aboriginal chronic care snapshot...respiratory disease hospitalisation, by lhd 0 1000 2000 3000 4000...

Identifyingandusinglocaldata

AboriginalChronicCareSnapshot

Tina Navin CristinaSystem & Data Manager

45 and Up StudySax Institute

SaxInstitute

• Established2012• TheSaxInstituteisanationalleaderin promotingtheuseofresearchevidenceinhealthpolicy.

• 40memberorganisations– publichealthandhealthserviceresearchgroupsanduniversities

Ourmission• Toimprovehealthandwellbeingbydrivingtheuseofresearchinpolicies,programsandservices.

• WewantwiserdecisionsforahealthierAustralia.

Whydoweneeddata?

• Understandtheissue

• Tool/evidencetoconvinceothersthattheworkyouwanttodoisimportant

• Evaluate– needtoknowthecurrentsituationtosaythatanintervention/changehashadanimpact

Sourcesofdata

• Publishedreportsandjournalarticles• Hospitalisations• EDvisits• Non-acutecare• Medicare• Deaths• CommunityServices• Registries(e.g.Cancerregistry)• Questionnaires• etc.……

ABORIGINALCHRONICCARESnapshot

HealthofAboriginalpeopleinNSW

• Lifeexpectancyandchildmortality• Healthofmothers,babiesandchildren• Riskandprotectivefactorsforhealth• Burdenofill-health

• Healthservicedeliveryhttp://www.health.nsw.gov.au/epidemiology/Pages/aboriginal-cho-report-2012.aspx

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

Diabetes

• Texthere

• Prevalence increasing and higher than non-Aboriginal people

• Rate of hospitalisation much higher in Aboriginal people

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

Cardiovasculardisease

• Hospitalisation rate increasing in Aboriginal people, and decreasing in non-Aboriginal people (i.e. the gap is widening)

• Prevalence of high blood pressure similar, and high cholesterol lower, compared to non-Aboriginal people

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

Chronicrespiratoryillness

• COPD hospitalisations increasing in Aboriginal people, and declining in non-Aboriginal people

• Prevalence of asthma is steady, but remains higher than non-Aboriginal people

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

Chronicrenaldisease

• Hospitalisations increasing at higher rate than non-Aboriginal people (i.e. increasing gap)

• Rate of deaths consistent over time, but declining for non-Aboriginal people

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

HealthStats NSW• Alcohol• Antenatalcare• Asthma• Burdenofdisease• Cardiovasculardisease• Communicablediseases• Coronaryheartdisease• Diabetes• Drugmisuse• Environment• Falls• Health-relatedbehaviours• Immunisation• Influenza• Injuryandpoisoning• Lifeexpectancy• Lowbirthweight• Mentalhealth• MothersandbabiesNutrition

• Oralhealth• Overviewofdeaths• Overviewofhospitalisations• Overweightorobesity• Physicalactivity• Population• Populationhealthperformanceindicators• Potentiallyavoidabledeaths• Potentiallypreventablehospitalisations• Pregnancyandthenewbornperiod• Psychologicaldistress• Respiratorydisease• Ruralandremotepopulations• Sexuallytransmissibleinfections• Smoking• Socialdeterminants• Socioeconomicstatus• Stroke• Suicide• Vaccinepreventablediseases

