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National Healthcare Agreement: PI 11–Proportion of adults with very high levels of psychological distress, 2016

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 11–Proportion of adults with very high levels of psychological distress, 2016
METeOR identifier:Help on this term598760
Registration status:Help on this termHealth, Superseded 31/01/2017
Description:Help on this term

Proportion of adults with very high levels of psychological distress.

Indicator set:Help on this termNational Healthcare Agreement (2016) Health, Superseded 31/01/2017
Outcome area:Help on this termPrevention Health, Standard 07/07/2010

Collection and usage attributes

Computation description:Help on this term

Derived from the Kessler Psychological Distress Scale, with higher scores indicating a higher level of distress; lower scores indicate a low level of distress.

A ten item scale is currently employed by Australian Bureau of Statistics (ABS) in general population collections (i.e. K10), while a modified five item scale is included in the Aboriginal and Torres Strait Islander population collections (K5).

Total scores from the K10 scale will be grouped as follows:

  • 10–15 Low;
  • 16–21 Moderate;
  • 22–29 High; and
  • 30–50 Very high.

Total scores from the K5 scale will be grouped as follows:

  • 5–11 Low/moderate; and
  • 12–25 High/very high.

Presented as a percentage. Rates are directly age-standardised to the 2001 Australian population. 95% confidence intervals and relative standard errors calculated for rates.

Computation:Help on this term

100 × (Numerator ÷ Denominator)

Numerator:Help on this term

Number of people aged 18 years or over with a very high distress score as measured by the Kessler Psychological Distress Scale.

Numerator data elements:Help on this term
Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—Kessler Psychological Distress Scale score


Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—Kessler Psychological Distress Scale score


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use

Data source type: Survey


Denominator:Help on this term

Population aged 18 years or over.

Denominator data elements:Help on this term
Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use

Data source type: Survey


Disaggregation:Help on this term

State and territory by sex.

Nationally by:

  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure)
  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-economic Disadvantage (IRSD) quintiles and deciles
  • sex by 2011 SEIFA IRSD quintiles
  • remoteness (major city, other) by 2011 SEIFA IRSD deciles.
  • disability status

Grouped high/very high levels of psychological distress—State and territory by:

  • Indigenous status
  • remoteness (ASGS Remoteness Structure)
  • 2011 SEIFA IRSD quintiles
  • disability status

Grouped high/very high levels of psychological distress—Nationally by:

  • sex by remoteness (ASGS Remoteness Structure)
  • remoteness (ASGS Remoteness Structure) by 2011 SEIFA IRSD deciles

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory, remoteness and SEIFA


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory


Data Element / Data SetData Element

Person—Indigenous status


Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetPerson—sex, code N
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—disability status


Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Guide for use

Data source type: Survey


Comments:Help on this term

Most recent data available for the 2016 National Healthcare Agreement performance reporting: 2011-12 (total population, non-Indigenous: AHS); 2012–13 (Indigenous only: AATSIHS).

NO NEW DATA FOR 2016 REPORTING.

The modified K5 scale from the 2012–13 AATSIHS was used with the corresponding 5 questions from the 2011–12 AHS to compare the psychological distress levels of Aboriginal and Torres Strait Islander and non-Indigenous peoples.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson

Data source attributes

Data sources:Help on this term
Data SourceABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Survey component)
Data custodian
Australian Bureau of Statistics

Data SourceABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Data custodian
Australian Bureau of Statistics

Data SourceABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Data custodian
Australian Bureau of Statistics

Accountability attributes

Reporting requirements:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Bureau of Statistics

Further data development / collection required:Help on this term

Specification: Final, the measure meets the intention of the indicator.

Source and reference attributes

Submitting organisation:Help on this term

Australian Bureau of Statistics

Relational attributes

Related metadata references:Help on this term

Supersedes National Healthcare Agreement: PI 11-Proportion of adults with very high levels of psychological distress, 2015 Health, Superseded 08/07/2016

Has been superseded by National Healthcare Agreement: PI 11–Proportion of adults with very high levels of psychological distress, 2017 Health, Superseded 30/01/2018

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