gippsland health status · health outcomes . on a range of indicators of health status, residents...

Gippsland Health Status

Summary Profile

Contents

Key demographic trends 1

Population projections 1

Table 1: Projected Estimated Resident Population, 2009-2022 1 Table 2: Projected Estimated Resident Population Aged 65+, 2009-2022 1 Figure 1: Change in projected Estimated Resident Population, 2009-2022 1

How healthy are Gippslanders? 2

Health outcomes 2

Table 3: Life Expectancy at birth in Victoria, 2003 - 2007 2 Table 4: Life Expectancy at birth in Gippsland LGAs, 2003 - 2007 2 Table 5: Disability Adjusted Life Years (DALY) rate per 1000 population, 2001 Burden of Disease Study 3 Table 6: Years Life Lost (YLL) rate per 1000 population, 2001 Burden of Disease Study 3

Behavioural determinants 4

Body Weight Status 4

Table 7: Body weight status, by sex and LGA, Gippsland, 2008 4 Fruit and vegetable intake 5

Table 8: Daily vegetable consumption, Gippsland by LGA, 2008 5 Table 9: Daily fruit consumption, Gippsland by LGA, 2008 5 Table 10: Not meeting guidelines for consumption of fruit and/or vegetables, Gippsland by LGA, 2008 6

Smoking 6

Table 11: Smoking status, Gippsland by LGA, 2008 6 Physical activity 7

Table 12: Physical activity levels, Gippsland by LGA, 2008 7 Table13: No days of incidental physical activity, Gippsland by LGA, 2008 7 Table 15: Did not consume alcohol at above long-term risk, Gippsland by LGA, 2008# 8

Cancer screening 9

Table 16: Test to detect bowel cancer in the past two years , Gippsland by LGA, 2008 9 Table 17: Had a Pap smear in the past two years, females aged 20-69, Gippsland by LGA, 2008 9 Table 18: Had a mammogram in the past two years, females aged 50-69, Gippsland by LGA, 2008 10

Major Causes of disease and illness 11

Table 19: DALYs by Major Disease Category for Gippsland Region, 2001 11 Figure 2: Burden of Disease (DALYs) attributable to risk factors in Gippsland Region compared to Victoria,

2001 12 Table 20: Comparison of Risk Factors Leading to Burden of Disease in Gippsland Region and Victoria, 2001 13

Health sector performance 14

Ambulatory Care Sensitive Conditions 14

Table 21: Top 10 Ambulatory Care Sensitive Conditions (ACSCs), Gippsland by LGA, 2008-09 14

ii

Table 22: Total ACSC, Acute ACSC and Chronic ACSC admission numbers, rates and average bed days,

Victoria 2008-09 15

Immunisation rates 16

Table 23: Proportion of children fully immunised, by age and region in Victoria, September 2010 16 Table 24: Proportion of children fully immunised, Gippsland by LGA, September 2010 16 Figure 3: Year 10 secondary school Boostrix percentage coverage rate by LGAs, 2009 17

How strong are Gippsland communities? 18

Social, economic and environmental determinants of health 18

Table 25: Proportion of unemployed persons, Victoria by region, 2009-10 18 Table 26: Proportion of unemployed persons, Gippsland by LGA, 2009-10 18 Table 27: Indicators of income and socioeconomic status, Gippsland by LGA 18 Table 28: Recorded family incident reports, Gippsland by LGA, 2009-10 19 Table 29: Social wellbeing and connectedness, Gippsland by LGA, 2006 20 Table 29 continued: Social wellbeing and connectedness, Gippsland by LGA, 2006 20

Key demographic trends

Population projections

Table 1: Projected Estimated Resident Population, 2009-2022

2009 2022 % changeBass Coast 29,584 38,949 31.7Baw Baw 41,325 50,527 22.3East Gippsland 43,615 51,647 18.4Latrobe 75,259 76,493 1.6South Gippsland 27,776 30,072 8.3Wellington 43,197 46,070 6.7Gippsland 260,766 293,757 12.7Victoria 5,443,228 6,409,575 17.8 Source: Department of Planning and Community Development (DPCD) - 2008 Victoria in Future1

Table 2: Projected Estimated Resident Population Aged 65+, 2009-2022

2009 2022 % changeBass Coast 6,752 10,355 53.4Baw Baw 6,410 10,129 58.0East Gippsland 9,363 14,531 55.2Latrobe 10,856 15,877 46.2South Gippsland 5,148 8,014 55.7Wellington 6,896 11,332 64.3Gippsland 45,428 70,238 54.6Victoria 738,131 1,072,540 45.3 Source: Department of Planning and Community Development (DPCD) - 2008 Victoria in Future1

Figure 1: Change in projected Estimated Resident Population, 2009-2022

31.7

22.318.4

1.6

8.36.7

12.7

17.8

53.4

5855.2

46.2

55.7

64.3

54.6

45.3

0

10

20

30

40

50

60

70

Bass Coast Baw Baw EastGippsland

Latrobe SouthGippsland

Wellington Gippsland Victoria

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All ages 65+ Last Updated: 17 December 2010

1

How healthy are Gippslanders?

On a range of indicators people who live in Gippsland are less healthy than people who live in Melbourne or many other parts of Victoria. Presented below are available data on health outcomes, behavioural determinants of health and indicators of performance of the health system.