www.healthstats.nsw.gov.au

Respiratorydiseasehospitalisation,byLHD

0

1000

2000

3000

4000

5000

6000

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15

Sydney LHD

South Western Sydney LHD

South Eastern Sydney LHD

Illawarra Shoalhaven LHD

Western Sydney LHD

Nepean Blue Mountains LHD

Northern Sydney LHD

Central Coast LHD

Hunter New England LHD

Northern NSW LHD

Mid North Coast LHD

Southern NSW LHD

Murrumbidgee LHD

Western NSW LHD0

1000

2000

3000

4000

5000

6000

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15

Sydney LHD

South Western Sydney LHD

South Eastern Sydney LHD

Illawarra Shoalhaven LHD

Western Sydney LHD

Nepean Blue Mountains LHD

Northern Sydney LHD

Central Coast LHD

Hunter New England LHD

Northern NSW LHD

Mid North Coast LHD

Southern NSW LHD

Murrumbidgee LHD

Western NSW LHD0

1000

2000

3000

4000

5000

6000

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15

Sydney LHD

South Western Sydney LHD

South Eastern Sydney LHD

Illawarra Shoalhaven LHD

Western Sydney LHD

Nepean Blue Mountains LHD

Northern Sydney LHD

Central Coast LHD

Hunter New England LHD

Northern NSW LHD

Mid North Coast LHD

Southern NSW LHD

Murrumbidgee LHD

Western NSW LHD

Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.

Questionnairedata• Repeatedmeasuressurveys

– NationalAboriginalandTorresStraitIslanderHealthSurvey– NationalAboriginalandTorresStraitIslanderSocialSurvey– NationalDrugStrategyHouseholdSurveys– NSWPopulationHealthSurvey

• Longitudinalstudies– 45andUpStudy– SEARCH(StudyofEnvironmentonAboriginalResilienceandChild

Health)– TheLongitudinalStudyofAustralianChildren(LSAC)– TheLongitudinalStudyofIndigenousChildren(LSIC)– ALSWH(AustralianLongitudinalStudyonWomen’sHealth)

AustralianAboriginalandTorresStraitIslanderHealthSurvey(AATSIHS)

• aroundtwoinfive(39.3%)AboriginalandTorresStraitIslanderpeopleaged15yearsandoverratedtheirhealthasexcellentorverygood,while6.9%ratedtheirhealthaspoor.

• theproportionsofAboriginalandTorresStraitIslanderpeopleaged2yearsandoverwiththefollowinglong-termhealthconditionswere:– diabetes/highsugarlevels— 8.6%– hypertensivedisease— 5.8%– heart,strokeandvasculardiseases— 3.9%– kidneydisease—1.8%.

http://www.abs.gov.au/Aboriginal-and-Torres-Strait-Islander-Peoples

The45andUpStudy• Morethan260,000participantsaged45yearsandover

– 2149Aboriginalpeople• Dataaboutphysicalandmentalhealth,medication,work,financialsituationandlifestyle

• Acollaborativeresourceforresearchersandpolicymakers• Valueaddedbylinkagetootherdatasets

https://www.saxinstitute.org.au/our-work/45-up-study/

SEARCH• LongtermstudyofthehealthofurbanAboriginalchildren• 1671Children(0– 17years)from4ACCHSs

– 637families• 1484childrenhavesurveydata

– physicalhealth– foodandphysicalactivity– emotionalwellbeing– housingandfamilyenvironment

• InvestigatestheprogressionofhealthanddiseaseinurbanAboriginalchildrenrelatedto:

– earhealth/speechandlanguagedevelopment– mentalhealthandemotionalwellbeing– chronicdisease– thefamilyandthelocalenvironment

https://www.saxinstitute.org.au/our-work/search/

Localsources

• PerformanceUnit– Qlikview Apps

• ActivityBasedManagementteam– ABMPortal

• Strategyandplanningunit

• PopulationHealth

• Surveys

• Needtoknowwhatyouneedtoknow!

• Morelikelytogetwhatyouneedifyouknowhowtoaskforit

Usefulresources• CHOReport:

http://www.health.nsw.gov.au/epidemiology/Pages/aboriginal-cho-report-2012.aspx

• HealthStats NSW:www.healthstats.nsw.gov.au• AustralianAboriginalandTorresStraitIslanderHealthSurvey:

http://www.abs.gov.au/Aboriginal-and-Torres-Strait-Islander-Peoples• SaxInstitute:https://www.saxinstitute.org.au• ABMPortal:DavidfromACIwillsendlinktoeverybody

• Me:Tina.NavinCristina@saxinstitute.org.au orthe45andUpStudyteam:45andUpResearch@saxinstitute.org.au

Thankyou!