Profile of people in Capital Coast and Hutt Valley DHB -

analysis of Census 2006Prepared by Ratana Walker

8 June 2011

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Wairarapa

Mid Central

Hutt Valley

Capital Coast

Nelson Marlborough

Hawke's BayWanganui

Lakes

Counties Manukau

Waikato

Waitemata

Taranaki

Otago

Southern

South Canterbury

West Coast

Canterbury

Tairawhiti

Bay of Plenty

Auckland

Northland

2006 CensusTotal NZ = 4,027,500

with 7.8% growth from 2001

District Health Boards

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DHB 1996 2001Change from

1996% change from 1996 2006

Change from 2001

% Change from 2001

2 Waitemata 394,209 429,753 35,544 9.0 481,611 51,858 12.1%

18 Canterbury 411,846 427,095 15,249 3.7 466,404 39,309 9.2%

4 Counties Manukau 341,790 375,540 33,750 9.9 433,083 57,543 15.3%

3 Auckland 346,302 368,028 21,726 6.3 404,619 36,591 9.9%

5 Waikato 312,918 317,763 4,845 1.5 339,192 21,429 6.7%

14 Capital and Coast 235,395 245,952 10,557 4.5 266,658 20,706 8.4%

7 Bay of Plenty 163,146 178,179 15,033 9.2 194,934 16,755 9.4%

20 Otago 176,478 170,931 -5,547 -3.1 179,397 8,466 5.0%

12 Midcentral 157,944 154,974 -2,970 -1.9 158,841 3,867 2.5%

10 Hawke's Bay 143,421 143,547 126 0.1 148,248 4,701 3.3%

1 Northland 137,064 140,136 3,072 2.2 148,440 8,304 5.9%

13 Hutt 132,591 131,859 -732 -0.6 136,104 4,245 3.2%

16 Nelson Marlborough 116,646 122,490 5,844 5.0 130,062 7,572 6.2%

21 Southland 107,589 103,173 -4,416 -4.1 106,824 3,651 3.5%

9 Taranaki 106,815 103,032 -3,783 -3.5 104,274 1,242 1.2%

6 Lakes 95,196 95,988 792 0.8 98,319 2,331 2.4%

11 Whanganui 67,851 63,600 -4,251 -6.3 62,208 -1,392 -2.2%

19 South Canterbury 54,324 52,776 -1,548 -2.8 53,880 1,104 2.1%

8 Tairawhiti 45,789 43,980 -1,809 -4.0 44,463 483 1.1%

15 Wairarapa 38,505 38,205 -300 -0.8 38,613 408 1.1%

17 West Coast 32,529 30,306 -2,223 -6.8 31,326 1,020 3.4%

New Zealand 3,618,348 3,737,307 118,959 3.3 4,027,500 290,193 7.8%

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2610

565

266 355 429

36168

0

500

1,000

1,500

2,000

2,500

3,000

European Mäori PacificPeoples

Asian NewZealander

Other NA

Ethnicity

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Total Respondents by EthnicityNew Zealand 2006

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Other5.0%

New Zealander

9.3%

Pacific5.6%

Maori14.0%

European57.6%

Asian8.5%

Other4.6%

Pacific5.4%

Maori14.1%

European69.8%

Asian6.1%

2001 CensusTotal = 3,737,322

Pacific people = 200,262

Population by EthnicityNew Zealand

2006 CensusTotal = 4,027,944

Pacific people = 226,302

Note: These are number of people based on the prioritised definition

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Population by Ethnicity CCDHB and Hutt, 2001 and 2006

Asian6.8%

Pacific7.3%

Maori11.6%

Other4.3%

European64.4%

Total 2001 = 377,775Pacific people = 27,453

Total 2006 = 402,570Pacific people = 28,776

Asian8.5%

Pacific7.1%

Maori11.9%

Other4.6%

European64.4%

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Pacific People by Culture GroupCCDHB and Hutt

Pacific Culture Groups CCDHB and Hutt %

Samoan 20,976 57.1%

Cook Islands Maori 6,675 18.2%

Tokelauan 3,426 9.3%

Tongan 2,232 6.1%

Niuean 1,395 3.8%

Fijian 969 2.6%

Other Pacific 1,041 2.8%

Total Respondents 36,714 100.0%

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Population Change by age group

