Q UEENSLAND R EPORT 0 C HILD H EALTH S TATUS 2011 Child Health Status 2011 Queensland Report Division of the Chief Health Officer Queensland Health 1 Q UEENSLAND R EPORT C HILD H EALTH S TATUS 2011 © Queensland Health 2011 Copyright protects this publication. However, Queensland Health has no objection to this material being reproduced with acknowledgement, except for commercial purposes. Permission to reproduce for commercial purposes should be sought from the Policy and Quality Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001. Suggested citation: Queensland Health. Child health survey 2011: Queensland report. Queensland Health: Brisbane; 2011. This document is also available on the Queensland Health internet site at http://www.health.qld.gov.au/epidemiology/default.asp Acknowledgements • This report was prepared by Nelufa Begum, Claire deBatts, Susan Clemens and Catherine Harper of the Population Epidemiology Unit, Strategic Partnerships and Epidemiology Branch, Preventative Health Directorate, Division of the Chief Health Officer. • The survey was developed by Catherine Harper, Susan Clemens, and Darren White of the Population Epidemiology Unit. • The Child Health Status 2011 survey was funded by the Division of the Chief Health Officer, Queensland Health. • Thanks are due to the individuals within the Preventative Health Directorate who provided expert advice during the development of the survey or reports and to the thousands of Queenslanders who gave their time to share their experiences and contribute to this research. For further information or a copy of this report, contact: Population Epidemiology Unit Strategic Partnerships and Epidemiology Branch Preventative Health Directorate Division of the Chief Health Officer Queensland Health PO Box 2368 Fortitude Valley BC QLD 4006 PEU_surveys@health.qld.gov.au Q UEENSLAND R EPORT 2 C HILD H EALTH S TATUS 2011 Summary of health indicators Children aged 5 to 17 years: Queensland 2011 (a) Includes non-diet soft drink, sport drink, energy drink and flavoured water. (b) One hour or more of physical activity per day. (c) One hour or more in the past week. (d) Includes walking or transport by bicycle, skateboard or scooter on a usual week. Indicator (proxy reported) Age Group (years) Prevalence % 95% confidence Interval Body Mass Index (BMI) Underweight 5-17 7.0 5.9-8.3 Healthy weight 5-17 66.4 64.2-68.5 Overweight 5-17 18.1 16.5-19.9 Obese 5-17 8.5 7.3-9.8 Overweight/Obese 5-17 26.6 24.7-28.6 Fruit and vegetable consumption Adequate fruit intake 5-17 59.6 57.4-61.7 Mean daily fruit intake 5-17 1.9 1.8-1.9 Adequate vegetable intake 5-17 29.2 27.2-31.3 Mean daily vegetable intake 5-17 2.1 2.0-2.2 Drink consumption Non-diet soft drink at least daily 5-17 6.5 5.5-7.7 Diet soft drink at least daily 5-17 2.1 1.6-2.8 Non-diet flavoured drink (a) at least daily 5-17 8.6 7.4-9.9 Food habits Takeaway food at least weekly 5-17 47.6 45.3-49.8 Usually drink full cream milk 5-17 66.0 63.9-68.1 Breakfast every day 5-17 88.5 87.0-89.9 Dinner eaten in front of TV every day 5-17 13.5 12.1-15.1 Physical activity Active every day of the past week (b) 5-17 44.0 41.8-46.2 Physical education in school (c) 5-17 71.8 69.6-73.9 One or more hours of organised sport in school (c) 5-17 52.1 49.8-54.3 Active every day of a usual week (b) 5-17 37.8 35.6-40.0 Screen-based entertainment Minutes per week (mean) 5-17 731 710-753 Two or more hours per day 5-17 43.3 41.1-45.5 Commute to or from school Any active transport (d) 5-17 29.8 27.8-32.0 3 Q UEENSLAND R EPORT C HILD H EALTH S TATUS 2011 Summary of key indicators for comparison to CHS 2009 Children aged 5 to 15 years: Queensland 2011 (a) Any participation in organised sport in the past week. Indicator (proxy reported) Age Group (years) Prevalence % 95% confidence Interval Body Mass Index (BMI) Underweight 5-15 7.1 