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Table 3.1.3 Causes of death by Indigenous status, Qld, WA, SA and the NT, 2001–2005 aIndigenous Non-Indigenous Indigenous Non-Indigenous Ratio% % Age standardisedrate per 100 000Age standardisedrate per 100 000Underlying cause of deathCirculatory diseases 26.6 36.8 783.9 228.9 3.4Accidents, poisonings and violence 16.2 6.3 123.5 39.3 3.1Cancer 15.1 29.7 306.9 179.8 1.7Lung cancer 3.6 5.7 79.3 34.9 2.3Cervical cancer 0.4 0.2 5.8 1.1 5.3Endocrine, metabolic & nutritionaldisorders9.0 3.5204.3 21.6 9.5Diabetes 8.0 2.4 202.8 14.8 13.7Respiratory diseases 8.7 8.7 243.2 54.1 4.5Digestive diseases 5.7 3.3 131.0 20.6 6.4Conditions originating in the perinatalperiod2.8 0.4 7.9 2.9 2.7Nervous system diseases 2.5 3.3 50.4 20.7 2.4Infectious and parasitic diseases 2.3 1.2 39.1 7.3 5.4Kidney diseases 2.0 1.5 64.0 9.6 6.7Other causes 9.1 5.3 143.7 37.1 3.9All causes 100.0 100.0 2043.7 621.7 3.3Number of deaths 7 544 227 393a Calculations of rates for the Indigenous population are based on ABS Experimental Projections, Aboriginal and Torres Strait Islander Australians (low series, 2001base). There are no comparable population data for the Non-Indigenous population. Calculations of rates for the Non-Indigenous population are based on data derivedby subtracting Indigenous population projections from total population estimates and should be used with care.Source: ABS 2006, Causes of Death 2005, Cat. no. 3303.0 (unpublished); table 3A.1.3.3.8
• In the period 2001 to 2005, age standardised death rates from all causescombined were more than three times as high as for Indigenous people as thosefor non-Indigenous people (2043.7 per 100 000 compared with 621.7 per100 000) (figure 3.1.3).• Indigenous death rates were higher than non-Indigenous rates for all categoriesof disease (figure 3.1.3).• Indigenous people died from diabetes at nearly 14 times the rate for non-Indigenous people.3.2 Disability and chronic diseaseBox 3.2.1Key messages• In non-remote areas in 2002, Indigenous adults were twice as likely to report adisability resulting in a profound or severe core activity limitation thannon-Indigenous adults.• From 2001 to 2004-05, there was an increase in the number of long term healthconditions for which Indigenous people reported higher rates than non-Indigenouspeople. In 2001, Indigenous people reported higher rates of asthma, diabetes/highsugar levels and kidney disease than non-Indigenous people. In 2004-05,Indigenous people also reported higher rates of arthritis, back pain/problems andheart and circulatory diseases (figure 3.2.1 and table 3A.2.1).• In 2004-05, the greatest difference between Indigenous and non-Indigenous rateswas for kidney disease; where the Indigenous rate was 10 times as high as thenon-Indigenous rate. This gap is widening — in 2001 the Indigenous rate was5 times as high as the non-Indigenous rate (table 3A.2.1).• In 2004-05, Indigenous people were 3 times as likely as non-Indigenous people tohave diabetes (figure 3.2.1). There was no improvement in the reported incidence ofdiabetes among Indigenous people between 2001 and 2004-05 (table 3A.2.1).The 2005 Report included data on the incidence of disability and the degree of coreactivity limitation among Indigenous people, sourced from the 2002 ABS NATSISS(the major findings are summarised in the first part of this section). As no new dataon disability have become available since the 2002 ABS NATSISS, this Reportcompares the rates of selected long term health conditions (that may causedisability) among Indigenous and non-Indigenous people (obtained from the2004-05 ABS NATSIHS). These rates are accompanied by standardisedhospitalisation rates for selected long term health conditions for Indigenous peoplesourced from the AIHW National Hospital Morbidity Database.HEADLINEINDICATORS9
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© Commonwealth of Australia 2007IS
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ForewordIn 2003, when heads of Aust
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ContentsForewordContentsAcronyms an
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7.4 Juvenile diversions as a propor
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Acronyms and abbreviationsABSACDPAC
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LSAYLSICMCATSIAMCEETYAMOUNATSISNATS
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GlossaryAboriginalAge standardisedr
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ICDEquivalisedhousehold incomeIncom
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For example, the gross monthly inco
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StatisticalsignificanceStatistical
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In May 1997, I wrote to your predec
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situations of Aboriginal people and
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Other health outcomes deteriorated.
