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Australian Bureau of Statistics | Jesse Bonson
- 1. 4/12/20191
- 3. Holistic Approach Health Statistics Presented by Jessie V Bonson
- 4. 4/12/20194
- 7. Holistic Health and Holistic Data 4/12/20197
- 8. 4/12/20198 National Aboriginal and Torres Strait Islander Social Survey, 2014-15 686,900 Aboriginal and Torres Strait Islander people 51% Female 49% Male
- 9. 4/12/20199 Contact with family or friends outside household Level of Trust Whether ever treated unfairly at school because Aboriginal and / or Torres Strait Islander Provided support to anyone living outside household Provided unpaid care, help or assistance Whether child had problems sleeping Whether child was ever breastfed Kessler (K5) score How often felt without hope Feelings of Safety Language and Culture Removal from natural family Positive Life Experiences Community Leadership and Change Whether child's main carer is of Aboriginal and / or Torres Strait Islander origin Ability to have a say within community on important issues Ability to have a say with family and friends on important issues Self-assessed health status Whether ever experienced homelessness Sense of efficacy
- 10. 4/12/201910 Ability to have a say within community on important issues Ability to have a say with family and friends on important issues Self-assessed health status
- 11. Diagnosed Long Term Health Conditions (LTHC) 4/12/201911 65% 35% Aboriginal and Torres Strait Islander People, 2014-15 Has a LTHC Has not been diagnosed with a LTHC
- 12. 4/12/201912 Asthma Bronchitis or emphysema Arthritis or osteoporosis Cancer Diabetes Heart disease (including angina, high blood pressure, or heart attack) Stroke Kidney disease Back pain or back problems Problems with eyes or eyesight Problems with ears or hearing Depression or feeling depressed Anxiety or feeling anxious or nervous Behavioural or emotional problems Harmful use of, or dependence on, drugs or alcohol Diagnosed Long Term Health Conditions
- 13. 0 10 20 30 40 50 60 70 Has been diagnosed Has not been diagnosed Excellent or Very Good Good Fair or Poor Self Assessed Health Status Whether has been Diagnosed with a Long-term health condition 4/12/201913 %
- 14. 4/12/201914 HAVE A SAY WITHIN COMMUNITY HAVE A SAY WITH FAMILY AND FRIENDS SELF ASSESSED HEALTH • All or Most of the time • Some of the time • Little or None of the time • Excellent or Very good • Good • Fair or Poor National Aboriginal and Torres Strait Islander Social Survey, 2014-15 (NATSISS)
- 15. 4/12/201915 Ability to have a say on important issues in your community •All or Most of the time •Some of the time •A Little or None of the time Self Assessed Health • Excellent or Very Good • Good • Fair or Poor
- 16. Self assessed health status Ability to have a say within community on important issues 4/12/201916 0 10 20 30 40 50 All or Most of the Time Some of the time A little or none of the time Excellent or very good Good Fair or poor 26% 22% %
- 17. 4/12/201917 0 10 20 30 40 50 All or most of the time Some of the time A little or None of the time Excellent or Very good Good Fair or Poor Self assessed health status by Ability to have a say with family and friends on important issues 42% 45% Ability to have a say within community on important issues %
- 18. 4/12/201918 65% Have a Long-term Health Condition Physical Health Condition Only (No mental health conditions) Mental Health Conditions 55%45%
- 19. 25 23 15 34 33 29 41 43 55 All or Most of the time Some of the time A little or None of the time Excellent or Very good Good Fair or Poor 4/12/201919 38 36 2627 39 34 23 43 34 All or Most of the time Some of the time A little or None of the time Excellent or Very Good Good Fair or Poor Ability to have a Say with Family and Friends on important issues Has a Mental Health Condition Physical conditions Only (no mental health conditions) 46% 67%
- 21. Questions? Sources: 4714.0 – National Aboriginal and Torres Strait Islander Social Survey, 2014-15 3303.0 – Intentional self-harm in Aboriginal and Torres Strait Islander People, Cause of Death, Australia, 2017 Additional information: coeatsis@abs.gov.au or client.services@abs.gov.au
Editor's Notes
- 80003700
- I would like to acknowledge the Larrakia People who have nurtured and continue to nurture the seas and the land on which we gather and I live on today. May we acknowledge their and all our elders and leaders both past, present, and future. - Larrakia Flag, First recorded Larraka Flag flown in 1971, on the flag pole outside of Darwin’s Supreme Court
- Hello all, I am Jessie Bonson an Aboriginal and Torres Strait Islander woman from Darwin. I am an employee of the Australian Bureau of Statistics (ABS), starting as an Indigenous Cadet in 2010. The encouragement I’ve received to explore innovations towards Indigenous advancement is what drew me to and kept me in the ABS. and over the next 15 minutes I will be presenting a Holistic Approach to Aboriginal and Torres Strait Islander health statistics.
