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Post-secondary education - participation and attainment
Attaining a qualification from a formal course of study can have a major impact on the range of opportunities available to Indigenous people. In 2006, 5% of Indigenous people aged 20-24 years attended university, with a further 5% attending a Technical and Further Education institution (TAFE). Among Indigenous people aged 20-64 years, 12% had completed a Certificate III or IV (which provide a broader knowledge base and the skills necessary to perform a wider range of skilled tasks than a Certificate I or II). This was an increase from 8% in 2001 and represented a decrease in the gap between Indigenous and non-Indigenous levels of attainment. In contrast, completion rates for Bachelor degrees, and Advanced diplomas and Diplomas increased only marginally for Indigenous people (3% to 4% for both) (graph S9.2).
S9.2 Post-secondary attainment by course level, Indigenous persons aged 20-64 years - 2001 and 2006
Disability and chronic disease
In 2006, after adjusting for age differences between the Indigenous and non-Indigenous populations, Indigenous people required assistance with one or more core activities (i.e. self-care, mobility and/or communication) at almost twice the rate of non-Indigenous people. In turn, Indigenous people aged 15 years or over were 1.2 times more likely than non-Indigenous people to provide unpaid care to a person with a disability, long-term illness or problems related to old age.
Household income reflects the economic resources available to household members and therefore their standard of living. In 2006, the median gross weekly equivalised (adjusted) household income for Indigenous households was $398. This represented an increase in real terms of 9% (or $33) since 2001 (graph S9.3). However, gross weekly equivalised household income for other households was still about one-and-a-half times as high as income for Indigenous households.
S9.3 Median real gross weekly equivalised household income (2006 dollars)(a)
Substantiated child abuse and neglect
Results from the Australian Institute of Health and Welfare (AIHW) Child Protection Notifications, Investigations and Substantiations collection indicate that in 2007-08, approximately 35 per 1,000 Indigenous children aged 0-16 years were victims of substantiated child abuse and neglect. This was an increase from 16 per 1,000 children in 2000-01. During the same period, the rate of substantiated child abuse and neglect among non-Indigenous children aged 0-16 years remained relatively constant (increasing from 5 to 6 children per 1,000). Measurements obtained must be interpreted with caution, as data are only for incidents that were officially reported and investigated by authorities. In addition, it is possible that increased substantiations of abuse may be the result of reduced tolerance in Indigenous families and communities of the abuse or neglect of children. In these instances, an increased rate would signify increased awareness and identification of the problem of abuse or neglect.
Family and community violence
In the 2008 NATSISS, around one-quarter (23%) of Indigenous people aged 15 years or over reported having experienced physical or threatened violence in the past 12 months. There was no significant change in the reported rates of physical or threatened violence for males or females between 2002 and 2008.
Family and community violence may be associated with a number of wider neighbourhood problems. Data from the NATSISS show that in 2008, 71% of Indigenous people aged 15 years or over reported problems in their neighbourhood. The most common of these were dangerous or noisy driving (46%), alcohol (41%), theft (41%) and illegal drugs (36%) (table S9.4).
Imprisonment and juvenile detention
Indigenous people continue to be over-represented in the criminal justice system, as both young people and adults. Data from the ABS Prisoners in Australia collection show that in 2008, after adjusting for age differences between the Indigenous and non-Indigenous populations, Indigenous people aged 18 years and over (17 years and over in Queensland) were 13 times as likely as non-Indigenous people of the same age to be in prison. In 2007, Indigenous juveniles aged 10-17 years were 28 times as likely as non-Indigenous juveniles to have been detained (403 per 100,000), compared with 14 per 100,000 (Taylor 2009).
Early child development
Development during the early years of childhood is influenced by a number of factors. One key factor is the wellbeing of women during and after pregnancy. The health and lifestyle of women during pregnancy can shape the future development of their children. In the 2008 NATSISS, 92% of Indigenous mothers of children aged 0-3 years, reported having attended check-ups while pregnant. Data on alcohol consumption and smoking during the mother's pregnancy was obtained from 79% of mothers with children aged 0-3 years. One in five (20%) of Indigenous mothers of children aged 0-3 years reported having consumed alcohol during pregnancy and 42% had smoked tobacco.
The teenage birth rate is also an important indicator for early child development. Data from the ABS Birth Registrations collection show that in 2007, the birth rate for Indigenous mothers aged 15-19 years was 70 per 1,000 births. This rate has remained relatively stable over time (71 per 1,000 births in 2004), but is still much higher than the birth rate for non-Indigenous teenage mothers (14 per 1,000 births in both 2004 and 2007). Another key measure for this strategic area is low birth weight (that is, babies with a birth weight of less than 2500g). Data from the AIHW National Perinatal Data Collection show that in 2004-2006, the proportion of Indigenous babies with low birth weight was 13%, compared with 6% of non-Indigenous babies.