Health outcomes On a range of indicators of health status, residents of the Gippsland DHS region have poorer health than Victorian averages, and on some indicators the people of Gippsland have the worst health in the state. Reported here are data on life expectancy, Burden of Disease and oral health. People living in the Gippsland DHS region have lower life expectancies than people living in Melbourne Metro’s in Victoria. Males are expected to live 2.2 years less than the Victorian life expectancy of 80.3 years. Females are expected to live 0.4 years less than Victorian women who have a life expectancy of 84.4 years.

Table 3: Life Expectancy at birth in Victoria, 2003 - 2007

Males Females

Region LE Lower

95% CI Upper

95% CI Sig LELower

95% CI Upper

95% CI Sig Barwon S/W 79.4 78.7 80.0 L 84.0 83.4 84.5 Eastern 82.0 81.6 82.4 H 85.4 85.1 85.7 H Gippsland 78.1 77.3 78.9 L 84.0 83.3 84.7 Grampians 79.1 78.2 79.9 L 83.6 82.9 84.4 Hume 79.3 78.5 80.1 L 84.1 83.4 84.8 Loddon Mallee 78.6 77.9 79.4 L 83.4 82.8 84.1 L North & West 80.0 79.7 80.3 84.2 83.9 84.5 Southern 80.8 80.4 81.1 84.5 84.2 84.8 Victoria 80.3 80.1 80.5 84.4 84.2 84.6 Source: Life expectancy at birth: Victoria 2003-20072 Average life expectancy also varies within the Gippsland region with the lowest life expectancy experienced by residents of Latrobe LGA followed by Wellington LGA.

Table 4: Life Expectancy at birth in Gippsland LGAs, 2003 - 2007

Males Females

Region LE Lower

95% CI Upper

95% CI Sig* LELower

95% CI Upper

95% CI Sig Bass Coast 79.4 78.4 80.5 84.4 83.5 85.2 Baw Baw 78.5 77.5 79.4 L 83.8 83.0 84.6 East Gippsland 78.4 77.5 79.3 L 83.3 82.6 84.1 L Latrobe 76.9 76.2 77.6 L 82.2 81.6 82.9 L South Gippsland 78.3 77.1 79.4 L 83.4 82.5 84.3 Wellington 78.0 77.2 78.8 L 83.1 82.3 83.9 L Gippsland 78.1 77.3 78.9 L 84.0 83.3 84.7 Victoria 80.3 80.1 80.5 84.4 84.2 84.6 Source: Life expectancy at birth: Victoria 2003-20072

H= indicates a life expectancy at birth significantly higher than the Victorian average L= indicates a life expectancy at birth significantly lower than the Victorian average

Last Updated: 17 December 2010 2

Last Updated: 17 December 2010

3

Residents of the Gippsland DHS region have the highest rates of Disability Adjusted Life Years lost due to all causes.

Table 5: Disability Adjusted Life Years (DALY) rate per 1000 population, 2001 Burden of Disease Study

Region Males Females Gippsland (Highest) 158.8 140.5 Grampians 155.2 137.1 Loddon-Mallee 154.8 136.3 Hume 153.4 135.0 Barwon-Sth West 144.8 128.5 Western Metro 142.8 128.3 Northern Metro 142.7 128.2 Southern Metro 138.0 126.3 Eastern Metro (Lowest) 135.3 124.9 Victoria 143.0 129.1 Source: Burden of Disease (BoD) - LGAs and regions 20013 Residents of the Gippsland DHS region have the highest rates of Years of Life lost due to all causes. The rates for Gippsland males and females are significantly higher than for Victoria.

Table 6: Years Life Lost (YLL) rate per 1000 population, 2001 Burden of Disease Study

Males Females Region Rate Significance Rate Significance Gippsland (Highest) 84.1 H 64.6 H Grampians 82.1 H 63.1 H Loddon-Mallee 81.6 H 63.3 H Hume 80.9 H 61.5 H Barwon-Sth West 73.1 H 57.8 H Northern Metro 70.2 L 55.4 H Western Metro 69.1 L 55.8 L Eastern Metro 65.9 L 56.5 L Southern Metro (Lowest) 67.6 L 56.5 L Victoria 71.3 57.7 Source: Burden of Disease (BoD) - LGAs and regions 20014

H= indicates a rate higher than the Victorian average, which indicates poor health status L= indicates a rate lower than the Victorian average, which indicates better health status

Behavioural determinants

Data on determinants of health can be categorised as behavioural or related to social, economic and environmental conditions. Behavioural determinants are presented here. Those related to social, economic and environmental conditions that are known to impact on health are presented in the section How strong are Gippsland communities?

Body Weight Status

Table 7: Body weight status1, by sex and LGA, Gippsland, 2008

Males Females Overweight (25.0-29.9) Obese (30.0) Overweight (25.0-29.9) Obese (30.0)

LGA % Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 31.6 24.9 39.3 22.9 15.6 32.4 26.8 20.6 34.1 13.9 10.0 18.8 Baw Baw 38.4 29.6 48.0 18.1 12.3 25.9 31.7(a) 25.8 38.3 16.3 11.9 22.1 East Gippsland 57.9(a) 48.1 67.2 13.5 9.0 19.9 28.4 22.3 35.5 17.9 11.2 27.5 Latrobe 42.8 34.2 51.9 17.5 12.0 24.9 25.8 20.4 32.0 21.9(a) 16.9 27.9 South Gippsland 42.5 33.5 52.0 24.3 17.5 32.6 30.1 23.3 37.8 22.2 16.1 29.7 Wellington 41.6 34.4 49.3 20.3 14.1 28.3 30.4 25.1 36.3 18.3 13.5 24.3 Gippsland 42.2 37.9 46.6 18.5 15.6 21.8 28.1(a) 25.3 31.0 18.3 15.8 21.0 Victoria 39.9 38.7 41.2 17.3 16.4 18.2 24.2 23.4 25.1 16.1 15.4 16.8 Source: Victorian Population Health Survey 20085

1 Determined by calculation of body mass index (BMI). (a) Estimates are (statistically) significantly above Victorian estimates. 95% CI = 95 per cent confidence interval. Data are age standardised to the 2006 Victorian population.


