4704.0 - The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples, 2005  
ARCHIVED ISSUE Released at 11:30 AM (CANBERRA TIME) 14/10/2005   
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Contents >> Chapter 5: Disability and Ageing >> Prevalence of Disability

In 2002, 102,900 (36%) of Indigenous people aged 15 years or over had a disability or a long-term health condition according to the common criteria (table 5.1). Of these, 21,800 or 8% of the population aged 15 years or over had a profound or severe core activity limitation, meaning that they always or sometimes needed assistance with at least one activity of everyday living (self-care, mobility or communication).


Overall, the prevalence rate, or proportion of people with a disability or long-term health condition was similar in males (37%) and females (36%) (table 5.1). This rate increased with age for both sexes. The rates for people aged 15-44 years were similar for the two sexes, while the rates recorded for males were higher than females for people aged 45 years or over (the difference was not statistically significant). Almost three-quarters (72%) of people aged 65 years or over had a disability or long-term health condition.


The overall prevalence of profound or severe core activity limitation was similar for males and females, and generally increased with age. It was very high for people aged 65 years or over, with one-quarter (25%) of people in this age group having a profound or severe core activity limitation. Caution should be exercised when using the detailed information presented in table 5.1 to make specific comparisons, as many of the differences are not statistically significant.

5.1 Disability status by sex by age, Indigenous persons aged 15 years or over - 2002

Profound or severe core activity limitation
Disability/ limitation not further defined
Total with a disability or long-term health condition
No disability or long-term health condition
Total
Age (years)
no.
%
no.
%
no.
%
no.
%
no.
%

Males

15-24
*1 600
4.0
7 200
17.6
8 900
21.6
32 300
78.4
41 200
100.0
25-34
2 300
6.9
7 700
22.9
10 000
29.8
23 500
70.2
33 400
100.0
35-44
1 400
5.2
8 800
32.2
10 200
37.4
17 100
62.6
27 400
100.0
45-54
1 900
10.4
8 000
43.5
9 900
53.9
8 500
46.1
18 500
100.0
55-64
1 100
12.0
5 200
59.1
6 300
71.1
2 600
28.9
8 900
100.0
65 or over
1 700
28.7
2 800
48.0
4 500
76.7
1 400
23.3
5 900
100.0
Total
10 000
7.4
39 800
29.5
49 800
36.9
85 400
63.1
135 200
100.0

Females

15-24
*1 500
3.6
8 400
20.3
9 900
23.9
31 600
76.1
41 500
100.0
25-34
1 900
5.0
8 700
23.2
10 600
28.2
27 000
71.8
37 700
100.0
35-44
2 700
8.9
9 100
29.9
11 800
38.9
18 600
61.1
30 400
100.0
45-54
2 800
14.1
6 300
31.5
9 100
45.6
10 800
54.4
19 900
100.0
55-64
1 300
12.7
5 500
52.6
6 800
65.3
3 600
34.7
10 400
100.0
65 or over
1 600
22.3
3 300
46.6
4 800
68.8
2 200
31.2
7 000
100.0
Total
11 800
8.0
41 300
28.1
53 100
36.1
93 900
63.9
147 000
100.0

Persons

15-24
3 100
3.8
15 700
19.0
18 800
22.7
63 900
77.3
82 700
100.0
25-34
4 200
5.9
16 400
23.1
20 600
29.0
50 500
71.0
71 100
100.0
35-44
4 100
7.2
17 900
31.0
22 000
38.2
35 700
61.8
57 800
100.0
45-54
4 700
12.3
14 300
37.3
19 000
49.6
19 400
50.4
38 400
100.0
55-64
2 400
12.4
10 700
55.6
13 100
68.0
6 200
32.0
19 300
100.0
65 or over
3 200
25.2
6 100
47.2
9 300
72.4
3 600
27.6
12 900
100.0
Total
21 800
7.7
81 100
28.7
102 900
36.5
179 300
63.5
282 200
100.0

* estimate has a relative standard error of 25% to 50% and should be used with caution
ABS, 2002 NATSISS


While the difference between rates of profound or severe core activity limitation for total Indigenous females living in remote areas and non-remote areas is not significant (table 5.2), the difference for females aged 65 years or over (33% in remote areas and 17% in non-remote areas) is statistically significant. For males the difference between remote (39%) and non-remote areas (24%) for the same age group was not statistically significant (ABS, 2002 NATSISS).

