Pacific people and their health – Auckland region

Pacific people and their health – Auckland region

Prepared by Ratana Walker

8 September 2010, Waipuna Hotel, AUCKLAND

Pac

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Wairarapa

Mid Central

Hutt Valley

Capital Coast

Nelson Marlborough

Hawke's BayWanganui

Lakes

Counties Manukau

Waikato

Waitemata

Taranaki

Otago

Southern

South Canterbury

West Coast

Canterbury

Tairawhiti

Bay of Plenty

Auckland

Northland

2006 CensusTotal NZ=4,027,500 with 7.8% growth

from 2001

District Health Boards

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DHB 1996 2001

Change from 1996

% change from 1996 2006

Change from 2001

% Change from 2001

2 Waitemata 394,209 429,753 35,544 9.0 481,611 51,858 12.1%

18 Canterbury 411,846 427,095 15,249 3.7 466,404 39,309 9.2%

4 Counties Manukau 341,790 375,540 33,750 9.9 433,083 57,543 15.3%

3 Auckland 346,302 368,028 21,726 6.3 404,619 36,591 9.9%

5 Waikato 312,918 317,763 4,845 1.5 339,192 21,429 6.7%

14 Capital and Coast 235,395 245,952 10,557 4.5 266,658 20,706 8.4%

7 Bay of Plenty 163,146 178,179 15,033 9.2 194,934 16,755 9.4%

20 Otago 176,478 170,931 -5,547 -3.1 179,397 8,466 5.0%

12 Midcentral 157,944 154,974 -2,970 -1.9 158,841 3,867 2.5%

10 Hawke's Bay 143,421 143,547 126 0.1 148,248 4,701 3.3%

1 Northland 137,064 140,136 3,072 2.2 148,440 8,304 5.9%

13 Hutt 132,591 131,859 -732 -0.6 136,104 4,245 3.2%

16 Nelson Marlborough 116,646 122,490 5,844 5.0 130,062 7,572 6.2%

21 Southland 107,589 103,173 -4,416 -4.1 106,824 3,651 3.5%

9 Taranaki 106,815 103,032 -3,783 -3.5 104,274 1,242 1.2%

6 Lakes 95,196 95,988 792 0.8 98,319 2,331 2.4%

11 Whanganui 67,851 63,600 -4,251 -6.3 62,208 -1,392 -2.2%

19 South Canterbury 54,324 52,776 -1,548 -2.8 53,880 1,104 2.1%

8 Tairawhiti 45,789 43,980 -1,809 -4.0 44,463 483 1.1%

15 Wairarapa 38,505 38,205 -300 -0.8 38,613 408 1.1%

17 West Coast 32,529 30,306 -2,223 -6.8 31,326 1,020 3.4%

New Zealand 3,618,348 3,737,307 118,959 3.3 4,027,500 290,193 7.8%

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2610

565

266 355 429

36168

0

500

1,000

1,500

2,000

2,500

3,000

European Mäori PacificPeoples

Asian NewZealander

Other NA

Ethnicity

Nu

mb

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000s

)Total Respondents by Ethnicity

New Zealand 2006

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Other5.0%

New Zealander

9.3%

Pacific5.6%

Maori14.0%

European57.6%

Asian8.5%

Other4.6%

Pacific5.4%

Maori14.1%

European69.8%

Asian6.1%

2001 CensusTotal = 3,737,322

Pacific people=200,262

Population by EthnicityNew Zealand

2006 CensusTotal = 4,027,944

Pacific people=226,302

Note: These are number of people based on the prioritised definition

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Population by Ethnicity Auckland Region, 2001 and 2006

Asian12.5%

Pacific11.9%

Maori11.1%

Other6.1%

European64.4%

Total 2001=1,172,997 Pacific people=139,308

Total 2006=1,319,232Pacific people=158,871

Asian17.2%

Pacific12.0%

Maori10.6%

Other6.4%

European64.4%

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Pacific People by Culture Group