A key health problem for young Indigenous children is hearing impediments (most commonly as a result of recurrent middle ear infections). In 2008, 9% of Indigenous children aged 0-14 years had ear or hearing problems. Results from the 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) and the 2008 NATSISS indicate that the prevalence of ear or hearing problems among Indigenous children did not change significantly over this period. However, for children in remote areas, the prevalence of ear or hearing problems decreased (from 13% in 2004-05 to 10% in 2008).
Education and Training
Access to high quality education has been linked to improved employment, income and health outcomes. One important measure of Indigenous education and training is the apparent retention rates of students progressing from Year 7 or 8, to Year 9. Data from the ABS Schools Australia collection show that in 2008, 99% of Indigenous students in Year 7 or 8 continued to Year 9, however, a smaller proportion (89%) continued to Year 10. In contrast, the retention rates for non-Indigenous students remained relatively unchanged (100% for both Year 9 and 10). These retention rates indicate that Indigenous students are less likely than non-Indigenous students to continue to the more senior levels of schooling.
Another important measure of education and training relates to the successful transition of Indigenous young people from school to work. In the 2008 NATSISS, around 41% of Indigenous people aged 15-24 years were studying, either full-time or part-time. In addition, 28% were working (full-time or part-time) but not studying. However, around one-third (31%) of Indigenous people aged 15-24 years were neither studying nor working. This rate was significantly higher in remote areas than in non-remote areas (39% compared with 29%). Young people who are not engaged in education or work are at a greater risk of long-term future disadvantage.
Health is a fundamental quality of life indicator. In the 2008 NATSISS, 44% of Indigenous people aged 15 years or over rated their health as excellent or very good, 34% rated their health as good and 22% rated their health as fair or poor. These proportions have not changed significantly since 2002.
Being overweight or obese is a key health risk factor for all Australians. In the 2004-05 NATSIHS, self-reported height and weight data were used to calculate a Body Mass Index score for respondents. Results from the survey indicate that 29% of Indigenous adults were overweight and a further 31% were obese (graph S9.5).
S9.5 Body mass index groups, Indigenous persons aged 18 years and over - 2004-05(a)
In 2004-05, after adjusting for differences in the age structures between the Indigenous and non-Indigenous populations, similar proportions of Indigenous and non-Indigenous adults were overweight. However, Indigenous adults were almost twice as likely as non-Indigenous adults to be obese. Indigenous adults who were obese were more likely to have heart/circulatory problems, diabetes and asthma than those who were overweight (ABS 2008).
A key factor in reducing obesity rates in the Indigenous population in the longer term lies in establishing healthy eating patterns among children, for example, encouraging regular consumption of fruit and vegetables. In 2008, more than half (59%) of Indigenous children aged 1-14 years were reported to eat fruit every day. This rate was significantly lower in remote areas than in non-remote areas (52% and 61% respectively). In addition, 53% of Indigenous children were eating vegetables daily.This rate did not differ significantly between remote and non-remote areas (graph S9.6).
S9.6 Daily fruit and vegetable consumption by remoteness, Indigenous children aged 1-14 years - 2008
Tobacco smoking was the leading risk factor contributing to the burden of disease for Indigenous Australians in 2003 (Vos et al. 2007). In the 2008 NATSISS, 47% of Indigenous people aged 15 years and over were current smokers. The smoking rate for Indigenous people has decreased since 2002 when it was 51%. However, after adjusting for differences in the age structures between the Indigenous and non-Indigenous populations, Indigenous people were still twice as likely as non-Indigenous people to be current smokers.
The extent to which people participate in the economy is closely related to their living standards and broader wellbeing. It can also influence how individuals interact at the family and community levels. In 2006, 48% of Indigenous people aged 15-64 years were employed, compared with 43% in 2001. However, the proportion of non-Indigenous people aged 15-64 years who were employed also increased during this period (68% in 2001 compared with 72% in 2006). Of those who were employed in 2006, 41% of Indigenous people were working part-time (compared with 31% of non-Indigenous employed people).
Home ownership is an indicator of wealth and saving, and is usually associated with employment and the income this generates. The proportion of Indigenous people living in home owner/purchaser households increased from 26% in 2001 to 29% in 2006.
Poor living conditions can have a substantial impact on people’s health and wellbeing. In particular, overcrowding in housing is a problem experienced by many Indigenous people. Overcrowding places pressure on existing household infrastructure and may encourage the spread of infection and disease. While overcrowding remains a problem within Indigenous communities, the proportion of Indigenous people living in overcrowded housing decreased between 2001 and 2006 (from 31% to 27%). During the same period, the proportion of non-Indigenous people living in overcrowded housing was relatively unchanged (at about 6%) (graph S9.7).
