Profile of people in Auckland DHB - analysis of Census 2006

Profile of people in Auckland DHB -analysis of Census 2006

Prepared by Ratana Walker

8 September 2010

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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 2001Change 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

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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 DHB, 2001 and 2006

Asian17.2%

Pacific11.9%

Maori7.9%

Other6.9%

European64.4%

Total 2001=367,740 Pacific people=43,632

Total 2006=404,607Pacific people=45,549

Asian22.6%

Pacific11.3%

Maori7.4%

Other7.1%

European64.4%

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Pacific People by Culture GroupAuckland DHB

Pacific Culture Groups ADHB %

Samoan 21,798 40.0%

Tongan 14,868 27.3%

Cook Islands Maori 8,460 15.5%

Niuean 5,946 10.9%

Fijian 1,971 3.6%

Other Pacific 1,119 2.1%

Tokelauan 378 0.7%

Total Respondents 54,540 100.0%

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DHB Pacific 2001 Pacific 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

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

Auckland DHB 2006 2001 Change % Change

0-14 76,101 72,429 3,672 5.1

15-24 67,251 56,205 11,046 19.7

25-64 222,492 201,177 21,315 10.6

65+ 38,763 37,929 834 2.2

Total 404,607 367,740 36,867 10.0

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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 DHB 2006 2001 Change % Change

0-14 14,412 14,475 -63 -0.4

15-24 8,067 7,482 585 7.8

25-64 20,502 19,545 957 4.9

65+ 2,568 2,130 438 20.6

Total 45,549 43,632 1,917 4.4

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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

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% Population

Male Female

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Population Pyramid by AgeAuckland DHB, 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

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% Population

Male Female

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8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

Maori

Population Pyramid by EthnicityAuckland DHB, 2006 Census

8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

European/NZer

8 6 4 2 0 2 4 6 8

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

Pacific People

8 6 4 2 0 2 4 6 8

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 DHB, 2006

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

65+ 13.7 3.9 5.6 4.8 7.2 9.6

25-64 58.9 47.6 45 53.2 55.7 55

15-24 12.2 19.2 17.7 24 20.7 16.6

0-14 15.2 29.3 31.6 18 16.5 18.8

European Maori Pacific Asian Others Total

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Health Status

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Number of deaths by Age groupAuckland DHB, 2003–2007

0-141.7%

75+64.6%65-74

13.4%

15-241.2%

25-444.3%

45-6414.7%

Total deaths = 12,015

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Number of deaths by Age groupAuckland DHB, Jan 2003–Dec 2007

45-6433.6%

25-4413.9%

15-244.1%

65-7420.1%

75+21.7%

0-146.5%

Total Maori =690

0-145.2%

75+34.1%

65-7421.5%

15-243.8%

25-448.6%

45-6426.9%

Total Pacific=1,197

0-144.8%

75+38.4%

65-7420.6%

15-243.1%

25-448.4%

45-6424.7%

Total Asian =645

45-6411.0%

25-442.7% 15-24

0.6%

65-7411.5%

75+73.5%

0-140.7%

Total European =9,381

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Potential Avoidable Mortality (PAM)

Jan 2003-Dec 2007 Māori Pacific Asian European OtherAll Ethn

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Total Deaths, Age 0-74 540 789 397 2,487 42 4,255

Non-PAM 148 233 130 871 18 1,400

PAM 392 556 267 1,616 24 2,855

%PAM 72.6% 70.5% 67.3% 65.0% 57.1% 67.1%

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.