Auckland Region

Pacific Culture Groups Auckland region %

Samoan 87,987 45.5%

Tongan 40,221 20.8%

Cook Islands Maori 34,887 18.0%

Niuean 17,703 9.1%

Fijian 5,865 3.0%

Tokelauan 1,845 1.0%

Other Pacific 5,046 2.6%

Total Respondents 193,554 100.0%

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DHB

Pacific 2001Pacific 2006

Number Change % Change

01 Northland 2,943 3,702 759 25.8%

02 Waitemata 30,420 35,190 4,770 15.7%

03 Auckland 47,619 50,166 2,547 5.3%

04 Counties Manukau 76,890 92,982 16,092 20.9%

05 Waikato 9,528 10,626 1,098 11.5%

06 Lakes 3,327 3,651 324 9.7%

07 Bay of Plenty 3,033 3,714 681 22.5%

08 Tairawhiti 1,140 1,299 159 13.9%

09 Taranaki 1,056 1,365 309 29.3%

10 Hawke's Bay 4,722 5,271 549 11.6%

11 Whanganui 1,215 1,353 138 11.4%

12 Midcentral 3,879 4,605 726 18.7%

13 Hutt 10,161 11,745 1,584 15.6%

14 Capital and Coast 21,099 21,954 855 4.1%

15 Wairarapa 807 849 42 5.2%

16 Nelson Marlborough 1,221 1,686 465 38.1%

17 West Coast 186 282 96 51.6%

18 Canterbury 8,268 10,476 2,208 26.7%

19 South Canterbury 348 444 96 27.6%

20 Otago 2,574 3,021 447 17.4%

21 Southland 1,353 1,584 231 17.1%

99 Area outside District Health Board 9 6 -3 -33.3%

Total 231,798 265,974 34,176 14.7%

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DHB Pacific People %

4 Counties Manukau 92,982 35.0%

3 Auckland 50,166 18.9%

2 Waitemata 35,190 13.2%

14 Capital and Coast 21,954 8.3%

13 Hutt 11,745 4.4%

5 Waikato 10,626 4.0%

18 Canterbury 10,476 3.9%

10 Hawke's Bay 5,271 2.0%

12 Midcentral 4,605 1.7%

7 Bay of Plenty 3,714 1.4%

1 Northland 3,702 1.4%

6 Lakes 3,651 1.4%

20 Otago 3,021 1.1%

16 Nelson Marlborough 1,686 0.6%

21 Southland 1,584 0.6%

9 Taranaki 1,365 0.5%

11 Whanganui 1,353 0.5%

8 Tairawhiti 1,299 0.5%

15 Wairarapa 849 0.3%

19 South Canterbury 444 0.2%

17 West Coast 282 0.1%

99 Area outside DHB 6 0.0%

Total respondents 265,974 100.0%

Pacific People by DHB

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Population Change by age

group

Auckland Region 2006 2001 Change % Change

0-14 292,761 269,604 23,157 8.6

15-24 200,088 167,232 32,856 19.6

25-64 696,588 619,236 77,352 12.5

65+ 129,795 116,925 12,870 11.0

Total 1,319,232 1,172,997 146,235 12.5

NZ 2006 2001 Change % Change

0-14 867,573 847,740 19,833 2.3

15-24 571,182 505,065 66,117 13.1

25-64 2,093,598 1,934,079 159,519 8.2

65+ 495,591 450,438 45,153 10.0

Total 4,027,944 3,737,322 290,622 7.8

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Population Change by age

groupPacific People

NZ 2006 2001 Change % Change

0-14 75,531 69,615 5,916 8.5

15-24 40,707 35,421 5,286 14.9

25-64 100,131 87,738 12,393 14.1

65+ 9,933 7,488 2,445 32.7

Total 226,302 200,262 26,040 13.0

Auckland Region 2006 2001 Change % Change

0-14 53,967 49,230 4,737 9.6

15-24 28,203 24,054 4,149 17.2

25-64 69,606 60,597 9,009 14.9

65+ 7,095 5,427 1,668 30.7

Total 158,871 139,308 19,563 14.0

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Population Pyramid by

AgeNew Zealand 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

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Population Pyramid by

AgeAuckland Region, 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

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7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

e

% Population

Male Female

Maori

Population Pyramid by EthnicityAuckland Region, 2006 Census

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

e

% Population

Male Female

European/NZer

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

e

% Population

Male Female

Pacific People

7 5 3 1 1 3 5 7

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

Asian

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Age Structure by Ethnicity

Auckland Region, 2006

0%

20%

40%

60%

80%

100%

65+ 14.3 3.1 4.5 4.7 7.7 9.8

25-64 56.3 43.2 43.8 53.5 53.9 52.8

15-24 11.8 18.4 17.8 21.1 17.2 15.2

0-14 17.5 35.3 34 20.7 21.2 22.2

European Maori Pacific Asian Others Total

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Health Status

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Number of deaths by Age group

Auckland Region, 2003–2007

0-142.2%

75+59.0%

65-7415.7%

15-241.5%

25-444.9%

45-6416.5%

Total deaths = 36,218

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Number of deaths by Age group

3 Auckland DHBs, Jan 2003–Dec 200745-6434.5%

25-4414.0%

15-245.2%

65-7419.3%

75+17.8%

0-149.2%

Total Maori =2,944

0-146.4%

75+30.3%

65-7421.6%

15-243.1%

25-4410.0%

45-6428.7%

Total Pacific s=3,553

0-145.1%

75+34.8%

65-7422.1%

15-243.4%

25-448.8%

45-6425.8%

Total Asian =1,673

45-6412.4%

25-443.1% 15-24

0.8%

65-7414.2%

75+68.6%

0-140.8%

Total European =27,805

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Potential Avoidable Mortality (PAM)

• One of the measures to estimate the potential to improve health.• These are causes of death which theoretically can be avoided through preventive or curative intervention at the individual level.• Depend on 1. accurate assignment of cause of death. 2. how to categorise each cause as avoidable and unavoidable.• All deaths after age of 75 are considered unavoidable.

