State of Preventative Health 2013
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STATE OF PREVENTIVE HEALTH 2013 State of Preventive Health Report 2013 c STATE OF PREVENTIVE HEALTH 2013 A report presented to the Minister for Health by the Australian National Preventive Health Agency d State of Preventive Health Report 2013 The Australian National Preventive Health Agency (the Agency) was established to strengthen Australia’s investment and infrastructure in preventive health. The Agency is providing policy leadership and establishing partnerships with Commonwealth, state and territory governments, community health promotion organisations, industry and primary health care providers. The Agency’s vision is for a healthy Australian society, where the promotion of health is embraced by every sector, valued by every individual, and includes everybody. © Commonwealth of Australia 2013 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from the Commonwealth. Requests and enquiries concerning reproduction and rights should be addressed to the Director, Communications, Australian National Preventive Health Agency, GPO Box 462, Canberra ACT 2601. Disclaimer This Report was prepared by the Australian National Preventive Health Agency. The views it contains are not necessarily those of the Australian or of state and territory governments. The views expressed in the feature articles throughout this Report are those of the respective authors. While reasonable efforts have been made to ensure that the contents of this publication are factually correct, the Commonwealth, which includes the Agency does not accept responsibility for the accuracy or completeness of the contents, and shall not be liable for any loss or damage that may be occasioned directly or indirectly through the use of, or reliance on, the contents of this publication. ISSN 2202-3801 Citation Australian National Preventive Health Agency (ANPHA). State of Preventive Health 2013. Report to the Australian Government Minister for Health. Canberra; ANPHA, 2013. Any enquiries about, or comments, on this publication should be directed to: Director, Communications Australian National Preventive Health Agency GPO Box 462 Canberra ACT 2601 Tel: (02) 6289 2879 Email: [email protected] Published by the Australian National Preventive Health Agency Cover art by Emma Hayes, Swell Design Group Printed in Australia by Paragon Printers Australasia State of Preventive Health Report 2013 e Dear Minister, It is with great pleasure that I present, on behalf of the Australian National Preventive Health Agency, this national assessment on the state of preventive health in Australia. State of Preventive Health 2013 aims to give Australians a comprehensive overview of the health challenges facing Australians, particularly in relation to chronic disease, and the associated risk factors including tobacco consumption, harmful alcohol use and obesity. This Report meets the requirements under the Australian National Preventive Health Agency Act 2010 to ‘every 2 years, starting in 2013, publish a report on the state of preventive health in Australia’. It is our hope that this Report will highlight the burden of chronic disease across Australia and increase community awareness and understanding of Australia’s preventive and health promotion efforts. I commend the report to you, and through you, to the people of Australia. Louise Sylvan Chief Executive Officer 26 July, 2013 f State of Preventive Health Report 2013 FACING AUSTRALIA’S PREVENTIVE HEALTH CHALLENGES State of Preventive Health Report 2013 i CONTENTS Chapter One Australia: a leader in prevention 15 Chapter Two Understanding the challenge 41 Chapter Three Prevention on the ground 83 Chapter Four Primary health care: supporting prevention 135 Feature essay The economic value of prevention 163 Chapter Five The challenges ahead 185 ii State of Preventive Health Report 2013 FEATURE ARTICLES Ita Buttrose AO, OBE Healthy ageing 10 Professor Alan D Lopez The global burden of disease 11 Professor Chris Baggoley AO The challenge of chronic disease – a Chief Medical Officer’s perspective 12 Dr Margaret Chan On health promotion 36 Pat Anderson Prevention in Aboriginal and Torres Strait Islander health 37 Rohan Mead Good health = good business 38 Commissioner Andrew Scipione APM Alcohol and violence 39 Stephanie Alexander OAM Growing, cooking, eating and enjoying good food 80 Mayor Felicity-Ann Lewis Local government’s role in prevention 130 Karin Nagorcka & Ann Hill Schools provide a platform for effective prevention action 131 The Hon Justice Annabelle Bennett AO Prevention of chronic disease – creating evidence for action 132 Jenni Mack Preventive health matters for consumers 133 Associate Professor Leslie E Bolitho AM Improving