Victorian Population Health Survey 2008 Rural City Selected findings

70 70 Swan Hill Males Swan Hill Males 60 60 Swan Hill Females Swan Hill Females 50 50 The Rural lies within the Loddon Victorian 40 7 40 Alcohol70 consumption 70 health region and is part of the Southern Mallee Primary Care Swan Hill Males The30 Australian Alcohol Guidelines8 specify the risks of short and 30 Swan Hill Males 60 Swan Hill Females 60 Partnership. Swan Hill is located 340km North-West of 20 20 Swan Hill Females 1 population % of long–term50 alcohol–related harm by level of alcohol consumption in population % of 50 and as of June 30 2007, had a population of 21,566 with adults 10 10 males40 and females. 40 comprising 74.2% of the population, compared with 77.1% for 0 0 Victoria2. Approximately one–third of the residents (33.1%) were The30 patternsCurrent of smokeralcohol consumptionEx-smoker were similar betweenNon-smoker the 30 Fruit guidelines Vegetable guidelines Both guidelines Rural20 City of Swan Hill and for both males and females. 20 aged 50 years or older compared with 30.9% for Victoria. There was population % of population % of a greater percentage (39.6%) of low income households (combined However,10 females in the Rural City of Swan Hill were more likely 10 annual income of less than $33,500) compared with 30.6% for to 0be classified as abstainers from alcohol (27.7%) compared with 0 Current smoker Ex-smoker Non-smoker Fruit guidelines Vegetable guidelines Both guidelines Victoria3. Female Life Expectancy at birth in 2006 was 83.3 years, males in the Rural City of Swan Hill (11.7%). Males in the Rural City which was similar4 to the Victorian figure of 84.3 years, however of Swan Hill were also more likely to consume alcohol at a low risk male Life Expectancy at birth in 2006 was 77.5 years, lower4 than level for long-term harm (82.0%) compared with females in the Rural 5 the Victorian figure of 80.0 years . City45 of Swan Hill (66.6%). 70 Swan Hill Males Swan Hill Males The Victorian Population Health Survey is an annual state-wide Percentage40 of persons at short-term risk of alcohol-related 60 35 Swan Hill Females Swan Hill Females survey that the Department of Health undertakes to collect 50 harm,30 2008 information on the health of the adult Victorian population 40 4525 70 (18 years or older). This is the first time that the sample size 4020 Swan Hill Males 30 Swan Hill Males 15 60 has been expanded to allow detailed analysis at the local 35 Swan Hill Females 20 Swan Hill Females % of population % of % of population % of 10 50 government area level. 30 10 255 40 This fact sheet presents major findings from the 2008 survey. 0 0 20 Low risk At least yearly At least monthly At least weekly 30 Sedentary Insufficient Sufficient For more information see: 15 Risky or high risk 20 % of population % of www.health.vic.gov.au/healthstatus/vphs.htm population % of 10 5 10 Smoking status 0 0 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient

Current smokers are defined as those who smoke daily or Risky or high risk occasionally. Smoking patterns between the Rural City of Swan Note: abstainers are not included in the assessment of short-term risk levels. Hill and Victoria were similar6. In 2008, 20.5% of males and 20.2% of females in the Rural City of Swan Hill were classified as current Percentage of persons at long-term risk of alcohol-related smokers compared with 21.4% and 16.9% respectively for Victoria. harm, 2008 100 80 Smoking status, 2008 Swan Hill Males 70 Swan Hill Males 80 Swan Hill Females Swan Hill Females 70 70 60 Swan Hill Males Swan Hill Males 60 60 60 50 Swan Hill Females Swan Hill Females 50 100 50 8040 Swan Hill Males Swan Hill Males 40 3070 40 80 40 Swan Hill Females Swan Hill Females 6020 % of population % of 30 20 30 population % of 60 5010 20 20 % of population % of 0 population % of 400 10 40 10 Abstainer Low risk Risky/High risk 30 Low Moderate High Very high 0 0 20 % of population % of Current smoker Ex-smoker Non-smoker 20 Fruit guidelines Vegetable guidelines Both guidelines population % of 10 0 0 Abstainer Low risk Risky/High risk Low Moderate High Very high

