Glenelg Shire Aboriginal and Torres Strait Islander Social, Emotional and Well Being Profile May 2014 ff0 | Page Final Version – 13 June 2014 TABLE OF CONTENT EXECUTIVE SUMMARY .......................................................................................... 1 PART A - INTRODUCTION .................................................................................... 3 Key features about this profile ........................................................................................................................................ 4 PART B - THE CONTEXT FOR ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH AND WELL BEING .................................................................................... 6 PART C - THE SOCIAL DETERMINANTS OF ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH AND WELL BEING ................................................................... 9 Addressing the social determinants of health ........................................................................................................... 11 Aboriginal and Torres Strait Islander Healing ............................................................................................................. 13 PART D - THE SOCIAL DETERMINANTS, HEALTH AND WELLBEING PROFILE ....... 15 Population ......................................................................................................................................................................... 15 Age Structure.................................................................................................................................................................... 16 The important early years .............................................................................................................................................. 18 Low birth weight babies ................................................................................................................................................... 18 Access to Ante Natal Care ............................................................................................................................................. 18 Breast Feeding .................................................................................................................................................................... 19 Parenting the early years ................................................................................................................................................. 20 Teenage Pregnancies ....................................................................................................................................................... 22 Families with young children ........................................................................................................................................... 22 Australian Early Years Developmental Index .............................................................................................................. 23 Body Weight 0 – 9 year olds ............................................................................................................................................ 25 Immunisation and Asthma ............................................................................................................................................... 26 Literacy and Numeracy ................................................................................................................................................... 27 Trends over time.................................................................................................................................................................. 28 EDUCATION ....................................................................................................................................................................... 30 Aboriginal and Torres Strait Islander attendance at an educational institution in the Glenelg Shire ........ 30 Kindergarten and School Participation ....................................................................................................................... 32 Technical or Further Education Participation ............................................................................................................. 32 Highest year of school completed by Aboriginal and Torres Strait Islander status for Glenelg 2011 ......... 33 EMPLOYMENT .................................................................................................................................................................... 36 INCOME ............................................................................................................................................................................. 42 PART E - SOCIAL AND EMOTIONAL WELL BEING .............................................. 44 Aboriginal and Torres Strait Islander Life Expectancy ............................................................................................. 44 Hospital Admissions ............................................................................................................................................................ 44 Need for Assistance ........................................................................................................................................................... 46 SELECTED HEALTH RISK AND PROTECTIVE FACTORS ......................................... 48 Self-Assessed Health .......................................................................................................................................................... 48 Psychological Distress ........................................................................................................................................................ 49 Long Term Health Conditions .......................................................................................................................................... 50 Selected current long term health problems ............................................................................................................. 51 Diabetes ................................................................................................................................................................................ 52 Key findings for Aboriginal and Torres Strait Islander people living in Victoria .................................................. 53 PART F - LIFE STYLE RISK FACTORS ..................................................................... 54 Overweight and Obesity .................................................................................................................................................. 54 Smoking ................................................................................................................................................................................. 54 Environmental Tobacco Smoke ..................................................................................................................................... 55 Fruit and Vegetable Intake ............................................................................................................................................. 58 Health Related Actions ..................................................................................................................................................... 59 PART G - LOCAL ACCHO HEALTH SERVICES DATA .......................................... 60 Prevalence of common conditions .............................................................................................................................. 60 This report has been commissioned by the Glenelg Shire Council and the Dhauwurd-Wurrung Elderly & Community Health Services Inc., on behalf of the Glenelg Shire Aboriginal Partnership to assist in the development of the next interaction of the Glenelg Aboriginal Partnership Plan. The terminology ‘Aboriginal and Torres Strait Islander peoples’ has been the preferred in this document. Organisations and sources quoted use various terms including ‘Indigenous’ and “Aboriginal people’. To ensure consistency, these usages are preserved in quotations, extracts and in the names of the documents / organisations. The information in this report has been obtained from the Australian Bureau of Statistics 2011 Census, Victorian Department of Health and other sources. It has been prepared in good faith and in conjunction with the Glenelg Aboriginal Partnership organisations. Neither the Glenelg Shire Council, partner organisations, nor staff or agents shall be responsible in any way whatsoever to any person or organization in respect to the report, including errors, omissions, therein, however caused. May 2014 Compiled by Judy Nichols Dunkeld, Victoria Ph: 0429 121 258 EXECUTIVE SUMMARY The Glenelg Aboriginal Partnership aspires to justice, inclusion, and equity for the Aboriginal and Torres Strait Islander community including the Gunditjmara, Bunganditj and Jardwadjali people living across the municipality. The Partnership Agreement seeks to facilitate and nurture the healing processes necessary to address and alleviate the hurt and to rectify the economic, legal, social and cultural disadvantages placed on Aboriginal and Torres Strait Islander peoples over the last 181 years. In this context, the key drivers for healing and improving the social, emotional and wellbeing of the Aboriginal and Torres Strait Islander people will be empowerment, strengthening