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Potential Avoidable Mortality (PAM)Auckland DHB 2003-2007

PAM Total %

Ischaemic heart disease 603 21.1%

Malig neoplasm trachea, bronchus, lung 305 10.7%

Suicide 222 7.8%

Breast cancer 196 6.9%

Colo-rectal cancer 196 6.9%

Chronic bronchitis and emphysema 166 5.8%

Diabetes 159 5.6%

Intracerebral haemorrhage or occlusion 157 5.5%

Motor vehicle crashes 99 3.5%

Stomach cancer 73 2.6%

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

PAM Maori %



Suicide 33 8.4%


Diabetes 23 5.9%




Acute rheumatic fever, heart disease 11 2.8%


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Potential Avoidable Mortality (PAM)Pacific People, Auckland DHB, 2003-2007

PAM Pacific %


Diabetes 68 12.2%





Suicide 25 4.5%

Nutritional deficits including anaemia 20 3.6%



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

PAM Asian %


Diabetes 28 10.5%




Suicide 18 6.7%



Prematurity, low birthweight, respiratory disease from prematurity 9 3.4%

Congenital cardiac, digestive, GU, musculoskeletal anomalies 7 2.6%

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Potential Avoidable Mortality (PAM)European, Auckland DHB, 2003-2007

PAM European %




Suicide 144 8.9%




Lip, melanoma, other skin cancer 55 3.4%

Psychosis, alcoholism, cardiac, gastric or liver damage due to alcohol, poisoning 52 3.2%


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Number of discharges by Age groupAuckland DHB, May 2009-April 2010

45-6424.9%

25-4421.3%

15-248.6% 65-74

12.5%

75+18.5%

0-1414.2%

Total discharges=53,703

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45-6426.1%

25-4428.4%

15-248.6%

65-7412.4%75+

9.3%

0-1415.2%

Total Asian =7,769

Number of discharges by Age groupAuckland DHB, May 2009 – April 2010

45-6426.5%

25-4423.5%

15-2413.7%

65-748.6%

75+4.0%

0-1423.7%

Total Maori=5,208

45-6423.6%

25-4421.6%

15-2410.8%

65-7410.9%

75+7.7%

0-1425.3%

Total Pacific=9,010

45-6424.8%25-44

18.3%

15-246.7%

65-7414.0%

75+27.3%

0-148.8%

Total European =29,952

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Potential Avoidable Hospitalisations (PAH)

May 2009-April 2010* Māori Pacific Asian European OtherAll Ethni

c

Total Discharges aged 0-74 5,002 8,314 7,050 21,763 1,634 43,763

Non-PAH 3,232 5,146 5,157 16,550 1,240 31,325

PAH 1,770 3168 1893 5,213 394 12,438

%PAH 35.4% 38.1% 26.9% 24.0% 24.1% 28.4%

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)Auckland DHB, May 2009-April 2010

PAH Total %

24 Angina and chest pain 1835 14.8%

35 Cellulitis 1251 10.1%

27 Respiratory infections - Pneumonia 837 6.7%

18 Diabetes 811 6.5%

21 ENT infections 695 5.6%

29 Asthma 646 5.2%

34 Kidney/urinary infection 640 5.1%

30 Dental conditions 601 4.8%

28 CORD 595 4.8%

27 Respiratory infections - Acute bronchiolitis 452 3.6%

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Potential Avoidable Hospitalisation (PAH)Maori, Auckland DHB, May 2009-April 2010

PAH Maori %



28 CORD 156 8.8%




29 Asthma 123 6.9%


18 Diabetes 93 5.3%

27 Respiratory infections - Other 69 3.9%

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Potential Avoidable Hospitalisation (PAH)Pacific People, Auckland DHB, May 2009-April 2010

PAH Pacific %






29 Asthma 223 7.0%





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Potential Avoidable Hospitalisation (PAH)Asian, Auckland DHB, May 2009-April 2010

PAH Asian %




29 Asthma 116 6.1%






10 Myocardial infarction 73 3.9%

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Potential Avoidable Hospitalisation (PAH)European, Auckland DHB, May 2009-April 2010

PAH European %







28 CORD 255 4.9%

03 Skin cancers 246 4.7%


10 Myocardial infarction 188 3.6%

Documents

Profile of people in Auckland DHB - analysis of Census 2006