, WA, SA, and the NT, 2006-2010 Notes: 1. Details of death from intentional self-harm are not included in this table. 2. ‘Mental disorders due to substance use’ comprises ICD codes F10-F19, ‘Organic mental disorders’ ICD codes F00-F09, and ‘Other mental disorders’ ICD codes F20–F99, G30, G47.0, G47.1, G47.2, G47.8, G47.9, O99.3, R44, R45.0, R45.1, R45.4, R48 3. Rates are deaths per 100,000 standardised using the Australian 2001 ERP Source: AIHW, 2013 Cause of death MalesFemales NumberRateRate ratioNumberRateRate ratio Mental disorders due to substance use79145.73656.7 Organic mental disorders55301.6104381.4 Other mental disorders1360.72590.7 All mental disorders147491.7165521.3

37. 37 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates for intentional self-harm, Aboriginal and Torres Strait Islander people by sex and jurisdiction, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2009-2013 Notes: 1. Rate per 100,000 population, standardised to the Australian 2011 ERP 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. n.p. not published 4. Due to the incomplete identification of Indigenous status, these figures probably under-estimate the true differences between Indigenous and non-Indigenous people Source: ABS, 2015 JurisdictionAboriginal and Torres Strait Islander peopleRate ratios PersonsMalesFemalesPersonsMalesFemales NSW1220n.p. 1.41.5n.p. Qld213212 1.71.62.1 WA365220 3.02.93.7 SA2129n.p. 1.81.7n.p. NT294415 2.52.2n.p.

38. 38 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates for intentional self-harm, Aboriginal and Torres Strait Islander people by sex and age-group, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2009-2013 Notes: 1. Rate per 100,000 population, standardised to the Australian 2011 ERP 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. n.p. not published 4. Due to the incomplete identification of Indigenous status, these figures under-estimate the true differences between Indigenous and non-Indigenous people Source: ABS, 2015 Age-group (years) IndigenousRate ratios PersonsMalesFemalesPersonsMalesFemales 1-14222.17.86.79.5 15-243954234.34.24.5 25-344059213.12.93.8 35-443148161.9 2.2 45+n.p.28n.p. 1.2n.p. All ages2029n.p.1.91.8n.p.

39. 39 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Kidney health In 2010-2014, after age-adjustment, the notification rate of end stage renal disease was 6.6 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people. In 2011-13, care involving dialysis was the most common reason for hospitalisation among Indigenous people. In 2013, the age-standardised death rate from kidney disease was 3.1 times higher for Aboriginal and Torres Strait Islander people than for non- Indigenous people.

40. 40 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of notifications and age-standardised notification rates for end-stage renal disease, by Aboriginal and Torres Strait Islander status, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, selected jurisdictions, Australia, 2010-2014 Notes: 1. Rates per 1,000,000 population have been standardised using the ERP from 30 June 2001 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. Notification rates for Tas and the ACT have not been shown separately because of the small numbers of notifications, but are included in the figures for Australia Source: Derived from ANZDATA, 2015, ABS, 2013, ABS, 2003, ABS, 2014 Jurisdiction IndigenousNon-Indigenous Rate ratio NumberRateNumberRate NSW1803133,727933.4 Vic584383,0991014.3 Qld2764902,060875.6 WA2611,0081,0909011.3 SA77676826877.8 NT3811,696648420.2 Australia124361511,386946.6

41. 41 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of notifications and notification rates of end-stage renal disease, by Aboriginal and Torres Strait Islander status and age-group, and Aboriginal and Torres Strait Islander:non-Indigenous rate ratios, Australia, 2010-2014 Notes: 1. Rates per 1,000,000 population 2. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 3. Rates for ‘All ages’ are age-standardized Source: Derived from ANZDATA, 2015, ABS, 2013, ABS, 2003, ABS, 2014 Age-group (years) Aboriginal and Torres Strait IslanderNon-Indigenous Rate ratio NumberRateNumberRate 0-147617080.7 15-242739261182.2 25-3472152518334.7 35-44224547927609.2 45-544011,2371,60410711.5 55-643611,8572,4871959.5 65+1511,2555,4193393.7 All ages1,24361511,386946.6

42. 42 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Injury In 2013-14, after age-adjustment, Aboriginal and Torres Strait Islander people were hospitalised for injury at nearly twice the rate for other Australians. In 2012-13, the hospitalisation rate for assault was 34 times higher for Aboriginal and Torres Strait Islander women than for other women. In 2013, injury was the third most common cause of death among Indigenous people, accounting for 15% of Indigenous deaths.

