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National Indigenous Reform Agreement: PI 04-Levels of risky alcohol consumption, 2020

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termPI 04-Levels of risky alcohol consumption, 2020
METeOR identifier:Help on this term718478
Registration status:Help on this termIndigenous, Endorsed 23/08/2019
Description:Help on this term

The proportion of Australians who consume alcohol at risky/high risk levels, by Indigenous status.

Rationale:Help on this term

Excessive alcohol consumption is a major risk factor that contributes to ill health. Of those who drink, Indigenous Australians are more likely to consume alcohol at risky/high risk levels. Reducing the rate at which Indigenous Australians drink at hazardous levels will assist in closing the gap in life expectancy.

Indicator set:Help on this termNational Indigenous Reform Agreement (2020) Indigenous, Endorsed 23/08/2019
Outcome area:Help on this termIndigenous people remain healthy and free of preventable disease Indigenous, Endorsed 21/07/2010

Collection and usage attributes

Population group age from:Help on this term

18 years

Computation description:Help on this term

Crude rates are calculated for Indigenous Australians.

Age-standardised rates are calculated for Indigenous and non-Indigenous Australians.

95% confidence intervals (CI) and relative standard errors are calculated for crude and age-standardised rates.

Rate ratios and rate differences are calculated for comparisons between Indigenous and non-Indigenous Australians (using age-standardised rates).

Presentation: percentage, rate per 100 persons, rate ratios, rate differences, relative standard errors and 95% CIs.

Computation:Help on this term

Crude rate: 100 x (Numerator ÷ Denominator).

Age-standardised rate: calculated using the direct method, with the Australian standard population as at 30 June 2001 as the standard. Ten-year age groups are used up to 55 and over to be consistent with estimates published by the Australian Bureau of Statistics (ABS). For this indicator, the age groups used are: 18–24; 25–34; 35–44; 45–54; 55 and over.

Rate ratio: Indigenous age-standardised rate divided by non-Indigenous age-standardised rate.

Rate difference: Indigenous age-standardised rate minus non-Indigenous age-standardised rate.

Numerator:Help on this term

People aged 18 and over assessed as having engaged in risky or high risk alcohol consumption.

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

Person—alcohol consumption frequency (self-reported)


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—alcohol consumption amount (self-reported)


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—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—alcohol consumption frequency (self-reported)


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

Data source type: Survey.


Data Element / Data SetData Element

Person—alcohol consumption amount (self-reported)


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

Data source type: Survey.


Denominator:Help on this term

Total populations (Indigenous and non-Indigenous Australians) aged 18 and over.

Denominator data elements:Help on this term
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—age


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

Data source type: Survey.


Disaggregation:Help on this term

National, state/territory, remoteness area: by alcohol risk level for Indigenous Australians (crude rates).

National, state/territory, remoteness area: by alcohol risk level, by Indigenous status (age-standardised rates).

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

Person—area of usual residence, statistical area level 1 (SA1) (ASGS 2016)


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—area of usual residence, statistical area level 1 (SA1) (ASGS 2016)


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

Data source type: Survey.


Data Element / Data SetData Element

Person—Indigenous status


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

Data source type: Survey.


Comments:Help on this term

Most recent data available are for the 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) (Indigenous data) and the 2017-18 National Health Survey (NHS) (non-Indigenous data) and are included in this cycle of reporting.

The 2014 report presented data from the National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) component of the 2012–13 Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS) and the 2011–12 National Health Survey component of the ABS Australian National Health Survey (AHSNHS) 2011–13.

Risky and high risk alcohol consumption based on estimated average daily consumption.

This indicator meets two Council of Australian Governments (COAG) specific outcome areas: Indigenous people remain healthy and free of preventable disease, and alcohol and other drug abuse among Indigenous people is overcome.

At this stage, data are available for persons aged 15 and over only. Data from the NATSIHS are available for very remote areas. The NHS does not cover very remote areas and discrete Aboriginal and Torres Strait Islander communities.

Baseline year for the COAG Closing the Gap target (Close the life expectancy gap within a generation) is 2006 using the 3-year average of 2005–2007; baseline for this indicator is the financial year 2004–05; target year is 2031.

Risky or high risk alcohol consumption is measured by the concept of ‘Lifetime risk of alcohol harm’ which is currently based on the 2009 National Health and Medical Research Council (NHMRC) guidelines. According to these guidelines, the consumption of 2 or more standard drinks on any day increases the lifetime risk of harm for both men and women. This has been operationalised as: for both males and females, an average of more than 2 standard drinks per day in the last week.

Data for risky/high risk alcohol consumption based on the 2009 NHMRC Guidelines are not comparable with data based on the 2001 NHMRC Guidelines.

The term ‘Aboriginal and Torres Strait Islander people’ is preferred when referring to the separate Indigenous peoples of Australia. However, the term ‘Indigenous’ is used interchangeably with ‘Aboriginal and Torres Strait Islander’ in this indicator to assist readability.

Representational attributes

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

N[N].N

Indicator conceptual framework

Framework and dimensions:Help on this termHealth Behaviours

Data source attributes

Data sources:Help on this term
Data SourceABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Data custodian

Australian Bureau of Statistics



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

Australian Bureau of Statistics


Accountability attributes

Reporting requirements:Help on this term

National Indigenous Reform Agreement.

Organisation responsible for providing data:Help on this term

Australian Bureau of Statistics

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Steward:Help on this termNational Indigenous Reform Agreement Performance Information Management Group
Reference documents:Help on this term

NHMRC (National Health and Medical Research Council) 2001. Australian alcohol guidelines: health risks and benefits. Canberra: NHMRC.

NHMRC 2009. Australian guidelines to reduce health risks from drinking alcohol. Canberra: NHMRC.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: PI 05–Levels of risky alcohol consumption, 2019 Health, Standard 19/06/2019

Supersedes National Indigenous Reform Agreement: PI 04-Levels of risky alcohol consumption, 2019 Indigenous, Archived 23/08/2019

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