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Nelson Marlborough District Health Board Health Needs Assessment

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Nelson Marlborough District Health Board Health Needs Assessment Nelson Marlborough District Health Board Health Needs Assessment 2010 Prepared by Sarah Simmonds Public Health Analyst, NMDHB October 2010 Contents 1. Summary ......................................................................................................................... 1 1.1 Census data..................................................................................................................1 1.1.1 Census Night Population................................................................................... 1 1.1.2 Population Age Structure .................................................................................. 1 1.1.3 Population Change............................................................................................ 1 1.1.4 Population Projections....................................................................................... 1 1.1.5 Socio-economic Deprivation.............................................................................. 2 1.1.6 Socio-economic Indicators ................................................................................ 2 1.1.7 Socio-demographic Profile ................................................................................ 2 1.2 Health Status Indicators ..............................................................................................2 1.3 Mortality......................................................................................................................3 1.3.1 Life Expectancy ................................................................................................. 3 1.3.2 Overall Mortality ................................................................................................ 3 1.3.3 Main Causes of Death....................................................................................... 3 1.3.4 Premature Death ............................................................................................... 4 1.4 Amenable Mortality ....................................................................................................4 1.5 Cancer Registrations ...................................................................................................4 1.6 Unequal Impact – Maori and non Maori cancer statistics...........................................5 1.7 Main Causes of Hospitalisation...................................................................................5 1.8 Ambulatory Sensitive Hospitalisation.........................................................................5 1.9 Suicide and Intentional Self Harm ..............................................................................6 1.10 Obesity.....................................................................................................................6 1.11 Key Results from the New Zealand Health Survey, 2006/07..................................6 2. Introduction ...................................................................................................................... 8 3. Population Profile............................................................................................................. 9 3.1 Outline.........................................................................................................................9 3.2 2006 Census Population............................................................................................11 3.2.1 Ethnicity........................................................................................................... 11 3.2.2 Multiple Response Ethnicity ............................................................................ 12 3.2.3 Recent Population Change ............................................................................. 13 3.2.4 Census Area Units .......................................................................................... 13 3.3 Population Estimates.................................................................................................13 3.3.5 Age .................................................................................................................. 13 3.3.6 Ethnicity........................................................................................................... 14 3.4 Population Projections...............................................................................................14 3.4.7 Population Projections by Local Government Area......................................... 15 3.4.8 Population Projections by Age Group ............................................................. 16 i 4. Socio-demographic Data ............................................................................................... 18 4.1.1 Birthplace ........................................................................................................ 18 4.1.2 Marital Status .................................................................................................. 18 4.1.3 Educational Qualifications ............................................................................... 19 4.1.4 Labour Force Status........................................................................................ 19 4.1.5 Occupation Type ............................................................................................. 20 4.1.6 Personal Income Level.................................................................................... 20 4.1.7 Family Type..................................................................................................... 20 4.1.8 Household Composition .................................................................................. 20 4.1.9 Access to Telecommunication Systems.......................................................... 21 4.1.10 Access to Motor Vehicles ................................................................................ 21 4.1.11 Tenure of Households ..................................................................................... 21 4.1.12 Average Population per Dwelling .................................................................... 22 4.1.13 Resident Population Compared with Census Night Population ...................... 22 4.1.14 Fuel for Heating............................................................................................... 22 4.1.15 Benefit Recipients ........................................................................................... 22 4.1.16 Households with a High Number of Residents................................................ 23 4.1.17 Tobacco Smoking............................................................................................ 23 4.1.18 Hours of Work ................................................................................................. 23 4.1.19 Means of Travel to Work ................................................................................. 24 4.1.20 Socio-economic Deprivation............................................................................ 24 4.1.21 NZDep2006 Population Distribution by Quintile .............................................. 24 4.1.22 High Deprivation Areas ................................................................................... 25 4.1.23 Socio-economic Indicators .............................................................................. 27 5. Health Indicators............................................................................................................ 28 6. Mortality ......................................................................................................................... 30 6.1 Life Expectancy.........................................................................................................30 6.2 Overall Mortality Rate ..............................................................................................30 6.3 Main Causes of death ................................................................................................30 6.4 Main Causes of Death by Age Group .......................................................................33 6.4.1 0-14 years ....................................................................................................... 34 6.4.2 15-24 years ..................................................................................................... 34 6.4.3 25-44 years ..................................................................................................... 34 6.4.4 45-64 years ..................................................................................................... 35 6.4.5 65-74 years ..................................................................................................... 35 6.4.6 75-84 years ..................................................................................................... 36 6.4.7 85 years or more ............................................................................................. 37 6.5 Premature Mortality ..................................................................................................37 7. Amenable Mortality ........................................................................................................ 39 ii 7.1 Amenable Mortality Nationally 2006 .......................................................................39 7.2 Trends in amenable mortality 1996–2006.................................................................40 7.3 Social inequalities in amenable mortality .................................................................40 7.4 Causal structure of amenable
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