Victorian Population Health Survey 2008 Rural City Selected findings

80 70 Wangaratta Males Wangaratta Males 70 60 Wangaratta Females Wangaratta Females 60 50 50 The Rural lies within the Victorian health 7 40 Alcohol4080 consumption 70 Wangaratta Males 30 Wangaratta Males region and is part of the Central Hume Primary Care Partnership. 70 8 60 The30 AustralianWangaratta Alcohol Females Guidelines specify the risks of short and Wangaratta is located 235km North-East of and as of 60 20 Wangaratta Females

% of population % of 20 population % of 50 1 long–term alcohol–related harm by level of alcohol consumption in June 30 2007, had a population of 27,591 with adults comprising 50 10 males10 and females. 40 76.0% of the population, compared with 77.1% for Victoria2. Almost 40 0 300 four out of ten residents (37.0%) were aged 50 years or older, The30 patternsCurrent of smokeralcohol consumptionEx-smoker were similar betweenNon-smoker the Fruit guidelines Vegetable guidelines Both guidelines 20 compared with 30.9% for . There was a greater percentage population % of Rural20 City of Wangaratta and Victoria for both males and females. population % of 10 10 (38.1%) of low income households (combined annual income of less The percentage of males in the who 3 0 0 than $33,500) compared with 30.6% for Victoria . Life Expectancy consumedCurrent alcohol smoker at least weeklyEx-smoker at a risky or high riskNon-smoker level for Fruit guidelines Vegetable guidelines Both guidelines at birth in 2006 was 83.3 years for females and 79.1 years for short-term harm (16.7%) was higher than females in the Rural City males, which was similar4 to the Victorian figure of 84.3 years and of Wangaratta (4.4%). Females in the Rural City of Wangaratta were 80.0 years respectively5. also more likely to be classified as abstainers from alcohol (23.8%) The Victorian Population Health Survey is an annual state-wide compared50 with males in the Rural City of Wangaratta (10.0%). 90 Wangaratta Males Wangaratta Males survey that the Department of Health undertakes to collect 80 Percentage40 of persons at short-term risk of alcohol-relatedWangaratta Females 70 Wangaratta Females information on the health of the adult Victorian population harm, 2008 60 30 (18 years or older). This is the first time that the sample size 50 5090 has been expanded to allow detailed analysis at the local Wangaratta Males 40 Wangaratta Males 20 80 government area level. 40 Wangaratta Females 3070 Wangaratta Females % of population % of % of population % of 10 2060 30 This fact sheet presents major findings from the 2008 survey. 5010 For more information see: 0 400 20 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient www.health.vic.gov.au/healthstatus/vphs.htm 30 Risky or high risk % of population % of % of population % of 10 20 Smoking status 10 0 0 Current smokers are defined as those who smoke daily or Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient occasionally. In 2008, 12.8% of males and 10.1% of females in the Risky or high risk Rural City of Wangaratta were classified as current smokers, lower Note: abstainers are not included in the assessment of short-term risk levels. than Victorian males and females (21.4% and 16.9% respectively)6. Percentage of persons at long-term risk of alcohol-related Smoking status, 2008 harm, 2008 80 100 70 90 Wangaratta Males Wangaratta Males 70 90 60 Wangaratta Males 80 Wangaratta Males Wangaratta Females 60 80 Wangaratta Females Wangaratta Females 70 Wangaratta Females 70 50 50 60 60 40 50 40 10050 90 30 30 4090 Wangaratta Males 4080 Wangaratta Males 3080 20 Wangaratta Females 3070 Wangaratta Females

% of population % of 20 population % of 70 % of population % of 20 population % of 2060 10 60 10 10 5010 0 500 0 0 Current smoker Ex-smoker Non-smoker Fruit guidelines Vegetable guidelines Both guidelines 40 40 Abstainer Low risk Risky/High risk Low Moderate High Very high 30 30 % of population % of 20 population % of 20 10 10 0 0 Abstainer Low risk Risky/High risk Low Moderate High Very high

50 90 Wangaratta Males 80 Wangaratta Males 40 Wangaratta Females 70 Wangaratta Females 70 60 30 Wangaratta Males 50 60 Wangaratta Females 40 20 50 30 % of population % of % of population % of 10 40 20 70 Wangaratta Males 10 3060 0 0 Wangaratta Females 20 Sedentary Insufficient Sufficient Low risk At least yearly At least monthly At least weekly population % of 50 Risky or high risk 4010 0 30 Underweight Healthy weight Overweight Obese 20 % of population % of 10 0 Underweight Healthy weight Overweight Obese