5.9-8.5 Healthy weight 5-15 64.7 62.3-67.0 Overweight 5-15 18.8 16.9-20.7 Obese 5-15 9.4 8.1-11.0 Overweight/Obese 5-15 28.2 26.1-30.5 Fruit and vegetable consumption Adequate fruit intake 5-15 67.3 65.0-69.6 Mean daily fruit intake 5-15 1.9 1.9-2.0 Adequate vegetable intake 5-15 31.4 29.2-33.6 Mean daily vegetable intake 5-15 2.1 2.0-2.1 Food habits Takeaway food at least weekly 5-15 45.4 43.0-47.8 Screen viewing Two or more hours per day of screen-based entertainment 5-15 41.8 39.4-44.2 Physical activity Any participation in organised sport in school (a) 5-15 57.1 54.6-59.4 Q UEENSLAND R EPORT 4 C HILD H EALTH S TATUS 2011 Introduction The Child Health Status (CHS) survey series is conducted about biennially to provide accurate and timely information on the health of Queensland children. This report summarises health information collected by the CHS 2011 survey. Information is used to monitor, understand, and respond to changes in the occurrence of behaviours that may put children’s health at risk as they grow up. The information is used by the Queensland Government to report against key health indicators for state wide health initiatives, as well as to meet nationally standardised health reporting requirements. Methods The CHS 2011 survey was commissioned by Queensland Health and conducted between 08/06/2011 and 28/07/2011 using computer assisted telephone interviewing (CATI) methodology by a specialist CATI provider. Data were not collected during the school term holidays (27/06/2011 to 14/07/2011) which also included the week following school term holidays in order that questions about events over the previous week accurately reflected usual activities. Interviews were conducted with parents or guardians who provided information regarding their child’s health and lifestyle. The average interview length was 12 minutes. Trained telephone interviewers and supervisors conducted and monitored the interviews. Combinations of daytime and evening interviewing sessions were used to give parents, particularly shift workers, every opportunity to participate. Standard interviewing sessions were Monday to Friday 9:00 am–8:30 pm, Saturday 10:00 am–3:00 pm and Sunday 11:00 am–4:00 pm. Once a household was contacted, every effort was made to obtain an interview from the parent, including multiple call backs and scheduling to suit the respondent. The CHS adheres to all applicable legislation and standards such as the Privacy Act (1988), the Public Health Act (2009), the Telemarketing and Research Calls Industry Standard (2007) and has been approved by a Human Research Ethics Committee. There were 2,484 respondents to the survey throughout Queensland. The response rate achieved was 86% of the contacted in-scope households. Target population and sample frame The target population for the survey was households in Queensland with at least one child aged between 5 and 17 years. From each selected private household the parent or guardian who was the primary caregiver provided information on the child who had most recently had a birthday. The CHS used a randomly generated telephone number sampling frame which permitted the inclusion of unlisted and silent numbers. The sample of telephone numbers was sourced from a specialist random telephone number sampling frame provider. A small, but unknown, proportion of the target population was excluded from selection in the survey because their household did not have a fixed telephone. The inclusion of mobile telephone numbers in CATI sampling frames has recently been demonstrated to have no significant effects on reported prevalence of preventive health indicators in South Australia. 