At the heart of health promotion: Health Promotion Policy & Advocacy. Rachelle Foreman
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1 . At the heart of health promotion: Australian About the Heart Maps Foundation & Health Promotion Policy & Advocacy Rachelle Foreman
2 I would like to pay my respects to the Traditional Owners of the land on which we are meeting today. I would also like to pay my respects to the Elders past and present.
3 . Unlocking hidden inequities in cardiovascular disease About the Heart Foundation Mapping heart-related hospitalisations across Australia
4 The problem? A growing cardiovascular equity gap Disparate heart disease data sources Data not standardised or engaging Little local level data
5 The Australian Heart Maps Hospital separation data - National Hospital Morbidity Database o NSTEMI o STEMI o Unstable Angina o Heart Failure Risk factor data from the Australian Health Survey ABS Geographies (ASGC) ABS Census 2011
6 The Australian Heart Maps
7 The Australian Heart Maps
8 CLINICAL RISK FACTORS KEY FINDINGS
9 SEPARATIONS INDIGENOUS STATUS STATUS STANDARDISED RATE/10,000 POPULATION Indigenous (all separations) Non-Indigenous (all separations) 48.9 Indigenous (STEMI) 32.7 Non-Indigenous (STEMI) 12.5 Indigenous (NSTEMI) 8.9 Non-Indigenous (NSTEMI) 4.2 Indigenous (Heart Failure) 51.0 Non-Indigenous (Heart Failure) 22.3 Indigenous (Unstable Angina) 25.4 Non-Indigenous (Unstable Angina) 9.9
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11 ALL SEPARATIONS COUNTRY OF BIRTH COUNTRY OF BIRTH STANDARDISED RATE/10,000 POPULATION NORTH AFRICA AND THE MIDDLE EAST 75.4 SOUTHERN AND EASTERN EUROPE 54.4 OCEANIA 51.7 SOUTHERN AND CENTRAL ASIA 51.5 NORTH-WEST EUROPE 40.6 AMERICAS 37.7 SUB-SAHARAN AFRICA 36.3 SOUTH-EAST ASIA 27.2 NORTH-EAST ASIA 18.9
12 ALL SEPARATIONS SEIFA SEIFA STANDARDISED RATE/10,000 POPULATION 1 (lowest) (highest) 36.1
13
14 ALL SEPARATIONS REMOTENESS REMOTENESS STANDARDISED RATE/10,000 POPULATION Major Cities 47.1 Inner Regional 53.1 Outer Regional 57.6 Remote 62.2 Very Remote 92.5
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17 RISK FACTOR CORRELATIONS ALL HEART SEPARATIONS Positive correlation between all heart related admissions and: Obesity, Smoking, Physical inactivity. Relationship strong with unstable angina and NSTEMI admissions. Relationship with hypertension and high total cholesterol indifferent
18 RISK FACTOR CORRELATIONS ALL HEART SEPARATIONS Positive correlation between all heart related admissions and: Obesity, Smoking, Physical inactivity. Relationship strong with unstable angina and NSTEMI admissions. Relationship with hypertension and high total cholesterol indifferent
19 ALL SEPARATIONS STATE/TERRITORY RANK STATE STANDARDISED RATE/10,000 POPULATION 1 NT QLD SA 49.7 =4 ACT* 47.8 =4 TAS* VIC WA NSW 45.8 *Due to data suppression, rates for ACT and TAs can not be presented separately
20 ALL SEPARATIONS WORST 20 NATIONALLY REGION ASR ALL HEART SEP % OBESE % SMOKE % INSUFFICIENTLY ACTIVE 702 Northern Territory - Outback Queensland - Outback Darwin Ipswich Wide Bay Mackay Logan - Beaudesert Riverina Moreton Bay - North Western Australia - Outback Fitzroy Townsville Far West and Orana (remote) Darling Downs - Maranoa Cairns Brisbane - North Sydney - Blacktown Toowoomba Shepparton
21 Future updates Biannual hospitalisation rates CHD mortality rates Update to risk factor data LGA risk factor estimates Service level data Community Heart snapshots
22 Australian heart disease statistics physical activity and cardiovascular disease More adults reported being highly active and fewer reported low levels of activity in the National Health Survey than in the previous health surveys since A large majority of adults (~71%) did at least some active transport in the week prior to interview. Two-thirds of Australian adults engaged in four or more hours of sedentary behaviour daily. The prevalence of biomarkers for heart disease was lower among people who met physical activity recommendations than those who did not. Peterson K, Herbert J, Allender S, Nichols M. Australian heart disease statistics. Physical activity and cardiovascular disease. Melbourne: National Heart Foundation of Australia, 2016.
23 What are we asking for? National heart & stroke strategy robust rural, remote focus Fund prevention measures that target high risk groups Uptake of absolute risk assessment, esp in high risk areas A national audit of cardiac rehabilitation services Better data on time-to-treatment for people
24 . Heart Foundation state budget submission About the Heart Foundation Five actions to beat heart disease
25 Action 2: Eliminate RHD
26 Action 4: Prevention
27 Action 4: Low cost policy & legislation Smoking reforms Food reforms Planning and transport reforms
28 Action 5: Active travel
29 Questions? Rachelle Foreman Health Director Heart Foundation Tel
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