National Aboriginal and Torres Strait Islander Health Survey

Latest release

Information on health, use of health services, health risk factors and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples

Reference period
2022-23 financial year

Key statistics

  • 41% of households experienced food insecurity due to a lack of money for food at some time in the last 12 months.
  • 29% of people aged 15 years and over smoked daily (excluding e-cigarettes or vaping devices), down from 37% in 2018–19.
  • 8% of people aged 15 years and over reported currently using an e-cigarette or vaping device.
  • 31% of people aged 18 years and over living in non-remote areas experienced high or very high levels of psychological distress in the last 4 weeks compared with 24% of people living in remote areas.
  • 4% of people had heart, stroke and vascular disease, down from 5% in 2018–19.

Any reference to persons/people/peoples in this product refers to Aboriginal and Torres Strait Islander persons/people/peoples.

This release has been developed in consultation with the ABS’ Aboriginal and Torres Strait Islander Health Surveys Advisory Group, a group of external stakeholders who have guided the ABS on the content and release of data from this survey.

Health conditions

Long-term health conditions are conditions which were current at the time of interview and had lasted, or were expected to last, 6 months or more. This survey collects information about a broad range of long-term health conditions, with a focus on conditions that are common, pose significant health problems, and have been a focus of ongoing public health monitoring.

Selected chronic conditions

Other selected long-term health conditions

High measured blood pressure

Psychological distress

A person’s level of psychological distress provides an indication of their mental health and wellbeing.

  • Three in ten people aged 18 years and over (30%) experienced high or very high levels of psychological distress in the last 4 weeks, about the same as in 2018–19 (31%).
  • People aged 18 years and over living in non-remote areas were more likely to have experienced high or very high levels of psychological distress in the last 4 weeks (31%) than people living in remote areas (24%).

Data available in Tables 1 to 4 and Table 6 in Data downloads.

Disability and unpaid care

There are many kinds of disability – some result from accidents, illness or genetic disorders, while others have no known cause. People with more restrictive disabilities may have difficulty with mobility, communication or caring for themselves. Having disability may also affect a person’s participation in education, employment and social or community activities.

Caring for a person with a long-term health condition, disability or problems related to old age can impact a carer’s physical and emotional health and wellbeing[5].

Disability

Unpaid care

Use of health services

Regular monitoring of health may help prevent illness or injury. Consultations with health professionals can assist in many ways, including the treatment and management of short-term illnesses and injuries and long-term health conditions, monitoring health risk factors, and general maintenance of good health.

General practitioner (GP), specialist, dentist or hospital

Cultural safety when accessing general practitioners (GPs) and hospitals

Mental health services and support

Prescription medication (non-remote areas only)

Health risk factors

This survey collects information about selected health risk factors which are behaviours, events and circumstances that may increase the likelihood of developing a health condition.

Food security

Dietary behaviours

Alcohol consumption

Smoking and vaping

Waist circumference risk level and Body Mass Index

Physical activity (non-remote areas only)

Unfair treatment

Cultural determinants of health and social and emotional wellbeing

Cultural determinants of health and social and emotional wellbeing are protective factors that enhance resilience, strengthen identity, and support good health and social and emotional wellbeing. These include but are not limited to:

  • connection to country
  • family, kinship and community
  • Aboriginal and Torres Strait Islander beliefs and knowledge
  • cultural expression and continuity
  • Aboriginal and Torres Strait Islander language
  • self-determination and leadership[7].

Some selected cultural determinants corresponded with lower levels of psychological distress for people aged 18 years and over. For example:

  • people who felt satisfied or very satisfied with their own level of knowledge of culture were more likely to experience low or moderate levels of psychological distress in the last 4 weeks (71%) than those who were not very satisfied or not at all satisfied (61%)
  • people who did not experience themselves or their relatives being removed from their natural family were more likely to experience low or moderate levels of psychological distress in the last 4 weeks (74%) than those who did (60%).
  1. Excludes persons not physically present at interview if another person (a proxy) is answering on their behalf. For more information see Methodology.

For some other selected cultural determinants, there was no statistically significant difference in the survey data for the proportion of people experiencing low or moderate levels of psychological distress.

Data available in Table 12 in Data downloads.

