Health Equity Data Report 2018 What our local data tells us Contents Executive Summary ........................................................................................................... 6 Key findings .................................................................................................................................................... 6 Our people ................................................................................................................................................. 6 Our health .................................................................................................................................................. 7 Socioeconomic opportunities for good health ...................................................................................... 7 Inequities in key health indicators......................................................................................................... 8 Conclusion ............................................................................................................................................... 11 Introduction ...................................................................................................................... 12 Purpose ......................................................................................................................................................... 12 Methodology ................................................................................................................................................ 12 Data sources ............................................................................................................................................ 12 Analytical approach ................................................................................................................................. 12 Data limitations ....................................................................................................................................... 14 Supporting documents ................................................................................................................................. 15 Section A: The People of MidCentral ............................................................................. 16 1. Geography ................................................................................................................ 16 2. Our People - Current Population Profile ................................................................. 17 2.1 Population size and geographical distribution .................................................................................. 17 2.2 Population age and sex distribution ................................................................................................. 17 2.2.1 Total population ...................................................................................................................... 17 2.2.2 Māori population ..................................................................................................................... 18 2.3 Ethnic diversity .................................................................................................................................. 20 2.3.1 Ethnic diversity across geographical communities .................................................................. 20 2.3.2 Refugees .................................................................................................................................. 21 3. Our People - How Is Our Population Changing? ................................................... 22 3.1 Population growth ............................................................................................................................ 22 3.2 Age distribution changes ................................................................................................................... 23 3.2.1 Total population ...................................................................................................................... 23 3.2.2 MidCentral Māori population .................................................................................................. 24 3.3 Changing ethnic diversity .................................................................................................................. 26 4. Our People - Summary of Population Demographics ........................................... 27 2 5. Opportunities for good health ................................................................................. 28 5.1 Socioeconomic conditions ................................................................................................................ 28 5.1.1 The New Zealand Index of Deprivation ................................................................................... 28 5.1.2 Socioeconomic deprivation in the MidCentral district ............................................................ 29 5.1.2.1 Socioeconomic deprivation by ethnicity ............................................................................. 29 5.1.2.2 Socioeconomic deprivation by geographical location ......................................................... 30 6. How are opportunities for good health changing for MidCentral residents? .... 33 6.1 Changing socioeconomic circumstances in the MidCentral district ................................................. 33 6.1.1 Socioeconomic deprivation by ethnicity ................................................................................. 33 6.1.2 Socioeconomic deprivation by geographical location ............................................................. 35 7. Opportunities for good health – Summary of socioeconomic conditions .......... 36 Section B: Health Equity Assessment ............................................................................. 37 8. How are MidCentral residents doing compared to all New Zealanders? .......... 38 8.1 All-cause mortality ............................................................................................................................ 38 8.2 Most common causes of mortality ................................................................................................... 39 8.3 Top four causes of mortality ............................................................................................................. 39 8.3.1 Circulatory diseases ................................................................................................................. 40 8.3.2 Cancers .................................................................................................................................... 41 8.3.3 Respiratory diseases ................................................................................................................ 42 8.3.4 External causes (injuries and accidents) .................................................................................. 43 8.4 Malignant cancer registrations ......................................................................................................... 44 8.5 Causes of malignant cancer registrations ......................................................................................... 45 8.6 Cancers causing death ...................................................................................................................... 46 8.7 Amenable mortality .......................................................................................................................... 47 8.8 Causes of amenable mortality .......................................................................................................... 47 8.9 Acute hospitalisations ....................................................................................................................... 48 8.10 Health equity assessment – Summary of key findings for the MidCentral population .................... 48 9. Focusing on the health of Māori living in the MidCentral district ......................... 49 9.1 All-cause mortality ............................................................................................................................ 49 9.2 Most common causes of mortality ................................................................................................... 50 9.3 Top four causes of mortality ............................................................................................................. 51 9.3.1 Circulatory diseases ................................................................................................................. 52 9.3.2 Cancers .................................................................................................................................... 53 9.3.3 Respiratory diseases ................................................................................................................ 54 9.3.4 External causes (injuries and accidents) .................................................................................. 55 3 9.4 Malignant cancer registrations ......................................................................................................... 56 9.5 Causes of malignant cancer registrations ......................................................................................... 56 9.6 Cancers causing death ...................................................................................................................... 58 9.7 Amenable mortality .........................................................................................................................