43. 43 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Respiratory disease In 2012-2013, 31% of Aboriginal and Torres Strait Islander people reported having a respiratory condition. After age-adjustment, the level of respiratory disease was 1.2 times higher for Indigenous than non-Indigenous people. In 2012-2013, 18% of Aboriginal and Torres Strait Islander people reported having asthma.

44. 44 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2012-13, after age-adjustment, hospitalisation rates for Aboriginal and Torres Strait Islander people were 4.4 times higher for chronic obstructive pulmonary disease, 3.3 times higher for influenza and pneumonia, 1.8 times higher for asthma, 1.8 times higher for acute upper respiratory infections and 1.4 times higher for whooping cough, than for their non-Indigenous counterparts. In 2012, after age-adjustment, the death rate for respiratory disease for Aboriginal and Torres Strait Islander people was 2.2 times that for non-Indigenous people.

45. 45 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Age-standardised death rates for respiratory disease, Aboriginal and Torres Strait Islander people, by sex and condition, and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA and the NT, 2006-2010 Notes: 1. Chronic lower respiratory diseases include asthma, bronchitis, emphysema and other COPD 2. Rates, in deaths per 100,000, are directly age-standardised using the Australian 2001 estimated resident population, by 5-year age-group to 75+ Source: AIHW, 2013 MalesFemalesPersons RateRate ratioRateRate ratioRateRate ratio Chronic lower respiratory diseases882.9653.2753.0 Pneumonia and influenza242.4161.8192.1 Other respiratory disease241.2141.2181.2 All respiratory disease1352.3952.41122.3

46. 46 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Eye health In 2012-2013, eye and sight problems were reported by 33% of Aboriginal and Torres Strait Islander people. In 2012-2013, myopia and hyperopia for Aboriginal and Torres Strait Islander people were reported at 0.8 and 1.1 times the proportions for their non-Indigenous counterparts. The proportion of Aboriginal and Torres Strait Islander people who reported blindness was 7.4 times more than for their non-Indigenous counterparts.

47. 47 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Ear health In 2012-2013, ear/hearing problems were reported by 12% of Indigenous people. In 2012-13, the hospitalisation rate for ear/hearing problems for Indigenous children aged 0-3 years was 0.8 times lower than for non-Indigenous children and the rate for Indigenous children aged 4-14 years was 1.6 times higher the rate for non-Indigenous children.

48. 48 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Oral health In 2010, in Qld, WA, SA, Tas, ACT and the NT, Aboriginal and Torres Strait Islander children had more dental problems than non-Indigenous children. In 2004-2006, caries and periodontal diseases were more prevalent among Aboriginal and Torres Strait Islander adults than among non-Indigenous adults.

49. 49 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Disability In 2012, after age-adjustment, Aboriginal and Torres Strait Islander people were 1.7 times as likely as non-Indigenous people to have a profound/core activity restriction.

50. 50 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Aboriginal and Torres Strait Islander people reporting a disability/restrictive long-term health condition, by remoteness, age, sex, and state/territory, 2012-13 Remoteness Non-remoteRemoteAustralia Overall population distribution NumberRate (1) NumberRate (1) NumberRate (1) Per cent (2) Age-group (years) 3 0-1436,204208,1371844,3411935 15-2432,841326,2232439,0643120 25-3423,976367,0133430,9893614 35-4430,260518,5384838,7985012 45-5428,830628,3676237,197629.4 55+29,291678,4896637,780678.9 Sex Males90,4023622,58533112,9873650 Females91,0013624,18135115,1823650