45 70 Swan Hill Males 70 Swan Hill Males 40 60 Swan Hill Males 35 Swan Hill Females 60 Swan Hill Females Swan Hill Females 50 30 50 25 40 40 20 70 30 Swan Hill Males 15 30 60 20 Swan Hill Females % of population % of % of population % of 10 20 % of population % of 5 50 10 10 0 40 0 Low risk At least yearly At least monthly At least weekly 0 Sedentary Insufficient Sufficient 30 Underweight Healthy weight Overweight Obese Risky or high risk 20 % of population % of 10 0 Underweight Healthy weight Overweight Obese

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

70 Swan Hill Males 60 Swan Hill Females 50 40 30 20 % of population % of 10 0 Underweight Healthy weight Overweight Obese 70 70 Swan Hill Males Swan Hill Males 60 60 Swan Hill Females Swan Hill Females 50 50 40 40 30 30 20 20 % of population % of population % of 10 10 0 0 Current smoker Ex-smoker Non-smoker Fruit guidelines Vegetable guidelines Both guidelines

45 70 Swan Hill Males Swan Hill Males 40 60 35 Swan Hill Females Swan Hill Females 50 30 25 40 20 30 15 20 % of population % of % of population % of 10 5 10 0 0 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient Risky or high risk

70 70 Swan Hill Males Swan Hill Males 60 60 Swan Hill Females Swan Hill Females 50 50 40 40 100 80 30 30 Swan Hill Males 70 Swan Hill Males 20 80 Swan Hill Females 20 Swan Hill Females % of population % of 70 population % of 70 60 10 OverweightSwan Hill Males and obesity Physical10 Activity Swan Hill Males 60 60 60 50 Swan Hill Females Swan Hill Females 0 Being overweight or obese is an important risk factor for developing In 2008,0 40 52.5% of males and 57.8% of females in the Rural City of 50 Current smoker Ex-smoker Non-smoker 50 Fruit guidelines Vegetable guidelines Both guidelines type40 2 diabetes, cardiovascular disease, hypertension, certain 30 11 40 Swan40 Hill met the physical activity guidelines , similar to Victorian cancers, sleep apnoea and osteoarthritis. It is typically measured 20 % of population % of

males population % of and females (61.0% and 59.7% respectively). There were no 30 20 30 by calculating a person’s Body Mass Index (BMI), which is their differences10 in physical activity levels between the Rural City of 20 9 20 % of population % of weight0 in relation to their height . Swan population % of Hill0 and Victoria overall or between males and females in the 10 Abstainer Low risk Risky/High risk 10 Low Moderate High Very high In 2008, 46.3% of males and 30.0% of females in the Rural City of Rural City of Swan Hill. 0 0 SwanCurrent Hill were smoker overweight,Ex-smoker similar to Victorian malesNon-smoker and females Fruit guidelines Vegetable guidelines Both guidelines (39.9% and 24.2% respectively). Less than one in five males (18.4%) Levels of physical activity, 2008 45 and 22.5% of females in the Rural City of Swan Hill were obese, 70 also similar to Victorian males and females (17.3% Swanand Hill16.1% Males Swan Hill Males 40 60 35 respectively). Males in the Rural City of Swan Hill Swanwere Hill also Females more Swan Hill Females 50 30 likely to be overweight compared with females in the Rural City of 25 Swan Hill. 40 20 30 15 Percentage of overweight and obesity in adults, 2008 20 % of population % of % of population % of 4510 70 70 Swan Hill Males 10 Swan Hill Males 405 Swan Hill Males 60 350 60 SwanSwan Hill HillFemales Females 0 Swan Hill Females Low risk At least yearly At least monthly At least weekly 50 Sedentary Insufficient Sufficient 30 50 25 Risky or high risk 40 40 20 Psychological30 distress 15 30 Poor20 mental health is a significant risk factor for poor health % of population % of % of population % of 10 20 % of population % of outcomes. The Kessler 10 (K10) scale is a set of ten questions 5 10 10 designed to categorise the level of psychological distress over a 0 0 0 Low risk At least yearly At least monthly At least weekly Sedentary Insufficient Sufficient Underweight Healthy weight Overweight Obese four week period. Risky or high risk In 2008, 61.1% of males and 59.3% of females in the Rural City of Nutrition Swan Hill were classified as having a low level of psychological In 2008, 13.6% of females and 2.4% of males in the Rural City of 100 distress,80 similar to Victorian males and females (65.3% and 59.7% Swan Hill met the dietary guidelines10 for vegetable consumption, Swan Hill Males respectively).70 There were no differences in distress levelsSwan Hillbetween Males 80 similarSwan to Victorian Hill Females females and males (10.7% and 5.0% Swan Hill Females the60 Rural City of Swan Hill and Victoria overall or between males respectively). More than half of females (52.9%) and 31.7% of males and50 females in the Rural City of Swan Hill. 60 in the Rural City of Swan Hill met the dietary guidelines for fruit 40 consumption, also similar to Victorian females and males (53.5% 40 Levels30 of psychological distress, 2008 and 41.0% respectively). Females in the Rural City of Swan Hill were 20 100 population % of 80 20 also more likely to meet the dietary guidelines for consumption of population % of Swan Hill Males 7010 Swan Hill Males 80 fruit, vegetablesSwan Hill Females and combined fruit and vegetables compared with Swan Hill Females 0 600 malesAbstainer in the Rural City of SwanLow riskHill. Risky/High risk Low Moderate High Very high 60 50 Percentage of adults who met guidelines for the number of 40 40 serves of fruit and/or vegetables per day, 2008 30 20 % of population % of 70 20 70 population % of Swan Hill Males Swan Hill Males 10 60 60 Swan Hill Females 0 Swan Hill Females 0 50 50 Abstainer Low risk Risky/High risk Low Moderate High Very high 40 40 30 30 20 20 % of population % of population % of