Fruit and vegetable intake

Table 8: Daily vegetable consumption, Gippsland by LGA, 2008

Serves per day None 1-2 serves 3-4 serves 5 or more serves

LGA % Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 5.3* 2.7 10.1 55.7 48.2 63.0 24.2 18.3 31.1 13.9(a) 10.1 18.9 Baw Baw 3.0* 1.6 5.4 53.0 46.9 58.9 34.2 28.6 40.2 9.2 6.8 12.5 East Gippsland 1.2*(b) 0.6 2.5 57.0 49.5 64.2 27.8 23.1 33.1 12.9 8.1 19.9 Latrobe 4.8* 2.8 8.2 56.1 50.8 61.3 26.7 22.2 31.6 11.5(a) 8.7 15.0 South Gippsland * * 55.6 49.5 61.5 30.2 24.7 36.3 11.9(a) 9.0 15.6 Wellington 5.6* 3.2 9.8 49.4 43.4 55.4 32.2 27.1 37.7 11.7(a) 8.9 15.3 Gippsland 4.0 2.9 5.3 54.0 51.2 56.7 29.5 27.1 32.0 11.6(a) 10.0 13.4 Victoria 5.8 5.3 6.2 56.9 56.0 57.7 28.2 27.4 28.9 7.7 7.4 8.2 Source: Victorian Population Health Survey 2008

Table 9: Daily fruit consumption, Gippsland by LGA, 2008

Serves^ per day None One serve Two or more serves

LGA % Lower

95% CIUpper

95% CI% Lower

95% CI Upper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 17.4 11.5 25.3 32.9 26.1 40.6 49.3 40.7 57.9 Baw Baw 14.4 10.2 19.7 37.1 31.4 43.2 48.2 42.4 54.1 East Gippsland 12.9 9.1 18.1 36.1 29.3 43.6 50.1 42.4 57.9 Latrobe 20.1(a) 15.8 25.2 36.1 30.9 41.6 43.4 38.0 49.0 South Gippsland 16.1 12.0 21.2 33.6 28.1 39.6 50.3 44.3 56.4 Wellington 14.0 9.9 19.2 36.8 30.6 43.4 49.2 43.3 55.1 Gippsland 16.2 14.1 18.5 36.2 33.6 39.0 47.2 44.4 49.9 Victoria 14.3 13.7 14.9 36.1 35.3 37.0 48.6 47.8 49.5 Source: Victorian Population Health Survey 2008

A serve is half a cup of cooked vegetables or a cup of salad vegetables. Data are age standardised to the 2006 Victorian population. ^ A serve is one medium piece or two small pieces of fruit, or one cup of diced pieces. 95% CI = 95 per cent confidence interval. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses. (a) Estimates are (statistically) significantly above Victorian estimates. * Estimate has a relative standard error between 25 and 50 per cent and should be interpreted with caution. (b) Estimates are (statistically) significantly below Victorian estimates. * * Estimate has a relative standard error of greater than 50 per cent and is not reported as it is unreliable for general use.


Table 10: Not meeting guidelines for consumption of fruit and/or vegetables, Gippsland by LGA, 2008

Did not meet guidelines Fruit guidelines Vegetable guidelines Either fruit or vegetable guidelines

LGA % Lower

95% CIUpper

95% CI% Lower

95% CI Upper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 51.5 43.1 59.7 84.9(b) 79.9 88.8 47.9 39.7 56.2 Baw Baw 51.4 45.5 57.2 89.8 86.5 92.4 49.0 43.1 54.9 East Gippsland 49.8 42.2 57.5 85.4 78.3 90.4 47.4 39.8 55.1 Latrobe 56.0 50. 61.4 87.0 83.3 90.0 52.2 46.6 57.7 South Gippsland 49.8 43.7 55.9 86.7 82.8 89.9 46.1 40.2 52.2 Wellington 52.2 46.3 58.1 86.6 82.8 89.7 47.7 41.7 53.8 Gippsland 52.8 50.0 55.6 86.9(b) 85.0 88.6 49.3 46.5 52.0 Victoria 50.5 49.6 51.3 90.0 89.5 90.4 48.2 47.3 49.1 Source: Victorian Population Health Survey 2008

Smoking

Table 11: Smoking status2, Gippsland by LGA, 2008

Current smoker Ex-smoker Non-smoker

LGA % Lower

95% CIUpper

95% CI% Lower

95% CI Upper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 19.4 14.8 25.1 33.0(a) 26.6 40.1 47.2(b) 40.2 54.4 Baw Baw 17.6 13.2 23.0 27.8 22.5 33.8 54.5 48.1 60.7 East Gippsland 22.1 16.6 28.8 28.4 23.2 34.2 49.4(b) 43.7 55.2 Latrobe 29.6(a) 24.7 34.9 22.1 18.1 26.7 47.9(b) 42.1 53.6 South Gippsland 19.5 15.3 24.5 23.7 19.9 27.9 56.6 51.2 61.8 Wellington 20.6 15.9 26.2 24.7 20.5 29.4 54.6 48.5 60.4 Gippsland 23.2(a) 20.8 25.8 25.4 23.4 27.5 51.1(b) 48.3 53.8 Victoria 19.1 18.4 19.9 23.8 23.1 24.4 56.8 56.0 57.7 Source: Victorian Population Health Survey 2008

Based on national guidelines (NHMRC 2003). 2 A person who smokes daily or occasionally was categorised as a current smoker. (a) Estimates are (statistically) significantly above Victorian estimates. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses. (b) Estimates are (statistically) significantly below Victorian estimates. Data are age standardised to the 2006 Victorian population. 95% CI = 95 per cent confidence interval. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses.


