Australian Institute for Primary Care & Ageing March 2016 50+ in Banyule : A data story Report for Banyule 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 Banyule: 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 Trobe 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 Banyule: 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 9 What is different? 10 This report 10 Risk and protective factors 11 Data limitations 13 METHODOLOGY 14 ABOUT BANYULE 15 AGE GROUPS 17 SOCIO - ECONOMIC STATUS 19 SUMMARY OF HEALTH AN D WELLBEING 19 KEY HEALTH OUTCOMES 22 Chronic disease 22 Diabetes 24 Dementia 26 Falls and other injuries 27 MODIFIABLE PROTECTIV E AND RISK FACTORS 32 Protective factors 32 Risk factors 35 Psychological distress 41 COMMUNITY WELLBEING INDICATORS 42 Wellbeing 46 PROVISION OF INTENSI VE SERVICES 47 SUMMARY AND CONCLUSI ON 50 APPENDIX: ABOUT THE DATA SOURCES 52 Australian Institute for Primary Care & Ageing, La Trobe University 2 Banyule: Part 1 Health and wellbeing TABLES TABLE 1: BANYULE AGE STRUC TURE 2014 AND POPULA TION FORECASTS 2019 AND 2024 18 TABLE 2: SIEFA INDIC ES FOR BANYULE SUBUR BS, 2011 20 TABLE 3: QUICK STATI STICS – POPULATION HEALTH AN D WELLBEING 21 TABLE 4: BANYULE AND VICTORIA, SELF - IDENTIFIED CHRONIC D ISEASE TYPE BY PROPO RTION IN AGE GROUP, 2011 – 12 23 TABLE 5: BANYULE AND VICTORIA, SELF - IDENTIFIED CHRONIC D ISEASE TYPE BY PROPO RTION FOR PEOPLE AGE D 50+ YEARS, 2011 – 12 23 TABLE 6: BANYULE, NU MBER OF PEOPLE REGIS TERED WITH DIABETES, BY SUBURB (POSTCODE) AND AGE GROUP 25 TABLE 6B: BANYULE, P ROPORTION OF POPULAT ION REGISTERED WITH DIABETES, BY SUBURB (POSTCODE) AND AGE G ROUP 25 TABLE 7: BANYULE, NU MBER OF PEOPLE EXPE CTED TO HAVE DEMENTI A, 2010, 2030 AND 20 5 0 BY GENDER 27 TABLE 8: BANYULE AND VICTORIA, INJURY HOS PITAL ADMISSION RATE PER 100,000 RESIDENT S BY INJURY TYPE AND AGE, 2013 - 14 27 TABLE 8A: BANYULE AN D VICTORIA, HOSPITAL ADMISSION RATE FOR I NTENTIONAL INJURY PE R 100,000 RESIDENTS AG ED 50 YEARS AND OVER , BY GENDER, 2013 - 14 28 TABLE 9A: FREQUENCY OF HOSPITAL ADMISSIO NS FOR FALLS BY AGE GROUP 2002 – 03 TO 2013 – 14 29 TABLE 9B: HOSPITAL A DMISSION RATES PER 1 00,000 RESIDENTS AGE D 50+ BY INJURY TYPE , 2002 – 03 TO 2013 – 14 31 TABLE 10: BANYULE AN D VICTORIA, PROPORTI ON OF POPULATION PRO TECTIVE BEHAVIOURS, 2011 – 12 33 TABLE 11: BANYULE AN D VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, PROTECTIVE BEHAVIOURS, 2011 – 12 33 TABLE 12: BANYULE AN D VICTORIA, PROPORTI ON OF POPULATION PRO TECTIVE BIOMEDICAL FACTORS, 2011 – 12 34 TABLE 13: BANYULE AN D VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, PROTECTIVE BIOMEDICAL FACTORS, 2011 – 12 35 TABLE 14: BANYULE AN D VICTORIA, PROPORTI ON IN POPULATION WIT H BEHAVIOURAL RISK FACTORS, 2011 – 12 36 TABLE 15: BANYULE AN D VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, BEHAVIOURAL RISK FAC TORS, 2011 – 12 36 TABLE 16: BANYULE AN D VICTORIA, PROPORTI ON IN POPULATION WIT H BIOMEDICAL RISK FA CTORS, 2011 – 12 37 TABLE 17: BANYULE AN D VICTORIA, AGE - ADJUSTED PROPORTION OF POPULATION AGED 5 0 YEARS AND OVER, BIOMEDICAL RISK FACTORS, 2011 – 12 37 TABLE 18: BANYULE AN D VICTORIA, INDICATO RS OF MENTAL HEALTH, 2011 – 12 41 TABLE 19: BANYULE AN D VICTORIA, VICHEALT H INDICATORS, 2011 44 TABLE 20: BANYULE AN D VICTORIA, VICHEALTH INDICATORS, AGED 50+ YEARS AND ALL ADULTS , 2011 45 TABLE 21: BANYULE AN D VICTORIA, WELLBEIN G SCORE, 2011 46 TABLE 22A: PROVISION OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE (OPERAT IONAL PLACES), 2015 47 TABLE 22B: PROVISION OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE (OPERAT IONAL PLACES), BANYULE AND VICTORIA , 2015 48 Australian Institute for Primary Care & Ageing, La Trobe University 3 Banyule: Part 1 Health and wellbeing TABLE 23: PROVIDERS OF INTENSIVE COMMUNI TY SERVICES AND RESI DENTIAL CARE, BANYUL E POSTCODES, 2014 49 TABLE 24: BANYULE AN D VICTORIA, VICTORIA N POPULATION HEALTH SURVEY, 2011 – 12, SAMPLE SIZE 52 TABLE 25: PROFILE OF RESPONDENTS, VICTORI AN POPULATION HEALTH SURVEY, 2011 – 12 52 TABLE 26: BANYULE AN D VICTORIA, VICHEALT H INDICATORS, 2011, SAMPLE SIZE 54 TABLE 27: NATIONAL E STIMATES OF DIABETES PREVALENCE BY AGE GR OUP 54 TABLE 28: TOTAL AU STRALIAN ESTIMATED D EMENTIA PREVALENCE P ROJECTION RATES BY G ENDER (ACCESS ECONOMICS, 2009) 55 TABLE 29: AUSTRALIAN INDIGENOUS ESTIMATED DEMENTIA PREVALENCE PROJECTION RATES (AC CESS ECONOMICS, 2009) 55 FIGURES Figure 1: Banyule suburbs and precincts ................................ ................................ ................................ ....... 15 Figure 2: Banyule age structure 2014 and population predictions 2019 and 2024 (Ns) ................................ .. 17 Figure 3: Banyule SEIFA indices by suburb, 2011 ................................ ................................ ........................... 19 Figure 4: Banyule and Vi ctoria, self - identified chronic disease type by proportion in age group, 2011 – 12 .... 22 Figure 5: Banyule registered clients with Type 2 Diabetes by age and suburb (postcode), 2015 ..................... 24 Figure 6: Banyule, predicted growt h in dementia by gender 2010 - 205 0 ................................ ........................ 26 Figure 7a: 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 ................................ ................................ ................................ ................................ ....................... 30 Figure 7c: Hospital admission rates per 100,000 residents aged 50+ for intentional injury, 2002 – 03 to 2013 – 14 ................................ ................................ ................................ ................................ ................... 31 Figure 8: Banyule and Victoria, proportion of population by protective behaviours 2011 – 12 ........................ 32 Figure 9: Banyule and Victoria, proportion of population by protective biomedical factors, 2011 – 12 ............ 34 Figure 10: Banyule and Victoria, proportion in population by behavioural and biomedical risk factors, 2011 – 12 ................................ ................................ ................................ ................................ ....................... 35 Figure 11: Smoking status, Victoria and Banyule, adults aged 50+ ................................ ................................ 38 Figure 12: Risk of alcohol harm (long - term), Victoria and Banyule, adults aged 50+ ................................ ....... 38 Figure 1 3: Met guidelines for vegetable consumption, Victoria and Banyule, adults aged 50+ ....................... 39 Figure 14: Met guidelines for fruit consumpt ion, Victoria and Banyule, adults aged 50+ ............................... 39 Figure 15: Physical activity, Victoria and Banyule, adults aged 50+ ................................ ................................ 40 Figure 16: Body weight status, Victoria and Banyule, adults aged 50+ ................................ ........................... 40 Figure 17: Banyule and Victoria, percentage of the population with psychological distress, 2011 – 12 ............ 41 Figure 18: Banyule and Victoria, VicHealth Indicators (positive), 2011 ................................ ........................... 42 Figure 19: Banyule and Victoria, VicHealth Indicators (negative), 2011 ................................ .......................... 43 Australian Institute for Primary Care & Ageing, La Trobe University 4 Banyule: Part 1 Health and wellbeing Suggested reference: Wells, Y. (2016 ). 50+ in Banyule : A data story. Report for Banyule agencies . Part 1 : Health and Wellbeing . Report commissioned by the North Eastern Primary Care Partnership. Melbourne: NEPCP. Acknowledgements Thanks to the Department of Health & 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 expertise 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 Primar y Care Partnership (NEPCP) Australian Institute for