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 chronic conditions in Australia – by state and territory

4-1-5. Living with multiple chronic conditions – Aboriginal people

Sources

 

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

  • In 2018, around a quarter (27.6%) of 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 23.6% in the Central Adelaide LHN to 37.6% in the Eyre and Far North LHN1.
  • The Country SA rate (30.9%) is statistically significantly higher than the metropolitan Adelaide rate of 26.1%1.
  • No time series is available for this indicator due to a change in survey methods. In 2018, SA Health discontinued the South Australian Monitoring and Surveillance System (SAMSS) and moved to the improved South Australian Population Health Survey (SAPHS). Results between the collections are not comparable.

 

Living with two or more chronic conditions (aged 18+ years), 2018
Local Health Network %
Northern Adelaide 28.3%
Central Adelaide 23.6%
Southern Adelaide 26.8%
Metropolitan Adelaide 26.1%
Barossa Hills Fleurieu 26.1%
Eyre and Far North 37.6%
Flinders and Upper North 26.6%
Limestone Coast 29.8%
Riverland Mallee Coorong 36.0%
Yorke & Northern 34.9%
Country SA 30.9%
South Australia 27.6%
Australia n.a.

Note: Data are weighted which can result in rounding discrepancies.

Data source: SA Health 2020

 

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

  • In 2018, the proportion of the population that was living with multiple (two or more) chronic health conditions was statistically significantly higher among females aged 18 years and over (32.6%) than males (21.6%)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), 2018
Age (years) Males Females
18-24 0.0% 22.0%
25-34 2.2%* 14.3%
35-44 17.8% 27.9%
45-54 26.3% 31.5%
55-64 27.8% 38.3%
65-74 35.0% 49.8%
75+ 43.2% 50.9%
All ages 21.6% 32.6%

4-1-2

 

 

 

* Relative Standard Error is between 25% and 50%. Please treat the estimate with caution.

Note: Data are weighted which can result in rounding discrepancies.

Data source: SA Health 2020

_

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

  • In 2018, there was no statistically significant 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), 2018
Socio-economic status (SES) %
Lowest SES 30.3%
Low SES 34.4%
Middle SES 25.4%
High SES 23.4%
Highest SES 22.3%

4-1-3

Note: Data are weighted which can result in rounding discrepancies.

Data source: SA Health 2020

_

4-1-4. Living with multiple chronic conditions in Australia – by state and territory

  • Data presented here is from the Australian Bureau of Statistics’ 2017-18 National Health Survey for people of all ages who report living with two or more chronic 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.
  • Chronic 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 (dorsopathies); cancer (malignant neoplasms); chronic obstructive pulmonary disease (COPD); diabetes mellitus; hayfever and allergic rhinitis; heart, stroke and vascular disease; hypertension; kidney disease; mental and behavioural problems; and osteoporosis2.
  • According to the national survey, more than one in five (20.4%, age-standardised) of South Australia's population is estimated to be living with two or more chronic conditions. This is above the Australian average (18.7%, age standardised)2.
  • The South Australian rate is ranked second-highest of the states and territories2.

 

Living with two or more chronic conditions (all ages), 2017–18 (age-standardised)
State/Territory %
Northern Territory 15.5%
Western Australia 17.0%
New South Wales 17.8%
Victoria 19.1%
Queensland 20.0%
Australian Capital Territory 20.2%
South Australia 20.4%
Tasmania 22.0%
Australia 18.7%

4-1-4

Data source: ABS 2018

_

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

  • Almost a quarter (24.6%, not age standardised) of Aboriginal people in South Australia report living with two or more chronic conditions, above the national rate for Aboriginal people (20.0%, not age standardised)3.
  • The chronic conditions considered are: arthritis; asthma; back problems (dorsopathies); cancer (malignant neoplasms); chronic obstructive pulmonary disease (COPD); diabetes mellitus; heart, stroke and vascular disease; kidney disease; mental and behavioural conditions; and osteoporosis3.
  • Compared to Aboriginal people in other states and territories, South Australia is ranked third-highest for this indicator3.
  • The 24.6% (not age standardised) of Aboriginal people in 2018-19 living with two or more chronic conditions is higher than the 20.4% (age standardised) all-person rate for South Australia recorded in 2017-18 (see 4-1-4 above)3.

 

Living with two or more chronic conditions - Aboriginal people (aged 15+ years), 2018-19 (crude rates)
State/Territory %
Northern Territory 11.3%
Western Australia 15.9%
Queensland 16.6%
New South Wales 23.5%
Victoria 23.6%
South Australia 24.6%
Tasmania 29.2%
Australian Capital Territory 36.4%
Australia 20.0%

4-1-5

Data source: ABS 2019

_


Sources

  1. Based on South Australian Population Health Survey customised extract 2020, Prevention and Population Health, SA Health, Adelaide, 3 February 2020.
  2. Based on Australian Bureau of Statistics (ABS 2018), ‘Table 2.3 Summary health characteristics — States and territories, Proportion of persons’, National Health Survey: First Results, 2017-18, cat. no. 4364.0.55.001, 12 December 2018.
  3. Based on Australian Bureau of Statistics (ABS 2019), 'Table 3.3 Selected health characteristics, by State/Territory, Aboriginal and Torres Strait Islander persons, 2018–19, Proportion of persons,' National Aboriginal and Torres Strait Islander Health Survey, 2018-19, cat. no. 4715.0, 11 December 2019.