Physical activity

Table 12: Physical activity levels3, Gippsland by LGA, 2008

Sedentary Insufficient time and/or sessions Sufficient time and sessions

LGA % Lower

95% CIUpper

95% CI% Lower

95% CI Upper

95% CI% Lower

95% CIUpper

95% CI Bass Coast 7.2* 4.3 11.9 20.3 14.1 28.4 64.8 56.9 72.0 Baw Baw 3.1* 1.8 5.3 29.7 23.8 36.3 61.8 55.3 68.0 East Gippsland 4.8 3.1 7.5 29.4 22.8 37.1 60.0 52.5 67.2 Latrobe 5.4 3.4 8.4 26.9 22.1 32.3 60.7 55.0 66.1 South Gippsland 4.4 2.9 6.6 18.5(b) 14.5 23.3 66.4 60.9 71.5 Wellington 5.4 3.5 8.1 24.0 19.5 29.1 55.9 49.8 61.8 Gippsland 5.1 4.1 6.2 25.9 23.3 28.5 60.7 57.8 63.5 Victoria 5.3 4.9 5.6 27.4 26.6 28.2 60.3 59.4 61.1 Source: Victorian Population Health Survey 2008

Table13: No days of incidental physical activity4, Gippsland by LGA, 2008

LGA % Lower 95% CI Upper 95% CI Bass Coast 69.5 62.2 76.0 Baw Baw 67.0 61.3 72.3 East Gippsland 68.6 61.2 75.2 Latrobe 70.7(a) 65.2 75.6 South Gippsland 71.9(a) 66.4 76.9 Wellington 63.1 57.4 68.6 Gippsland 68.7 66.1 71.2 Victoria 61.7 60.9 62.6 Source: Victorian Population Health Survey 2008

3 Based on national guidelines (DoHA 1999) and excludes adults aged less than 19 years. 4 Incidental physical activity involves physical activity in their everyday activities to get from place to place (for example, to school, work, the shops or the train stop), the VPHS 2008 asked respondents about the number of days on which they walked or cycled for transport for trips talking longer than 10 minutes. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses. 95% CI = 95 per cent confidence interval. * Estimate has a relative standard error between 25 and 50 per cent and should be interpreted with caution. Data are age standardised to the 2006 Victorian population. (a) Estimates are (statistically) significantly above Victorian estimates. (b) Estimates are (statistically) significantly below Victorian estimates.


Alcohol consumption Table 14: Frequency of drinking alcohol at above short-term risk5 levels, Gippsland by LGA, 2008#

Risky or high risk Low risk6 At least yearly At least monthly At least weekly Short-term risk7

LGA

% Lower 95%

CI

Upper95%

CI

% Lower 95%

CI

Upper95%

CI

% Lower 95%

CI

Upper95%

CI

% Lower 95%

CI

Upper95%

CI

% Lower 95%

CI

Upper 95%

CI Bass Coast 26.8 22.7 314 23.9 17.5 31.8 18.1 11.7 26.8 17.2(a) 11.8 24.5 59.2(a) 52.5 65.7 Baw Baw 34.9 29.6 40.6 25.8 21.0 31.4 10.5 6.9 15.7 11.0 8.0 14.9 47.3 41.9 52.8 East Gippsland 31.2 26.0 36.9 20.9 14.8 28.8 20.0(a) 14.1 27.4 14.9 10.0 21.4 55.7(a) 49.0 62.3 Latrobe 32.7 27.9 37.8 22.9 18.5 28.1 16.8 12.8 21.7 9.7 6.6 13.9 49.3 44.1 54.6 South Gippsland 34.0 29.4 38.9 24.3 19.5 30.0 16.1 11.6 22.0 8.1 4.9 13.1 48.5 42.4 54.7 Wellington 35.5 29.9 41.5 25.2 20.9 30.0 15.8 11.6 21.1 9.5 6.7 13.4 50.5 44.6 56.4 Victoria 36.2 35.5 37.0 22.0 21.3 22.7 13.0 12.4 13.7 10.2 9.7 10.8 45.2 44.4 46.1 Source: Victorian Population Health Survey 2008

Table 15: Did not consume alcohol at above long-term risk8, Gippsland by LGA, 2008#

Not at long-term risk of harm LGA % Lower 95% CI Upper 95% CI Bass Coast 92.9 89.5 95.3 Baw Baw 95.2 92.4 97.0 East Gippsland 94.8 91.9 96.8 Latrobe 92.9 88.9 95.6 South Gippsland 95.5 92.9 97.1 Wellington 95.6 93.0 97.3 Victoria 95.5 95.1 95.9 Source: Victorian Population Health Survey 2008

5 Based on national guidelines (NHMRC 2001). 6 Drinkers who consumed alcohol at levels that did not expose them to risk of short-term of harm were classified as low risk. 7 Includes those who consumed alcohol at risky or high risk levels weekly, monthly or yearly. 8 Based on national guidelines (NHMRC 2001). Includes those who were abstainers (non-drinkers) and those at low risk of long-term harm. (a) Estimates are (statistically) significantly above Victorian estimates. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses. 95% CI = 95 per cent confidence interval. Data are age standardised to the 2006 Victorian population. # Gippsland data is not available.


