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Risk Factors: Health risk factors and Indigenous people
Perceived health risks In 1994, of the health risk factors listed, Indigenous people most commonly identified alcohol as a problem in their local area (59%). This was followed by drugs (30%), and diet/nutrition (20%). A similar proportion of males and females reported drugs as a health problem in their local area. However, males were slightly more likely than females to report alcohol as a problem (60% compared to 58%) while females were slightly more likely than males to report diet/nutrition as a health problem (22% compared to 18%). People aged 18-44 were more likely than those in other age groups to perceive alcohol (62%) and drugs (32%) as a problem in their local area. Those aged 35-54 were more likely than people in other age groups to report diet and nutrition (25%) as a health problem in their local area. This may be because many people have family responsibilities at this age. INDIGENOUS PEOPLE'S PERCEIVED HEALTH RISK FACTORS(a), 1994
(b) Total people who identified each health risk factor as a problem in their local area. Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) Alcohol use Excessive consumption of alcohol is a major risk factor for many illnesses. In the 1994 National Aboriginal and Torres Strait Islander Survey information was not collected on level of alcohol consumption. Indigenous people were asked the period of time since they had last consumed alcohol. 62% of Indigenous people reported that they had consumed alcohol in the previous year. Males were more likely than females to report that they had consumed alcohol (69% compared to 55%). In 1994, 29% of Indigenous people aged 13-17 reported that they had consumed alcohol in the previous year. This rose to 74% for people aged 18-34, and decreased to 34% for those aged 65 and over. This pattern is similar for the total population (see Australian Social Trends 1995, Alcohol use). In 1994, 39% of Indigenous people reported that they had consumed alcohol in the previous week. This represented almost two-thirds (64%) of all Indigenous people who had consumed alcohol in the previous year suggesting that most people who consumed alcohol did so regularly. Almost half of all Indigenous people aged 18-44 had consumed alcohol in the previous week (49%). PERIOD SINCE INDIGENOUS PEOPLE LAST CONSUMED ALCOHOL, 1994
Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) Tobacco use Tobacco use is recognised as a major preventable cause of disease, disability and death. In 1994, 50% of Indigenous people aged 13 and over said they were smokers. Males were more likely than females to smoke (54% compared to 46%). Tobacco consumption among Indigenous people varies by age. In 1994, 22% of Indigenous people aged 13-17 reported being smokers. This rose to 63% for those aged 25-34, then decreased to 25% for those aged 65 and over. In 1994, smokers and non-smokers were about equally likely to report experiencing a long-term illness. This may be due to people giving up smoking when they develop an illness. It is also associated with long-term illnesses occurring at older ages, when people are less likely to be smokers. PROPORTION OF INDIGENOUS PEOPLE WHO SMOKE(a), 1994
Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) SMOKING STATUS OF INDIGENOUS PEOPLE WHO HAD A LONG-TERM ILLNESS, 1994
(b) Includes smoker status not stated. (c) Includes other long-term illnesses. Components do not add to totals because a person may experience more than one type of illness. Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) Diet People's diets are a major determinant of their health status. Many Indigenous people suffer from a range of health problems which may be linked to inadequate diet. They may also lack a secure, affordable, quality food supply, especially people in remote communities2. In 1994, 5% of Indigenous people aged 13 and over reported that they had gone without food for one day or more during the previous four weeks. Of those people who went without food, 39% did so for 1-3 days and 34% for 4-6 days. 16% did not state the length of time they went without food. Indigenous people living in rural areas were more likely than those in capital cities or other urban areas to go without food. In 1994, over half (52%) of all people who went without food were living in rural areas. Indigenous people may go without food for many reasons. In 1994, the most common reason reported was not having enough money, reported by 92% of people who went without food. Breastfeeding is an important health issue for children. Often the growth of Indigenous children is impeded by infection and by poor nutritional intake. Promotion of breastfeeding is the primary strategy to ensure adequate growth in the first six months of life1. In 1994, 71% of all Indigenous children aged 0-12 either were being or had been breastfed. The proportion of children who either were being or had been breastfed was highest among those aged under 2 years (76%). It was lowest among those aged 12 (63%). This indicates increased participation in breastfeeding among Indigenous people over time. INDIGENOUS PEOPLE WHO WENT WITHOUT FOOD, 1994
(b) Includes period without food not stated. Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) Relative weight Being overweight or obese is associated with increased morbidity and mortality from non-insulin dependent diabetes mellitus, coronary heart disease, hypertension, gall bladder disease, and some types of cancers2. In 1994, of Indigenous people who were measured, 34% were of acceptable weight, 15% were underweight, 29% were overweight and the remaining 23% were obese. Males were more likely than females to be of acceptable weight (35% compared to 32%). Indigenous people were less likely than all Australians to be of acceptable weight. In 1989-90 the National Health Survey found that 50% of people aged 18 and over were of acceptable weight, 12% were underweight, 29% were overweight and the remaining 9% were obese. In 1994, Indigenous people who were obese were more likely than others to report a long-term illness. 48% of obese people and 42% of overweight people said they suffered a long-term illness, compared to 36% of people of acceptable weight and 37% of people who were underweight. People who were overweight or obese were more likely to report suffering from diabetes, heart problems and high blood pressure than those who were of acceptable weight or underweight. RELATIVE WEIGHT(a) OF INDIGENOUS PEOPLE, BY LONG-TERM ILLNESS EXPERIENCED, 1994
(b) Includes weight not stated. (c) Includes other long-term illnesses. Components do not add to total because people may report more than one type of illness. (d) Excludes eye problems which can be corrected by glasses. Source: National Aboriginal and Torres Strait Islander Survey, 1994 (unpublished data) Endnotes 1 National Aboriginal Health Strategy Working Party (1989) A national Aboriginal health strategy. 2 Department of Health, Housing and Community Services (1993) Goals and targets for Australia's health in the year 2000 and beyond, University of Sydney.
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