1 Survey measures The questionnaire for the survey was developed by Queensland Health specifically for this purpose. To ensure quality data, the questionnaire was based on instruments validated by other researchers, recommendations by expert working groups, or questions successfully used previously by Queensland Health and/or other state health jurisdictions. The CHS 2011 collected information for the following health areas: • Nutrition • Height and weight • Soft drink consumption • Screen time • Food habits • Transport to and from school • Physical activity • Household socio-demographics The health areas included on the CHS 2011 are similar to those on the CHS 2009. In several instances, identical questionnaire items were used and data are therefore comparable. For others, while the content area is similar, different questionnaire items were used and findings should not be compared. 5 Q UEENSLAND R EPORT C HILD H EALTH S TATUS 2011 Additional information regarding questionnaire items and comparability with previous years is included at the end of this report in “Additional methodological information specific for this report”. Weighting Data presented in this report are weighted by the age and sex distribution of children aged 5 to 17 for Queensland as reported in the Estimated Resident Population (ERP) for Queensland 2009. 2 The data were also weighted for the number of children in that age group per household and the number of fixed telephone lines to the household. The weighted results and associated confidence intervals can be considered an accurate representation of the demographic profile of the 5 to 17 year old residents of Queensland. Additional information regarding data collection methods, including a copy of the questionnaire, may be obtained from Population Epidemiology Unit by contacting the investigators at the email address included on the inside front cover of this report. Guide to interpretation This CHS 2011 was designed for Queensland level reporting and all results have been population weighted. Population weighting adjusts for over- or under-representation of subpopulations during data collection (see Weighting section above). Population weighted prevalence is used to compare different subpopulations within a geographic area, for example different age groups, or between males and females. Population weighted prevalence is also used to indicate the number of cases in an area, for example the number of children that are of a healthy weight in Queensland. This information is valuable for service planning. The 2010 ERP for Queensland children aged 5-17 years was 773,586, comprised of 396,877 boys and 376,709 girls. Some indicators in the reports are for the specific age groups of 5-7 years (172,537 children), 8-11 years (234,998 children), 12-15 years (241,472 children) and 16-17 years (124,579 children). Where appropriate, these demographic data have been used to estimate the number of people in Queensland with specific health related attributes. Reliability of estimates In this report, 95% confidence intervals (CI) and relative standard error (RSE) are used to demonstrate the precision of the estimates. The CI is a range of values that would contain the true population value 95% of the time if this survey were repeated on multiple samples. It is a function of sample size and prevalence of the health factor being investigated, thus, smaller sample sizes result in larger confidence intervals and a less precise estimate. RSE is calculated by dividing the standard error of the estimate by the estimate itself and is expressed as a percentage of the estimate. It is particularly useful when assessing the reliability of estimates with large confidence intervals. As based on methodology used by the Australian Bureau of Statistics, prevalence with RSE less than 25% are considered reliable, prevalence with an RSE between 25% and 50% should be interpreted with caution (marked with ‘*’) and prevalence with an RSE greater than 50% are not considered reliable and are not