NZ 2006 2001 Change % Change

0-14 867,573 847,740 19,833 2.3

15-24 571,182 505,065 66,117 13.1

25-64 2,093,598 1,934,079 159,519 8.2

65+ 495,591 450,438 45,153 10.0

Total 4,027,944 3,737,322 290,622 7.8

CCDHB and Hutt 2006 2001 Change % Change

0-14 82,740 82,233 507 0.6

15-24 60,837 53,682 7,155 13.3

25-64 215,556 202,227 13,329 6.6

65+ 43,437 39,633 3,804 9.6

Total 402,570 377,775 24,795 6.6

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Population Change by age groupPacific People

NZ 2006 2001 Change% Chang

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0-14 75,531 69,615 5,916 8.5

15-24 40,707 35,421 5,286 14.9

25-64 100,131 87,738 12,393 14.1

65+ 9,933 7,488 2,445 32.7

Total 226,302 200,262 26,040 13.0

CCDHB and Hutt 2006 2001 Change % Change

0-14 8,844 8,946 -102 -1.1

15-24 5,193 5,013 180 3.6

25-64 13,488 12,513 975 7.8

65+ 1,251 981 270 27.5

Total 28,776 27,453 1,323 4.8

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DHBPacific 2001 Pacific 2006

Number Change % Change

01 Northland 2,943 3,702 759 25.8%

02 Waitemata 30,420 35,190 4,770 15.7%

03 Auckland 47,619 50,166 2,547 5.3%

04 Counties Manukau 76,890 92,982 16,092 20.9%

05 Waikato 9,528 10,626 1,098 11.5%

06 Lakes 3,327 3,651 324 9.7%

07 Bay of Plenty 3,033 3,714 681 22.5%

08 Tairawhiti 1,140 1,299 159 13.9%

09 Taranaki 1,056 1,365 309 29.3%

10 Hawke's Bay 4,722 5,271 549 11.6%

11 Whanganui 1,215 1,353 138 11.4%

12 Midcentral 3,879 4,605 726 18.7%

13 Hutt 10,161 11,745 1,584 15.6%

14 Capital and Coast 21,099 21,954 855 4.1%

15 Wairarapa 807 849 42 5.2%

16 Nelson Marlborough 1,221 1,686 465 38.1%

17 West Coast 186 282 96 51.6%

18 Canterbury 8,268 10,476 2,208 26.7%

19 South Canterbury 348 444 96 27.6%

20 Otago 2,574 3,021 447 17.4%

21 Southland 1,353 1,584 231 17.1%

99 Area outside District Health Board 9 6 -3 -33.3%

Total 231,798 265,974 34,176 14.7%

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DHB Pacific People %

4 Counties Manukau 92,982 35.0%

3 Auckland 50,166 18.9%

2 Waitemata 35,190 13.2%

14 Capital and Coast 21,954 8.3%

13 Hutt 11,745 4.4%

5 Waikato 10,626 4.0%

18 Canterbury 10,476 3.9%

10 Hawke's Bay 5,271 2.0%

12 Midcentral 4,605 1.7%

7 Bay of Plenty 3,714 1.4%

1 Northland 3,702 1.4%

6 Lakes 3,651 1.4%

20 Otago 3,021 1.1%

16 Nelson Marlborough 1,686 0.6%

21 Southland 1,584 0.6%

9 Taranaki 1,365 0.5%

11 Whanganui 1,353 0.5%

8 Tairawhiti 1,299 0.5%

15 Wairarapa 849 0.3%

19 South Canterbury 444 0.2%

17 West Coast 282 0.1%

99 Area outside DHB 6 0.0%

Total respondents 265,974 100.0%

Pacific PeopleBy DHB

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Population Pyramid by AgeNew Zealand 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

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Population Pyramid by AgeCCDHB and Hutt, 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

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7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

Maori

Population Pyramid by EthnicityCCDHB and Hutt, 2006 Census

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

European/NZer

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

Pacific People

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

Asian

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Age Structure by Ethnicity CCDHB and Hutt, 2006

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

65+ 13.6 2.9 4.3 5.7 8.6 10.8

25-64 56 44.1 46.9 53.1 52.8 53.5

15-24 13.2 19 18 20.6 18.2 15.1

0-14 17.1 33.9 30.7 20.6 20.5 20.6

European Maori Pacific Asian Others Total

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Health Status

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Number of deaths by Age groupCCDHB and Hutt, 2003–2007

0-141.7%

75+61.1%

65-7416.4%

15-241.3%

25-444.0%

45-6415.5%

Total deaths = 12,271

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Number of deaths by Age groupCCDHB and Hutt, Jan 2003–Dec 2007

