1 Adult + 1 child (2+) Non-remote persons Remote persons NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER NUTRITION AND PHYSICAL ACTIVITY SURVEY (NATSINPAS) Dietary recall Physical activity Selected conditions NATSINPAS Telephone follow-up* (Non-Remote) 2 nd dietary recall 8-day pedometer (5+) NATSINPAS Telephone follow-up* (Non-Remote) 2 nd dietary recall 8-day pedometer (5+) 2 Adults + 2 children (non-remote) persons 1 Adult + 1 child (remote) persons NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SURVEY (NATSIHS) Long-term health conditions Health-related actions Disability and recent injuries Breastfeeding (0-3) Days of reduced activity (5+) Physical activity (5+) Personal income (15+) Family stressors (15+) Immunisation (15+) Alcohol & substance use (15+) Private health insurance* (15+) Female contraception (18-49) Social & emotional wellbeing (18+) Cultural identification (18+) Discrimination (18+) Male contraception (18+) Women’s health (e.g. pap smears) (18+) CORE CONTENT 1 Adult + 1 child (2 yrs +) Household information Demographics Fruit & vegetable intake (2+) Salt use (2+) Physical measurements (2+) Blood pressure (5+) Self-assessed body mass (15+) Smoking (15+) Self-assessed health (15+) NATIONAL ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH MEASURES SURVEY (NATSIHMS) All adult survey participants invited to VOLUNTEER Key blood and urine tests of nutritional status and chronic disease markers (18+) *Excludes remote communities. Population is all persons unless otherwise indicated. Structure of the Australian Aboriginal and Torres Strait Islander Health Survey Sample Size = 7,700 Households, 12,300 people

For Aboriginal and Torres Strait Islander people:  How do they perceive their health?  What kind of health conditions are most prevalent?  Are people using health services more? Some key questions

 Have smoking rates declined?  What are the patterns of alcohol consumption?  Are overweight/obesity rates different for males and females? Some key questions

Since 2002, the proportion of Aboriginal and Torres Strait Islander people who, in :  smoke on a daily basis…has fallen  have never smoked …has increased Headline results

Fewer smokers

Smoking by remoteness

Fewer young smokers

Consuming alcohol

Single occasion risk – ‘no more than 4 standard drinks on a single occasion reduces the risk of alcohol-related injury arising from that occasion’. Lifetime risk – ‘no more than 2 standard drinks on any day reduces the lifetime risk of harm from alcohol-related disease or injury’. *NHMRC guidelines 2009 Risky levels of alcohol consumption

Alcohol - single occasion risk

Alcohol - lifetime risk Aboriginal and Torres Strait Islander people 15 years and over, exceeded guidelines for lifetime risk, remoteness and sex %

Perceptions of Health

In , 45% of Aboriginal and Torres Strait Islander people were living with 3 or more long-term health conditions. -The comparable non-Indigenous rate was 39%. *Age standardised Long-term health conditions

Overweight and obesity

Health-related actions Proportion of Aboriginal and Torres Strait Islander people who had consulted with health professionals in the previous 2 weeks,

Compared with non-Indigenous Australians in , Aboriginal and Torres Strait Islander people:  all ages times more likely to be living with diabetes  15 years & over times more likely to be a daily smoker  15 years & over times more likely to be obese Prevalence of health conditions and health risks

More information ABS National Information Referral Service: Release schedule: First Results – Nov 2013 (cat. no ) Updated results (June 2014) Biomedical Results (September 2014) Physical Activity (September 2014) Nutrition — Foods, Nutrients and Supplements (September 2014) tats

Questions…???