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Grampians region health status Summary profile Published by the Modelling, GIS and Planning Products Unit Victorian Government Department of Health, Melbourne Victoria. December 2010 © Copyright State of Victoria, 2010 This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. Authorised by the State Government of Victoria, 50 Lonsdale Street, Melbourne. ii Contents Key demographic trends 1 Population projections 1 Table 1: Current and projected resident population, 2009 and 2022 1 Table 2: Current and projected resident population aged 65 years and over, 2009 and 2022 1 Figure 1: Percentage change in resident population from 2009 to 2022, Grampians region, by LGA 2 How healthy are Grampians residents? 3 Health outcomes 3 Table 3: Life expectancy at birth in Victoria, 2007 3 Table 4: Life expectancy at birth in Grampians region LGAs, 2007 4 Table 5: Disability Adjusted Life Years (DALY) rate per 1,000 population 4 Table 6: Years Life Lost (YLL) rate per 1,000 population 5 Behavioural determinants 6 Body Weight Status 6 Table 7: Body weight status, by sex and LGA, Grampians region, 2008 6 Fruit and vegetable intake 7 Table 8: Daily vegetable consumption, Grampians region by LGA, 2008 7 Table 9: Daily fruit consumption, Grampians region by LGA, 2008 8 Table 10: Not meeting guidelines for consumption of fruit and/or vegetables, Grampians region by LGA, 2008 9 Smoking 10 Table 11: Smoking status, Grampians region by LGA, 2008 10 Physical activity 11 Table 12: Physical activity levels, Grampians region by LGA, 2008 11 Table 13: No days of incidental physical activity, Grampians region by LGA, 2008 12 Alcohol consumption 13 Table 14: Frequency of drinking alcohol at above short-term risk levels, Grampians region by LGA, 2008# 13 Table 15: Did not consume alcohol at above long-term risk, Grampians region by LGA, 2008# 14 Cancer screening 15 Table 16: Had a test to detect bowel cancer in the past two years, Grampians region by LGA, 2008 15 Table 17: Had a Pap smear in the past two years, females aged 20-69 years, Grampians region by LGA, 2008 16 Table 18: Had a mammogram in the past two years, females aged 50-69 years, Grampians region by LGA, 2008 17 Major causes of disease and illness 18 Table 19: DALYs by major disease category for Grampians region, 2001 18 Figure 2: Burden of disease (DALYs) attributable to risk factors in Grampians region compared to Victoria, 2001 19 Health sector performance 20 Ambulatory care sensitive conditions 20 Table 20: Total ACSC, acute ACSC and chronic ACSC admission numbers, rates and average bed days, Victoria 2008-09 20 Table 21: Top ten ambulatory care sensitive conditions (ACSCs), Grampians region by LGA, 2008-09 21 Immunisation rates 22 Table 22: Proportion of children fully immunised, by age and region in Victoria, September 2010 22 Table 23: Proportion of children fully immunised, Grampians region by LGA, September 2010 22 Figure 3: Year 10 secondary school Boostrix percentage coverage rate by LGAs, 2009 23 How strong are Grampians communities? 24 Social, economic and environmental determinants of health 24 Table 24: Proportion of unemployed persons, Victoria by region, 2009-10 24 Table 25: Proportion of unemployed persons, Grampians region by LGA, 2009-10 24 Table 26: Indicators of income and socio-economic status, Grampians region by LGA 25 Table 27: Recorded family incident reports, Grampians region by LGA, 2009-10 25 Table 28: Social wellbeing and connectedness indicators by percent of population, Grampians region by LGA, 2006 26 Table 28 continued: Social wellbeing and connectedness indicators by percent of population, Grampians region by LGA, 2006 27 Reference 28 ii Key demographic trends Population projections Table 1: Current and projected resident population, 2009 and 2022 LGA 2009 2022 % change Ararat (RC) 11,913 12,091 1.5 Ballarat (C) 94,088 112,782 19.9 Golden Plains (S) 18,173 22,943 26.2 Hepburn (S) 14,803 16,559 11.9 Hindmarsh (S) 6,202 5,305 -14.5 Horsham (RC) 20,042 20,527 2.4 Moorabool (S) 27,896 32,959 18.1 Northern Grampians (S) 12,340 11,205 -9.2 Pyrenees (S) 6,885 7,759 12.7 West Wimmera (S) 4,613 3,664 -20.6 Yarriambiack (S) 7,681 6,522 -15.1 Grampians 224,636 252,315 12.3 Victoria 5,443,228 6,409,575 17.8 Source: Australian Bureau of Statistics [1] and Department of Planning and Community Development [2] Table 2: Current and projected