QSAS Child health indicators Release date 16 November 2016 Contents Key health indicators .................................................................................................................................... 1 Body mass index (BMI) ............................................................................................................................. 1 Fruit and vegetable consumption .............................................................................................................. 2 Physical activity ......................................................................................................................................... 2 Sunburn .................................................................................................................................................... 3 Sociodemographic characteristics ................................................................................................................ 3 Population subgroups................................................................................................................................ 3 Additional information about population subgroups ................................................................................... 3 Geographic regions ................................................................................................................................... 3 Key health indicators Within QSAS, graphs 1 and 3 display data by individual indicator (so only a subset of the population will be displayed at any one time) while graph 2 displays results by indicator group (so 100% of the population is displayed). In graphs 1 and 3, indicators are numbered by their associated indicator group, as detailed in the following tables. Results are available for 2013–14 and 2015–16 unless otherwise noted. Body mass index (BMI) BMI is calculated as a person’s weight (in kilograms) divided by their height (in metres) squared. To adjust for children’s developmental stage, age and sex specific cutpoints are applied to create the BMI categories: Underweight/healthy weight Overweight Obese. Reference: Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000;320:1-6. Reference: Vidmar SI, Cole TJ, Pan H. Standardizing anthropometric measures in children and adolescents with functions for egen: Update. Stata Journal 2013;13:366-378. Parent/proxy respondents were also asked whether they perceived their child to be underweight, an acceptable weight, or overweight. Indicator group Indicators within group 1. BMI (2 categories) Underweight/healthy weight, overweight/obese 2. BMI (3 categories) Underweight/healthy weight, overweight, obese 3. Parent perceived BMI Parent perceives child to be underweight, acceptable weight, overweight Note: The most current Queensland data includes BMI based on physical measurement from the Australian Bureau of Statistics National Health Survey. Additional methodological information is available from http://www.abs.gov.au/AUSSTATS/[email protected]/Latestproducts/4364.0.55.001Appendix2201415?opendocument&tabname=Notes&prodno=4364.0.55.001&issue=2014-15&num=&view= Fruit and vegetable consumption Sufficient daily fruit or vegetable consumption was categorised according to the 2013 Australian dietary guidelines. Mean daily fruit or vegetable consumption is also provided. Age in years Sex Consumption Males Fruit Vegetables Females 2–3 4–8 9–11 12–13 14–18 19–50 51–70 >70 1 1.5 2 2 2 2 2 2 2.5 4.5 5 5.5 5.5 6 5.5 5 1 1.5 2 2 2 2 2 2 2.5 4.5 5 5 5 5 5 5 Fruit Vegetables Reference: Australian Government, National Health and Medical Research Council. Australian dietary guidelines 2013. Available: https://www.nhmrc.gov.au/guidelines/publications/n55. Accessed 6 March 2014. Indicator group Indicators within group 1. Sufficient daily fruit Sufficient daily fruit intake, insufficient daily fruit intake 2. Sufficient daily vegetables Sufficient daily vegetable intake, insufficient daily vegetable intake 3. Mean serves of fruit Mean daily serves of fruit 4. Mean serves of vegetables Mean daily serves of vegetables Physical activity Physical activity guidelines were revised in 2014. Child guidelines remained the same, specifically, 60 minutes or more of physical activity every day. The survey question was sourced from the National Secondary Students’ Diet and Physical Activity survey. Parents were asked “Over the past seven days, on how many days was your child physically active for a total of 60 minutes or more per day?” Children who had undertaken 60 minutes or more of physical activity everyday were considered sufficiently physically active. Reference: Australian Government Department of Health. Australia's physical activity and sedentary behaviour guidelines. Fact sheet: children (5-12 years). Available: http://www.health.gov.au/paguidelines. Accessed 20 May 2014. Reference: National Secondary Students' Diet and Physical Activity survey. Available: http://www.cancer.org.au/preventingcancer/nutrition-and-physical-activity/national-secondary-students-diet-and-physical-activity-survey.html. Accessed 4 April 2016. Indicator group Indicators within group 1. Sufficient physical activity Insufficient physical activity in the last week, sufficient physical activity in the last week QSAS Child health indicators -2- Sunburn This is defined as the percentage of the population that were sunburnt in the past 12 months. Indicator group Indicators within group 1. Sunburnt in the past 12 months Sunburnt in the past 12 months, not sunburnt in the past 12 months Results are available for 2013–14 only. Sociodemographic characteristics Population subgroups Persons: children aged 5–17 years old Sex--male or female Age (2 groups)--5 to 11; 12 to 17 years Age (4 groups)--5 to 7; 8 to 11; 12 to 15; 16 to 17 years Socioeconomic status (SEIFA)--the most disadvantaged (quintile 1), quintile 2, quintile 3, quintile 4, the most advantaged (quintile 5) Remoteness (ARIA+), (4 categories)--major city; inner regional; outer regional, remote and very remote. Remoteness (ARIA+), (5 categories)--major city; inner regional; outer regional, remote; very remote. Additional information about population subgroups Socioeconomic indexes for areas (SEIFA), developed by the Australia Bureau of Statistics, ranks areas according to measures of relative social advantage and disadvantage. Of the four available indexes, the preventive health telephone surveys series uses a population weighted version of the index of relative socioeconomic advantage and disadvantage (IRSAD). SEIFA scores are used to categorise areas into five quintiles with approximately 20% of the Queensland population in each quintile. Quintile 1 represents the most disadvantaged areas increasing to quintile 5 representing the most advantaged areas. Reference: Australian Bureau of Statistics. Census of population and housing: socio-economic indexes for areas (SEIFA), Australia [data only]. Cat. No. 2033.0.55.001: Available: http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/2033.0.55.0012011? OpenDocument. Accessed 7 July 2013. ARIA+ is a geographic method used to categorise areas by remoteness. It classifies areas into five types (major cities, inner regional, outer regional, remote, and very remote) based on population size and distance to the nearest service centre. Reference: Australian Population and Migration Centre (APMRC). ARIA (accessibility/remoteness index of Australia). http://www.adelaide.edu.au/apmrc/research/projects/category/about_aria.html. Accessed 9 August, 2013. Geographic regions Results can be displayed by a variety of geographic regions, specifically: Queensland statewide results Hospital and Health Service (HHS) areas Primary Health Networks (PHN) QSAS Child health indicators -3-
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