Cancer screening

Table 16: Test to detect bowel cancer in the past two years9 10, Gippsland by LGA, 2008

LGA % Lower 95% CI Upper 95% CI Bass Coast 26.3 21.4 31.8 Baw Baw 31.2 25.3 37.9 East Gippsland 30.6 25.3 36.5 Latrobe 26.3 19.7 34.1 South Gippsland 26.0 20.8 31.9 Wellington 30.3 24.5 36.9 Gippsland 28.5 26.0 31.3 Victoria 29.4 28.4 30.3 Source: Victorian Population Health Survey 2008

Table 17: Had a Pap smear in the past two years11, females aged 20-69, Gippsland by LGA, 2008

Yes No LGA % Lower 95% CI Upper 95% CI % Lower 95% CI Upper 95% CI Bass Coast 74.6 65.3 82.1 25.2 17.8 34.6 Baw Baw 72.6 65.8 78.6 27.4 21.4 34.2 East Gippsland 72.6 65.4 78.8 27.0 20.8 34.2 Latrobe 69.9 62.4 76.5 30.1 23.5 37.6 South Gippsland 75.9 69.0 81.7 23.6 17.8 30.4 Wellington 67.7 59.9 74.7 31.2 24.4 39.1 Gippsland 70.7 67.1 74.0 29.0 25.7 32.5 Victoria 71.1 70.0 72.2 28.4 27.3 29.5 Source: Victorian Population Health Survey 2008

9 Only respondents aged 50 years and over were asked whether they had a test for bowel cancer in the past two years. 10 Based on persons for whom a bowel examination to detect bowel cancer was applicable at the time of the survey. 11 Female survey participants were able to select ‘not applicable’ as a response to this question. They have been excluded from the denominator when calculating estimates. 95% CI = 95 per cent confidence interval. Data are age standardised to the 2006 Victorian population. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses.



Table 18: Had a mammogram in the past two years12, females aged 50-69, Gippsland by LGA, 2008

Yes No LGA % Lower 95% CI Upper 95% CI % Lower 95% CI Upper 95% CI Bass Coast 74.6 65.3 82.1 25.2 17.8 34.6 Baw Baw 72.6 65.8 78.6 27.4 21.4 34.2 East Gippsland 72.6 65.4 78.8 27.0 20.8 34.2 Latrobe 69.9 62.4 76.5 30.1 23.5 37.6 South Gippsland 75.9 69.0 81.7 23.6 17.8 30.4 Wellington 67.7 59.9 74.7 31.2 24.4 39.1 Gippsland 70.7 67.1 74.0 29.0 25.7 32.5 Victoria 71.1 70.0 72.2 28.4 27.3 29.5 Source: Victorian Population Health Survey 2008

12 Female survey participants were able to select ‘not applicable’ as a response to this question. They have been excluded from the denominator when calculating estimates. Note that figures may not add to 100 per cent due to a proportion of ‘don’t know’ or ‘refused’ responses. 95% CI = 95 per cent confidence interval. Data are age standardised to the 2006 Victorian population.


11

Major Causes of disease and illness

Table 19 presents the ranking in absolute DALYs for the broad disease categories contributing most to the burden of disease in the Gippsland region. Cancer, cardiovascular disease, neurological and sense disorders, followed by mental disorders are the leading causes of burden in the Gippsland region. This is the only region of Victoria where neurological and sense disorders rank ahead of mental disorders, possibly reflecting the older demographic profile of the region. Cancer burden is primarily years of life lost through premature death, while mental disorders rarely cause mortality but are a major cause of ill health.

Table 19: DALYs by Major Disease Category for Gippsland Region, 2001

Mortality YLLs Disability YLDs Total DALYsCancer 6,374 1,697 8,071Cardiovascular Diseases 5,693 1,377 7,070Neurological and sense disorders 843 3,601 4,445Mental disorders 169 4,237 4,407Chronic respiratory diseases 1,107 1,693 2,799Injuries 1,889 681 2,570Diabetes 585 1,330 1,915Musculoskeletal diseases 147 901 1,048Genitourinary diseases 323 624 947Digestive disorders 600 269 869Infections 432 322 754Congenital anomalies 215 379 594Neonatal conditions 284 140 424Maternal conditions 0 16 16Other 445 949 1,395TOTAL 19,108 18,217 37,324 Source: Victorian Burden of Disease Study: Mortality and morbidity 20016

Figure 2: Burden of Disease (DALYs) attributable to risk factors in Gippsland Region compared to Victoria, 2001

Source: Victorian Burden of Disease Study: Mortality and morbidity 200110



13

Table 20: Comparison of Risk Factors Leading to Burden of Disease in Gippsland Region and Victoria, 2001

Males Females Risk Factor Victoria Gippsland Victoria GippslandObesity 7.9% 8.4% 8.3% 8.9%Physical Inactivity 4.0% 4.4% 4.1% 4.4%High blood pressure 8.1% 8.7% 6.4% 6.9%Tobacco 10.0% 11.2% 6.3% 6.7%High cholesterol 6.4% 6.9% 5.8% 6.1%Low fruit & vegetable intake 4.4% 4.8% 2.1% 2.2%Alcohol harm 4.4% 4.5% 1.8% 1.7%Alcohol benefit -1.4% -1.6% -2.0% -2.1%Illicit drugs 2.1% 1.5% 0.9% 0.7%Intimate partner violence - - 3.2% 2.8% Source: Victorian Burden of Disease Study: Mortality and morbidity 200110