100 90 90 Wangaratta Males 80 Wangaratta Males 80 Wangaratta Females 70 Wangaratta Females 70 60 60 50 50 40 40 30 30 % of population % of 20 population % of 20 10 10 0 0 Abstainer Low risk Risky/High risk Low Moderate High Very high

70 Wangaratta Males 60 Wangaratta Females 50 40 30 20 % of population % of 10 0 Underweight Healthy weight Overweight Obese 80 70 Wangaratta Males Wangaratta Males 70 60 Wangaratta Females Wangaratta Females 60 50 50 40 40 30 30 20

% of population % of 20 population % of 10 10 0 0 Current smoker Ex-smoker Non-smoker Fruit guidelines Vegetable guidelines Both guidelines

50 90 Wangaratta Males 80 Wangaratta Males 40 Wangaratta Females 70 Wangaratta Females 60 30 50 20 40 30 % of population % of % of population % of 10 20 10 0 0 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient Risky or high risk

80 70 Wangaratta Males Wangaratta Males 70 60 Wangaratta Females Wangaratta Females 60 50 50 40 40 100 30 90 30 90 Wangaratta Males 80 Wangaratta Males 80 Wangaratta Females 20 Wangaratta Females

% of population % of 20 population % of 70 70 10 10 60 Overweight60 and obesity Physical Activity 80 70 50 0 50 0 CurrentWangaratta smoker Males Ex-smoker Non-smoker Wangaratta Males 70 Being40 overweight or obese is an important risk factor for developing In60 2008,40 Fruit68.8% guidelines of males andVegetable 61.4% of guidelines females in theBoth Rural guidelines City Wangaratta Females 30 11 Wangaratta Females 60 type30 2 diabetes, cardiovascular disease, hypertension, certain of50 Wangaratta met the physical activity guidelines , similar to % of population % of 50 cancers,20 sleep apnoea and osteoarthritis. It is typically measured Victorian population % of 20 males and females (61.0% and 59.7% respectively). The 10 40 10 40 by calculating a person’s Body Mass Index (BMI), which is their percentage of males in the Rural City of Wangaratta classified as 0 9 30 0 30 weight in relationAbstainer to their height .Low risk Risky/High risk completing an insufficientLow amountModerate of physical activityHigh (16.7%) Verywas high 20 % of population % of 20 In 2008, 38.2% of males and 29.2% of females in the Rural City of population % of lower than Victorian males (27.5%). 10 10 Wangaratta were overweight, similar to Victorian males and females 0 Levels0 of physical activity, 2008 (39.9%Current and smoker 24.2% respectively).Ex-smoker Almost three outNon-smoker of ten males Fruit guidelines Vegetable guidelines Both guidelines 50 (29.6%) in the Rural City of Wangaratta were obese, higher than 90 Wangaratta Males 80 Wangaratta Males Victorian males (17.3%). Approximately one in five females (20.9%) 40 Wangaratta Females 70 Wangaratta Females in the Rural City of Wangaratta were obese, similar to Victorian 60 30 females (16.1%). 50 40 20 Percentage of overweight and obesity in adults, 2008 30 % of population % of % of population % of 10 20 70 Wangaratta Males 10 500 60 Wangaratta Females 900 Low risk At least yearly At least monthly WangarattaAt least weekly Males 80 WangarattaSedentary Males Insufficient Sufficient 50 40 Risky or high risk Wangaratta Females 70 Wangaratta Females 40 60 30 Psychological distress 30 50 Poor mental health is a significant risk factor for poor health 20 20 40