included in the tables (marked with ‘**’). Only estimates with an RSE less than 25% are noted in text or indicated as different in tables. Additionally, reliability of an estimate may be reduced when there are few respondents with that characteristic or when a subpopulation (for example, youth aged 16–17 years) for which you want information hasn’t achieved a sufficient sample size. In rare circumstances, a trait may be infrequent enough that publication of the result would compromise strict privacy protocols. For these reasons, findings are only reported when • At least 10 respondents report the characteristic of interest, and • There are at least 30 respondents in the subpopulation, and • There are at least 50 respondents in the total population (this was not encountered in the course of these analyses). The reliability of an estimate may also be affected when the sample doesn’t reflect the demographic characteristics of the population. Table 1 presents the number of respondents (Sample n), weighted sample percent and 2010 ERP by demographic categories for Queensland. When the sample size is small or where the weighted sample percent varies markedly from the 2010 ERP, estimates will be less reliable. This is most likely to be Q UEENSLAND R EPORT 6 C HILD H EALTH S TATUS 2011 observed in the youngest and oldest age categories or by area of socioeconomic advantage/disadvantage. Table 1: Number of completed interviews by age, sex, socioeconomic status and remoteness, Queensland, 2011 Males Females Persons Sample Weighted sample 2010 ERP Sample Weighted sample 2010 ERP Sample Weighted sample 2010 ERP n % % % n % % % n % % % 5-17 years 1,292 52.0 51.3 51.3 1,192 48.0 48.7 48.7 2,484 100 100 100 Age group 5-7 years 307 54.0 51.3 51.4 261 46.0 48.7 48.6 568 22.9 22.1 22.3 8-11 years 378 50.9 51.3 51.3 365 49.1 48.7 48.7 743 29.9 30.4 30.4 12-15 years 400 52.2 51.2 51.1 366 47.8 48.8 48.9 766 30.8 31.4 31.2 16-17 years 207 50.9 51.3 51.5 200 49.1 48.7 48.5 407 16.4 16.1 16.1 Socioeconomic advantage/disadvantage (persons 5-17 years) (a) Disadvantaged 250 54.1 53.7 51.6 212 45.9 46.3 48.4 462 18.6 19.0 20.2 Quintile 2 259 52.1 51.1 51.5 238 47.9 48.9 48.5 497 20.0 20.5 20.6 Quintile 3 248 48.6 47.1 51.3 262 51.4 52.9 48.7 510 20.5 20.6 21.0 Quintile 4 281 53.6 54.1 51.0 243 46.4 45.9 49.0 524 21.1 21.1 19.9 Advantaged 253 51.6 50.2 51.2 237 48.4 49.8 48.8 490 19.7 18.8 18.4 Remoteness (persons 5-17 years) 2006 ERP (b) Major cities 704 52.7 52.5 51.1 631 47.3 47.5 48.9 1,335 53.7 53.0 54.7 Inner regional 284 48.2 47.5 51.3 305 51.8 52.5 48.7 589 23.7 24.0 22.8 Outer regional 242 55.6 54.2 51.4 193 44.4 45.8 48.6 435 17.5 17.6 17.1 Remote 36 54.5 47.4 52.0 30 45.5 52.6 48.0 66 2.7 2.9 3.0 Very remote 26 44.1 45.7 52.8 33 55.9 54.3 47.2 59 2.4 2.5 2.4 (a) 2006 census ABS SLA SEIFA classification mapped to 2010 SLAs. (b) 2006 census ABS SLA ARIA+ classification mapped to 2010 SLAs (c) Minor changes occurred in a small number of SLA geographies between 2006 & 2010 resulting in slightly imperfect mapping of the 2006 ARIA SEIFA SLA classifications to 2010 SLAs. Determining statistically significant differences In this report series, statistically significant differences between groups are determined based on non- overlap of confidence intervals. The precision of the estimate, as discussed above, affects the ability to detect differences. When confidence intervals are small and estimates have sizable numerical differences, statistical differences are more clear; when confidence intervals are wide, it is possible a difference may exist but that sample size wasn’t sufficient to make a distinction. The reporting of difference between categories is noted only when the difference is statistically significant (based on non-overlap of 95% confidence intervals). If this criterion is not met, no difference is noted in