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• Indigenous owned or controlled
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Governments and Indigenous people h
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• on-going government support (in
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Source: ABS (2004b); table 3A.1.1.D
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Apparent retention rates of full ti
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The labour force participation rate
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Home ownership is an important econ
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Substantiated child abuse and negle
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Box 1.16KEY MESSAGES• Comparable
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Age standardised adult imprisonment
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Strategic areas for actionFunctiona
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Box 1.21Things that work• The Jab
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Box 1.25Things that work• Congres
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Box 1.28KEY MESSAGES• Data on too
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elationship between the number of d
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uilt upon, or interventions can ass
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Box 1.37KEY MESSAGES• In 2006, 8
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Box 1.41Things that work• The Cir
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Alcohol consumption at long term ri
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Box 1.47• In 2004-05:KEY MESSAGES
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Prisoners, by known prior adult imp
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Box 1.54Things that work• The Mar
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ceremonies, rituals and history. So
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Communication with service provider
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Hospitalisation rates for Indigenou
Page 79 and 80: Indigenous people 15 years and over
Page 81 and 82: Box 1.67Things that work• The Abo
Page 83 and 84: mining royalties and tourism), Indi
Page 85 and 86: Box 1.74KEY MESSAGES• Six determi
Page 87 and 88: Median (mid point) individual incom
Page 89 and 90: FUTURE DIRECTIONS IN DATANotwithsta
Page 91 and 92: 1 IntroductionIn April 2002, the Co
Page 93 and 94: In order to provide a comprehensive
Page 95 and 96: Identify indicators that are of rel
Page 97 and 98: —— 2004-2007a, Report on Govern
Page 99 and 100: 2 The frameworkThe first two sectio
Page 101 and 102: 3. Strategic areas for actionGovern
Page 103 and 104: Headline indicatorsThe headline ind
Page 105 and 106: Figure 2.2.3 A preventive model —
Page 107 and 108: • Retention at year 9• Indigeno
Page 109 and 110: Similarly, the previous indicator
Page 111 and 112: In 2006, following publication of t
Page 113 and 114: Suggested cultural indicators were
Page 115 and 116: The ‘Economic participation and d
Page 117 and 118: • Survey data: surveys, such as t
Page 119 and 120: • 2004-05 National Health Survey
Page 121 and 122: —— 2004b, National Aboriginal a
Page 123 and 124: 3 Headline indicatorsSafe, healthy
Page 125 and 126: specific death rates 1 ) continued
Page 127 and 128: while the life expectancy of Indige
Page 129: Table 3.1.2Age specific death rates
Page 133 and 134: Box 3.2.2‘Things that work’ - d
Page 135 and 136: In 2002, the proportion of Indigeno
Page 137 and 138: • Among older people (aged 55 yea
Page 139 and 140: people with at least one long-term
Page 141 and 142: Table 3.2.1Age standardised hospita
Page 143 and 144: wellbeing (and other positive healt
Page 145 and 146: Health and education are intimately
Page 147 and 148: Figure 3.3.2 Apparent retention rat
Page 149 and 150: Figure 3.3.4 Apparent retention rat
Page 151 and 152: • Nationally, the proportion of I
Page 153 and 154: • their health outcomes and their
Page 155 and 156: extent to which people over 18 year
Page 157 and 158: Post secondary attainmentOne measur
Page 159 and 160: • In 2005, the national load pass
Page 161 and 162: 3.5 Labour force participation and
Page 163 and 164: communities where the labour market
Page 165 and 166: Figure 3.5.2 CDEP participation, In
Page 167 and 168: Table 3.5.1Labour force participati
Page 169 and 170: • Nationally, the labour force pa
Page 171 and 172: Figure 3.5.7 Unemployment rate of p
Page 173 and 174: Figure 3.5.9 Unemployment rate of p
Page 175 and 176: Figure 3.5.10 Long term unemploymen
Page 177 and 178: Chapter 12 of this Report discusses
Page 179 and 180: Box 3.6.2(continued)Median value is
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Figure 3.6.1 Median gross weekly eq
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the population into five equal grou
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Figure 3.6.5 Distribution of gross
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• Age-related patterns in income
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Box 3.7.2‘Things that work’ —
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easonably simple to derive and prov
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Figure 3.7.2 Proportion of Indigeno
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3.8 Suicide and self-harmBox 3.8.1K
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Box 3.8.2(continued)A study found t
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Figure 3.8.2 Intentional self-harm
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Figure 3.8.3 Average annual suicide
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• Analysis of data from the Top E
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healthy and supported by their fami
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Figure 3.9.1 Rate per 1000 children
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Figure 3.9.3 Children aged 0-16 yea
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Table 3.9.1Number of diagnoses of c
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Indigenous than non-Indigenous peop
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Figure 3.10.1 Homicide death rates,
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Figure 3.10.3 Average annual homici
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Table 3.10.1 Comparative statistics
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Patterns and trendsPatterns and tre
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Hospitalisations for assaultFigure
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The lack of a common definition mea
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Box 3.11.2 (continued)A key compone
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• Indigenous women reported highe
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Figure 3.11.2 SAAP support periods:
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New South WalesFigure 3.11.3 Victim
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VictoriaFigure 3.11.5 Victims recor
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non-Indigenous people (65.3 per cen
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Figure 3.11.7 Victim-offender relat