The largest risk factor for males is tobacco use, followed by high blood pressure, obesity, and high cholesterol. For women obesity, high blood pressure and then tobacco use, are the most important risk factors causing disease burden in the state. In Gippsland region, each of the major risk factors contributes more to the burden of disease for males than in Victoria as a whole. Illicit drugs are a smaller cause of burden of disease for males in the rural areas compared with the state. For females, the major risk factors (obesity, high blood pressure and tobacco use) cause slightly more of the disease burden in Gippsland region than in Victoria, while illicit drugs, intimate partner violence and alcohol harm are more prominent in the whole state. This reflects partly the different demographics (older population structure) and their disease profile, in rural Victoria compared to urban areas.

Health sector performance

Ambulatory Care Sensitive Conditions Better access to primary health care increases the use of ambulatory care, prevents unnecessary hospitalisations and improves the health status of the population. Analysis from the Victorian Ambulatory Care Sensitive Conditions study identified significant differentials and inequalities in access to the primary health care system in Victoria. The analysis of ACSCs included a broad range of health conditions that are classified as ACSC’s. Data is firstly presented for all ACSC’s including those classified as vaccine preventable, acute and chronic ACSC’s.

Table 21: Top 10 Ambulatory Care Sensitive Conditions (ACSCs), Gippsland by LGA, 2008-09

Bass Coast Baw Baw East Gippsland

Latrobe South Gippsland

Wellington Gippsland Victoria

ACSC

Number of admissions

(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000

persons)


(Rate per 1,000 persons)

Diabetes complications 529 (12.2) 400 (8.9) 592 (10.1) 1,384 (17.8) 435 (12.5) 635 (12.7) 3,975 (12.9) 64,903 (12.0) Dental conditions 44 (1.6) 131 (3.3) 109 (2.9) 285 (3.8) 78 (3.0) 212 (5.1) 859 (3.5) 16,159 (3.1) Chronic Obstructive Pulmonary Disease 141 (3.0) 109 (2.4) 211 (3.5) 296 (3.8) 97 (2.7) 180 (3.5) 1,034 (3.2) 15,055 (2.8) Angina 45 (1.0) 74 (1.6) 96 (1.6) 252 (3.2) 53 (1.5) 93 (1.9) 613 (2.0) 8,370 (1.6) Dehydration and gastroenteritis 23 (0.7) 21 (0.5) 24 (0.5) 133 (1.8) 16 (0.5) 65 (1.5) 282 (1.0) 6,924 (1.3) Congestive cardiac failure 81 (1.73) 94 (2.1) 158 (2.5) 232 (3.0) 84 (2.3) 129 (2.6) 778 (2.4) 12,628 (2.3) Pyelonephritis 116 (3.2) 83 (2.0) 100 (1.9) 195 (2.6) 73 (2.5) 108 (2.4) 675 (2.4) 13,444 (2.5) Cellulitis 48 (1.4) 65 (1.6) 95 (1.9) 182 (2.4) 69 (2.1) 102 (2.2) 561 (2.0) 8,361 (1.6) Asthma 44 (1.7) 82 (2.0) 69 (1.7) 143 (1.9) 43 (1.7) 84 (2.1) 465 (1.9) 9,219 (1.7) Ear, nose and throat infections 44 (1.76) 46 (1.2) 40 (0.9) 124 (1.6) 50 (2.0) 90 (2.2) 394 (1.6) 7,783 (1.4) Source: ACSC reports, Victorian Health Information Surveillance System (VHISS), Department of Health 20107



Table 22: Total ACSC, Acute ACSC and Chronic ACSC admission numbers, rates and average bed days, Victoria 2008-09

Barwon-SW

Grampians Loddon-Mallee

Hume Gippsland North & West

Metro

Eastern Metro

Southern Metro

Victoria

Total ACSC 13,836 8,514 12,692 10,136 10,411 52,883 29,805 42,849 181,126 Acute ACSC 5,733 3,381 4,779 3,612 3,677 20,669 13,126 16,780 71,757


Chronic ACSC 8,002 5,101 7,904 6,515 6,691 31,720 16,432 25,670 108,035 Total ACSC 34.4 35.9 36.9 34.8 36.0 36.7 28.1 33.1 33.6 Acute ACSC 15.1 15.0 14.8 12.6 13.9 13.5 12.6 13.0 13.4

Rate per 1,00 persons

Chronic ACSC 18.9 20.7 22.1 21.2 21.9 22.9 15.3 19.8 20.0 Total ACSC 4.9 5.1 5.0 5.2 5.2 5.4 5.3 5.0 5.2 Acute ACSC 2.5 2.9 2.9 2.9 2.9 2.6 2.9 2.7 2.7

Average bed days

Chronic ACSC 6.7 6.7 6.3 6.5 6.4 7.3 7.3 6.6 6.9

Source: Victorian Ambulatory Care Sensitive Conditions Study8

Immunisation rates

Generally the immunisation rates in Gippsland are good. They are generally higher than or comparable with the Victorian rates.