10 70 10 Swan Hill Males 0 60 0 Swan Hill Females Current smoker Ex-smoker Non-smoker Fruit guidelines Vegetable guidelines Both guidelines 50 40 For more information please refer to the full report of the 2008 Victorian Population Health Survey at 30 www.health.vic.gov/healthstatus/vphs.htm 20 % of population % of 70 1. Service Planning, Department of Health (DH). Swan6. The Hill LGA Males estimates are age-adjusted to the 2006 10. The Dietary Guidelines for Australian Adults 10 60 2. ABS (Australian Bureau of Statistics), 2007. SwanVictorian Hill Females population. recommend five serves of vegetables and two serves of fruit daily for adults, aged 19 years and 0 3. ABS, 2006 national census. 7. The 2008 VPHS survey questions on alcohol 50 Underweight Healthy weight Overweight consumptionObese 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 harm based on the current 2001 Australian Alcohol persons aged 12 to 18 years, the recommendations 40 than the Victorian estimate based on statistical 45 70 Guidelines. New guidelines were released in March are for three serves of vegetables and three significance,Swan determined Hill Males by comparing the 95% 40 Swan Hill Males 30 2009 and will be reflected in the 2009 VPHS. serves of fruit. 60confidence intervals (CI) between estimates. Where Swan Hill Females Swan Hill Females 11. The National Physical Activity Guidelines for 35 20 the 95% CI of estimates do not overlap there is 8. NHMRC (National Health and Medical Research % of population % of 50 Australians recommend at least 30 minutes of 30 strong evidence that the estimates are different. Council) 2001. moderate intensity activity on most, preferably all 10 Where they overlap, the estimates are deemed to 9. BMI Reference: WHO 2000, Obesity: Preventing 25 40 days in persons aged 19 years and over. DoHAC be similar. and Managing the Global Epidemic, WHO Technical 20 0 30 (Department of Health and Aged Care) 1999, 5. UnderweightHealth IntelligenceHealthy Unit, DH. weight Overweight ReportObese Series 894, World Health Organisation 15 Canberra. 20 (WHO), Geneva. % of population % of % of population % of 10 Authorised by Victorian Government, 50 Lonsdale Street, Melbourne. 5 10 Printed on sustainable paper by [insert printer's details here]. 0 0 Low risk At least yearly At least monthly At least weekly December 2009Sedentary Insufficient Sufficient Risky or high risk

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

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