National Indigenous Reform Agreement: PI 02-Mortality rate (and excess deaths) by leading causes, 2011

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI 02-Mortality rate (and excess deaths) by leading causes, 2011
METeOR identifier:425739
Registration status:Indigenous, Archived 01/07/2012
Description:

There are two measures for this indicator:

Measure (1a): Mortality rates for Australians by leading causes of death (ICD-10 chapter level), by Indigenous status

Measure (1b): Excess deaths for Indigenous Australians by the leading causes of death (ICD-10 chapter level).

Rationale:Achieving the Closing the Gap target of closing the life expectancy gap within a generation requires monitoring mortality rates for different diseases so that it is understood which diseases are major contributors to mortality among Indigenous Australians and where programs are succeeding and where they are not.
Indicator set:National Indigenous Reform Agreement (2011) Indigenous, Archived 01/07/2012
Outcome area:Indigenous Australians achieve health outcomes comparable to the broader population Indigenous, Endorsed 21/07/2010

Collection and usage attributes

Computation description:

There are two measures for this indicator:

Measure (1a): Mortality rates for Australians by the leading causes of death, by Indigenous status.

Measure (1b): Excess deaths for Indigenous Australians by the leading causes of death.

Crude rates are calculated for Indigenous Australians; age-standardised rates are calculated for Indigenous and non-Indigenous Australians.

Rate ratios and rate differences are calculated for Indigenous:non-Indigenous.

Presentation:

(1a): Per 100,000 persons; percentage; and causes listed from highest to lowest percentage.

(1b): Number; percentage; and causes listed from highest to lowest percentage.

Definitions:

Excess deaths: observed number of deaths less expected number of deaths if the age-specific rates of the non-Indigenous population were applied to the Indigenous population.

This measure refers to ‘leading causes of death’. Data are provided for ‘selected causes of death’ according to the ICD-10 codes used for ‘leading causes of death’ in the Aboriginal and Torres Strait Islander Health Performance Framework:

  • Circulatory diseases (I00-I99)
  • Neoplasms (cancer) (C00-D48)    

       Malignant neoplasms of digestive organs (C15-C26)

       Malignant neoplasm of bronchus and lung     

       Malignant neoplasm of cervix uteri

  • External causes of morbidity and mortality (V01-Y98)
  • Endocrine, metabolic and nutritional disorders (E00-E90)

       Diabetes mellitus (E10-E14)

  • Respiratory diseases (J00-J99)
  • Digestive diseases (K00-K93)
  • Kidney Diseases (N00-N29)
  • Conditions originating in the perinatal period (P00-P96)
  • Infectious and parasitic diseases (A00-B99)
  • Nervous system diseases (G00-G99)
  • Other causes
  • All Causes
Computation:

(1a): Crude percentage: number of deaths by cause divided by all deaths.

Rate: 100,000 x (Numerator ÷ Denominator).

Excess deaths (1b): Observed number of Indigenous deaths less expected number of Indigenous deaths if the age specific rates of the non-Indigenous population were applied to the Indigenous population.

Numerator:Number of deaths
Numerator data elements:
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—date of death, DDMMYYYY
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
ABS Death Registrations Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—date of death, DDMMYYYY
Data Source
ABS Death Registrations Collection
Guide for use
Data source type: Administrative by-product data
Denominator:Total population of all people
Denominator data elements:
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Guide for use
Data source type: Derived from Census, Post-enumeration survey (PES) and assumptions on future fertility, mortality, net migration etc.
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Derived from Census, PES and assumptions on future fertility, mortality, net migration etc.
Disaggregation:

For Indigenous only (crude rates):

  • State and Territory by leading cause of death (ICD-10 chapter level and some sub-chapter level).
  • National by sex and leading cause of death (ICD-10 chapter level and some sub-chapter level).
  • National by sex by excess deaths (ICD-10 chapter level and some sub-chapter level).

For Indigenous and non-Indigenous (age standardised rates):

  • State and territory by leading cause of death (ICD-10 chapter level and some sub-chapter level).
  • National by sex by leading cause of death (ICD-10 chapter level and some sub-chapter level).
Disaggregation data elements:
Data Element / Data SetPerson—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN
Data Source
ABS Causes of Death Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2007) NNNNN
Data Source
ABS Death Registrations Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—sex, code N
Data Source
ABS Death Registrations Collection
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—Indigenous status, code N
Data Source
ABS Death Registrations Collection
Guide for use
Data source type: Administrative by-product data
Comments:

Most recent data available for 2011 CRC report is 2008. 2007 Backcast data is also provided due to revised causes of deaths data for 2007, and to provide national totals based on five jurisdictions only.

Aggregated data (2003-2007 and 2004-2008) will be reported for the current reporting period.

Single year data (2007, 2008) will be reported for time series (national for leading causes of death; national by sex for the top five causes of death (ICD-10 chapter level); state/territory for the top five causes of death (ICD-10 chapter level), including total deaths).

Disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

At this stage, only data from selected state/territories are considered of acceptable quality for reporting mortality of Indigenous persons (NSW, Qld, WA, SA & NT).

National rates should include these five states and territories only.

Due to small number of Indigenous deaths reported each year, 5 year combined data will be reported for the current reporting period. Single year data will be used for reporting time series.

Rates are age standardised using the indirect method.

Baseline year for this indicator is 2006; target year is 2031.

Representational attributes

Representation class:Rate
Data type:Real
Unit of measure:Person
Format:N[NN].N

Indicator conceptual framework

Framework and dimensions:Deaths

Data source attributes

Data sources:
Data SourceABS Causes of Death Collection
Frequency
Annual
Quality statement
ABS causes of death collection, QS
Data custodian

Australian Bureau of Statistics



Data SourceABS Death Registrations Collection
Frequency
Annual
Data custodian

Australian Bureau of Statistics



Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
Frequency
Periodic
Quality statement
ABS Indigenous experimental estimates and projections, QS
Data custodian
Australian Bureau of Statistics

Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Accountability attributes

Reporting requirements:National Indigenous Reform Agreement.
Organisation responsible for providing data:Australian Bureau of Statistics (ABS).
Further data development / collection required:Specification: Long-term.

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PI 08-Major causes of death, 2013 Health, Superseded 30/04/2014

See also National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2012 Health, Superseded 25/06/2013

Supersedes National Indigenous Reform Agreement: P02-Mortality rate (and excess deaths) by leading causes, 2010 Community Services (retired), Superseded 04/04/2011

Has been superseded by National Indigenous Reform Agreement: PI 02-Mortality rate (and excess deaths) by leading causes, 2012 Indigenous, Archived 13/06/2013