51. 51 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Notes: †. Estimate has a relative standard error between 25% and 50% and should be used with caution 1. Rates per 100 2. Distribution of total Indigenous population. Percentages add within columns 3. Data for specific age-groups are not age-standardised, only the totals 4. Data excludes not stated responses Source: AIH, 2015 Remoteness Non-remoteRemoteAustralia Overall population distribution NumberRate (1) NumberRate (1) NumberRate (1) Per cent (2) State/territory NSW72,331384,2034676,5343832 Vic20,15644.. 20,156447.2 Qld46,5613210,4163056,9773228 SA11,782402,1473613,930395.6 WA14,3172914,2844428,6023513 Tas9,110 40 † 464 † 60 † 9,573403.7 NT4,4273915,2522919,6873110 ACT2,71846.. 2,718460.9 Total per cent..36..34..36100 Total number181,403..46,766..228,169..638,324

52. 52 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Indigenous users of state/territory delivered NDA disability support services (aged 0-64 years) as a proportion (%) of the Indigenous estimated potential population, by jurisdiction and year, Australia, 2011-2013 Note: State/territory delivered disability support services comprise accommodation support, community support, community access and respite Source: Steering Committee for the Review of Government Service Provision, 2015 YearsNSWVicQldWASATasACTNTAust 2011-12293320334114514529 2012-13302721294016524529

53. 53 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Proportion (%) of Indigenous potential population aged 0-64 years accessing NDA specialist disability support services, by Indigenous status and type of specialist service and Indigenous:non-Indigenous ratios, Australia, 2012-13 Notes: 1. Potential’ users are people aged 0-64 years with the ‘potential to require disability support services, including individuals who meet the service eligibility criteria but who do not demand these services’ 2. Ratio is the Indigenous proportion divided by the non-Indigenous proportion Source: Steering Committee for the Review of Government Service Provision, 2015 YearsNSWVicQldWASATasACTNTAust 2011-12293320334114514529 2012-13302721294016524529

54. 54 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Communicable diseases In 2009-2013, after age-adjustment, the notification rate for tuberculosis was 11.3 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people. In 2010-2015, the crude notification rate for hepatitis B was 3.6 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people. In 2010-2014, the crude notification rate for hepatitis C for Aboriginal and Torres Strait Islander people was 7.8 times higher than for non-Indigenous people. In 2007-2010, notification rates for Haemophilus influenza type b were 12.9 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people.

55. 55 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2007-10, the age-standardised rates of invasive pneumococcal disease were highest in the 50 years and older age-group (53 per 100,000) followed by the 0-4 years age-group (51 per 100,000). Rates for Aboriginal and Torres Strait Islander people aged 25-49 were almost 12 times higher than for non-Indigenous people. In 2013, there were 13 cases of meningococcal identified as Aboriginal and 1 as Torres Strait Islander.

56. 56 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet In 2014, Aboriginal and Torres Strait Islander people had higher crude notification rates for gonorrhoea, syphilis and chlamydia than non-Indigenous people. In 2014, age-standardised rates of human immunodeficiency virus (HIV) diagnosis were 1.6 times higher for Aboriginal and Torres Strait Islander than non-Indigenous people.

57. 57 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of new cases and crude notification rates of tuberculosis among Indigenous people, by jurisdiction, Australia, 2009-2013 Notes: 1. Population figures are for 30 June 2011 (the mid-point of the five-year period, 2009-2013) 2. Rates are crude incidence rates per 100,000 population Source: Derived from Barry, 2012, Bareja, 2014, Bareja, 2014, Toms, 2015, ABS, 2009, ABS, 2011 JurisdictionNumberRate NSW333.9 Vic31.6 Qld516.2 WA92.3 SA53.2 Tas11.0 ACT00.0 NT5616