- The ABS produces, relevant, trusted, objected data, statistics and insights And the theme of holistic health have been explored internally, due to the developing research and investment externally. - My journey into this holistic data research began by understanding what comparisons I did and didn’t want to make
- I knew I didn’t want to make comparisons between our people and Non- Indigenous people What I did want to look at was how groups within our own population were faring, and what contributes to wellbeing for our people I maintain the belief that you cannot raise people up by comparing and putting down others, whether that’s by gender or Indigenous Status, still however understanding the need to identify what is and what isn’t working in our communities.
- Continuing my deep-diving into the research done on holistic health, I was able to discover that although the concept has existed for decades and is accepted by many organisations, it is still not clear how to implement holistic measures. Therefore I do not attempt to solve or define holistic health in this presentation, but explore possibilities, and highlight links between it’s themes and the data ABS produces.
- Holism broadly, indicates the benefit of understanding and acknowledging the interconnectedness of health and other factors in a persons life. During investigation, I identified some main themes that I found embodied the essence of holism; being - Social and cultural influences and responsibilities, Environmental dynamics, and Other underlying factors that’re often out of an individuals control. I also discovered considerable concern regarding how research tends to follow ‘deficit discourse’; and often reports on statistical significants regardless of the actual value to an individual or community. Where holistic health attempts to move away from these practises Continuing on I would like to introduce you to the Social Data Set we will be exploring
- Which is the National Aboriginal and Torres Strait Islander Social Survey. 2014-15. (The NATSISS) Which showed an estimated count of around 283 thousand Aboriginal and Torres Strait Islander Households in Australia - Table 24. Selected housing indicators
- The NATSISS collects vast population data; and I was able to find many data variables that embodied elements of holism. Many were considered to represent the benefits of utilising holistic health measures. but in the end I focused down on three main data items.
- These NATSISS data items were Ability to have a say in community on important issues and Have a say with family and friends on important issues; and Self Assessed Health, I found these most appropriate, which I will go into further detail about later in the presentation
- First, I want to show you a commonly recognised health measure, of those who responded being diagnosed by a health professional with a LTHC where 65% or Around 2 in 3 Aboriginal and Torres Strait Islander people have a LTHC. Although we’re comparing within our own community instead of across populations, we as researchers can still fall down into deficit discourse. Where the focus can be put those who “DO” and “DON’T” fall into a perceived standard of wellbeing and health. When you have sizeable difference, it’s easy to do. This was a path I went down initially in my research.
- However, this data is simply objective, alone it does not provide a story on the two populations, who these people are, What is inclusive of a LTHC ; or The quality of life of those with and those without a LTHC These stories are dependent on the researchers commentary, their interpretation, and how they contrast and present the data.
- For example; In this table I have crossed Self Assessed health status by Diagnosed conditions, Left: Has been diagnosed Right Has not Self Assessed Health: Blue = Excellent or Very Good Red= Good Green = Fair or poor we can see that almost 60% of those who have not been diagnosed, have excellent or very good health Where those who have been diagnosed commonly report having good, and then fair or poor health, which is not surprising seeing as they have a diagnosed long-term health condition. While we’re still comparing two groups with completely different life circumstances against each other, “HAS” and “HAS NOT”, the story is overshadowed by what we can obviously see
- Diverting back to the data items that I chose from the NATSISS to support the holistic data conversation Ability to have a say in community on important issues & Have a say with family and friends on important issues; both have the same response categories: - All or most, some, and little or none of the time. and Self Assessed Health, which captures a persons current self-perceived wellbeing level; where we ask a respondent “In General, would you say your health is excellent, very good, good, fair or poor. I chose these items to propose the question: Does Community and Family have influence our lives? And if so can we see these influences in our health and wellbeing data? Obviously, it is undeniable our community and family play a major role in our lives, and influence the pathways we take. But what can we see when it comes to an individual's self-perception of health? Where a positive self-perception can indicate our self-worth, significance, and ability to reach aspirations; and negative self-perception could indicate decreased self-esteem, vulnerability, and mental and physical illnesses.
