National Healthcare Agreement: PI 11–Proportion of adults with very high levels of psychological distress, 2020

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 11–Proportion of adults with very high levels of psychological distress, 2020
METeOR identifier:716392
Registration status:Health, Standard 13/03/2020
Description:

Proportion of adults with very high levels of psychological distress.

Indicator set:National Healthcare Agreement (2020) Health, Standard 13/03/2020
Outcome area:Prevention Health, Standard 07/07/2010

Collection and usage attributes

Computation description:

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 the 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
  • 30–50 Very high.

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

  • 5–11 Low/moderate
  • 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:

100 × (Numerator ÷ Denominator)

Numerator:

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

Numerator data elements:
Data Element / Data SetData Element

Person—age


Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—age


Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—Kessler Psychological Distress Scale score


Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—Kessler Psychological Distress Scale score


Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Denominator:

Population aged 18 and over.

Denominator data elements:
Data Element / Data SetData Element

Person—age


Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—age


Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Disaggregation:

2017–18—State and territory by sex.

2017–18—Nationally by:

  • remoteness (Australian Statistical Geography Standard (ASGS 2016) Remoteness Structure)
  • 2016 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) quintiles and deciles
  • sex by 2016 SEIFA IRSD quintiles
  • remoteness (Major cities, other) by 2016 SEIFA IRSD deciles.
  • disability status

2017–18—Grouped high/very high levels of psychological distress—State and territory by:

  • Indigenous status
  • remoteness (ASGS 2016 Remoteness Structure)
  • 2016 SEIFA IRSD quintiles
  • disability status

2017–18—Grouped high/very high levels of psychological distress—Nationally by:

  • sex by remoteness (ASGS 2016 Remoteness Structure)
  • remoteness (ASGS 2016 Remoteness Structure) by 2016 SEIFA IRSD deciles

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)
Data Source
ABS 2017–18 National Health Survey (NHS)
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 2016) N(9)
Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory


Data Element / Data SetData Element

Person—Indigenous status


Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Data Element / Data SetPerson—sex, code N
Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—disability status


Data Source
ABS 2017–18 National Health Survey (NHS)
Guide for use

Data source type: Survey


Comments:

Most recent data available for the 2020 National Healthcare Agreement performance reporting: 2017–18 (total population, non-Indigenous: NHS); 2018–19 (Indigenous only: NATSIHS).

National Aboriginal and Torres Strait Islander Social Survey (NATSISS) or National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) data may be used for analysis, dependent upon which survey is most recent.

The modified K5 scale from the 2018–19 NATSIHS was used with the corresponding 5 questions from the 2017–18 NHS to compare the psychological distress levels of Aboriginal and Torres Strait Islander and non-Indigenous peoples.

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person
Format:

N[NN].N

Data source attributes

Data sources:
Data SourceABS 2017–18 National Health Survey (NHS)
Frequency
Every 3 years
Data custodian

Australian Bureau of Statistics



Data SourceABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Data custodian

Australian Bureau of Statistics


Accountability attributes

Reporting requirements:

National Healthcare Agreement

Organisation responsible for providing data:

Australian Bureau of Statistics

Further data development / collection required:

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

Source and reference attributes

Submitting organisation:

Australian Bureau of Statistics

Reference documents:

ABS (Australian Bureau of Statistics) 2012. Information Paper: Use of the Kessler Psychological Distress Scale in ABS Health Surveys, Australia, 2007–08. ABS cat.no. 4817.0.55.001. Canberra: ABS. Viewed 27 September 2019, https://www.abs.gov.au/AUSSTATS/abs@.nsf/ProductsbyCatalogue/B9ADE45ED60E0A1CCA256D2D0000A288?OpenDocument.

Relational attributes

Related metadata references:

See also Australian Health Performance Framework: PI 3.3.1–Proportion of adults with very high levels of psychological distress, 2019 Health, Standard 09/04/2020

Supersedes National Healthcare Agreement: PI 11–Proportion of adults with very high levels of psychological distress, 2019 Health, Superseded 13/03/2020

Has been superseded by National Healthcare Agreement: PI 11–Proportion of adults with very high levels of psychological distress, 2021 Health, Standardisation pending 25/05/2020