Health Needs Assessment 2022-2025

Page 19

Reduction in overweight and obesity

Increase cessation pregnancy

smoking during

Higher proportion of overweight and obesity (rank 28/31, variance to Aust -11%), in particular for young people (overweight people, rank 30/30, variance to Aust -9%; males, rank 29/30, variance to Aust -8%; females, rank 30/30, variance to Aust -8%) (obese people, rank 28/30, variance to Aust -33%; males, rank 28/30, variance to Aust -31%; females, rank 28/30, variance to Aust -36%) Higher proportion smoking during pregnancy (rank 26/31, variance to Aust -73%) Aboriginal and Torres Strait Islander mothers (rank 26/31, variance to Aust -10%) Higher proportion smoking in first 20 weeks of pregnancy (rank 28/31, variance to Aust -80%) Higher proportions of smoking after 20 weeks of pregnancy (rank 29/31, variance to Aust -16%)

AIHW 2017; Table 96 overweight and obesity PHIDU 2017; Table 99 Overweight young people PHIDU 2017; Table 100 Obese young people PHIDU 2018, PHIDU 2016, AIHW 2018; Table 103 Smoking in pregnancy

Summary health conditions The leading causes of death in the Murrumbidgee region for the top three are the same as Australia, these include coronary heart disease, Alzheimer’s disease or dementia and cerebrovascular disease. Long term health conditions, particularly more than three and those that report being limited a lot by condition are higher in MPHN this suggests that in general the health of MPHN residents is likely to be poorer and not easily resolved as acute conditions may be. This will have an impost on need to use services in the Murrumbidgee region. Infant deaths 0 – 48 months are higher in the MPHN, details on causes of death are not known, however, this may have an impact for support related to grief and bereavement that need to be considered. Infant mortality in the first 0-12 months is similar in MPHN compared with NSW and Australia. The median age at death for Murrumbidgee residents is similar to NSW and Australia with males having a median age at death of 78 years and females having a median age of 84 years. For Aboriginal and Torres Strait Islander people in MPHN the median age at death for males is 58 years and for females a decade older at 68 years. This is significantly lower than non-Aboriginal people. MPHN has higher mortality from all causes for females and males compared with Australia. Premature mortality, potentially avoidable deaths and avoidable deaths in males are higher in MPHN compared with NSW and Australia. For premature mortality, rates are higher in females in MPHN compared with Australia, avoidable deaths and potentially avoidable deaths are not however significantly higher. For Aboriginal and Torres Strait Islander people premature mortality and avoidable deaths are similar in MPHN compares to NSW. Morbidity measured by potential years of life lost is higher in MPHN compared with Australia, in particular for males but also for females. For Aboriginal and Torres Strait Islander people rates of years of life lost are similar to NSW and Australia. Potential years of life lost by age groupings demonstrate that those aged 25-44 years do not have significantly higher years of life lost in MPHN compared with Australia. This is the case though for those 0-14 years, 15-24 years, 45-64 years and 65-74 years. In particular for males these age groupings have much higher potential years of life lost compared with Australia in MPHN region however for females, those 15-24 years, 45-64 years and 65-74 years have higher potential years of life lost compared with Australia but not for those 0-14 years or 25-44 years. Mortality related to alcohol attributable deaths is higher in MPHN compared with NSW for both males and females. Deaths attributed to smoking are slightly higher in MPHN compared with NSW. 19 | P a g e

HNA 2022-25


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