Australian Institute for Primary Care & Ageing March 2016 50+ in Nillumbik : A data story Report for Nillumbik agencies Part 1: Health and Wellbeing C ommissioned by the North East Primary Care Partnership ENQUIRIES Professor Yvonne Wells T 0 3 9479 5809 Lincoln Centre for F 03 9479 5977 Research on Ageing E [email protected] AIPCA La Trobe University Victoria 3086 Nillumbik: part 1 Health and wellbeing Australian Institute for Primary Care & Ageing College of Science, Health and Engineering La Trobe University A body politic and corporate ABN 64 804 735 113 The Australian Institute for Primary Care & Ageing (AIPCA) operates within the academic environment of La T robe University. La Trobe University is a Statutory Body by Act of Parliament. Postal Address Australian Institute for Primary Care & Ageing La Trobe University Victoria 3086 Melbourne (Bundoora) Campus Level 5 Health Sciences Building 2 La Trobe University Telephone: (61 - 3) 9479 3700 Facsimile: (61 - 3) 9479 5977 Email: [email protected] Online http://www.latrobe.edu.au/aipca Australian Institute for Primary Care & Ageing, La Trobe University 1 Nillumbik: part 1 Health and wellbeing Table of contents EXECUTIVE SUMMARY 7 INTRODUCTION 9 About us 9 Curate rather than create knowledge 9 About this project 10 What is different? 10 This report 10 Risk and protective factors 11 Data limitations 13 METHODOLOGY 14 ABOUT NILLUMBIK 15 AGE GROUPS 17 SOCIO - ECONOMIC STATUS 19 SUMMARY OF HEALTH AN D WELLBEING 21 KEY HEALTH OUTCOMES 22 Chronic disease 22 Diabetes 24 Dementia 27 Falls and other injuries 28 MODIFIABLE PROTECTIV E AND RISK FACTORS 33 Protective factors 33 Risk factors 36 Psychological distress 42 COMMUNITY WELLBEING INDICATORS 43 Wellbeing 47 PROVISION OF INTENSI VE SERVICES 48 SUMMARY AND CONCLUSI ON 50 APPENDIX: ABOUT THE DATA SOURCES 52 Australian Institute for Primary Care & Ageing, La Trobe University 2 Nillumbik: part 1 Health and wellbeing TABLES TABLE 1: NILLUMBIK A GE STRUCTURE 2014 AN D POPULATION FORECAS TS 2019 AND 2024 18 TABLE 2: SIEFA IND ICES FOR NILLUMBIK S UBURBS, 2011 20 TABLE 3: QUICK STATI STICS – POPULATION HEALTH AN D WELLBEING 21 TABLE 4: NILLUMBIK A ND VICTORIA, SELF - IDENTIFIED CHRONIC D ISEASE TYPE BY PROPO RTION IN AGE GROUP, 2011 – 12 23 TABLE 5: NILLUMBIK A ND VICTORIA, SELF - IDENTIFIED CHRONIC D ISEASE TYPE BY PROPO RTION FOR PEOPLE AGE D 50+ YEARS, 2011 – 12 23 TABLE 6: NILLUMBIK, NUMBER OF PEOPLE REG ISTERED WITH DIABETE S, BY POSTCODE AND A GE GROUP 25 TABLE 6B: NILLUMBIK, PROPORTION OF POPULA TION REGISTERED WITH DIABETES, BY SUBURB (POSTCODE) AND AGE GROUP 26 TABLE 7: NILLUMBIK, NUMBER OF PEOPLE EXP E CTED TO HAVE DEMENTI A, 2010, 2030 AND 20 5 0 BY GENDER 27 TABLE 8: NILLUMBIK AND VICTORIA, INJURY HOSPITAL ADMISSION R ATE PER 100,000 RESI DENTS BY INJURY TYPE AND AGE, 2013 – 14 28 TABLE 9A: FREQUENCY OF HOSPITAL ADMISSIONS FOR FALLS BY AGE GRO UP 2002 – 03 TO 2013 – 14 30 TABLE 9B: HOSPITAL A DMISSION RATES PER 1 00,000 RESIDENTS AGE D 50 + BY INJURY TYPE, 20 02 – 03 TO 2013 – 14 32 TABLE 10: NILLUMBIK AND VICTORIA, PROPOR TION OF POPULATION P ROTECTIVE BEHAVIOURS , 2011 – 12 34 TABLE 11: NILLUMBIK AND VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, PROTECTIVE BEHAVIOUR S, 2011 – 12 34 TABLE 12: NILLUMBIK AND VICTORIA, PROPOR TION OF POPULATION P ROTECTIVE BIOMEDICAL FACTORS, 2011 – 12 35 TABLE 13: NILLUMBIK AND VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, PROTECTIVE BIOMEDICA L FACTORS, 2011 – 12 36 TABLE 14: NILLUMBIK AND VICTORIA, PROPOR TION IN POPULATION W ITH BEHAVIOURAL RISK FACTORS, 2011 – 12 37 TABLE 15: NILLUMBIK AND VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, BEHAVIOURAL RISK FAC TORS, 2011 – 12 37 TABLE 16: NILLUMBIK AND VICTORIA, PROPOR TION IN POPULATION W ITH BIOMEDICAL RISK FACTORS, 2011 – 12 38 TABLE 17: NILLUMBIK AND VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, BIOMEDICAL RISK FACT ORS, 2011 – 12 38 TABLE 18: NILLUMBIK AND VICTORIA, INDICA TORS OF MENTAL HEALT H, 2011 – 12 42 TABLE 19: NILLUMBIK, VICTORIA 50+ AND VIC TORIA, VICHEALTH IND ICATORS, 2011 45 TABLE 20: NILLUMBIK AND VICTORIA, VICHEA LTH INDICATORS, AGED 50+ YEARS AND ALL AD ULTS, 2011 46 TABLE 21: NILLUMBIK AND VICTORIA, WELLBE ING SCORE, 2011 47 TABLE 22A: PROVISION OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE (OPERAT IONAL PLACES), 2015 48 TABLE 22B: PROVISION OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE (OPERAT IONAL PLACES), NILLUMBIK AND VICTOR IA, 2015 49 TABLE 23: PROVIDERS OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE, NILLUM BIK POSTCODES, 2014 49 TABLE 24: NILLUMBIK AND VICTORIA, VICTOR IAN POPULATION HEALT H SURVEY, 2011 – 12, SAMPLE SIZE 52 TABLE 25: PROFILE OF RESPONDENTS, VICTORI AN POPULATION HEALTH SURVEY, 2011 – 12 52 TABLE 26: NILLUMBIK AND VICTORIA, VICHEA LTH INDICATORS, 2011 , SAMPLE SIZE 54 TA BLE 27: NATIONAL EST IMATES OF DIABETES P REVALENCE BY AGE GRO UP 54 Australian Institute for Primary Care & Ageing, La Trobe University 3 Nillumbik: part 1 Health and wellbeing TABLE 28: TOTAL AUST RALIAN ESTIMATED DEM ENTIA PREVALENCE PROJECTION RATES BY GENDER (ACCESS ECONOMICS, 2009) 55 TABLE 29: AUSTRALIAN INDIGENOUS ESTIMATED DEMENTIA PREVALENCE PROJECTION R ATES (ACCESS ECONOMICS, 2009) 55 FIGURES Figure 1: Nillumbik suburbs ................................ ................................ ................................ ........................... 15 Figure 2: Nillumbik age structure 2014 and population predictions 2019 and 2024 (Ns) ................................ 17 Figure 3: Nillumbik SEIFA indices by suburb/locality, 2011 ................................ ................................ ............ 19 Figure 4: Nillumbik and Victoria, self - identified chronic disease type by proportion in age group, 2011 – 12 .. 22 Figure 5: Nillumbik registered clients with Type 2 Diabetes by age and postcode area, 2015 ......................... 24 Figure 6: Nillumbik, pre dicted growt h in dementia by gender 2010 – 205 0 ................................ ..................... 27 Figure 7: Frequency of hospital admissions for falls by age group, 2002 – 03 to 2013 – 14 ................................ 29 Figure 7b: Hospital admission rates per 100,000 residents aged 50+ by injury type, 2002 – 03 to 2013 – 14 ..... 31 Figure 7c: Hospital admission rates per 100,000 residents aged 50+ for intentional injury, 2002 – 03 to 2013 – 14 ................................ ................................ ................................ ................................ ................................ 32 Figure 8: Nillumbik and Victoria, proportion of population by protective behaviours 2011 – 12 ...................... 33 Figure 9: Nillumbik and Victoria, proportion of population by biomedical protective factors, 2011 – 12 .......... 35 Figure 10: Nillumbik and Victoria, proportion in population by behavioural and biomedical risk factors, 2011 – 12 ................................ ................................ ................................ ................................ ....................... 36 Figure 11: Smoking status, Victoria and Nillumbik, adults aged 50+ ................................ ............................... 39 Fi gure 12: Risk of alcohol harm (long - term), Victoria and Nillumbik, adults aged 50+ ................................ .... 39 Figure 13: Met guidelines for vegetable consumption, Victoria and Nillumbik, adults aged 50+ .................... 40 Figure 14: Met guidelines for fruit consumption, Victoria and Nillumbik, adults aged 50+ ............................. 40 Figure 15: Physical activity, Victoria and Nillumbik, adults aged 50+ ................................ .............................. 41 Figure 16: Body weight status, Victoria and Nillumbik, adults aged 50+ ................................ ......................... 41 Figure 17: Nillumbik and Victoria, percentage of the population with psychological distress, 2011 – 12 .......... 42 Figure 18: Nillumbik and Victoria, VicHealth Indicators (positive), 2011 ................................ ........................ 43 Figure 19: Nillumbik and Victoria, VicHealth I ndicators (negative), 2011 ................................ ....................... 44 Australian Institute for Primary Care & Ageing, La Trobe University 4 Nillumbik: part 1 Health and wellbeing Suggested reference: Wells, Y. (2016 ). 50+ in Nillumbik : A data story. Report for Nillumbik agencies . Part 1 : Health and Wellbeing . Report commissioned by the North Eastern Primary Care Partnership. Melbourne: NEPCP. Acknowledgements Thanks to the Department of Health and Human Services for making this report possible, to the City of Whittlesea for sharing their “Living w ell 50+ … a data story” and allowing us to use their framework, and to our partners. Special thanks to Professor Yvonne Wells, Head, Lincoln Centre for Research on Ageing, Australian Institute for Primary Care & Ageing, La Trobe University, for sharing her ex pertise in gaining meaning from the data — a true ‘curator’ of knowledge — and to Tania Nicholls, NEPCP Innovation Coordinator for keeping us on track and bringing the partners together around this project. Julie Watson, Executive Officer, North East Primary C are Partnership (NEPCP) Australian Institute for Primary Care & Ageing, La Trobe University 5 Nillumbik: part 1 Health and wellbeing GLOSSARY ABS Australian Bureau of Statistics CALD Culturally and Linguistically Diverse DHHS Department of Health and Human Services