- To explore our question: Does Family and community connections influence our health data? I looked at the total population, by their Ability to have a say within community on important issues by their Self assessed health status.
- So moving from left to right of the table we have the Ability to have a say in community categories, All or Most of the time, Some of the time, and little or none of the time. Where we can see in blue that excellent or very good health is the common response regardless of the “Say in community” categories. From a little or none of the time to All or most of the time we can see a 22% increase of respondent’s self assessed health being “excellent or very good” So we can piece together the story: That the most common response for Aboriginal and Torres Strait Islander people is to report having Excellent or Very good health. And when our people feel they have a say in their community, self assessed health is seen to improve. We can add to our story, that when our people feel they have less of a say in their community their self assessed health is seen to become worse. From All or most of the time to A little or none of the time, we can see a 26% increase of respondents self assessed health being “Fair or poor” This premise can be carried further
- Now we’re looking at “Ability to have a say with family and friends on important issues” The categories are set up in the same manner as the previous slide Like Say with community we can see that when people start feeling that they have more of a say with family and friends, their self assessed health is seen to improve: Where - From a little or none of the time to All or most of the time we can see a 45% increase of respondent’s self assessed health being “excellent or very good” Also like Say in community, when people start feeling they have less of a say, health is seen to become worse - From All or most of the time to A little or none of the time, we can see a 42% increase of respondents self assessed health being “Fair or poor” Again we can see a connection between these holistic measures, and can build onto the story; that having the ability to have a say, to be heard by your peers, family and friends, and community on important issues, can have a positive effect on an individuals outlook on their health.
- The self assessed health responses give us a personal perspective of health, and that family and community connections can be seen to influence how we view health; however I was curious to see if this story held true when we broke it down by diagnosed health. As we know 65% of our people have a diagnosed LTHC, and that comparing this population against those who don’t, isn’t helpful to those who do. Instead I want to quickly break down our LTHCs population of those who do have a condition, into 2 categories. Mental Health Conditions Physical conditions only (no mental health conditions) Where: Mental Health conditions makes up 45% of our LTHC population And Physical conditions only makes up 55% I included this mental health breakdown due to the unacceptable suicide rates within the Aboriginal and Torres Strait Islander community, where self-harm was the leading cause of death for our people between the ages of 15-34 in 2017. (3303.0 – Intentional self-harm in Aboriginal and Torres Strait Islander People, Cause of Death, Australia, 2017)
- To present this data; This next slide is very Bar Graph heavy. But necessary to visually see the difference between our two category groups. Has a mental health condition Physical conditions only (no mental health conditions) By Ability to have with Family and Friends on important issues Focusing on our right table Physical conditions only, we can see similarities to our previous tables, where if someone feels they have more of a say, the common response is excellent or very good. Where; from A little or none of the time to All or most of the time we can see a 46% increase of “excellent or Very good” self Assessed health - And if they feel they have less of a say the common responses are good, and fair or poor health. However when we look at the left table, Has a Mental Health Condition. The table dynamic has changed. - Even those who had more of a say, still report having worse health as their common response. However - We can still see that “excellent or Very good” self assessed health increases by 67%, when someone feels they have more of a say SO in this comparison, we have been given a pathway to answer our question: Does Family and community connections influence our wellbeing data? - yes, Family and community can be connected to influencing our self- perceived data. We can see that when someone feels they have a say their self assessed health improves, and when they have less of a say their self assessed health is seen to become worse.
- With the limited time we have, We have only explored the tip of the iceberg on linking holistic data but having a higher understanding, and acknowledging holistic connections between community, family, personal perception, and health and wellbeing can open up new possibilities in collected data we can identify aspects on how our people are fairing within our own population, without a Non-Indigenous comparator. And before I conclude I would like to encourage you to explore these data items, and if you’re interested in current statistics I would also employ you to keep updated on the opportunities arising in the ABS Data space in the coming years including 2018-19 NATSIHS results to be released Census 2021 on the horizon. Thank you all for your time,