the text. Occasionally confidence intervals will appear to overlap in tables but results are noted as significant in text; such discrepancies are due to rounding. Results Findings from the CHS 2011 are presented in Table 2 to Table 13. Data are stratified by sex, age, age by sex, the socioeconomic index 3 and the Accessibility/Remoteness Index of Australia (ARIA) 4 based on respondents’ area of residence. Significant differences are noted in text where they are of primary importance or indicate trends across socio-demographic characteristics. All significant differences are not discussed but are available by assessing non-overlap of confidence intervals in the tables as discussed above. 7 Q UEENSLAND R EPORT C HILD H EALTH S TATUS 2011 Table 2: Children’s body mass index, Queensland, 2011 Underweight Healthy weight Overweight Obese Overweight/Obese % (95% CI) % (95% CI) % (95% CI) % (95% CI) % (95% CI) Persons (5-17 years) 7.0 (5.9-8.3) 66.4 (64.2-68.5) 18.1 (16.5-19.9) 8.5 (7.3-9.8) 26.6 (24.7-28.6) Sex (5-17 years) Male 8.0 (6.4-10.0) 63.5 (60.5-66.5) 19.4 (17.1-22.0) 9.1 (7.5-11.0) 28.5 (25.8-31.4) Female 5.9 (4.6-7.7) 69.4 (66.3-72.4) 16.8 (14.5-19.3) 7.9 (6.2-9.9) 24.6 (21.9-27.6) Age category - persons 5-7 years 10.5 (7.8-13.9) 62.0 (57.3-66.6) 14.4 (11.3-18.1) 13.1 (10.2-16.7) 27.5 (23.4-32.0) 8-11 years 6.3 (4.6-8.7) 59.6 (55.6-63.6) 23.5 (20.3-27.1) 10.5 (8.1-13.4) 34.0 (30.3-38.0) 12-15 years 5.6 (3.9-7.9) 71.4 (67.7-74.9) 17.1 (14.4-20.3) 5.9 (4.3-8.0) 23.0 (19.9-26.5) 16-17 years 6.3 (3.9-9.8) 75.1 (69.9-79.7) 14.9 (11.3-19.4) *3.7 (2.1-6.5) 18.6 (14.6-23.4) Age category - male 5-7 years 10.7 (7.3-15.3) 61.7 (55.3-67.7) 14.6 (10.6-19.8) 13.1 (9.5-17.7) 27.6 (22.3-33.7) 8-11 years 7.2 (4.7-11.1) 59.3 (53.6-64.8) 22.8 (18.5-27.9) 10.6 (7.4-14.9) 33.4 (28.3-39.0) 12-15 years 6.9 (4.3-10.6) 66.6 (61.2-71.6) 19.0 (15.3-23.5) 7.5 (5.1-11.0) 26.6 (22.1-31.6) 16-17 years *8.0 (4.2-14.6) 67.9 (59.8-75.0) 20.1 (14.2-27.5) *4.1 (2.1-7.8) 24.2 (18.0-31.7) Age category - female 5-7 years 10.2 (6.4-15.9) 62.4 (55.2-69.1) 14.2 (9.9-19.8) 13.2 (8.9-19.1) 27.4 (21.4-34.2) 8-11 years 5.4 (3.3-8.6) 60.0 (54.2-65.5) 24.3 (19.7-29.6) 10.3 (7.2-14.7) 34.6 (29.3-40.4) 12-15 years *4.3 (2.4-7.3) 76.4 (71.1-81.0) 15.2 (11.3-20.0) *4.2 (2.6-6.8) 19.4 (15.1-24.4) 16-17 years *4.5 (2.5-8.0) 82.8 (76.5-87.6) 9.4 (6.1-14.4) ** 12.8 (8.5-18.7) Socioeco nomic advantage/disadvantage (persons 5 - 17 years) Disadvantaged 8.0 (5.5-11.5) 61.5 (56.3-66.3) 17.6 (14.1-21.8) 12.9 (9.9-16.7) 30.6 (26.1-35.4) Quintile 2 6.3 (4.1-9.7) 64.7 (59.5-69.5) 19.0 (15.2-23.5) 10.0 (7.2-13.7) 29.0 (24.4-34.0) Quintile 3 6.0 (4.0-9.0) 68.8 (64.0-73.2) 18.3 (14.8-22.3) 6.9 (4.8-9.9) 25.2 (21.1-29.7) Quintile 4 6.3 (4.3-9.2) 67.3 (62.6-71.6) 19.7 (16.1-23.9) 6.7 (4.7-9.3) 26.4 (22.4-30.8) Advantaged 8.4 (6.0-11.6) 69.6 (64.8-73.9) 15.9 (12.7-19.7) 6.1 (4.0-9.2) 22.0 (18.2-26.4) Remoteness (persons 5-17 years) Major cities 6.2 (4.8-7.8) 67.3 (64.4-70.1) 18.1 (15.9-20.5) 8.4 (6.8-10.4) 26.5 (23.9-29.3) Inner/Outer regional 8.3 (6.4-10.6) 64.6 (61.1-67.9) 19.0 (16.4-22.0) 8.1 (6.4-10.2) 27.1 (24.1-30.4) Remote/Very remote ** 71.6 (62.2-79.4) *11.6 (6.8-19.0) *12.1 (7.2-19.4) 23.6 (16.6-32.5) * Estimate has a relative standard error of 25% to 50% and should be used with caution. ** Not available for publication. Estimate does not meet RSE or sample size criteria and is not considered reliable for general use. Included in totals where applicable. Body mass index • 66.4% of Queensland children aged 5–17 years were of a healthy weight; 26.6% were overweight or obese and 7.0% were underweight. • Girls aged 16–17 years were more likely than boys to be of a healthy weight with the prevalence of healthy weight 22% higher for girls than for boys of this age. • Amongst girls, those aged between 12 and 17 years were more likely to be of a healthy