4-1

4-1. Living with multiple chronic and long-term health conditions

4-1-1. Living with multiple chronic conditions in South Australia – by Local Health Network

4-1-2. Living with multiple chronic conditions in South Australia – by age and sex

4-1-3. Living with multiple chronic conditions in South Australia – by socio-economic status

4-1-4. Living with multiple long-term health conditions in Australia – by state and territory

4-1-5. Living with multiple long-term health conditions – Aboriginal people

Sources

 

4-1-1. Living with multiple chronic conditions in South Australia – by Local Health Network

  • In 2017, around one in five (21.9%) South Australians aged 18 years or more were living with two or more of the following chronic health conditions: diabetes, asthma, cardiovascular disease, arthritis, osteoporosis and/or a mental health condition1.
  • The rate varies between the local health networks (LHNs) from 12.9% in the Riverland Mallee Coorong LHN to 27.0% in the Yorke and Northern LHN1.
  • The Country SA rate (20.4%) is statistically significantly lower than the metropolitan Adelaide rate of 22.6%1.
  • A statistically significant increasing trend over the last decade in the proportion of people living with two or more chronic health conditions was identified in the metropolitan Adelaide time series but not Country SA1.

 

Living with two or more chronic conditions (aged 18+ years), 2017
Local Health Network %
Northern Adelaide 26.4%
Central Adelaide 20.7%
Southern Adelaide 21.6%
Metropolitan Adelaide 22.6%
Barossa Hills Fleurieu 21.7%
Eyre and Far North 15.8%
Flinders and Upper North 19.0%
Riverland Mallee Coorong 12.9%
South East 20.4%
Yorke & Northern 27.0%
Country SA 20.4%
South Australia 21.9%
Australia n.a.

4-1-1

Data source: SA Health 2018

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4-1-2. Living with multiple chronic conditions in South Australia – by age and sex

  • In 2017, the proportion of the population that was living with multiple (two or more) chronic health conditions was higher among females aged 18 years and over (27.0%) than males (17.0%)1.
  • The chronic health conditions included in this measure are: diabetes, asthma, cardiovascular disease, arthritis, osteoporosis and/or a mental health condition1.
  • Prevalence is correlated with age1.

 


Living with two or more chronic conditions (aged 18+ years), 2017
Age (years) Males Females
18-24 5.3% 10.6%
25-34 3.1% 18.7%
35-44 11.3% 11.0%
45-54 9.0% 23.0%
55-64 31.1% 36.3%
65-74 37.1% 47.0%
75+ 38.0% 54.3%
All ages 17.0% 27.0%

4-1-2

Data source: SA Health 2018

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4-1-3. Living with multiple chronic conditions in South Australia – by socio-economic status

  • In 2017, there was a statistically significant inverse correlation between the proportion of people aged 18 years and over who are living with multiple chronic health conditions and the socio-economic status of the area in which they live1.
  • "Multiple chronic health conditions" is two or more of the following: diabetes, asthma, cardiovascular disease, arthritis, osteoporosis and/or a mental health condition1.

 

Living with two or more chronic conditions (aged 18+ years), 2017
Socio-economic status (SES) %
Lowest SES 27.4%
Low SES 27.5%
Middle SES 25.8%
High SES 18.5%
Highest SES 13.7%

4-1-3

Data source: SA Health 2018

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4-1-4. Living with multiple long-term health conditions in Australia – by state and territory

  • Data presented here is from the Australian Bureau of Statistics’ 2014-15 National Health Survey for people of all ages who report living with three or more long-term medical conditions. This is a more comprehensive measure of multiple long-term health conditions than that used for the state-wide survey results in 4-1-1 to 4-1-3 above. Figures are therefore not comparable.
  • Long-term conditions in this measure are medical conditions that have lasted or which the survey respondent expects to last six months or more, such as: arthritis; asthma; back problems; blindness; cancer; chronic obstructive pulmonary disease; deafness; diabetes mellitus; hayfever and allergic rhinitis; heart, stroke and vascular disease; hypertension; kidney disease; long sightedness; mental and behavioural problems; osteoporosis; and short sightedness2.
  • According to the national survey, more than two in five (42.0%) of the age-standardised population in South Australia are estimated to be living with three or more long-term health conditions. This is level with the Australia-wide rate (42.1%)2.
  • The South Australian rate is similar to that for most states and territories, there being for the most part little variation between them, although Tasmania and the Australian Capital Territory do have noticeably higher rates2.

 


Living with three or more long-term health conditions (all ages), 2014–15 (age-standardised)
State/Territory %
Northern Territory 37.9%
Western Australia 39.6%
New South Wales 41.4%
South Australia 42.0%
Victoria 42.5%
Queensland 43.4%
Australian Capital Territory 47.5%
Tasmania 50.3%
Australia 41.1%

4-1-4

Data source: ABS 2015

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4-1-5. Living with multiple long-term health conditions – Aboriginal people

  • The 35.7% of Aboriginal people in South Australia who reported living with three or more long-term health conditions was estimated to be above the national rate for Aboriginal people (32.7%)3.
  • The long-term health conditions considered are: arthritis, asthma, back pain/problems, deafness, diabetes mellitus, hayfever and allergic rhinitis, heart, stroke and vascular diseases, hypertensive disease, long sightedness, malignant neoplasms (cancer), mental and behavioural problems, osteoporosis and/or short sightedness3.
  • Compared to Aboriginal people in other states and territories, South Australia was ranked fourth lowest for this indicator3.
  • The 35.7% of Aboriginal people in 2012-13 living with three or more long-term health conditions is lower than the 40.5% all-person rate for South Australia recorded in 2011-12 (40.5% - see 4-1-4 above)3.

 


Living with three or more long-term conditions - Aboriginal people (aged 15+ years), 2012-13
State/Territory %
Northern Territory 20.3%
Queensland 29.4%
Western Australia 29.5%
South Australia 35.7%
New South Wales 37.7%
Victoria 38.9%
Tasmania 40.6%
Australian Capital Territory 46.0%
Australia 32.7%

4-1-5

Data source: ABS 2013

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Sources

  1. Based on South Australian Monitoring and Surveillance System customised extract 2018, Prevention and Population Health, SA Health, Adelaide, 16 August 2018.
  2. Based on Australian Bureau of Statistics (ABS 2015), ‘Table 2.3 Summary health characteristics — States and territories, Proportion of persons’, National Health Survey: First Results, 2014-15, cat. no. 4364.0.55.001, viewed 6 June 2016.
  3. Based on Australian Bureau of Statistics (ABS 2013), 'Table 3.3 Selected health characteristics by State/Territory,' Australian Aboriginal and Torres Strait Islander health survey: First results 2012-13, cat. no. 4727.0.55.001, viewed 4 February 2014.