% of population % of outcomes.30 The Kessler 10 (K10) scale is a set of ten questions 10 % of population % of % of population % of 10 designed20 to categorise the level of psychological distress over a 0 10 Underweight Healthy weight Overweight Obese four week period. 0 0 NutritionLow risk At least yearly At least monthly At least weekly In 2008, 62.9%Sedentary of males in the RuralInsufficient City of WangarattaSufficient were Risky or high risk classified as having a low level of psychological distress, similar In 2008, females in the Rural City of Wangaratta were more likely to Victorian males (65.3%). However, 70.1% of females in the 100 to meet the dietary guidelines10 for vegetable consumption (17.8%), 90 90 Wangaratta Males Rural80 City of Wangaratta were classified as having aWangaratta low level Males of fruit consumption (62.9%) and combined fruit and vegetable 80 Wangaratta Females psychological70 distress, higher than Victorian femalesWangaratta (59.7%). Females There 70 consumption (14.8%) compared with Victorian females (10.7%, 60 60 were no other differences in distress levels between the Rural City 53.5% and 8.0% respectively). Less than one in ten males in the 50 50 of Wangaratta and Victoria overall or between males and females in Rural City of Wangaratta (8.0%) met the dietary guidelines for 40 40 the Rural City of Wangaratta. 30 vegetable consumption, whilst 45.6% met the dietary guidelines 30 % of population % of 20 for fruit consumption, similar to Victorian males (5.0% and 41.0% population % of Levels20 of psychological distress, 2008 10 respectively). Females in the Rural City of Wangaratta were also 10 1000 900 90 moreWangaratta Abstainerlikely to meetMales the dietaryLow guidelinesrisk for fruitRisky/High consumption risk 80 Low Moderate High WangarattaVery Maleshigh 80 comparedWangaratta with Females males in the Rural City of Wangaratta. 70 Wangaratta Females 70 60 60 Percentage of adults who met guidelines for the number of 50 50 serves of fruit and/or vegetables per day, 2008 40 40 80 30 70 30 Wangaratta Males Wangaratta Males % of population % of 70 20 60 population % of 20 Wangaratta Females 60 10 Wangaratta Females 10 0 50 50 0 40 Abstainer Low risk Risky/High risk Low Moderate High Very high 40 30 30 20

% of population % of 20 population % of 70 Wangaratta Males 10 10 60 Wangaratta Females 0 0 Current smoker Ex-smoker Non-smoker 50 Fruit guidelines Vegetable guidelines Both guidelines 40 30 For more information please refer to the full report of the 2008 Victorian Population Health Survey at 20 www.health.vic.gov/healthstatus/vphs.htm % of population % of 10 1. Service Planning, Department of Health (DH). 6. The LGA estimates are age-adjusted to the 2006 10. The Dietary Guidelines for Australian Adults 700 2. ABS (Australian Bureau of Statistics), 2007. WangarattaVictorian Males population. recommend five serves of vegetables and two Underweight Healthy weight Overweight Obese serves of fruit daily for adults, aged 19 years and 60 3. ABS, 2006 national census. Wangaratta7. The 2008 Females VPHS survey questions on alcohol consumption captured the risks of alcohol-related- older, to ensure a healthy diet. NHMRC 2003. For 4. LGA estimates are considered to be higher or lower 50 harm based on the current 2001 Australian Alcohol persons aged 12 to 18 years, the recommendations than the Victorian estimate based on statistical 50 90 Guidelines. New guidelines were released in March are for three serves of vegetables and three 40 significance, determined by comparing the 95% Wangaratta Males 80 Wangaratta Males 2009 and will be reflected in the 2009 VPHS. serves of fruit. confidence intervals (CI) between estimates. Where Wangaratta Females Wangaratta Females 11. The National Physical Activity Guidelines for 40 30 70the 95% CI of estimates do not overlap there is 8. NHMRC (National Health and Medical Research Australians recommend at least 30 minutes of strong evidence that the estimates are different. Council) 2001. 20 60 moderate intensity activity on most, preferably all 30 population % of Where they overlap, the estimates are deemed to 9. BMI Reference: WHO 2000, Obesity: Preventing 50 days in persons aged 19 years and over. DoHAC 10 be similar. and Managing the Global Epidemic, WHO Technical (Department of Health and Aged Care) 1999, 40 Report Series 894, World Health Organisation 20 5. Health Intelligence Unit, DH. . 0 30 (WHO), Geneva. Underweight Healthy weight Overweight Obese % of population % of % of population % of 20 10 Authorised by Victorian Government, 50 Lonsdale Street, Melbourne. 10 Printed on sustainable paper by [insert printer's details here]. 0 December0 2009 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient Risky or high risk

100 90 90 Wangaratta Males 80 Wangaratta Males 80 Wangaratta Females 70 Wangaratta Females 70 60 60 50 50 40 40 30 30 % of population % of 20 population % of 20 10 10 0 0 Abstainer Low risk Risky/High risk Low Moderate High Very high

70 Wangaratta Males 60 Wangaratta Females 50 40 30 20 % of population % of 10 0 Underweight Healthy weight Overweight Obese