45-6435.6%

25-4412.4%

15-244.6%

65-7422.0%

75+18.2%

0-147.2%

Total Maori = 820

0-145.3%

75+24.8%

65-7425.3%

15-243.3%

25-4411.3%

45-6430.0%

Total Pacific = 584

0-144.8%

75+44.3%

65-7422.8%

15-241.3%

25-445.8%

45-6421.0%

Total Asian = 377

45-6412.9%

25-442.9% 15-24

1.0%

65-7415.2%

75+67.3%

0-140.9%

Total European = 10,277

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Potential Avoidable Mortality (PAM)• One of the measures to estimate the potential to improve health.•These are causes of death which theoretically can be avoided through preventive or curative intervention at the individual level.•Depend on 1. accurate assignment of cause of death. 2. how to categorise each cause as avoidable and unavoidable. All deaths after age of 75 are considered unavoidable.

Jan 2003-Dec 2007  Māori Pacific Asian European OtherAll Ethni

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Total Deaths, Age 0-74 671 439 210 3,364 89 4,773

Non-PAM 177 137 67 1,217 43 1,641

PAM 494 302 143 2,147 46 3,132

%PAM 73.6% 68.8% 68.1% 63.8% 51.7% 65.6%

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Potential Avoidable Mortality (PAM)CCDHB and Hutt, 2003-2007

PAM Total %

Ischaemic heart disease 725 23.1%

Malig neoplasm trachea, bronchus, lung 371 11.8%

Colo-rectal cancer 234 7.5%

Suicide 224 7.2%

Breast cancer 201 6.4%

Diabetes 198 6.3%

Chronic bronchitis and emphysema 187 6.0%

Intracerebral haemorrhage or occlusion 160 5.1%

Motor vehicle crashes 119 3.8%

Lip, melanoma, other skin cancer 84 2.7%

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Potential Avoidable Mortality (PAM)Maori, CCDHB and Hutt, 2003-2007

PAM Maori %

Ischaemic heart disease 101 20.4%

Diabetes 57 11.5%

Malig neoplasm trachea, bronchus, lung 55 11.1%

Suicide 41 8.3%

Breast cancer 24 4.9%

Chronic bronchitis and emphysema 24 4.9%

Stomach cancer 16 3.2%

Colo-rectal cancer 15 3.0%

Intracerebral haemorrhage or occlusion 15 3.0%

Motor vehicle crashes 15 3.0%

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Potential Avoidable Mortality (PAM)Pacific People, CCDHB and Hutt, 2003-2007

PAM Pacific %

Ischaemic heart disease 67 22.2%

Diabetes 50 16.6%

Malig neoplasm trachea, bronchus, lung 23 7.6%

Intracerebral haemorrhage or occlusion 20 6.6%

Suicide 16 5.3%

Breast cancer 15 5.0%

Acute rheumatic fever, heart disease 13 4.3%

Motor vehicle crashes 13 4.3%

Nutritional deficits including anaemia 11 3.6%

Chronic bronchitis and emphysema 8 2.6%

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Potential Avoidable Mortality (PAM)Asian, CCDHB and Hutt, 2003-2007

PAM Asian %

Ischaemic heart disease 31 21.7%

Malig neoplasm trachea, bronchus, lung 17 11.9%

Diabetes 14 9.8%

Breast cancer 10 7.0%

Colo-rectal cancer 8 5.6%

Intracerebral haemorrhage or occlusion 8 5.6%

Suicide 8 5.6%

Malig neoplasm mouth, pharynx, larynx 6 4.2%

Motor vehicle crashes 5 3.5%

Stomach cancer 5 3.5%

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Potential Avoidable Mortality (PAM)European, CCDHB and Hutt, 2003-2007

PAM European %

Ischaemic heart disease 517 24.1%

Malig neoplasm trachea, bronchus, lung 271 12.6%

Colo-rectal cancer 198 9.2%

Suicide 155 7.2%

Chronic bronchitis and emphysema 149 6.9%

Breast cancer 148 6.9%

Intracerebral haemorrhage or occlusion 113 5.3%

Motor vehicle crashes 85 4.0%

Lip, melanoma, other skin cancer 79 3.7%

Diabetes 75 3.5%

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Number of discharges by Age groupCCDHB and Hutt, May 2009-April 2010