weight than girls aged between 5 and 11 years. • Children aged 5–17 years who lived in the most disadvantaged areas of Queensland were over two times more likely to be obese than those living in the most advantaged areas. Q UEENSLAND R EPORT 8 C HILD H EALTH S TATUS 2011 Table 3: Children’s fruit and vegetable intake, Queensland, 2011 Adequate fruit intake Mean daily fruit intake Adequate vegetable intake Mean daily vegetable % (95% CI) mean (95% CI) % (95% CI) mean (95% CI) Persons (5-17 years) 59.6 (57.4-61.7) 1.9 (1.8-1.9) 29.2 (27.2-31.3) 2.1 (2.0-2.2) Sex (5-17 years) Male 58.5 (55.5-61.5) 1.8 (1.7-1.9) 27.9 (25.3-30.7) 2.1 (2.0-2.2) Female 60.6 (57.5-63.7) 2.0 (1.9-2.0) 30.6 (27.7-33.6) 2.1 (2.0-2.2) Age category - persons 5-7 years 96.6 (94.6-97.9) 2.1 (2.0-2.2) 54.2 (49.4-58.8) 1.9 (1.7-2.0) 8-11 years 94.4 (92.2-96.0) 2.0 (1.9-2.1) 30.4 (26.8-34.1) 2.1 (2.0-2.2) 12-15 years 20.4 (17.3-23.9) 1.8 (1.7-1.8) 16.3 (13.5-19.4) 2.2 (2.1-2.3) 16-17 years 18.9 (14.8-23.7) 1.7 (1.5-1.8) 18.0 (14.1-22.7) 2.3 (2.1-2.4) Age category - male 5-7 years 96.0 (92.9-97.8) 2.0 (1.8-2.1) 50.1 (43.8-56.4) 1.8 (1.6-1.9) 8-11 years 93.4 (89.7-95.8) 1.9 (1.8-2.1) 29.1 (24.3-34.5) 2.1 (1.9-2.2) 12-15 years 17.9 (14.1-22.5) 1.7 (1.6-1.8) 15.8 (12.3-20.1) 2.2 (2.0-2.3) 16-17 years 20.2 (14.6-27.2) 1.7 (1.5-1.9) 18.8 (13.6-25.4) 2.3 (2.1-2.6) Age category - female 5-7 years 97.2 (93.9-98.7) 2.2 (2.1-2.4) 58.4 (51.4-65.0) 2.0 (1.8-2.1) 8-11 years 95.4 (92.5-97.3) 2.1 (1.9-2.2) 31.7 (26.6-37.2) 2.1 (1.9-2.2) 12-15 years 23.0 (18.3-28.5) 1.8 (1.7-2.0) 16.7 (12.8-21.6) 2.2 (2.1-2.3) 16-17 years 17.5 (12.1-24.6) 1.7 (1.5-1.8) 17.1 (11.7-24.4) 2.2 (2.0-2.4) Socioeconomic advantage/disadvantage (persons 5-17 years) Disadvantaged 61.3 (56.2-66.1) 1.9 (1.8-2.0) 32.2 (27.7-37.2) 2.3 (2.1-2.4) Quintile 2 55.0 (49.9-60.0) 1.8 (1.6-1.9) 28.5 (24.2-33.2) 2.1 (1.9-2.2) Quintile 3 57.6 (52.7-62.4) 1.9 (1.8-2.0) 31.0 (26.6-35.7) 2.1 (2.0-2.2) Quintile 4 61.6 (57.0-66.0) 1.9 (1.8-2.0) 26.3 (22.3-30.7) 2.0 (1.9-2.1) Advantaged 62.4 (57.5-67.0) 1.9 (1.8-2.0) 28.3 (24.0-33.1) 2.0 (1.9-2.1) Remoteness (persons 5-17 years) Major cities 60.7 (57.8-63.6) 1.9 (1.8-2.0) 26.4 (23.9-29.1) 2.0 (1.9-2.1) Inner regional 57.3 (52.7-61.8) 2.0 (1.8-2.1) 33.6 (29.3-38.1) 2.2 (2.1-2.3) Outer regional 58.7 (53.3-63.8) 1.8 (1.7-1.9) 29.1 (24.6-34.1) 2.1 (2.0-2.3) Remote 60.9 (47.1-73.2) 2.0 (1.7-2.4) 48.8 (35.6-62.2) 2.5 (2.1-2.9) Very remote 61.0 (45.9-74.2) 1.8 (1.6-2.1) 24.8 (15.2-37.9) 2.0 (1.7-2.3) Fruit consumption • 59.6% of children consumed the recommended daily serves of fruit for their age. On average, Queensland children ate 1.9 serves of fruit each day. • As they grow up, children are not keeping pace with the increasing number of recommended serves of fruit for their age. This is seen in the 80% decrease in the prevalence adequate fruit intake and the 19% decline in mean daily serves between the ages of 5–7 years and 16–17 years. Vegetable consumption • 29.2% of children consumed the recommended daily serves of vegetable for their age. On average, Queensland children aged 5–17 years ate 2.1 serves of vegetables each day. • As they grow up, children are not keeping pace with the increasing number of recommended serves of vegetables for their age. This is seen in the 44% decrease in prevalence of adequate vegetable intake among children aged 8–11 years and the 46% decrease in prevalence among children aged 12–15 years. • Mean daily vegetable intake generally increased with age. Compared to children aged 5–7 years, those aged 16–17 years consumed 21% more daily vegetable serves and those aged 12–15 years consumed 16% more vegetables. • Children living in remote locations had an 85% higher prevalence of adequate vegetable intake and a mean daily vegetable intake that was 25% higher than those living in major cities. Compared to children in regional areas, children in remote areas had a 16% higher prevalence of adequate vegetable intake and a mean daily vegetable intake that was 9% higher. 