Examples of changes in inequality changes in health ...

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Examples of  changes in inequality changes in health status over time

16 year olds not participating in full‐time secondary education, 1986 and 2006 Major urban centres, Australia

Quintile of socioeconomic disadvantage of area

Sydney, Newcastle and Wollongong

Quintile of socioeconomic disadvantage of area

16 year olds not participating in full‐time secondary education, 1986 and 2006 non‐metropolitan Australia

Quintile of socioeconomic disadvantage of area

non‐metropolitan NSW

Quintile of socioeconomic disadvantage of area

Unskilled and semi‐skilled workers, 1986 and 2006 Major urban centres, Australia

Quintile of socioeconomic disadvantage of area

Sydney, Newcastle and Wollongong

Quintile of socioeconomic disadvantage of area

Unskilled and semi‐skilled workers, 1986 and 2006

non‐metropolitan Australia

non‐metropolitan NSW

Quintile of socioeconomic disadvantage of area

Quintile of socioeconomic disadvantage of area

Low birth weight babies, 1985‐89 and 2006‐08*  Major urban centres, Australia

Quintile of socioeconomic disadvantage of area

Sydney, Newcastle and Wollongong

Quintile of socioeconomic disadvantage of area

Data not available for Queensland: NSW ‐ 2006 to 2008; Vic ‐ 2006 to 2008; SA ‐ 2006 to 2008; WA ‐ 2006 to 2008; Tas ‐ 2006 to  2008; NT ‐ 2006 to 2008; ACT ‐ 2005 to 2007

Disability Support Pensioners, 1996 and 2006 

Major urban centres, Australia

Sydney, Newcastle and Wollongong

Disability Support Pensioners, 1996 and 2006 

non‐metropolitan Australia

non‐metropolitan NSW

Unemployment beneficiaries, 1996 and 2006  Major urban centres, Australia

Sydney, Newcastle and Wollongong

Unemployment beneficiaries, 1996 and 2006 

non‐metropolitan Australia

non‐metropolitan NSW

Education: aged 16 & not in full-time secondary education, Australia

Rate ratio is the ‘Very Remote’ proportion over the ‘Major Cities’ proportion

Education: aged 16 & not in full-time secondary education, Australia

Rate ratio is the ‘Very Remote’ proportion over the ‘Major Cities’ proportion

Education: aged 16 & not in full-time secondary education, Australia …cont

Rate ratios are 2006 proportion over 1986 proportion

Death rates (0‐74 years), Australia, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Australia, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Australia, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Australia, 1987 to 2007 Year Highest SES

Lowest SES

1987

303

494

1988

299

487

1989

301

466

1990

300

445

1991

290

432

1992

278

418

1993

271

404

1994

265

391

1995

258

381

1996

251

369

1997

245

361

1998

235

354

1999

224

343

2000

216

331

2001

213

328

2002

212

328

2003

203

317

2004

195

311

2005

187

299

2006

179

294

2007

172

298

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Australia, 1987 to 2007 Year

Highest SES

Lowest SES

1987

303

494

1988

299

487

1989

301

466

2004

195

311

2005

187

299

2006

179

294

2007

172

298

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Qld, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, Qld, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, NSW, 1987 to 2007

Age-standardised rates per 100,000 population

Difference in SMRs (0‐74 years) between low and high SES areas, NSW, 1987 to 2007

Age-standardised rates per 100,000 population

Rate ratios of SMRs (0‐74 years) between low and high SES areas,  selected States,  1987 to 2007 2.00 1.90 1.80 1.70 1.60 Series1 Series2

1.50

Series3 Series4

1.40 1.30 1.20 1.10 1.00 1

2

3

4

5

6

7

8

9 10 11 12 13 14 15 16 17 18 19 20 21

Age-standardised rates per 100,000 population

Why? Government action/ inaction Income inequality Changes in SES between jurisdictions Different cause of death? Others?

Quintiles based on 2006 IRSD

Observed to Expected population ratios 3.50

3.00

2.50

2.00

1.50

1.00

0.50

0.00 NSW

Vic

Qld

SA

Quintile 1 ratio: high SES

WA

Tas

Quintile 5 ratio: low SES

NT

ACT