Housing

A dwelling may not be suitable for a household if additional bedrooms are required based on the size and composition of the household.

In this survey, the bedroom requirements of a household have been assessed using the Canadian National Occupancy Standard. This Standard does not adequately reflect Aboriginal and Torres Strait Islander cultural norms such as maintaining a large, open household. These cultural norms mean household size can vary due to visiting family seeking accommodation for reasons such as accessing health or other services in the area or attending cultural events[16].

Almost one in ten households (7%) were living in a dwelling that required at least one additional bedroom, down from 9% in 2018–19[6].

Households in remote areas were around 4 times as likely to live in a dwelling that required at least one additional bedroom (20%) than households in non-remote areas (5%).

  1. The difference between non-remote and remote is not statistically significant.

The quality of housing can influence a range of health indicators, including chronic disease, disability, and life expectancy[17]. A dwelling is of an acceptable standard if there are 4 working facilities (for washing people, for washing clothes or bedding, for storing and preparing food, and sewerage) and no more than 2 major structural problems.

  • Almost two in ten households (18%) were living in a dwelling that was not of an acceptable standard, about the same as in 2018–19 (20%)[3].
  • Households in remote areas were more than twice as likely to be living in a dwelling that was not of an acceptable standard (36%) than households in non-remote areas (16%).

Data available in Table 24 in Data downloads.

Personal use of the internet

The ability to use the internet may influence the information and services a person can access or their ability to connect with family, friends and the wider community.

In 2022–23:

  • almost eight in ten children aged 5–14 years (78%) and around eight in ten people aged 15 years and over (81%) had personally used the internet every day
  • the proportions of children aged 5–14 years (8%) and people aged 15 years and over (10%) who had never personally used the internet were about the same.

People aged 15 years and over living in non-remote areas were more likely to have personally used the internet every day (85%) than those in living in remote areas (61%).

  1. The difference between non-remote and remote is not statistically significant. 

The most common reasons for using the internet in the last 3 months for children aged 5–14 years were entertainment (95%), formal educational activities (56%) and social networking (37%).

For people aged 15 years and over who had personally used the internet in the last 3 months:

  • entertainment (86%) and social networking (85%) were equally the most common reasons for using the internet
  • around six in ten (59%) had used the internet to access government services or information about government services
  • almost four in ten (37%) had used the internet to access health services.

The main reason people aged 15 years and over had not used the internet in the last 3 months was not wanting or needing to use the internet (46%).

  1. The difference between cost and internet services not available/of too poor quality for use in local area is not statistically significant.
  2. The difference between cost and other is not statistically significant.
  3. The differences between no access to a computer or mobile technology, lack of appropriate training/support from others/assistive technology and lack of confidence/knowledge in accessing the internet are not statistically significant.
  4. Includes privacy or security concerns, no time and other.

People aged 15 years and over living in non-remote areas were more likely to have not used the internet in the last 3 months because of a lack of confidence or knowledge in accessing the internet (30%) than those living in remote areas (19%). For all other reasons for not using the internet in the last 3 months, there was no significant difference between the proportions for people living in non-remote and remote areas.

Data available in Table 25 in Data downloads.

Data downloads

All data cubes

Includes the Data item list and Tables 1 to 74.

Data item list

Table 1 Selected health characteristics, 2004–05 to 2022–23

Tables 2–4 Selected health characteristics, by remoteness, state and territory, sex and Indigenous status

Table 5 Detailed long-term health conditions

Table 6 Psychological distress

Tables 7–11 Use of health services, barriers to accessing health services, health service actions, use of mental health services and prescription medication

Table 12 Cultural determinants of health and social and emotional wellbeing

Tables 13–23 Health risk factors

Includes food security status, smoking and vaping, alcohol consumption, substance use, dietary behaviours, waist circumference risk level and Body Mass Index (BMI), measured blood pressure, physical activity, and selected stressors and unfair treatment.

Table 24 Selected housing characteristics

Table 25 Personal use of the internet

Tables 26–32 New South Wales

Tables 33–39 Victoria

Tables 40–46 Queensland

Tables 47–53 South Australia

Tables 54–60 Western Australia

Tables 61–67 Tasmania

Tables 68–74 Northern Territory

Post-release changes

27/11/2024 – Label change made to Tables 66.1 to 66.4: 'Has personally used the internet but not in the last 3 months' amended to 'Has never personally used the internet'.