9 Q UEENSLAND R EPORT C HILD H EALTH S TATUS 2011 Table 4: Children’s carbonated beverage consumption, Queensland, 2011 Non-diet soft drink at least daily Diet soft drink at least daily Non-diet flavoured drink (a) at least daily % (95% CI) % (95% CI) % (95% CI) Persons (5-17 years) 6.5 (5.5-7.7) 2.1 (1.6-2.8) 8.6 (7.4-9.9) Sex (5-17 years) Male 8.3 (6.8-10.2) 2.2 (1.5-3.2) 10.5 (8.8-12.7) Female 4.7 (3.6-6.0) 2.0 (1.3-3.0) 6.6 (5.2-8.2) Age category - persons 5-7 years *2.5 (1.4-4.4) ** 3.3 (2.0-5.3) 8-11 years 4.9 (3.6-6.7) *1.7 (1.0-3.0) 5.8 (4.3-7.8) 12-15 years 7.9 (6.0-10.3) 2.8 (1.9-4.3) 10.3 (8.2-12.9) 16-17 years 12.5 (9.3-16.6) *3.0 (1.6-5.3) 17.7 (13.7-22.5) Age category - male 5-7 years ** ** ** 8-11 years 4.9 (3.1-7.7) ** 6.4 (4.2-9.5) 12-15 years 10.1 (7.2-14.1) *3.2 (1.9-5.5) 12.5 (9.3-16.7) 16-17 years 18.8 (13.3-25.8) ** 24.6 (18.2-32.4) Age category - female 5-7 years ** ** ** 8-11 years 4.9 (3.1-7.6) *2.6 (1.3-5.0) 5.3 (3.4-8.1) 12-15 years 5.6 (3.6-8.6) *2.4 (1.2-4.7) 8.1 (5.6-11.5) 16-17 years *5.8 (3.3-9.9) ** 10.3 (6.7-15.6) Socioeconomic advantage/disadvantage (persons 5-17 years) Disadvantaged 6.1 (4.1-9.1) *2.9 (1.6-5.1) 7.6 (5.3-10.8) Quintile 2 9.9 (7.2-13.5) *2.3 (1.3-4.1) 12.9 (9.7-16.9) Quintile 3 4.8 (3.3-7.0) *1.9 (1.0-3.4) 8.0 (5.9-10.7) Quintile 4 6.7 (4.8-9.4) *2.1 (1.1-3.8) 8.4 (6.2-11.2) Advantaged 5.0 (3.3-7.4) ** 5.9 (4.1-8.5) Remoteness (persons 5-17 years) Major cities 6.6 (5.3-8.2) 1.8 (1.2-2.7) 8.9 (7.4-10.7) Inner/Outer regional 6.2 (4.8-8.1) 2.3 (1.6-3.5) 8.0 (6.3-10.1) Remote/Very remote ** ** *10.6 (6.0-18.2) * Estimate has a relative standard error of 25% to 50% and should be used with caution. ** Not available for publication. Estimate does not meet RSE or sample size criteria and is not considered reliable for general use. Included in totals where applicable. (a) Includes non-diet soft drink, sport drink, energy drink and flavoured water. Soft drink • 6.5% of Queensland children aged 5–17 years consumed non-diet soft drink at least daily. • Of Queensland children, boys were 77% more likely than girls to consume non-diet soft drink daily. • The highest prevalence of daily non-diet soft drink consumption, 18.8%, was among boys aged 16– 17 years. Among boys, the prevalence of consuming non-diet soft drinks increased almost four times between the ages of 8–11 years and 16–17 years, whereas among girls the prevalence was stable across childhood. Non-diet flavoured drink • 8.6% of Queensland children aged 5–17 years consumed non-diet flavoured drinks at least daily. • Boys aged 5–17 years were 59% more likely than girls to drink flavoured non-diet drinks on a daily basis. • The prevalence of daily consumption of flavoured non-diet drinks increased with age. Those aged 16–17 years were 5.4 times more likely to consume these drinks daily than those aged 5–7 years. • Among boys, the prevalence of daily flavoured non-diet drink consumption increased with age. Boys aged 16–17 years were 3.8 times more likely to drink non-diet flavoured drinks daily than boys aged 8–11 years and were almost twice as likely to do so as boys aged 12–15 years. • Boys aged 16–17 years were 2.4 times more likely to consume non-diet flavoured drinks than their female peers, 24.6% compared to 10%, respectively. [...]