Jan 2003-Dec 2007 Māori Pacific Asian European Other All Ethnic

Total Deaths, Age 0-74 2,421 2,477 1,091 8,723 121 14,833

Non-PAM 690 773 360 3,197 42 5,062

PAM 1,731 1704 731 5,526 79 9,771

%PAM 71.5% 68.8% 67.0% 63.3% 65.3% 65.9%

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3 Auckland DHBs, 2003-2007

PAM Total %

Ischaemic heart disease 2093 21.4%

Malig neoplasm trachea, bronchus, lung 1144 11.7%

Suicide 714 7.3%

Colo-rectal cancer 683 7.0%

Breast cancer 623 6.4%

Diabetes 575 5.9%

Chronic bronchitis and emphysema 566 5.8%

Intracerebral haemorrhage or occlusion 478 4.9%

Motor vehicle crashes 434 4.4%

Lip, melanoma, other skin cancer 240 2.5%

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Potential Avoidable Mortality (PAM)Maori, 3 Auckland DHBs, 2003-2007

PAM Maori %



Diabetes 143 8.3%

Suicide 140 8.1%






Stomach cancer 41 2.4%

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Pacific People, 3 Auckland DHBs, 2003-2007

PAM Pacific %


Diabetes 212 12.4%




Suicide 72 4.2%


Nutritional deficits including anaemia 60 3.5%



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Potential Avoidable Mortality (PAM)Asian, 3 Auckland DHBs, 2003-2007

PAM Asian %


Diabetes 79 10.8%




Suicide 50 6.8%



Stomach cancer 19 2.6%

Congenital cardiac, digestive, GU, musculoskeletal anomalies 18 2.5%

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European, 3 Auckland DHBs, 2003-2007

PAM European %




Suicide 445 8.1%




Lip, melanoma, other skin cancer 225 4.1%


Psychosis, alcoholism, cardiac, gastric or liver damage due to alcohol, poisoning 143 2.6%

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Number of discharges by Age group

3 Auckland DHBs, May 2009-April 2010

45-6424.7%

25-4419.5%

15-248.4%

65-7412.8%

75+18.3%

0-1416.3%

Total discharges=188,148

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45-6427.0%

25-4426.5%

15-247.9%

65-7412.2%75+

8.4%

0-1417.8%

Total Asian =19,866

Number of discharges by Age group3 Aukland DHBs, May 2009 – April 2010

45-6424.6%

25-4423.1%

15-2413.0%

65-748.0%

75+3.4%

0-1428.0%

Total Maori=23,743

45-6423.1%

25-4422.2%

15-2410.8%

65-7410.0%

75+6.5%

0-1427.4%

Total Pacific=32,229

45-6424.6%25-44

16.3%

15-246.6%

65-7414.9%

75+27.3%

0-1410.3%

Total European =105,807

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Potential Avoidable Hospitalisations (PAH)

May 2009-April 2010 Māori Pacific Asian European Other All Ethnic

Total Discharges aged 0-74 22,947 30,129 18,188 76,956 5,517 153,737

Non-PAH 14,507 18,168 13,015 57,081 4,139 106,910

PAH 8,440 11961 5173 19,875 1378 46,827

%PAH 36.8% 39.7% 28.4% 25.8% 25.0% 30.5%

Concept of avoidable can be extended from fatal to non fatal outcomes. A potential avoidable admission signals the occurrence of illness or injury that theoretically can be avoided through 1. Population based health promotion strategies. 2. Intervention through primary health care setting. Illness or injury after age of 75 are considered unavoidable.

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Potential Avoidable Hospitalisation (PAH)

3 Auckland DHBs, May 2009-April 2010

PAH Total %

24 Angina and chest pain 6844 14.6%

35 Cellulitis 4455 9.5%

27 b Respiratory infections - Pneumonia 3084 6.6%

18 Diabetes 2908 6.2%

21 ENT infections 2584 5.5%

30 Dental conditions 2543 5.4%

29 Asthma 2380 5.1%

34 Kidney/urinary infection 2134 4.6%

27 a Respiratory infections - Acute bronchiolitis 2132 4.6%

28 CORD 2113 4.5%

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Maori, 3 Auckland DHBs, May 2009-April 2010

PAH Maori %




29 Asthma 629 7.5%




28 CORD 510 6.0%

18 Diabetes 473 5.6%


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Pacific People, 3 Auckland DHBs, May 2009-April 2010

PAH Pacific %






29 Asthma 766 6.4%




27 c Respiratory infections - Other 564 4.7%

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Asian, 3 Auckland DHBs, May 2009-April 2010

PAH Asian %




29 Asthma 293 5.7%




10 a Myocardial infarction 220 4.3%


27 c Respiratory infections - Other 193 3.7%

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European, 3 Auckland DHBs, May 2009-April 2010

PAH European %



03 Skin cancers 1147 5.8%




10 a Myocardial infarction 953 4.8%

28 CORD 916 4.6%



Pacific people and their health – Auckland region

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