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Northern TerritoryTable 3.11.2 Vict
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murder the offender was ‘other’
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Box 3.12.2 (continued)Victoria’s
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People under 18 years are treated a
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Figure 3.12.1 Age standardised impr
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past five years, the rates of impri
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Juvenile detentionFigure 3.12.4 Juv
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• Nationally on 30 June 2005, the
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3.11 Family and community violenceT
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Table 3A.3.10Table 3A.3.11Table 3A.
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3.6 Household and individual income
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3.11 Family and community violenceT
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Table 3A.11.46Table 3A.11.47Table 3
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—— and AIHW (Australian Institu
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http://www.who.int/hpr/NPH/docs/ott
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Hunter, B. and Gray, M. 1999, Furth
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Swan, P. and Raphael, B. 1995, Ways
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—— 2005, Through Young Black Ey
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—— 2006, Population by Age and
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3.12 Imprisonment and juvenile dete
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4 Strategic areas for action4.1 The
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5 Early child development and growt
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cited in Couzos, Metcalf and Murray
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some Aboriginal communities are ass
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Box 5.1.2(continued)Growth Assessme
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preventable condition for which Ind
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Figure 5.1.2 Deaths from external c
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Box 5.2.2(continued)Between 1993-95
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Figure 5.2.2 Infant mortality, by I
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irth weight are compounded by high
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Box 5.3.2(continued)Strong Women, S
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Box 5.3.2(continued)The model was d
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abies had non-Indigenous mothers an
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5.4 Hearing impedimentsBox 5.4.1Key
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Box 5.4.2(continued)• Chronic oti
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Figure 5.4.2 Prevalence of otitis m
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• Although the hospitalisation ra
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Table 5.5.1Children’s mean number
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• The percentage of Indigenous ch
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difference in scores between Indige
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• According to the 2002 Child Den
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• A greater proportion of Indigen
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Figure 5.5.5 Hospital dental proced
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The proposed Longitudinal Study of
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5.8 References5 Early child develop
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Central Public Health Unit Network
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Mackerras D 1998, Evaluation of the
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Leach, A.J., Boswell, J.B., Asche,
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Harford, J., Spencer, J., Roberts-T
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6 Early school engagement andperfor
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2002). Gaps that appear in children
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Table 6.1.1Participation rates in p
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this approach was legal (DEWR 2006)
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• School participation rates are
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Box 6.3.2(continued)Scaffolding Lit
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Figure 6.3.2 Proportion of year 3 s
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6.3 Year 3 literacy and numeracyTab
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NTDE (Northern Territory Department
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Young People, Curtin University of
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7 Positive childhood and transition
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In most states and territories, com
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Attachment tablesAttachment tables
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Nationally comparable learning outc
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Year 5 writingFigure 7.1.3 Proporti
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Year 5 numeracyFigure 7.1.5 Proport
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Year 7 readingFigure 7.1.7 Proporti
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Year 7 writingFigure 7.1.9 Proporti
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Year 7 numeracyFigure 7.1.11 Propor
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then year 7 in 2005, and be tested
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Figure 7.1.15 Proportion of year 3
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non-Indigenous children, reducing t
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7.3 Indigenous cultural studies in
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Box 7.3.2Bendigo Senior Secondary C
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Box 7.3.6Western Arrernte Picture D
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Table 7.3.1 Indigenous employment i
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Box 7.3.8RATEP — a community base
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Box 7.4.2(continued)• Police and
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New South WalesTable 7.4.1NSW, numb
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pattern was observed for non-Indige
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Figure 7.4.2 WA, Indigenous and non
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Figure 7.4.3 SA, proportion of Indi
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7.5 Transition from school to workB
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(see section 7.2 Retention at year
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studying, for both Indigenous and n
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• Similar patterns to those in th