... recommendation, with children aged 12 years and older up to 71% more likely to exceed the recommendations than children aged 5–7 years Children living in remote areas spent less time on average per week engaged in screen based entertainment, up to 25% less than children living in major cities, inner regional areas and outer regional areas CHILD HEALTH STATUS 2011 15 QUEENSLAND REPORT (a) Table 8: Children’s... disadvantaged areas of Queensland Children living in inner and outer regional areas were 43% more likely to travel to school by public transport than children living in major cities Children living in remote and very remote areas were 71% more likely to walk to school at least once in a usual week compared to those living in inner and outer regional areas CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 16 Children living... more advantaged areas Among children travelling to school by car, distance to school increased with economic disadvantage Children in the most disadvantaged areas travelled 39% farther than children in the most advantaged areas Children in inner and outer regional areas travelled 52% further to school than children in major cities CHILD HEALTH STATUS 2011 21 QUEENSLAND REPORT Additional methodological... workers NHMRC: Canberra; 2003 7 Abbott RA, Macdonald D, Stubbs CO, Lee AJ, Harper C, Davies PSW Healthy kids Queensland survey 2006 - full report Queensland Health: Brisbane; 2008 CHILD HEALTH STATUS 2011 25 QUEENSLAND REPORT CHILD HEALTH STATUS 2011 ... were 8% more likely to eat breakfast every day than those living in the most disadvantaged areas Dinner • 13.5% of children aged 5–17 years ate dinner in front of the television every day CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 12 Table 6: Children’s physical activity, Queensland, 2011 Active(a) every day of the past week % (95% CI) Physical education in school(b) % (95% CI) 1+ hours of organised... for children aged less than 12 years Children living in major cities were 29% more likely to have used some form of active transport compared to children living in inner or outer regional areas Children living in remote and very remote areas were 75% more likely to have used some form of active transport than those living in inner and outer regional areas CHILD HEALTH STATUS 2011 17 QUEENSLAND REPORT. .. to 38% more time than those living in other areas of Queensland travelling to or from school by active transport or public transport CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 18 Table 11: Children’s usual travel to or from school by walking or bicycling, Queensland, 2011 Time per trip in minutes Number of trips weekly mean (95% CI) Walk Total time per week in minutes mean (95% CI) Time per trip in... more time per trip than younger children Children living in major cities or inner and outer regional areas spent up to 68% more time travelling to or from school by car each week than children living in remote and very remote areas Average trip duration was 32% in inner and outer regional areas compared remote and very remote areas CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 20 Table 13: Average distance... remote areas of Queensland were 57% more likely than those living in major cities to usually undertake an hour or more of physical activity a day CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 14 Table 7: Screen-based entertainment time for children, Queensland, 2011 Minutes per week of screenbased entertainment time mean (95% CI) Two or more hours per day of screen-based entertainment % (95% CI) Persons... beverage the child consumed Food habits Indicator: the proportion of children eating takeaway food at least weekly This indicator is identical to takeaway consumption data collected in the CHS 2009 Comparisons should be based on ‘Summary of key indicators for comparison to CHS 2009’ or based on age specific results CHILD HEALTH STATUS 2011 QUEENSLAND REPORT 22 Indicator: the proportion of children that . Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001. Suggested citation: Queensland Health. Child health survey 2011: Queensland report. Queensland Health: . S TATUS 2011 Child Health Status 2011 Queensland Report Division of the Chief Health Officer Queensland Health