45-6424.3%

25-4417.7%

15-248.3%

65-7412.6%

75+19.5%

0-1417.6%

Total discharges = 49,399

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45-6424.2%

25-4423.6%

15-247.1%

65-7412.0%75+

9.8%

0-1423.2%

Total Asian = 2,581

Number of discharges by Age groupCCDHB and Hutt, May 2009 – April 2010

45-6425.3%

25-4421.0%

15-2411.8%

65-747.0%

75+3.6%

0-1431.2%

Total Maori = 6,867

45-6423.3%

25-4420.4%

15-2410.0%

65-7410.9%

75+5.6%

0-1429.9%

Total Pacific = 4,667

45-6424.2%

25-4416.0%

15-247.4%

65-7414.1%

75+25.5%

0-1412.7%

Total European = 33,326

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Potential Avoidable Hospitalisations (PAH)

• Concept of avoidable can be extended from fatal to non fatal outcomes.•A potential avoidable admission signals the occurrence of illness or injury that theoretically can be avoided through 1. Population based health promotion strategies. 2. Intervention through primary health care setting.• Illness or injury after age of 75 are considered unavoidable.

May 2009-April 2010  Māori Pacific Asian European OtherAll Eth

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Total Discharges aged 0-74 6,618 4,407 2,328 24,821 1,609 39,783

Non-PAH 4,178 2,665 1,596 18,021 1,120 27,580

PAH 2,440 1742 732 6,800 489 12,203

%PAH 36.9% 39.5% 31.4% 27.4% 30.4% 30.7%

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Potential Avoidable Hospitalisation (PAH)CCDHB and Hutt, May 2009-April 2010

PAH Total %

24 Angina and chest pain 1493 12.2%

35 Cellulitis 1074 8.8%

30 Dental conditions 1043 8.5%

27 b Respiratory infections - Pneumonia 780 6.4%

29 Asthma 705 5.8%

18 Diabetes 628 5.1%

21 ENT infections 568 4.7%

28 CORD 562 4.6%

27 c Respiratory infections - Other 477 3.9%

10 a Myocardial infarction 471 3.9%

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Potential Avoidable Hospitalisation (PAH)Maori, CCDHB and Hutt, May 2009-April 2010

PAH Maori %

30 Dental conditions 282 11.6%

35 Cellulitis 276 11.3%

29 Asthma 184 7.5%

21 ENT infections 171 7.0%

27 b Respiratory infections - Pneumonia 165 6.8%

24 Angina and chest pain 164 6.7%

27 a Respiratory infections - Acute bronchiolitis 158 6.5%

18 Diabetes 129 5.3%

28 CORD 116 4.8%

27 c Respiratory infections - Other 115 4.7%

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Potential Avoidable Hospitalisation (PAH)Pacific People, CCDHB and Hutt, May 2009-April 2010

PAH Pacific %

35 Cellulitis 222 12.7%

30 Dental conditions 202 11.6%

27 b Respiratory infections - Pneumonia 169 9.7%

24 Angina and chest pain 136 7.8%

29 Asthma 136 7.8%

27 a Respiratory infections - Acute bronchiolitis 113 6.5%

27 c Respiratory infections - Other 110 6.3%

18 Diabetes 105 6.0%

28 CORD 69 4.0%

21 ENT infections 64 3.7%

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Potential Avoidable Hospitalisation (PAH)Asian, CCDHB and Hutt, May 2009-April 2010

PAH Asian %

24 Angina and chest pain 106 14.5%

30 Dental conditions 91 12.4%

18 Diabetes 52 7.1%

27 c Respiratory infections - Other 44 6.0%

29 Asthma 43 5.9%

34 Kidney/urinary infection 40 5.5%

11 Gastroenteritis 37 5.1%

10 a Myocardial infarction 36 4.9%

35 Cellulitis 32 4.4%

27 b Respiratory infections - Pneumonia 27 3.7%

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Potential Avoidable Hospitalisation (PAH)European, CCDHB and Hutt, May 2009-April 2010

PAH European %

24 Angina and chest pain 1005 14.8%

35 Cellulitis 511 7.5%

30 Dental conditions 430 6.3%

27 b Respiratory infections - Pneumonia 384 5.6%

28 CORD 349 5.1%

03 Skin cancers 324 4.8%

10 a Myocardial infarction 324 4.8%

29 Asthma 323 4.8%

18 Diabetes 318 4.7%

21 ENT infections 294 4.3%