Collation of Data of Health Status and Determinants for the City of Busselton, Western Australia Stoneham and Associates May 2019 MELISSA STONEHAM 1 Contents 1.0 INTRODUCTION ................................................................................................... 4 2.0 FINDINGS FOR THE CITY OF BUSSELTON ............................................................. 4 2.1 Who Lives There? ...................................................................................................................... 4 2.2 Births and Deaths ..................................................................................................................... 6 2.3 Education Levels ....................................................................................................................... 7 2.4 Social Determinants of Health .................................................................................................... 11 2.5 Health Conditions ....................................................................................................................... 14 2.6 Health behaviours and risk factors ............................................................................................. 17 2.7 Crime, Community Safety and Injury .......................................................................................... 19 Injury and Community Safety ............................................................................................................ 24 2.8 Immunisation ......................................................................................................................... 28 2.9 Access to Services ...................................................................................................................... 29 2.10 Transport and Traffic Injuries ................................................................................................... 31 Travel to work .................................................................................................................................... 32 2.11 Environmental Health Data ...................................................................................................... 33 2.12 Climate change ......................................................................................................................... 34 3.0 PUBLIC HEALTH PRIORITIES ............................................................................... 36 3.1 Aging population .................................................................................................................... 36 3.2 Alcohol consumption .............................................................................................................. 36 3.3 Road safety ............................................................................................................................. 36 3.4 Fruit and vegetable consumption ........................................................................................... 36 3.5 Suicide and mental health ...................................................................................................... 36 3.6 Overweight and obesity .......................................................................................................... 36 MELISSA STONEHAM 2 3.7 Physical activity rates ............................................................................................................. 37 3.8 Injury prevention ............................................................................................................... 37 3.9 Environmental health protection (specifically vector borne disease) ...................................... 37 3.10 Climate change mitigation .................................................................................................. 37 3.11 Advocating for increased access to health services ............................................................ 37 3.12 Smoking ............................................................................................................................. 37 3.13 Skin cancer prevention and melanoma .............................................................................. 38 4.0 CONCLUSION .................................................................................................... 38 Stoneham and Associates |Local government and advocacy specialists| www.stonehamandassociates.com |0421113580 Authors – Dr Melissa Stoneham and Mark Chadwick MELISSA STONEHAM 3 1.0 Introduction Stoneham and Associates were contracted by the Shire of Margaret River Augusta and the City of Busselton to assist with the development of a Public Health Plan. Stoneham and Associates identified and conducted simplistic analysis of existing public health and wellbeing activities and trends, and identified gaps in programs to meet community and stakeholder perceptions. The next phase will recommend evidence-based strategies that unite or join up approaches across the organisation, as well as providing options for innovation and identifying roles for agencies external to the Council. The purpose of accessing these data contained within this report was to inform the Public Health Plans for the City of Busselton. 2.0 Findings for the City of Busselton 2.1 Who Lives There? The South West is the most populated region outside Perth and has experienced a long standing pattern of population growth. The resident population of the Busselton, Margaret River and Augusta health districts is projected to increase by 28.1%, from 45,879 in 2011 to over 58,783 by 2021. This level of growth is markedly higher than the expected 20.3% growth of the State for the same time period. Busselton’s population is equivalent to almost 1.5% of the WA population with similar percentage of males and females. There is a difference in the median age being 6 years older and 2% higher in the 65-69 years range compared with the State. From 2017 Busselton’s population is predicted to grow by 2.2% every year until 2026, higher than the average growth rate of 1.3% for the Southwest. It is projected that by 2026, the City of Busselton will have 48640 residents. The following tables provide demographic information on people living in the City of Busselton. Population Busselton Western Australia Total 36,686 2,474,410 Male 17,908 (48.8%) 1,238,419 (50%) Female 18,787 (51.2%) 1,235,994 (50%) Table One - Total population and by sex (ABS 2016) MELISSA STONEHAM 4 The Aboriginal population by percentage in the City of Busselton, is 1.5% lower than the State Busselton Western Australia 603 (1.6%) 75,978 (3.1%) Table Two - Aboriginal people and Torres Strait Islanders population Table Three demonstrates that the City of Busselton have higher than the State average for the all age groups from 0-79 years and lower than the WA average for 80 years and over. The number of children aged 0-5 years is 2685. The largest number of people in the Busselton region were those aged 40 to 49 years totalling 5428 people, which were followed by children aged up to nine years old totalling 5111 people. Age Busselton % Western % Australia Median age 42 - 36 - 0-4 years 2,242 6.1 161,727 6.5 5-9 years 2,688 7.3 164,153 6.6 10-14 years 2,541 6.9 150,806 6.1 65-69 years 2,455 6.7 116,755 4.7 70-74 years 1,791 4.9 82,911 3.4 75-79 years 1,262 3.4 61,509 2.5 80-84 years 865 2.4 42,590 1.7 85 years 851 2.3 42,420 1.7 and over Table Three - Age structure by 5 year age bands (0-14, 65 and over) It is projected that by 2026, the City of Busselton will have 16505 people aged 50 years and over. Given that at age 60 years, a Western Australian man can expect to live another 21.9 years and a Western Australian woman another 25.6 years1, this is a priority for the City in relation to future planning for an age friendly environment. 1 Office of Seniors & Volunteering (2006) Western Australia’s Seniors Active Ageing Benchmark Indicators 2006. Government of Western Australia. http://www.community. wa.gov.au/DFC/Communities/Seniors/Publications/Active_Ageing_Benchmark_Indicators.htm MELISSA STONEHAM 5 Ancestory Busselton Western Australia English 17,605 34.6% 931,150 27.9% Australian 14,779 29.1% 760,032 22.8% Scottish 3,748 7.4% 214,154 6.4% Irish 3,736 7.3% 224,372 6.7% German 1,305 2.6% 73,062 2.2% English 32,394 88.3% 1,861,041 75.2% Only Table Four - Ethnic origin of major populations groups and language spoken at home According to the ABS data, the City of Busselton has a higher than State average for people with an English, Australian, Scottish, Irish and German heritage. For Busselton, English is the most common language spoken in the home and is 13% higher than the State. 2.2 Births and Deaths Table Five indicates that the City of Busselton has a slightly higher fertility rate than the State. Busselton Western Australia 1,289 / 2.15 105,054 / 1.89 Table Five - Total births / fertility rates (PHIDU 2019, SHA) Table Six demonstrates that there is little difference in the death rate when compared with the State average. Busselton Western Australia 1,049 65,978 82 years 80 years Table Six - Death rates: median number and age at death (PHIDU 2019, SHA) Data is limited by Region for these categories. In 2015, the standardised death rate in Western Australia was 5.3 deaths per 1000 standard population. The Western Australian infant mortality rate was 2.5 infant deaths per 1 000 live births in 2015. MELISSA STONEHAM 6 The standardised death rate in Western Australia in 2015 for males (6.4) was higher than for females (4.3). The standardised death rate