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