58. 58 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Numbers of new cases and notification rates of tuberculosis, by Indigenous status and age-group, and Indigenous:non-Indigenous rate ratios, Australia, 2006-2010 Notes: 1. Rates are per 100,000 population 2. Any discrepancy between the figures shown for ‘All ages’ and the sum of the number for the specific age-groups is due to age not being stated in the notification 3. Rate ratio is the Indigenous rate divided by the non-Indigenous rate 4. The rate ratio for 'All ages' is the standardised incidence ratio, which is the number of Indigenous cases reported divided by the number expected if the Indigenous population had the same age-specific rates as the non-Indigenous population Source: Derived from: Roche, 2008, Barry, 2009, Barry, 2012, Bareja, 2014, ABS, 2009, ABS, 2008 Age-group (years) IndigenousNon-Indigenous Rate ratio NumberRateNumberRate 0-492.7560.83.3 5-14121.8390.36.5 15-24142.6780.54.9 25-34287.5690.516.1 35-44339.7430.335.2 45-543514.4680.531.4 55-641913.9620.527.1 65+1416.42101.511 All ages1646.16250.612.5

59. 59 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Nutrition In 2012-2013, 54% of Aboriginal and Torres Strait Islander people reported eating an adequate amount of fruit but only 8% of Aboriginal and Torres Strait Islander people reported eating an adequate amount of vegetables. In 2012-2013, on average, Aboriginal and Torres Strait Islander people consumed 41% of their total daily energy in the form of discretionary foods.

60. 60 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Physical activity In 2012-13, 47% of Aboriginal and Torres Strait Islander adults in non-remote areas met the target of 30 minutes of moderate intensity physical activity on most days. In 2012-2013, after age-adjustment, 61% of Aboriginal and Torres Strait Islander people in non-remote areas reported that they were physically inactive, a similar level to that of non-Indigenous people.

61. 61 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Bodyweight In 2012-2013, 66% of Indigenous adults were classified as overweight or obese; after age- adjustment, the level of obesity/ overweight was 1.2 times higher for Indigenous people than for non-Indigenous people.

62. 62 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Immunisation In 2014, 93% of Aboriginal and Torres Strait Islander children aged 5 years were fully immunised against the recommended vaccine-preventable diseases.

63. 63 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Breastfeeding In 2010, breastfeeding initiation levels were similar among Indigenous and non-Indigenous mothers (87% and 90% respectively).

64. 64 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Tobacco use In 2012-13, 44% of Aboriginal and Torres Strait Islander adults were current smokers; after age-adjustment, this proportion was 2.5 times higher than the proportion among non- Indigenous adults. In 2011, 50% of Aboriginal and Torres Strait Islander mothers reported smoking during pregnancy.

65. 65 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Alcohol use In 2012-13, 23% of Aboriginal and Torres Strait Islander adults abstained from alcohol; this level was 1.6 times higher than among the non-Indigenous population. In 2012-2013, after age-adjustment, lifetime drinking risk was similar for both the Aboriginal and Torres Strait Islander and non-Indigenous population. In 2011-13, after age-adjustment, Aboriginal and Torres Strait Islander males were hospitalised at 4.5 times and Aboriginal and Torres Strait Islander females at 3.6 times the rates of their non-Indigenous counterparts for a principal diagnosis related to alcohol use. In 2008-2012, the age-standardised death rates for alcohol-related deaths for Aboriginal and Torres Strait Islander people was 4.9 times higher than for non-Indigenous people.

66. 66 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Illicit drug use In 2012-13, 22% of Aboriginal and Torres Strait Islander adults reported that they had used an illicit substance in the previous 12 months. In 2008-2012, the rate of drug-induced deaths was 1.5 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people.

67. 67 www.healthinfonet.ecu.edu.au ©2016 Australian Indigenous HealthInfoNet Rates of drug induced deaths, by Indigenous status, and Indigenous:non-Indigenous rate ratios, NSW, Qld, WA, SA, and the NT, 2008-2012 Notes: 1. Rates are per 100,000 (indirect standardisation) 2. Non-Indigenous does not include deaths where Indigenous status is not stated 3. Separate rates for the NT were not provided due to low numbers of deaths Source: Steering Committee for the Review of Government Service Provision, 2014 JurisdictionIndigenous rateNon-Indigenous rateRate ratio NSW136.22.0 Qld7.26.31.1 WA8.77.11.2 SA226.83.3 NSW, Qld, WA, SA and the NT9.96.41.5