Table 23: Proportion of children fully immunised, by age and region in Victoria, September 2010

12-<15 months 24-<27 months 60-<63 monthsBarwon-SW 93.2 93.8 91.0Eastern Metro 91.8 93.0 90.0Grampians 93.8 96.7 92.7Hume 91.5 92.9 88.4Loddon Mallee 91.6 93.6 90.3North-West Metro 92.3 93.0 89.7Southern Metro 92.0 93.0 91.1Gippsland 93.0 95.9 92.7Victoria 92.2 93.4 90.4 Source: DHS Information Centre, DHS Intranet, Health and Disability9

Table 24: Proportion of children fully immunised, Gippsland by LGA, September 2010

12-<15 months 24-<27 months 60-<63 monthsBass Coast 94.9 93.1 89.0Baw Baw 91.2 93.8 92.9East Gippsland 93.0 98.2 89.3Latrobe 93.9 95.8 95.3South Gippsland 94.1 100.0 91.0Wellington 90.8 96.0 93.6Gippsland 93.0 95.9 92.7Victoria 92.2 93.4 90.4 Source: DHS Information Centre, DHS Intranet, Health and Disability9


Figure 3: Year 10 secondary school Boostrix percentage coverage rate by LGAs, 2009


How strong are Gippsland communities?

Social, economic and environmental determinants of health

Table 25: Proportion of unemployed persons, Victoria by region, 2009-10

LGA Sep Qtr 2009

Dec Qtr 2009

March Qtr 2010

June Qtr 2010

Sep Qtr 2010

Barwon S/W 5.6% 5.9% 5.5% 5.3% 5.4%Eastern Metro 4.8% 4.9% 5.0% 4.8% 4.5%Grampians 6.1% 6.0% 6.3% 6.8% 7.4%Hume 4.8% 5.3% 5.6% 6.1% 6.4%Loddon-Mallee 5.8% 5.8% 5.7% 6.2% 6.4%North West Metro 5.8% 6.2% 6.2% 6.0% 5.9%Southern Metro 5.5% 5.6% 5.4% 5.2% 4.9%Gippsland 4.7% 4.6% 4.9% 4.9% 5.0%Victoria 5.5% 5.6% 5.6% 5.5% 5.4% Source: DHS Intranet Service Planning Website, Datasets, Socio-Economic10

Table 26: Proportion of unemployed persons, Gippsland by LGA, 2009-10

LGA Sep Qtr 2009

Dec Qtr 2009

March Qtr 2010

June Qtr 2010

Sep Qtr 2010

Bass Coast 4.8% 4.9% 5.2% 5.2% 5.3%Baw Baw 3.4% 3.4% 3.6% 3.6% 3.7%East Gippsland 5.0% 4.9% 5.2% 5.2% 5.3%Latrobe 6.4% 6.2% 6.6% 6.6% 6.8%South Gippsland 2.8% 2.8% 2.9% 2.9% 3.0%Wellington 3.9% 3.8% 4.0% 4.0% 4.1%Gippsland 4.7% 4.6% 4.9% 4.9% 5.0%Victoria 5.5% 5.6% 5.6% 5.5% 5.4% Source: DHS Intranet Service Planning Website, Datasets, Socio-Economic10

Table 27: Indicators of income and socioeconomic status, Gippsland by LGA

LGA

% population with income <$400 per

week 2006 11

Gaming machine losses per head

2008-200912

Children in households with

income <$650 per week 200613

% households with housing

costs greater than 40% of income14

Bass Coast 55.4 $784.96 27.1% 8.5%Baw Baw 48.9 $415.20 19.0% 6.9%East Gippsland 55.6 $773.94 26.1% 6.7%Latrobe 52.5 $872.05 24.9% 6.3%South Gippsland 51.4 $330.11 21.1% 6.9%Wellington 51.6 $744.20 21.9% 6.6%Gippsland 52.5 $695.95 23.4% 6.8%Victoria 45.8 $674.27 17.9% 9.0%



19

Table 28: Recorded family incident reports, Gippsland by LGA, 2009-10

Family incidents Where charges were laid Where IVO applied for

LGA

Number Rate per 100,000

population


population


populationBass Coast 243 821.4 65 219.7 51 172.4Baw Baw 253 612.2 59 142.8 17 41.1East Gippsland 387 887.3 126 288.9 91 208.6Latrobe 1,025 1,362.0 358 475.7 133 176.7South Gippsland 160 576.0 56 201.6 36 129.6Wellington 267 618.1 85 196.8 29 67.1Victoria 35,720 649.9 9,082 165.2 5,489 106.4 Source: Victorian Police 2009/10 Crime Statistics15

Table 29: Social wellbeing and connectedness, Gippsland by LGA, 2006

Can get help from

friends family or

neighbours when

needed

Could raise $2000 in twodays in an emergency

Volunteers Member of organised

groups

Member of group that has taken

local action

Parental participation in schools

Decision making board or

committee

Attendance at

community events

Feels valued by

society

Bass Coast 94.6 75.0 54.2 46.3 63.4 62.8 21.5 62.4 70.6 Baw Baw 93.2 80.5 50.8 56.7 56.5 77.1 25.5 56.3 70.0 East Gippsland 89.0 75.7 55.5 58.5 56.3 61.7 27.7 54.5 70.9 Latrobe 95.3 76.9 51.4 46.5 43.2 70.2 18.3 46.6 63.7 South Gippsland 95.9 77.2 55.7 57.7 49.1 67.5 20.3 59.3 72.9 Wellington 94.6 76.6 59.3 58.8 62.4 73.1 28.9 59.4 65.9 Gippsland 93.8 77.0 54.5 54.1 55.2 68.7 23.7 56.4 69.0 Victoria 93.1 77.1 48.7 47.3 47.5 67.6 20.6 48.9 68.8