resident population aged 65 years and over, 2009 and 2022 LGA 2009 2022 % change Ararat (RC) 2,254 2,973 31.9 Ballarat (C) 13,477 21,900 62.5 Golden Plains (S) 1,775 3,608 103.3 Hepburn (S) 2,658 3,852 44.9 Hindmarsh (S) 1,542 1,644 6.6 Horsham (RC) 3,391 4,504 32.8 Moorabool (S) 3,300 6,043 83.1 Northern Grampians (S) 2,359 3,145 33.3 Pyrenees (S) 1,395 2,115 51.6 West Wimmera (S) 946 1,060 12.0 Yarriambiack (S) 1,874 1,989 6.1 Grampians 34,971 52,832 51.1 Victoria 738,131 1,072,540 45.3 Source: Australian Bureau of Statistics [1] and Department of Planning and Community Development [2] 1 Figure 1: Percentage change in resident population from 2009 to 2022, Grampians region, by LGA 120 100 80 60 40 Percentage 20 31.9 103.3 62.5 0 -20 1.5 19.9 -40 26.2 Ararat (RC) 44.9 Ballarat (C) 11.9 In percentage terms, the largest increase in populati Plains. The population of Golden Plains is projectedGolden to increasePlains (S)by 26.2 per cent from 2009 to 2022. The 6.6 83.1 population aged 65 years and over, is projected to increase 32.8 2022. The second highest increase is 83.1 per cent in the Shire of Moorabool. -14.5 Hepburn (S) 2.4 Reductions in overall population numbers are expected in the Shires of Hindmarsh, Northern Grampians, West Wimmera and Yarriambiack. 18.1 Hindmarsh (S) 33.3 Horsham (RC) 51.6 12.7 Moorabool (S) -9.2 All ages Northern Grampians (S) 12.0 on in Grampians region65+ is expected to be in Golden Pyrenees (S) -20.6 6.1 West Wimmera (S) -15.1 by 103.3 per cent in Golden Plains from 2009 to Yarriambiack (S) 2 How healthy are Grampians residents? On a range of indicators people who live in Grampians are less healthy than people who live in Melbourne or many other parts of Victoria. Presented below are available data on health outcomes, behavioural determinants of health and indicators of performance of the health system. Health outcomes On a range of indicators of health status, residents of the Grampians region have poorer health than Victorian averages. Reported here are data on life expectancy and burden of disease. People living in the Grampians region have lower life expectancies than people living in Melbourne metropolitan regions in Victoria. Males are expected to live 1.2 years less than the Victorian life expectancy of 80.3 years. Females are expected to live 0.8 years less than Victorian women who have a life expectancy of 84.4 years. Table 3: Life expectancy at birth in Victoria, 2007 Males Females Region Lower Upper ∗ Lower Upper ∗ LE Sig LE Sig 95% CI 95% CI 95% CI 95% CI Barwon-S/W 79.4 78.7 80.0 L 84.0 83.4 84.5 Eastern 82.0 81.6 82.4 H 85.4 85.1 85.7 H Gippsland 78.1 77.3 78.9 L 84.0 83.3 84.7 Grampians 79.1 78.2 79.9 L 83.6 82.9 84.4 Hume 79.3 78.5 80.1 L 84.1 83.4 84.8 Loddon Mallee 78.6 77.9 79.4 L 83.4 82.8 84.1 L North and West 80.0 79.7 80.3 84.2 83.9 84.5 Southern 80.8 80.4 81.1 84.5 84.2 84.8 Victoria 80.3 80.1 80.5 84.4 84.2 84.6 LE = life expectancy, CI = confidence interval, Sig = significance (see footnotes) Source: Department of Health, 2010 [3] ∗ H= indicates a life expectancy at birth significantly higher than the Victorian average L= indicates a life expectancy at birth significantly lower than the Victorian average 3 Average life expectancy also varies within the Grampians region with the lowest life expectancy experienced by residents of Northern Grampians for males and Ararat and Hepburn for females. Table 4: Life expectancy at birth in Grampians region LGAs, 2007 Males Females LGA Lower Upper ∗ Lower Upper ∗ LE Sig LE Sig 95% CI 95% CI 95% CI 95% CI Ararat (RC) 76.8 75.1 78.5 L 82.0 80.5 83.5 L Ballarat (C) 77.7 77.1 78.3 L 82.7 82.1 83.2 L Golden Plains (S) 80.9 79.3 82.5 85.0 83.5 86.4 Hepburn (S) 79.4 78.1 80.6 82.0 80.5 83.4 L Hindmarsh (S) 77.7 75.2 80.2 83.6 81.3 85.9 Horsham (RC) 77.8 76.5 79.1 L 84.1 83.1 85.1 Moorabool (S) 79.3 78.2 80.4 84.3 83.3 85.2 Northern Grampians (S) 75.7 74.0 77.5 L 82.8 81.5 84.2 Pyrenees (S) 77.3 75.0 79.5 L 82.9 81.4 84.5 West Wimmera (S) 76.7 73.6 79.8 85.0 82.4 87.6 Yarriambiack (S) 78.1 76.1 80.1 84.8 82.8 86.7 Grampians 79.1 78.2 79.9 L 83.6 82.9 84.4 L Victoria 80.3 80.1 80.5 84.4 84.2 84.6 LGA = local government area, LE = life expectancy, CI = confidence interval, Sig = significance (see footnotes) Source: Department of health, 2010 [3] Residents of the Grampians region have the second highest rates of Disability Adjusted Life Years lost due to all causes.