access to specialist care in the community 159 Professor Andrew Podger AO Arguing rationally for preventive health investment 160 Professor Anthony J McMichael AO The case for balance in policy and action 182 Jonathan Nicholas Using technology to deliver better prevention for all – lessons from mental health 183 State of Preventive Health Report 2013 iii CASE STUDIES Chapter 3 Case study 1: Get Healthy Information and Coaching Service® 90 Case study 2: Regional Tackling Smoking and Healthy Lifestyle Teams 91 Case Study 3: Reducing alcohol related harm in the Fitzroy Valley, Western Australia 92 Case study 4: Hutt Street Centre for the Homeless – a smoke-free centre 93 Case study 5: Retail store nutrition program for remote Indigenous communities in Queensland 95 Case study 6: Working in partnership to support healthy eating – Food and Health Dialogue 96 Case study 7: Plain packaging of tobacco products 99 Case study 8: Kilojoule labelling in fast food outlets and the ‘8700 kilojoules a day’ campaign 100 Case study 10: Advocacy on sugar-sweetened beverages 102 Case study 11: Western Australia’s LiveLighter social marketing campaign: ‘Grabbable gut outside means toxic fat inside’ 105 Case study 12: Childhood obesity prevention in South Australia and the Northern Territory 107 Case study 13: A snapshot of Lift for Life® 108 Case study 14: Jamie’s Ministry of Food 109 Case study 15: Property development to support health 110 Case study 16: It’s Your Move – Australian Capital Territory 113 Case study 17: Healthy workplaces – the Tasmanian example 114 Case study 18: Good Sports: building healthy sports clubs and strong communities 116 Case study 19: Closing the Gap – Sentinel Sites Evaluation 120 Case study 20: Numbers matter – understanding the impact of alcohol-related policy changes in Western Australia 121 Case study 21: Social determinants research to support better practice 122 Case study 22: Tailoring tertiary education in alcohol and other drugs for Indigenous Australians 124 Case study 23: Infrastructure for health promotion in NSW 125 Chapter 4 Case Study: Disease prevention through a referral program 146 Case Study: Partnerships to address needs in a remote Indigenous community 151 iv State of Preventive Health Report 2013 FIGURES 1.1 Preventive health action to reduce tobacco smoking in Australia 1980–2012 24 1.2 Road fatalities and preventive health action in Australia 1968-2008. 25 1.3 A framework for the determinants of health 27 1.4 Differences in prevalence of selected risk factors and diseases, by socioeconomic status, 2011–12 28 1.5 Health Services – funding and responsibility 30 2.1 Body Mass Index distribution, persons 18 years and over, 1995 and 2011-12 47 2.2 BMI category, by sex, 1995 and 2011–12 48 2.3 Change in BMI category, by age and sex, 1995 to 2011–12 49 2.4 Overweight and obesity in children, by socioeconomic status, 2007–08 and 2011–12 50 2.5 Trends in obesity prevalence for selected countries, 1978 to latest year 51 2.6: Obesity prevalence by age and sex, 1995, 2007–08 and 2011–12 52 2.7: Obesity prevalence by socioeconomic status, 1995, 2007–08 and 2011–12 53 2.8: Obesity prevalence by remoteness, 2007–08 and 2011–12 54 2.9: BMI categories by Indigenous status and sex, 2004-05 55 2.10: Active travel in Australian capital cities, 1976 to 2011 56 2.11 Percentage of daily smoking 58 2.12 Daily smoking in Australia, by sex, 2001, 2004-05, 2007–08 and 2011–12 59 2.13 Daily smoking over time in selected OECD countries 60 2.14 Daily smoking by age and sex, 2001, 2004–05, 2007–08 and 2011–12 61 2.15 Daily smoking by socioeconomic status, 2001, 2004–05, 2007–08 and 2011–12 62 2.16 Daily smoking by remoteness, 2001, 2004–05, 2007–08 and 2011–12 63 2.17 Daily smoking by Aboriginal and Torres Strait Islander peoples, by sex and age, 2008 64 2.18 Proportion of adults that consumed more than 2 standard drinks per day on average, 2001, 2004–05, 2007–08 and 2011–12 66 2.19 Proportion of the population consuming alcohol daily in the past week, by sex and age, 2011–12 67 2.20 Apparent consumption of alcohol in selected countries, litres per capita per year, aged 15 and over 68 2.21 Proportion of males that consumed more than 2 standard drinks per day on average, by age, 2001, 2004–05, 2007–08 and 2011–12 69 2.22: Proportion of females that consumed more than 2 standard drinks per day on average, by age, 2001, 2004–05, 2007–08 and 2011–12 70 State of Preventive Health Report 2013 v 2.23 Proportion of people that drank in excess of 2009 NHMRC guideline, by age, 2011–12 71 2.24 Proportion of adults that drank in excess of 2009 NHMRC guideline for single occasion risk of injury at least once in the past year, by sex and age, 2011–12 72 2.25 Proportion of adults that drank in excess of 2009