Table 29 continued: Social wellbeing and connectedness, Gippsland by LGA, 2006

Opportunities to have a real say on issues

that are important

Multiculturalism makes life in the

area better

Feels safe on the street

alone after dark

The area has easy access to

recreational and leisure

facilities

The area has good

facilities and services like

shops, childcare, schools, libraries

The area has opportunities to volunteer

The area has a wide range

of community and support

groups

It’s an active community

Bass Coast 60.6 64.7 81.7 75.4 59.7 87.3 71.3 77.3 Baw Baw 58.9 57.2 70.1 81.1 78.1 83.7 76.9 80.9 East Gippsland 53.3 61.2 73.1 82.4 71.7 83.9 73.7 72.5 Latrobe 49.2 68.1 62.8 80.4 74.8 78.6 74.5 70.0 South Gippsland 68.0 64.3 77.7 76.3 67.9 85.7 75.4 77.6 Wellington 58.2 66.7 79.1 75.6 71.2 83.5 72.1 75.8 Gippsland 58.1 63.7 74.1 78.5 70.6 83.8 74.0 75.7 Victoria 58.7 67.5 67.8 81.0 77.8 79.6 74.2 71.8 Source: Indicators of Community Strength at the Local Government Area Level in Victoria 200616


Reference: 1 Source : Department of Planning and Community Development (DPCD)

Measure : 2008 Victoria in Future Population Projections Year : September 2009 Reference : http://www.dpcd.vic.gov.au/victoriainfuture

2 Source: Life expectancy at birth: Victoria 2003-2007, Health Intelligence Unit, Prevention and Population

Health Branch, Wellbeing, Integrated Care and Ageing Division, Department of Health Measure: Life expectancy at birth Year: 2010 Reference: http://www.health.vic.gov.au/healthstatus/le.htm

3 Source: Burden of Disease: Health status of Victorians, Victorian Government Health Information Measure: Disability Adjusted Life Year (DALY) Rates Year: 2001 Reference: http://www.health.vic.gov.au/healthstatus/bod/bod_reg.htm

4 Source: Burden of Disease: Health status of Victorians, Victorian Government Health Information

Measure: Years of Life Lost (YLL) Rates Year: 2001 Reference: http://www.health.vic.gov.au/healthstatus/bod/bod_reg.htm

5 Source: Victorian Population Health Survey Report 2008. Department of Health

Year: 2010 Reference: http://www.health.vic.gov.au/healthstatus/vphs_current.htm

6 Source: Victorian Burden of Disease Study: Mortality and morbidity 2001 searchable LGA estimates on

website Year: 2001 Reference: http://www.health.vic.gov.au/healthstatus/bod/bod_reg.htm

7 Source: Victorian Health Information Surveillance System (VHISS), Department of Health 2010

Year: 2010 Reference: http://www.health.vic.gov.au/healthstatus/acsc/index.htm

8 Source: Victorian Health Information Surveillance System (VHISS), Department of Health 2010

Year: 2010 Reference: http://www.health.vic.gov.au/healthstatus/acsc/index.htm

9 Source: DHS Information Centre, DHS Intranet, Health and Disability

Original data from: Medicare Australia - Australian Childhood Immunisation Register (ACIR) Measure: Proportion of children fully immunised by age, by region Year: 2010

10 Source: DHS Intranet Service Planning Website, Datasets, Socio-Economic

Original data from: Department of Employment and Workplace Relations (DEWR) Measure: Proportion of persons unemployed Year: 2010 Reference: http://www.workplace.gov.au/salm

11 Source: Australian Bureau of Statistics, Cat. No. 2068.0 – 2006 Census Tables

Measure: Gross Individual Income (Weekly) by age by sex Year: 2006 Reference: www.abs.gov.au

http://www.dse.vic.gov.au/victoriainfuture

http://www.health.vic.gov.au/healthstatus/le.htm

http://www.health.vic.gov.au/healthstatus/bod/bod_reg.htm


http://www.health.vic.gov.au/healthstatus/vphs_current.htm


http://www.health.vic.gov.au/healthstatus/acsc/index.htm

http://www.health.vic.gov.au/healthstatus/acsc/index.htm

http://www.workplace.gov.au/salm

http://www.abs.gov.au/

12 Source: DHS Intranet Service Planning Website, Victorian Local Government Areas 2009 Statistical

Profiles Original data from: Office of Gambling Regulation Measure: Gaming machine losses per head, people 18 years of age or older Year: 2008-2009

13 Source: 2006 Census of Population and Housing, Basic Community Profiles, ABS Census table: B28 - Gross Household Income (Weekly) by Household Composition. Population: Occupied private dwellings Currency: 2006

14 Source: Customised data from the 2006 Census of Population and Housing, ABS

Currency: 2006

15 Source: Victoria Police Measure: 2009/10 Crime Statistics - Family incidents. Year: 2010 Reference: http://www.police.vic.gov.au/content.asp?Document_ID=782 16 Source: Indicators of community strength, Department of Planning and Community Development

Measure: Indicators of Community Strength at the Local Government Area Level Year: 2006 Reference: http://www.dvc.vic.gov.au/web14/dvc/dvcmain.nsf/headingpagesdisplay/research+and+publicationsindicators+of+community+strength

http://www.police.vic.gov.au/content.asp?Document_ID=782

http://www.dvc.vic.gov.au/web14/dvc/dvcmain.nsf/headingpagesdisplay/research+and+publicationsindicators+of+community+strength

http://www.dvc.vic.gov.au/web14/dvc/dvcmain.nsf/headingpagesdisplay/research+and+publicationsindicators+of+community+strength

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