Footnotes

  1. Australian Institute of Health and Welfare, Chronic conditions, https://www.aihw.gov.au/reports/australias-health/chronic-conditions, accessed 30/10/24.
  2. Chronic obstructive pulmonary disease (COPD) includes chronic bronchitis, emphysema and chronic airflow limitation. Asthma is reported separately. COPD estimates for 2022–23 may have been impacted by a change in collection methodology which may have affected the number of persons reporting emphysema. For more information see Health conditions in the Interpretation of results section in Methodology. 
  3. Source: 2018–19 National Aboriginal and Torres Strait Islander Health Survey unpublished data.
  4. Australian Institute of Health and Welfare, High blood pressure, https://www.aihw.gov.au/reports/risk-factors/high-blood-pressure/contents/summary, accessed 30/10/24.
  5. Australian Institute of Health and Welfare, Dementia in Australia, https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/carers-and-care-needs-of-people-with-dementia/impact-of-the-caring-role-on-carers, accessed 30/10/2024. 
  6. 2018–19 figures sourced from National Aboriginal and Torres Strait Islander Health Survey, Australia, 2018–19.
  7. Australian Government Department of Health and Aged Care, National Aboriginal and Torres Strait Islander Health Plan 2021–2031, https://www.health.gov.au/resources/publications/national-aboriginal-and-torres-strait-islander-health-plan-2021-2031, accessed 30/10/24.
  8. Weaver, LJ and Fasel, CB, A systematic review of the literature on the relationships between chronic diseases and food insecurity, Food and Nutrition Sciences, Vol. 9 No. 5, May 2018: 519-541; Vozoris NT and Tarasuk VS, Household food insufficiency is associated with poorer health, Journal of Nutrition, Jan 2003;133(1):120-126.
  9. Australian Institute of Health and Welfare, Food and nutrition: Overview, https://www.aihw.gov.au/reports-data/behaviours-risk-factors/food-nutrition/overview, accessed 30/10/24.
  10. For more information about the fruit and vegetable consumption, alcohol consumption or physical activity guidelines, see the Assessing health risk factors section in Methodology.
  11. Australian Institute of Health and Welfare. Alcohol: Overview, https://www.aihw.gov.au/reports-data/behaviours-risk-factors/alcohol/overview, accessed 30/10/24.
  12. Australian Government Department of Health and Aged Care, Effects of Smoking and Tobacco, https://www.health.gov.au/topics/smoking-vaping-and-tobacco/about-smoking/effects, accessed 30/10/24.
  13. Australian Institute of Health and Welfare, Risk Factors to Health, https://www.aihw.gov.au/reports/risk-factors/risk-factors-to-health/contents/overweight-and-obesity, accessed 30/10/24.
  14. Australian Institute of Health and Welfare, Physical activity: Overview, https://www.aihw.gov.au/reports-data/behaviours-risk-factors/physical-activity/overview, accessed 30/10/24.
  15. Kairuz, C.A., Casanelia, L.M., Bennett-Brook, K. et al, Impact of racism and discrimination on physical and mental health among Aboriginal and Torres Strait islander peoples living in Australia: a systematic scoping review, BMC Public Health 21, 1302 (2021).
  16. Australian Bureau of Statistics, Housing Statistics for Aboriginal and Torres Strait Islander Peoples, 2021.
  17. Steering Committee for the Review of Government Service Provision, Overcoming Indigenous Disadvantage, 2020.

Methodology

Scope

Includes

  • all Aboriginal and Torres Strait Islander people living in private dwellings 
  • non-remote and remote areas of Australia, including discrete Indigenous communities.

     

Geography

The data available includes estimates for:

  • Australia
  • States and territories (excluding the ACT)
  • Remoteness areas.

Source

The National Aboriginal and Torres Strait Islander Health Survey conducted by the Australian Bureau of Statistics. 

Collection method

Face-to-face interview with an Australian Bureau of Statistics Interviewer.

Concepts, sources and methods

Health conditions are presented using a classification which is based on the 10th revision of the International Classification of Diseases (ICD-10).

History of changes

See Comparability with previous surveys for history of changes. 

View full methodology
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