5.2 Disability Status by sex by remoteness, Indigenous persons aged 15 years or over - 2002

Profound or severe core activity limitation
Total with a disability or long-term health condition(a)
Males
Females
Persons
Males
Females
Persons
no.
%
no.
%
no.
%
no.
%
no.
%
no.
%

Remote(b)
2 900
7.6
4 000
10.2
6 900
8.9
12 700
33.9
14 600
36.9
27 300
35.4
Non-remote(b)
7 200
7.3
7 800
7.2
14 900
7.3
37 100
38.0
38 500
35.8
75 600
36.9
Total
10 000
7.4
11 800
8.0
21 800
7.7
49 800
36.9
53 100
36.1
102 900
36.5

(a) Includes persons with a profound or severe core activity limitation.
(b) Differences between data for remote areas and non-remote areas are not statistically significant.
ABS, 2002 NATSISS


Using the common criteria, disabilities and long-term health conditions have been grouped into broad disability types: physical, sensory/speech (sight, hearing or speech) and intellectual. These disability types are derived from the screening questions used to establish disability (see Appendix 5) and so cannot be related to specific disabling conditions. Also people with a psychological disability cannot be separately identified using the common criteria. A person may have more than one type of disability.


Looking at people with different disability types as a proportion of the population, 24% of Indigenous people had a physical disability or long-term health condition, 14% had a sensory/speech disability and 7% had an intellectual disability (table 5.3). This order of frequency was the same in each of the three broad age groups and for males and females, with the distribution of the three disability types being generally similar for both sexes. One in six Indigenous people (16%) had an unspecified long-term health condition (requiring treatment) which could not be coded to a disability type. The proportions of people with a physical or sensory/speech disability were higher in the older age groups.

5.3 Disability type, Indigenous persons aged 15 years or over - 2002

15-44 years
45-64 years
65 years or over
Total
no.
%
no.
%
no.
%
no.
%

Males

Sight, hearing, speech
11 000
10.8
6 200
22.7
2 700
45.8
19 900
14.7
Physical
16 000
15.7
11 400
41.9
2 900
50.1
30 400
22.5
Intellectual
8 900
8.7
1 700
6.1
**600
10.4
11 100
8.2
Type not specified
10 000
9.8
9 900
36.3
2 300
39.0
22 200
16.4
Total with a disability or long-term health condition
29 100
28.5
16 300
59.5
4 500
76.7
49 800
36.9

Females

Sight, hearing, speech
10 500
9.5
5 800
19.0
2 500
35.0
18 700
12.7
Physical
20 700
18.9
11 700
38.5
3 700
52.9
36 100
24.6
Intellectual
5 800
5.3
1 900
6.2
*800
11.7
8 500
5.8
Type not specified
11 700
10.7
9 000
29.5
3 100
44.5
23 800
16.2
Total with a disability or long-term health condition
32 400
29.5
15 900
52.4
4 800
68.8
53 100
36.1

Persons

Sight, hearing, speech
21 500
10.2
12 000
20.7
5 100
39.9
38 600
13.7
Physical
36 800
17.4
23 100
40.1
6 600
51.6
66 600
23.6
Intellectual
14 600
6.9
3 500
6.1
*1 400
11.1
19 600
7.0
Type not specified
21 700
10.3
18 900
32.7
5 400
42.0
46 000
16.3
Total with a disability or long-term health condition
61 500
29.0
32 200
55.7
9 300
72.4
102 900
36.5

* estimate has a relative standard error of 25% to 50% and should be used with caution
** estimate has a relative standard error greater than 50% and is considered too unreliable for general use
ABS, 2002 NATSISS


Table 5.4 illustrates the statistical effect of using different criteria (common and broader) to determine the numbers of Indigenous people in non-remote areas with a disability. The total number of people in non-remote areas who reported a disability or long-term health condition using the broader criteria was 96,900 (or 47%), compared with 75,600 (or 37%) using the common criteria, an increase of 21,300 or 10% of the Indigenous population in non-remote areas. The corresponding numbers for people with a profound or severe core activity limitation were 15,700 (or 8%) compared with 14,900 (or 7%), an increase of 800 people or 1% of the non-remote population.

5.4 Common and broader disability criteria, Indigenous persons aged 15 years or over in non-remote areas - 2002

Profound or severe core activity limitation
Disability/ limitation not further defined
Total with a disability or long-term health condition
No disability or long-term health condition
Total
Disability criteria
no.
%
no.
%
no.
%
no.
%
no.
%

Common
14 900
7.3
60 700
29.6
75 600
36.9
129 500
63.1
205 100
100.0
Broader
15 700
7.7
81 100
39.6
96 900
47.2
108 200
52.8
205 100
100.0

ABS, 2002 NATSISS


Thus some of the people categorised as having no disability or long-term condition, under the common criteria, did have a disability or long-term health condition under the broader criteria (and, in a small number of cases, had a profound or severe core activity limitation).


In non-remote areas, the inclusion of the two questions relating to psychological disability resulted in 18,700 Indigenous people reporting this disability type, 9% of the non-remote Indigenous population aged 15 years or over. The inclusion of the extra two questions relating to physical disability resulted in an additional 20,500 people reporting this disability type than under the common criteria. Since people may have disabilities of more than one type, some of the people in the above two groups may have already been identified under the common criteria as having a disability or long-term health condition of another type.



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