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disability and behaviour problems (World Bank 2000). Foetal-alcohol syndrome, ismore prevalent in Aboriginal infants than non-Aboriginal infants (GSA 2003).There are few data available on alcohol consumption by Indigenous females duringpregnancy. One study gathered data through a survey administered as part of ahealth screening program conducted from 1998 to 2000 at 45 rural and remotelocations in north Queensland. The ‘Well Persons Health Check’ found that45 per cent of Indigenous women between the ages of 15 and 44 reported havingdrunk alcohol at hazardous and harmful levels in the week prior to survey.Furthermore, 25 per cent of pregnant Indigenous women continued to reportdrinking at hazardous and harmful levels (Queensland Health Tropical PopulationHealth <strong>Network</strong> unpublished).According to AIHW (2005), alcohol was the second largest cause of drug-relateddeaths and hospitalisations in Australia (after tobacco) in 2004.Data on hospitalisations related to alcohol use reported for this indicator are fromthe AIHW National Hospital Morbidity Database. These data only cover alcoholrelated illnesses resulting in admission to a hospital. Further data are only availablefor conditions directly attributable to alcohol consumption and do not include mostof the conditions listed above, where alcohol may be a contributing factor but wherethe link is not direct and immediate. Lastly, identification of Indigenous patients isincomplete and completeness varies across jurisdictions. The AIHW has advisedthat only data for Queensland, WA, SA and the NT are considered to be acceptablefor analytical purposes. Data for NSW, Victoria, Tasmania and the ACT werewithheld by AIHW due to high rates of under-identification of Indigenous people(see chapter 2 and appendix 4 for more information). The limitations of usinghospital statistics are discussed in appendix 3.8.16 OVERCOMINGINDIGENOUSDISADVANTAGE 2007
Table 8.1.2Hospitalisations related to alcohol use, Qld, WA, SA, and publichospitals in the NT, 2004-05 (per 1000 population) a, b, c, d, eIndigenousMale Female All personsMental and behavioural disorders (F10) 8.7 3.9 6.1Acute intoxication (F10.0) 3.8 2.4 3.0Harmful use (F10.1) 0.4 0.2 0.3Dependence syndrome (F10.2) 1.5 0.6 1.0Other (F10.3–F10.9) 3.0 0.7 1.8Alcoholic liver disease (K70) 1.3 1.2 1.2Other inflammatory liver disease (K75) 0.1 0.1 0.1Toxic effect of alcohol (T51) 0.1 – 0.1Accidental poisoning by and exposure toalcohol (X45) 0.8 0.1 0.4Intentional self-poisoning by and exposure toalcohol (X65) 0.2 0.2 0.2Poisoning by and exposure to alcohol,undetermined intent (Y15) 0.1 0.1 0.1Non-Indigenous fMental and behavioural disorders (F10) 1.7 1.1 1.4Acute intoxication (F10.0) 0.5 0.3 0.4Harmful use (F10.1) 0.1 – 0.1Dependence syndrome (F10.2) 1.0 0.7 0.8Other (F10.3–F10.9) 0.2 0.1 0.1Alcoholic liver disease (K70) 0.3 0.1 0.2Other inflammatory liver disease (K75) 0.1 0.1 0.1Toxic effect of alcohol (T51) – – –Accidental poisoning by and exposure toalcohol (X45) 0.1 0.1 0.1Intentional self-poisoning by and exposure toalcohol (X65) 0.2 0.3 0.2Poisoning by and exposure to alcohol,undetermined intent (Y15) – – –a The hospital separation rates (per 1000 population) were directly age standardised to the Australianpopulation as at 30 June 2001. b Hospital separation is the discharge, transfer, death or change of episode ofcare of an admitted patient (see glossary for a detailed definition). c Principal diagnoses of hospitalisations arebased on codes of the International Statistical Classification of Diseases and Related Health Problems, 10thRevision, Australian Modification (ICD-10-AM). d Data are based on state of usual residence. e Overlappingmay exist between separations by toxic effect of alcohol and separations based on external causes X45, X65,or Y15. f Non-Indigenous data include separations where Indigenous status was not reported.– Nil or rounded to zero.Source: AIHW National Hospital Morbidity Database (unpublished); table 8A.1.6.Based on the data on hospitalisations related to alcohol from the four jurisdictions(Queensland, WA, SA, and the NT), in 2004-05:SUBSTANCE USE ANDMISUSE8.17
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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
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Indigenous people 15 years and over
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Box 1.67Things that work• The Abo
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mining royalties and tourism), Indi
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Box 1.74KEY MESSAGES• Six determi
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Median (mid point) individual incom
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FUTURE DIRECTIONS IN DATANotwithsta
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1 IntroductionIn April 2002, the Co
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In order to provide a comprehensive
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Identify indicators that are of rel
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—— 2004-2007a, Report on Govern
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2 The frameworkThe first two sectio
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3. Strategic areas for actionGovern
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Headline indicatorsThe headline ind
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Figure 2.2.3 A preventive model —
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• Retention at year 9• Indigeno
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Similarly, the previous indicator
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In 2006, following publication of t
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Suggested cultural indicators were
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The ‘Economic participation and d
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• Survey data: surveys, such as t
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• 2004-05 National Health Survey
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—— 2004b, National Aboriginal a
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3 Headline indicatorsSafe, healthy
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specific death rates 1 ) continued
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while the life expectancy of Indige
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Table 3.1.2Age specific death rates
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• In the period 2001 to 2005, age
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Box 3.2.2‘Things that work’ - d
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In 2002, the proportion of Indigeno
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• Among older people (aged 55 yea
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people with at least one long-term
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Table 3.2.1Age standardised hospita
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wellbeing (and other positive healt
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Health and education are intimately
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Figure 3.3.2 Apparent retention rat
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Figure 3.3.4 Apparent retention rat
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• Nationally, the proportion of I
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• their health outcomes and their
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extent to which people over 18 year
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Post secondary attainmentOne measur
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• In 2005, the national load pass
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3.5 Labour force participation and
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communities where the labour market
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Figure 3.5.2 CDEP participation, In
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Table 3.5.1Labour force participati
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• Nationally, the labour force pa
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Figure 3.5.7 Unemployment rate of p
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Figure 3.5.9 Unemployment rate of p
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Figure 3.5.10 Long term unemploymen
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Chapter 12 of this Report discusses
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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
Page 393 and 394: 7.3 Indigenous cultural studies in
Page 395 and 396: Box 7.3.2Bendigo Senior Secondary C
Page 397 and 398: Box 7.3.6Western Arrernte Picture D
Page 399 and 400: Table 7.3.1 Indigenous employment i
Page 401 and 402: Box 7.3.8RATEP — a community base
Page 403 and 404: Box 7.4.2(continued)• Police and
Page 405 and 406: New South WalesTable 7.4.1NSW, numb
Page 407 and 408: pattern was observed for non-Indige
Page 409 and 410: Figure 7.4.2 WA, Indigenous and non
Page 411 and 412: Figure 7.4.3 SA, proportion of Indi
Page 413 and 414: 7.5 Transition from school to workB
Page 415 and 416: (see section 7.2 Retention at year
Page 417 and 418: studying, for both Indigenous and n
Page 419 and 420: • Similar patterns to those in th
Page 421 and 422: 7.6 Future directions in dataYears
Page 423 and 424: Table 7A.4.12Table 7A.4.13Victoria,
Page 425 and 426: Paper National Benchmark Results Re
Page 427: Randell, N. (ed.) 2002, Including t
Page 430 and 431: and important correlates of crimina
Page 432 and 433: 8.1 Alcohol consumption and harmBox
Page 434 and 435: Patterns of alcohol consumptionThe
Page 436 and 437: Figure 8.1.1 Alcohol consumption at
Page 438 and 439: • For both Indigenous and non-Ind
Page 440 and 441: Table 8.1.3Alcohol consumption at s
Page 442 and 443: Figure 8.1.4 Alcohol involvement in
Page 446 and 447: • hospitalisation rates for all c
Page 448 and 449: Data on tobacco use in this section
Page 450 and 451: current daily smokers than non-Indi
Page 452 and 453: Figure 8.2.4 Mothers reporting smok
Page 454 and 455: 8.3 Drug and other substance use an
Page 456 and 457: In 2004-05, among Indigenous adults
Page 458 and 459: interventions, there had been a red
Page 460 and 461: Drug related crimeBroadly speaking,
Page 462 and 463: Figure 8.3.2 Drug influenced Indige
Page 464 and 465: • develop an appropriate methodol
Page 466 and 467: Strait Islander Peoples 2005, ABS C
Page 468 and 469: AIHW (Australian Institute of Healt
Page 470 and 471: Makkai T. and Payne J. 2003, Drugs
Page 472 and 473: • income• suicide and self-harm
Page 474 and 475: Following consultations in 2006, a
Page 476 and 477: Attachment tablesAttachment tables
Page 478 and 479: An increased rate may also be due t
Page 480 and 481: Figure 9.1.1 Placement of Indigenou
Page 482 and 483: Box 9.2.2(continued)their local com
Page 484 and 485: Adult repeat offendingFigure 9.2.1
Page 486 and 487: • Nationally in 2006, 75.3 per ce
Page 488 and 489: 69.0 per cent had been in prison pr
Page 490 and 491: juvenile justice system and 2 496 a
Page 492 and 493: juvenile justice system was dismiss
Page 494 and 495:
chronic disease, early child develo
Page 496 and 497:
Page 498 and 499:
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
Page 554 and 555:
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
Page 566 and 567:
Page 568 and 569:
SHRG (Social Health Reference Group
Page 570 and 571:
9.4 Mental healthABS (Australian Bu
Page 572 and 573:
Procter, N. 2005, ‘Parasuicide, s
Page 574 and 575:
Daly, A.E. 2001, Implications of De
Page 576 and 577:
Menzies School of Health Research 2
Page 578 and 579:
infrastructure as well as functioni
Page 580 and 581:
some duplication, as patients can h
Page 582 and 583:
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
Page 638 and 639:
Indigenous Land Use AgreementsIndig
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• Indigenous owned or controlled
Page 642 and 643:
Figure 11.3.4 The growth of Indigen
Page 644 and 645:
and corporate behaviour, and descri
Page 646 and 647:
Box 11.4.2 ‘Things that work’
Page 648 and 649:
Figure 11.4.1 Proportion of univers
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while the proportion of non-Indigen
Page 652 and 653:
State and Territory data on the num
Page 654 and 655:
areas of agreement, ‘governments
Page 656 and 657:
Indigenous organisations, by and la
Page 658 and 659:
• Coordination and decision makin
Page 660 and 661:
Box 11.5.4 (continued)The Board of
Page 662 and 663:
Box 11.5.6 (continued)3. Are effect
Page 664 and 665:
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
Page 670 and 671:
Box 11.5.13 Developing youth leader
Page 672 and 673:
third parties enter into an equal a
Page 674 and 675:
The OIPC red tape evaluation (OIPC
Page 676 and 677:
old. Some will be new’ (Cornell a
Page 678 and 679:
circumstances or risk profile of th
Page 680 and 681:
11.6 Future directions in dataEmplo
Page 682 and 683:
Table 11A.1.10 Occupation skill lev
Page 684 and 685:
11.3 Indigenous owned or controlled
Page 686 and 687:
Gerritson, R. 2001, Community Capac
Page 688 and 689:
Reconciliation Australia 2006b, 200
Page 690 and 691:
Torres Strait Islander people compr
Page 692 and 693:
Labour force participation and unem
Page 694 and 695:
section 12.1). The files containing
Page 696 and 697:
Attachment tablesAttachment tables
Page 698 and 699:
Patterns of relative disadvantage b
Page 700 and 701:
13.1.2 Differences between women an
Page 702 and 703:
Figure 13.1.3 Relative disadvantage
Page 704 and 705:
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,
Page 712 and 713:
• more common among unemployed pe
Page 714 and 715:
13.4 Notes on methodologyThe analys
Page 716 and 717:
13.22 OVERCOMINGINDIGENOUSDISADVANT
Page 718 and 719:
• reviewing and re-engineering pr
Page 720 and 721:
The working group will consider how
Page 722 and 723:
Australian Government commentsThe f
Page 724 and 725:
New South Wales Government comments
Page 726 and 727:
Victorian Government commentsIn Oct
Page 728 and 729:
Queensland Government commentsThe Q
Page 730 and 731:
Western Australian Government comme
Page 732 and 733:
South Australian Government comment
Page 734 and 735:
Tasmanian Government commentsThe Ta
Page 736 and 737:
Australian Capital Territory Govern
Page 738 and 739:
Northern Territory Government comme
Page 740 and 741:
IMPLEMENTATION OFTHE FRAMEWORKA2.21
Page 742 and 743:
Figure A3.2 Proportion of the popul
Page 744 and 745:
• The proportion of the Indigenou
Page 746 and 747:
e disaggregated by different factor
Page 748 and 749:
identify when asked by police. Henc
Page 750 and 751:
Indicators Measures Data sources3 H
Page 752 and 753:
Indicator Measure Data source3.5 La
Page 754 and 755:
Indicator Measure Data source3.10 D
Page 756 and 757:
Indicator Measure Data source5.5 Ch
Page 758 and 759:
Indicator Measure Data source7.5 Tr
Page 760 and 761:
Indicator Measure Data source9.2 Re
Page 762 and 763:
Indicator Measure Data source9.5 Pr
Page 764 and 765:
Indicator Measure Data source11 Eco
Page 766 and 767:
Acronyms and abbreviationsABSACERAI
Page 768:
Australia 1995-2003, Trends and Iss
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