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7.6 Future directions in dataYears
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Table 7A.4.12Table 7A.4.13Victoria,
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Paper National Benchmark Results Re
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Randell, N. (ed.) 2002, Including t
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and important correlates of crimina
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8.1 Alcohol consumption and harmBox
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Patterns of alcohol consumptionThe
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Figure 8.1.1 Alcohol consumption at
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• For both Indigenous and non-Ind
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Table 8.1.3Alcohol consumption at s
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Figure 8.1.4 Alcohol involvement in
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disability and behaviour problems (
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• hospitalisation rates for all c
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Data on tobacco use in this section
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current daily smokers than non-Indi
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Figure 8.2.4 Mothers reporting smok
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8.3 Drug and other substance use an
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In 2004-05, among Indigenous adults
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interventions, there had been a red
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Drug related crimeBroadly speaking,
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Figure 8.3.2 Drug influenced Indige
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• develop an appropriate methodol
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Strait Islander Peoples 2005, ABS C
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AIHW (Australian Institute of Healt
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Makkai T. and Payne J. 2003, Drugs
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• income• suicide and self-harm
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Following consultations in 2006, a
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An increased rate may also be due t
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Figure 9.1.1 Placement of Indigenou
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Box 9.2.2(continued)their local com
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Adult repeat offendingFigure 9.2.1
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• Nationally in 2006, 75.3 per ce
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69.0 per cent had been in prison pr
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juvenile justice system and 2 496 a
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juvenile justice system was dismiss
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chronic disease, early child develo
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Table 9.3.1Expenditure on health ca
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Table 9.3.2Age standardised hospita
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presents hospitalisation rates for
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lower than those in 2001-02 for bot
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Figure 9.3.2 compares the length of
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non-remote areas were twice as like
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• A greater proportion of discret
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The following definitions of mental
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Box 9.4.2(continued)Aboriginal Ment
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• In 2004-05, 48.0 per cent of In
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• Life events or ‘stressors’
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• Over the period, the age-standa
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Table 9.4.2Indigenous standardised
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Death rates for mental and behaviou
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A WA study on prisoner health and m
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• The proportion of children at h
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Some Indigenous people living in ci
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Figure 9.5.3 Proportion of Indigeno
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were judged by their teachers to be
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Figure 9.6.2 Participation in exerc
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Box 9.6.3Little Yuin Aboriginal Pre
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Box 9.6.6Athletics Australia ‘Ath
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Box 9.6.8(continued)The Australian
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discrete Aboriginal and Torres Stra
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Figure 9.7.3 How Indigenous people
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Figure 9.7.5 Communication with ser
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Indigenous communities. 2 The 2006
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with the 1993 Western Australian Ch
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Box 9.7.3Health Education Unit —
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Box 9.7.5Interpreter accreditation
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Box 9.7.8Pre-hospital care in remot
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Participation in organised sport, a
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9.3 Access to primary health careTa
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age standardised, by remoteness are
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SHRG (Social Health Reference Group
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9.4 Mental healthABS (Australian Bu
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Procter, N. 2005, ‘Parasuicide, s
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Daly, A.E. 2001, Implications of De
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Menzies School of Health Research 2
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infrastructure as well as functioni
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some duplication, as patients can h
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After adjusting for age differences
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Figure 10.1.2 Age standardised hosp
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Figure 10.1.3 Hospitalisation rates
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Figure 10.1.4 Death rates from dise
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In rural and remote areas, there is
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In June 2006, an estimated 510 000
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Figure 10.2.2 Experienced water int
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Types of sewerage systemsIn the 200
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Access to cooking, washing and toil
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The occupancy standard determines o
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• There were no statistically sig
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Figure 10.3.4 Proportion of Indigen
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10.2 Access to clean water and func
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Pholeros P., Rainow S. and Torzillo
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Indigenous owned land yields econom
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Box 11.1.2 ‘Things that work’
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Box 11.1.2 (continued)The success o
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Employment by full time/part time s
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Figure 11.1.3 Full time and part ti
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Figure 11.1.5 Full time and part ti
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Data on full time and part time emp
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• CDEP participation accounted fo
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people’s wellbeing (see section 1
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Box 11.2.2 Walking Tourism Business
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11.3 Indigenous owned or controlled
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The potential to derive economic be
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• land-based investments for capi
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Box 11.3.2 (continued)In 2006, fund
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Indigenous Land Use AgreementsIndig
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• Indigenous owned or controlled
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Figure 11.3.4 The growth of Indigen
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and corporate behaviour, and descri
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Box 11.4.2 ‘Things that work’
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Figure 11.4.1 Proportion of univers
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while the proportion of non-Indigen
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State and Territory data on the num
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areas of agreement, ‘governments
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Indigenous organisations, by and la
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• Coordination and decision makin
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Box 11.5.4 (continued)The Board of
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Box 11.5.6 (continued)3. Are effect
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Box 11.5.8 (continued)The Pitjantja
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Box 11.5.10 Governance trainingWuna
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• strategic policy and evaluation
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Box 11.5.13 Developing youth leader
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third parties enter into an equal a
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The OIPC red tape evaluation (OIPC
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old. Some will be new’ (Cornell a
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circumstances or risk profile of th
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11.6 Future directions in dataEmplo
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Table 11A.1.10 Occupation skill lev
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11.3 Indigenous owned or controlled
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Gerritson, R. 2001, Community Capac
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Reconciliation Australia 2006b, 200
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Torres Strait Islander people compr
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Labour force participation and unem
Page 694 and 695:
section 12.1). The files containing
Page 696 and 697:
Page 698 and 699:
Patterns of relative disadvantage b
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13.1.2 Differences between women an
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Figure 13.1.3 Relative disadvantage
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13.2 Associations between headline
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Figure 13.2.2 People aged 15 years
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Figure 13.2.4 People aged 15 years
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Box 13.3.1 (continued)For example,
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• more common among unemployed pe
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13.4 Notes on methodologyThe analys
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13.22 OVERCOMINGINDIGENOUSDISADVANT
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• reviewing and re-engineering pr
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The working group will consider how
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Australian Government commentsThe f
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New South Wales Government comments
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Victorian Government commentsIn Oct
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Queensland Government commentsThe Q
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Western Australian Government comme
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South Australian Government comment
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Tasmanian Government commentsThe Ta
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Australian Capital Territory Govern
Page 738 and 739:
Northern Territory Government comme
Page 740 and 741:
IMPLEMENTATION OFTHE FRAMEWORKA2.21
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Figure A3.2 Proportion of the popul
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• The proportion of the Indigenou
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e disaggregated by different factor
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identify when asked by police. Henc
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Indicators Measures Data sources3 H
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Indicator Measure Data source3.5 La
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Indicator Measure Data source3.10 D
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Indicator Measure Data source5.5 Ch
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Indicator Measure Data source7.5 Tr
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Indicator Measure Data source9.2 Re
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Indicator Measure Data source9.5 Pr
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Indicator Measure Data source11 Eco
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Acronyms and abbreviationsABSACERAI
Page 768:
Australia 1995-2003, Trends and Iss
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