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Figure 10.1.2 Age standardised hospitalisation rates for selected diseasesassociated with poor environmental health, Queensland, WA,SA, and public hospitals in the NT a, bIndigenous people (all age groups)2002001-02 2002-03 2003-04 2004-05160Per 10 00012080400IntestinalinfectiousdiseasesBacterialdiseaseScabiesInfluenza andpneumoniaAsthmaNon-Indigenous people (all age groups)2002001-02 2002-03 2003-04 2004-05160Per 10 00012080400IntestinalinfectiousdiseasesBacterialdiseaseScabiesInfluenza andpneumoniaAsthmaa Any diagnosis was used to select the infectious diseases (ICD-10-AM codes A00-B99), principal diagnosiswas used to select the other conditions. b Identification of Indigenous patients is incomplete and completenessvaries across jurisdictions. The AIHW has advised that only data for Queensland, WA, SA and the NT areconsidered to be acceptable for analytical purposes. Data for NSW, Victoria, Tasmania and the ACT werewithheld by AIHW due to high rates of Indigenous under-identification (see chapter 2 and appendix 4 for moreinformation).Source: AIHW National Hospital Morbidity Database (unpublished); table 10A.1.2.In those jurisdictions for which data were available:• Figure 10.1.2 shows that hospitalisation rates for selected diseases associatedwith poor environmental health were much higher for Indigenous people than10.8 OVERCOMINGINDIGENOUSDISADVANTAGE 2007
non-Indigenous people between 2001-02 and 2004-05. Over time, the fluctuationin rates of the most common environmentally based diseases has been greater forIndigenous than non-Indigenous people. This may reflect the smaller size of theIndigenous population, where relatively small changes in the number of casescan make rates fluctuate more widely.• Between 2001-02 and 2004-05, there was a decrease in hospitalisations forintestinal infectious diseases (21.2 per cent decrease) and scabies (19.9 per centdecrease) for Indigenous people.• The number of Indigenous hospitalisations increased for bacterial diseases(6.3 per cent increase) and for influenza and pneumonia (7.8 per cent increase).• Rates of acute upper respiratory infections and asthma remained steady between2001-02 and 2004-05 for both Indigenous and non-Indigenous people, thoughthe rates of disease were considerably higher for Indigenous people(table 10A.1.2).EFFECTIVEENVIRONMENTALHEALTH SYSTEMS10.9
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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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Table 6A.3.46Table 6A.3.47Table 6A.
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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
Page 534 and 535: were judged by their teachers to be
Page 536 and 537: Figure 9.6.2 Participation in exerc
Page 538 and 539: Box 9.6.3Little Yuin Aboriginal Pre
Page 540 and 541: Box 9.6.6Athletics Australia ‘Ath
Page 542 and 543: Box 9.6.8(continued)The Australian
Page 544 and 545: discrete Aboriginal and Torres Stra
Page 546 and 547: Figure 9.7.3 How Indigenous people
Page 548 and 549: Figure 9.7.5 Communication with ser
Page 550 and 551: Indigenous communities. 2 The 2006
Page 552 and 553: with the 1993 Western Australian Ch
Page 554 and 555: Box 9.7.3Health Education Unit —
Page 556 and 557: Box 9.7.5Interpreter accreditation
Page 558 and 559: Box 9.7.8Pre-hospital care in remot
Page 560 and 561: Participation in organised sport, a
Page 562 and 563: 9.3 Access to primary health careTa
Page 564 and 565: age standardised, by remoteness are
Page 566 and 567: Table 9A.4.41Table 9A.4.42Table 9A.
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
Page 586 and 587: Figure 10.1.3 Hospitalisation rates
Page 588 and 589: Figure 10.1.4 Death rates from dise
Page 590 and 591: In rural and remote areas, there is
Page 592 and 593: In June 2006, an estimated 510 000
Page 594 and 595: Figure 10.2.2 Experienced water int
Page 596 and 597: Types of sewerage systemsIn the 200
Page 598 and 599: Access to cooking, washing and toil
Page 600 and 601: The occupancy standard determines o
Page 602 and 603: • There were no statistically sig
Page 604 and 605: Figure 10.3.4 Proportion of Indigen
Page 606 and 607: 10.2 Access to clean water and func
Page 608 and 609: Pholeros P., Rainow S. and Torzillo
Page 610 and 611: Indigenous owned land yields econom
Page 612 and 613: Box 11.1.2 ‘Things that work’
Page 614 and 615: Box 11.1.2 (continued)The success o
Page 616 and 617: Employment by full time/part time s
Page 618 and 619: Figure 11.1.3 Full time and part ti
Page 620 and 621: Figure 11.1.5 Full time and part ti
Page 622 and 623: Data on full time and part time emp
Page 624 and 625: • CDEP participation accounted fo
Page 626 and 627: people’s wellbeing (see section 1
Page 628 and 629: Box 11.2.2 Walking Tourism Business
Page 630 and 631: 11.3 Indigenous owned or controlled
Page 632 and 633: The potential to derive economic be
Page 634 and 635:
• 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
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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
Page 662 and 663:
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
Page 674 and 675:
The OIPC red tape evaluation (OIPC
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old. Some will be new’ (Cornell a
Page 678 and 679:
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
Page 692 and 693:
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,
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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