According to self-reported data in the 2017–18 ABS National Health Survey (NHS), of older Australians born overseas:
- 13% had exceeded lifetime alcohol risk guidelines (7-day average 2009 guidelines; NHMRC 2009)
- 7.1% were current daily smokers
- 68% had not met 2014 physical activity guidelines (see ABS 2019c for information on how the NHS derives the physical activity guidelines as being met)
- 1.7% met the recommended serves of vegetables only (see NHMRC 2013 for recommended serves)
- 57% met the recommended serves of fruit only (see NHMRC 2013 for recommended serves)
- 7.4% met the recommended serves of both fruit and vegetables (AIHW analysis of ABS 2019a; see NHMRC 2013 for recommended serves).
Around 4 in 10 (41%) older Australians born overseas reported their health as excellent or very good, and almost 1 in 2 (45%) reported experiencing no pain or very mild pain in the past 4 weeks (AIHW analysis of ABS 2019a). Considering selected measures of health service use, almost all (97%) older Australians born overseas had seen a general practitioner in the last 12 months, and around half (48%) had seen a dentist (AIHW analysis of ABS 2019b).
Aged care
As with health care, it can be difficult for some groups of older Australians to access aged care services. For example, they may face language barriers, and available services may not be culturally appropriate or they may fail to meet people’s needs. Cultural practices and family culture can also influence what a person needs from aged care services and how they access them. For example, where informal, family-centred care is available, people may not seek formal aged care.
Around 28% of people using home care, 20% of people using permanent residential aged care and 20% of people using respite or transition care at 30 June 2020 were from a CALD background (Department of Health 2020). (In this case, CALD background refers to the proportion of people who were born overseas in countries other than the main English-speaking countries. This may underestimate the proportion of people from a CALD background as it is only one marker of cultural and linguistic diversity.) For all older Australians, information is presented on aged care and related information is available in housing and living arrangements.
Varying slightly between programs, around 1 in 8 (12%) aged care users at 30 June 2020 had a preferred language other than English (AIHW 2020). The aged care workforce commonly includes many people from non-English-speaking backgrounds, but from different backgrounds to those common among aged care users. For example, in residential aged care facilities where at least one-third of personal care attendants spoke a language other than English, facilities commonly identified Indian and Filipino as the workers’ background (Mavromaras et al. 2017). This is an important consideration in terms of language barriers, for which currently no data exist to allow a more detailed study. The Department of Health’s 2020 Aged Care Workforce Census found that 36% of personal care attendants in residential aged care identified as being from a CALD background, increasing to 58% in facilities with a higher proportion of CALD residents (Department of Health 2021). However, these figures provide no indication of overlap between the CALD background of staff and that of residents. Similar issues may be present in other sectors, such as disability support.
Social support
According to the 2016 Census, around 1 in 8 overseas-born older Australians provided support to someone with disability (13%), took part in voluntary work (15%) or provided unpaid child care (14%). Similarly, around 1 in 7 Australian-born older people provided support to someone with disability (14%) or provided unpaid child care (14%). Almost 1 in 4 (24%) Australian-born older people took part in voluntary work.
Proficiency in the local language may influence people’s sense of social connectedness. The 2016 ABS Personal Safety Survey indicated that nearly all (95%) older people who mainly spoke another language at home but spoke English well or very well had visited (or had been visited by) friends in the last 3 months (AIHW analysis of ABS 2016b).
For more information on social support for all older Australians, see Social support.
Housing and living arrangements
In 2016, older Australians who were born overseas were somewhat less likely to own their home outright, and somewhat more likely to be either mortgaged or renting, compared with those born in Australia (Table 2B.3).
Place of birth
|
Owned outright
|
Mortgaged or being purchased
|
Rented
|
Other
|
Overseas
|
68.0%
|
14.5%
|
14.9%
|
2.6%
|
In Australia
|
74.3%
|
10.5%
|
11.9%
|
3.3%
|
Note: 'Older Australians' refers to people aged 65 and over.
Source: AIHW analysis of ABS 2016a.
Around 5.2% of overseas-born older Australians reported living in a multi-family household in 2016 compared with 1.9% of those born in Australia. This suggests that intergenerational living may be more common for some older people from CALD backgrounds. This may also account for some of the variation in housing arrangements seen above; for example, living with family, people may be less likely to need to move into residential aged care.
Around 1.2% of overseas-born older people were experiencing some form of homelessness on Census night in 2016 (defined as living in caravan parks, boarding houses, supported accommodation or similar, or in temporary, improvised or crowded dwellings). This compared with 2.3% of Australian-born older people (AIHW analysis of ABS 2016a).
Education and skills
More than 1 in 2 (52%) older Australians aged 65–74 who were born overseas had a highest educational attainment of year 12 or below. More than 1 in 5 had a bachelor degree or a higher qualification (22%), and another 1 in 5 had a certificate (III or IV) or diploma (21%) (AIHW analysis of ABS 2020).
For people aged 65–74 born overseas, whose highest level of education was a bachelor degree or higher, 1 in 5 had a main field of study of management and commerce (20%) and another 14% in engineering and related technologies (AIHW analysis of ABS 2020). These patterns may have been influenced by skilled migration pathways into Australia and may be different for different cohorts of older people. The fields people study also vary by sex; for more information on this for all older Australians, see Education and skills.
Employment and work
In 2020, more than 1 in 6 (18%) overseas-born people aged 65–74 were still working. The most common occupations of work were professionals and managers (38% for those born overseas who continued to work) (AIHW analysis of ABS 2020). However, ‘professionals and managers’ refers to a broad group, and people from particular backgrounds – such as those who have migrated more recently, or who come from non-English-speaking countries – may have very different experiences.
Around two-thirds (63%) of overseas-born people aged 65–74 indicated that they were permanently not intending to work (AIHW analysis of ABS 2020).
Income and finances
Many older Australians receive the Age Pension and/or are able to access superannuation (for more information on this, see Income and finance). In addition to supports available through Australia (or instead of these), some people born overseas may also be able to access similar supports from their birth country. No information is available on income source by people’s CALD background.
Cultural and linguistic diversity is a broad concept and this can mask specific issues, such as those relating to socioeconomic disadvantage. For example, the 2016 ABS Personal Safety Survey indicated that nearly 9 in 10 (86%) older people who mainly speak another language at home and speak English well or very well could raise $2,000 within a week in an emergency. Around 7 in 10 (74%) of those who speak English not well or not at all could raise $2,000 within a week in an emergency (AIHW analysis of ABS 2016b).
This was also reflected in the 2016 Census. Where income was reported, overseas-born older Australians were more likely to have a personal weekly income below $500 compared with those born in Australia (61% and 55%, respectively) (AIHW analysis of ABS 2016a).
Where do I go for more information?
For more information on older people from culturally and linguistically diverse backgrounds, see: