Health status
On this page In this section
Introduction General health Mental health Bodily pain Satisfaction with own health and life References-
Good health
In 2022, 32% of adults (aged 18+) with disability rated their health as excellent or very good, compared with 69% of those without disability.
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Psychological distress
In 2022, 27% of adults with disability experienced high or very high levels of psychological distress (6.7% without disability).
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Bodily pain
In 2022, 87% of adults with disability reported recently experiencing bodily pain, compared with 62% of those without disability.
Introduction
One way to measure health and wellbeing is to ask people how they feel about their health, their state of mind and their life in general. This page looks at the health of Australians with disability based on survey tools such as:
- self-assessed health status
- Kessler Psychological Distress Scale (K10)
- bodily pain
- satisfaction with personal health and life in general.
This page also looks at how general health, pain, psychological distress, and life and health satisfaction vary for different groups of people with disability.
Data note
Unless indicated otherwise, all findings on this page refer to 2022.
Data on this page are largely sourced from the Australian Bureau of Statistics (ABS) National Health Survey (NHS) 2022. More information about the NHS, including the concepts of disability, disability groups, and remoteness categories used by the NHS, can be found in Data sources.
The ABS Survey of Disability, Ageing and Carers (SDAC) also collects information on the health status of people with disability. It does not, however, collect this information for people without disability, so it cannot be used to compare outcomes of people with and without disability. Data using the SDAC 2022 are included in the supplementary data tables for reference. More information about SDAC can be found in Data sources.
Living arrangements: Reporting on self-perceived health status is restricted to people living in households (in private dwellings in the community).
General health
People with disability generally report worse health than people without disability. Around 1 in 3 (32%) adults (people aged 18 and over) with disability consider their health excellent or very good, compared with more than 2 in 3 (69%) adults without disability.
This health gap has widened over the past decade. The proportion of adults with disability reporting excellent or very good health fell from 35% in 2011–12 to 32% in 2022. At the same time, the proportion of adults without disability in excellent or very good health rose from 66% to 69% (AIHW analysis of ABS 2024).
Self-assessed health status
Self-assessed health status is a commonly used measure of overall health in which a person is asked to compare their own health with others around them.
The measure reflects a person's perception of their own health at a given point and provides a broad picture of a population's overall health. It has some limitations, including being influenced by factors such as a person’s access to health services (for example, for diagnosis and treatment), and level of education.
In the ABS NHS, self-assessed health status is collected for people aged 15 and over against a 5-point scale from excellent to poor. The results presented in this report and accompanying supplementary data tables are in most cases limited to adults aged 18 and over.
Figure STATUS.1: Self-assessed health status of adults, by disability status and selected characteristics, 2022
Stacked bar chart showing self‑assessed health status of adults with and without disability, by age group and selected characteristics.
Notes
- Restricted to people aged 18 and over living in households.
- People from CALD backgrounds are defined as those born outside of main English-speaking countries, and those who mainly speak a language other than English at home.
- Numbers are rounded and randomly adjusted to protect confidentiality. Because of this, components may not add up to totals.
- Some categories are not shown due to small sample numbers and to protect confidentiality.
- People with disability tend to report worse general health than people without disability. For all adults (aged 18 and over), health declines with age.
- Among people with disability, men, people from non-CALD backgrounds, people in a partnered relationship, and those with higher levels of education report better general health.
- People with severe or profound disability and people with psychosocial disability tend to report worse general health than others with disability.
Adults with disability – especially those with severe or profound disability – are more likely to report fair or poor health than adults without disability:
- 1 in 3 adults with disability (33%) rate their health as fair or poor. This is around 6 times the rate for adults without disability (5.6%).
- 2 in 3 adults with severe or profound disability (68%) assess their health as fair or poor. This is more than twice the rate for adults with other disability status (28%) and around 12 times the rate for adults without disability (5.6%) (Figure STATUS.1).
Women with disability are slightly more likely to rate their health as fair or poor (35%) than men with disability (31%). Self-assessed health also varies among adults with disability by age, disability group, cultural background, partnered status, and education (Figure STATUS.1):
- 34% of adults with disability aged 18–64 rate their health as excellent or very good, compared with 28% among those aged 65 and over
- 32% of adults with sensory or speech disability rate their health as excellent or very good, compared with 19% of those with psychosocial disability, 22% of those with learning and understanding disability, and 26% of those with physical disability
- 23% of adults with disability from culturally and linguistically diverse (CALD) backgrounds rate their health as excellent or very good, compared with 34% among those from non-CALD backgrounds
- 35% of adults in a partnered relationship report excellent or very good health, compared with 28% of those without a partner
- 23% of adults with Year 10 or 11 as their highest level of education rate their health as excellent or very good, compared with 42% of those with a Bachelor degree or higher (ABS 2024).
Australia’s Disability Strategy reporting
Self-assessed general health is one of the measures reported under the Australia’s Disability Strategy Outcomes Framework. It can be found in Self-reported health on Reporting on Australia’s Disability Strategy 2021–2031 website.
Aboriginal and Torres Strait Islander (First Nations) people
The NHS was not used for health-related reporting for First Nations people, as it was not designed to collect a representative sample of First Nations people. The 2022–23 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) was used instead, as it includes these areas and communities.
In 2022–23 based on NATSIHS data, 56% of First Nations people with disability rated their health as excellent, very good or good. In comparison, 68% of non‑Indigenous people with disability reported excellent, very good or good health in 2022 based on NHS data.
Mental health
Psychological distress is an important indicator of the overall mental health of a population. Signs of psychological distress can include nervousness, agitation, psychological fatigue and depression. This report uses the Kessler Psychological Distress Scale (K10) as the measure of psychological distress. A person experiencing psychological distress will not necessarily be experiencing mental illness, however there is a strong correlation between higher scores on the K10 and the presence of depressive or anxiety disorders (Andrews and Slade 2001).
Kessler Psychological Distress Scale (K10)
The Kessler Psychological Distress Scale (K10) is a set of 10 questions used to measure non-specific psychological distress in people. The questions ask about negative emotional states people may have experienced in the 4 weeks before their interview. K10 scores are grouped into 4 categories: ‘low’, ‘moderate’, ‘high’ and ‘very high’. Higher levels of psychological distress indicate that a person may have, or is at risk of developing, mental health issues.
The ABS NHS collects K10 for people aged 18 and over, excluding interviews conducted with proxy respondents (where the selected respondent is not able to answer for themselves).
Low levels of psychological distress generally indicate that the person has little or no stress and is likely to be well. People with disability are less likely to have low distress levels than those without disability. Less than half (46%) of adults with disability have a low level of psychological distress, compared with almost three-quarters (73%) of adults without disability (AIHW analysis of ABS 2024).
The proportion of adults with low psychological distress level declined for both people with and without disability over the past decade, indicating an increase in psychological distress. For people with disability, the proportion who experience low distress fell from 56% in 2011–12 to 46% in 2022 (and from 79% to 73%, for people without disability) (AIHW analysis of ABS 2024).
Figure STATUS.2: Psychological distress (K10 score) of adults, by disability status and selected characteristics, 2022
Stacked bar chart showing psychological distress of adults with and without disability, by age group and selected characteristics.
Notes
- Restricted to people aged 18 and over living in households who were present at interview.
- People from CALD backgrounds are defined as those born outside of main English-speaking countries, and those who mainly speak a language other than English at home.
- Numbers are rounded and randomly adjusted to protect confidentiality. Because of this, components may not add up to totals.
- Some categories are not shown due to small sample numbers and to protect confidentiality.
- People with disability tend to report higher levels of psychological distress than people without disability. Psychological distress is highest for young adults (aged 18–24).
- Among adults with disability, psychological distress levels are higher for women, people who do not have a partner, those with lower levels of education and people who are not heterosexual.
- People with severe or profound disability, and people with psychosocial or learning and understanding disability tend to report higher levels of psychological distress than others with disability.
In general, adults with disability (especially those with severe or profound disability) experience higher levels of psychological distress than those without disability (Figure STATUS.2):
- 27% of adults with disability experience high or very high psychological distress. This is 4 times as high as those without disability (6.7%).
- 45% of adults with severe or profound disability experience high or very high psychological distress, compared with 25% of those with other disability status (Figure STATUS.2).
Among adults with disability, high or very high levels of psychological distress are more likely to be experienced by (Figure STATUS.2):
- women with disability (32%), compared with men with disability (22%)
- younger adults with disability (34% of those aged 18–64), compared with those aged 65 and over (15%). The proportions experiencing high or very high psychological distress are even higher for people with disability aged 18–24, at 55%.
- adults aged 18–64 who do not have a partner (42%), compared with those who are married or in a de facto relationship (29%)
- adults aged 18–64 with lower levels of education. Four in 10 people whose highest level of education is Year 12 (42%) or Year 10/11 (39%) experience high or very high psychological distress. This compares with 26% of those with Bachelor degree or above (AIHW analysis of ABS 2024).
- adults aged 18–64 who are not heterosexual. Half (49%) of those who identify as gay, lesbian, bisexual, or different sexual orientation experience high or very high psychological distress, compared with one-third (33%) of those who identify as heterosexual (AIHW analysis of ABS 2024).
Among disability groups, high or very high psychological distress is most common for adults with:
- psychosocial disability (66%)
- learning and understanding disability (62%) (Figure STATUS.2).
The least likely to experience high or very high psychological distress are adults with:
- sensory or speech disability (25%)
- physical disability (29%) (Figure STATUS.2).
Australia’s Disability Strategy reporting
Psychological distress is one of the measures reported under the Australia’s Disability Strategy Outcomes Framework. It can be found in High psychological distress on Reporting on Australia’s Disability Strategy 2021–2031 website. Please note that the website uses a different data source (2022 SDAC) to report on this measure.
Bodily pain
In addition to general health and mental wellbeing, the ABS NHS also collects information about bodily pain. Adult respondents aged 18 and over are asked to rate the intensity of physical and bodily pain they may have experienced during the past 4 weeks on a 6-point scale from none to very severe.
Adults with disability are more likely to have experienced any bodily pain (87%) within the last 4 weeks than those without disability (62%), and 8 times as likely to have experienced severe or very severe bodily pain (17% compared with 2.1%) (Figure STATUS.3).
Figure STATUS.3: Bodily pain of adults, by disability status and selected characteristics, 2022
Stacked bar chart showing bodily pain of adults with and without disability, by age group and selected characteristics.
Notes
- Restricted to people aged 18 and over living in households.
- People from CALD backgrounds are defined as those born outside of main English-speaking countries, and those who mainly speak a language other than English at home.
- Numbers are rounded and randomly adjusted to protect confidentiality. Because of this, components may not add up to totals.
- Some categories are not shown due to small sample numbers and to protect confidentiality.
- People with disability report higher levels of bodily pain than people without disability.
- Among adults with disability, bodily pain is highest for people aged between 45 and 74. Women report higher levels of pain than men.
- People with severe or profound disability, and people with psychosocial or physical disability tend to report higher levels of bodily pain than others with disability.
Among adults with disability:
- those with severe or profound disability are 3 times as likely (41%) to have experienced severe or very severe bodily pain within the last 4 weeks as those with other disability status (14%)
- women are more likely (19%) to have experienced severe or very severe bodily pain than men (14%)
- 16% of those with sensory or speech disability have experienced severe or very severe bodily pain, 21% of those with learning and understanding disability, 22% of those with physical restriction, and 25% of those with psychosocial disability (Figure STATUS.3).
Satisfaction with own health and life
Data note
Data in this section are sourced from the 2021 Household, Income and Labour Dynamics in Australia (HILDA) Survey. More information about HILDA, including the concepts of disability, disability groups, and remoteness categories used by HILDA can be found in Data sources.
Satisfaction with aspects of life
Each year, the HILDA Survey participants are asked to rate their satisfaction with 8 aspects of their life on a 0–10 scale (10 represents the highest level of satisfaction and 0 the lowest):
1. the home in which they live
2. their employment opportunities
3. their financial situation
4. how safe they feel
5. feeling part of their local community
6. their health
7. the neighbourhood in which they live
8. the amount of free time they have.
Respondents are also asked how satisfied they are with their life overall.
In this report, people who indicated a satisfaction level between 8 and 10 are considered to be highly satisfied with that aspect of their life. This chapter looks at satisfaction with health and life overall, as a more general measure of wellbeing.
Satisfaction with health
Based on 2021 HILDA data, almost 2 in 3 (65%) people aged 15 and over without disability are highly satisfied with their health. Among people with disability, less than 1 in 3 (29%) are highly satisfied (AIHW analysis of DSS and MIAESR 2022).
Satisfaction with health varies by age (Figure STATUS.4). People aged 15–24 with disability are the most likely to be highly satisfied (40%) and people aged 45–64 are the least likely (21%). People aged 65 and over with disability report relatively high satisfaction with their health (33% highly satisfied). This may be due to changing expectations of health with ageing, as declines in health may become more common and expected.
Of people with disability aged 15–64:
- males are more likely to be highly satisfied with their health (30%) than females (23%)
- those with severe or profound disability are less likely (14%) to be highly satisfied with their health than those with other disability status (28%)
- people with physical disability are less likely (18%) to be highly satisfied with their health than those with intellectual disability (37%) or sensory disability (31%) (AIHW analysis of DSS and MIAESR 2022).
Overall life satisfaction
About half (52%) of people with disability aged 15–64 are highly satisfied with their life overall. This is lower than for people without disability, of whom 70% are highly satisfied. People aged 65 and over with disability are more likely to be highly satisfied with their life (70%) than those with disability aged 15–64, but less likely than those aged 65 and over without disability (86%) (Figure STATUS.4; AIHW analysis of DSS and MIAESR 2022).
Of people aged 15–64 with disability:
- females are as likely (52%) to be highly satisfied with their life as males (53%)
- those with severe or profound disability are less likely to be highly satisfied (42%) than people with other disability status (54%) (AIHW analysis of DSS and MIAESR 2022).
Figure STATUS.4: Satisfaction with own health and overall life satisfaction of people aged 15 and over, by disability status and age group, 2021
Stacked bar chart showing satisfaction with health and overall life satisfaction of people with and without disability, by age group.
- People with disability are less likely to be satisfied with their life in general, and much less likely to be satisfied with their health, than people without disability.
- Among people with disability, satisfaction with own health is lowest for 25–64 age group. Satisfaction with life overall is lowest for 45–64 age group.
ABS (Australian Bureau of Statistics) (2024) Microdata and TableBuilder: National Health Survey, ABS, AIHW analysis of detailed microdata in DataLab, accessed 20 November 2024 and 20 February 2026.
Andrews G and Slade T (2001) ‘Interpreting scores on the Kessler Psychological Distress Scale (K10)’, Australian and New Zealand journal of public health, 25(6):494–497, https://doi.org/10.1111/j.1467-842x.2001.tb00310.x, accessed 17 November 2025.
DSS (Department of Social Services) and MIAESR (Melbourne Institute of Applied Economic Social Research) (2022) The Household, Income and Labour Dynamics in Australia (HILDA) Survey, General Release 21 (wave 21), doi:10.26193/KXNEBO, ADA Dataverse, V3, AIHW analysis of unit record data, accessed 7 December 2022.