S9.7 Indigenous persons living in overcrowded housing(a) - 2001 and 2006
Other important aspects of environmental health include access to clean water, working sewerage systems and a reliable supply of electricity. While many Indigenous people living in cities and large towns have regular access to these utilities, problems with access are more prevalent for members of remote, discrete Indigenous communities. Data from the Community Housing and Infrastructure Needs Survey (CHINS) show that in 2006, there were about 82,300 Indigenous people living in 322 discrete Indigenous communities with a population of 50 people or more. In 2006, 59% of these people had experienced an interruption to their water supply in the previous 12 months. In addition, 40% of these people had experienced sewerage overflows or leakages and 81% had experienced an electricity interruption in the previous 12 months.
Safe and supportive communities
Community is a fundamental part of Indigenous culture, with group activities playing an important role in maintaining ties between community members. Participation in sporting activities brings people together and is associated with good physical and mental health. In the 2008 NATSISS, 95% of Indigenous people were living in households that had access to outdoor playing fields and play areas. In addition, 76% of Indigenous people lived in households with access to a swimming pool in their community and 72% had access to an indoor sports centre. Access to these sporting facilities was significantly higher in non-remote areas than in remote areas (graph S9.8). Almost half (47%) of Indigenous children aged 4-14 years, had been involved in organised sport in the last 12 months. This proportion was higher in non-remote areas (49%) than in remote areas (40%).
S9.8 Households with access to community sporting facilities, by remoteness - 2008
Many Indigenous people have strong connections to a particular area, commonly referred to as their traditional country or homelands. In 2008, 72% of Indigenous people aged 15 years or over recognised an area as their homelands and 25% were currently living there. The vast majority of those not living in their homelands reported being allowed to visit there.
Communities can play an important role in providing support during times of crisis. In 2008, 89% of Indigenous people aged 15 years or over were able to get support from outside their household during a time of crisis. The most common sources of support were family (90%), friends (72%) and neighbours (31%).
Despite the strong community ties that exist in many Indigenous communities, some continue to face problems related to the excessive consumption of alcohol and misuse of drugs. High levels of drug or alcohol consumption may lead to problems for individuals and their communities, such as violence, crime and long-term health effects. In 2008, 37% of Indigenous people aged 15 years or over reported short-term risky/high risk alcohol consumption (binge drinking) in the two weeks before interview. In addition, one in six (17%) Indigenous people reported long-term risky/high risk alcohol consumption. Neither of these proportions had changed significantly since 2002. Data from the Australian Institute of Criminology (AIC) National Homicide Monitoring Program (NHMP) show that in 70% of Indigenous homicides over the period 1999-2000 to 2006-07, both the offender and the victim had consumed alcohol.
Illicit drug use is another risk factor for Indigenous people and their communities. In 2008, around one-quarter (24%) of Indigenous people aged 15 years or over living in non-remote areas stated using illicit drugs within the last year, similar to the rate stated in 2002 (26%). Data from the AIC NHMP show that 24% of Indigenous homicides over the period 1999-2000 to 2006-07 were associated with the use of drugs at the time of offence, compared with 34% of non-Indigenous homicides.
Governance and Leadership
This strategic area of action focuses on both the leadership provided by governments in their engagement with Indigenous people and on the governance provided by Indigenous people and organisations to the communities they serve. The inclusion of this strategic area in the 2009 OID framework recognises that Indigenous people and organisations have a vital role to play in achieving measurable improvements in their economic, social and health outcomes.
Australian Bureau of Statistics 2008, Overweight and obesity - Aboriginal and Torres Strait Islander people: A snapshot, 2004-05 (4722.0.55.006).
Australian Bureau of Statistics 2009, Births, Australia, 2008 (3301.0).
Australian Bureau of Statistics 2009, National Aboriginal and Torres Strait Islander Social Survey, 2008 (4714.0).
Australian Institute of Criminology 2008, Responding to Substance Abuse and Offending in Indigenous Communities: Review of Diversion Programs, Research and Public Policy Series, no. 88, Canberra..
Australian Institute of Health and Welfare, Australia's Mothers and Babies 2006, AIHW cat. no. PER 46, National Perinatal Statistics Unit, Sydney.
Australian Institute of Health and Welfare, Child Protection Australia 2007-08, Child welfare series no. 45, AIHW cat. no. CWS 33, Canberra.
Ministerial Council on Education, Employment, Training and Youth Affairs (MCEETYA), National Report on Schooling in Australia (various years), Preliminary paper: National Benchmark results - Reading, writing and numeracy, Years 3, 5 and 7,Melbourne.
Steering Committee for the Review of Government Service Provision 2009, Overcoming Indigenous Disadvantage: Key Indicators 2009, Productivity Commission, Canberra.
Taylor, N. 2009, Juveniles in Detention in Australia, 1981-2007, Technical and Background Paper, Australian Institute of Criminology, Canberra.
Vos, T, Barker, B, Stanley, L and Lopez, A 2007, The Burden of Disease and Injury in Aboriginal and Torres Strait Islander Peoples, 2003, School of Population Health, Brisbane.
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