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Why Indigenous people in Australia are still disadvantaged with regard to health/ community services
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Recommended: Why Indigenous people in Australia are still disadvantaged with regard to health/ community services
The social disadvantage and poor health of Indigenous Australians is well documented. The barriers to the well-being of Indigenous Australians have deep-seated associations to historical factors and social disadvantage. Health is a reflection of the socio-economic conditions of an individual and their community known as the Social Determinants of Health (SDoH) (Marmot, 2010, p. 3). The SDoH are acknowledged as perpetuating social disadvantage and are directly linked to the health inequalities experienced by Indigenous Australians (Baum, Bentley & Anderson, 2004, p.23; Reilly et al., 2011). The invasion by the British in 1788 marked the beginnings of more than 200 years of Indigenous Australian's struggles with a history of oppression, trauma, brutality, dispossession, displacement, marginalisation poverty and poor health. Colonisation and colonialism was detrimental to traditional ways of Indigenous Australian populations with differing world views to those of the Europeans (Broome, 2002, pp. 30-35; MacRae et al., 2013). This paper identifies Indigenous Australian's perspectives on health and explores the continuing impact on health as a result of historical factors, past policies and practices. It will show the implications of the SDoH in relation to the health inequalities experienced by today's Indigenous Australians as a reflection of the past.
The many diverse nations within the Indigenous Australian population have a holistic view of health. This is understood as an interconnection of an individual within the social, emotional and physical well-being of community with a strong spiritual component (Broome, 2002, p.15; Hampton & Toombs, 2013b, pp. 75). "Spirituality connects past, present and future". It is the bonds to 'land ...
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...ehaviours of violence, alcohol and substance abuse (Osborne, Baum, Brown, 2013, p. 23).
The social and health disadvantages of Indigenous Australians is well documented (Marmott, 2005, p.1099; Mathews, 1998). The historical experiences of Aboriginal peoples has been of loss of control and human rights. Dispossession and dislocation has resulted in poverty, loss of identity, culture and spiritual connection, impacting generations of Indigenous Australian's health (Hampton & Toombs, 2013b, p. 79). The combination of SDoH and historical factors has led to poor lifestyle choices and anti-social behaviours with an end result of increased disease such as diabetes and renal disease among contemporary Indigenous Australians (Calma, 2007, Mathews, 1998). ‘Everyone agrees that there is one critical social determinant of health, the effect of colonization’ (CSDH, 2007, p.30)
Indigenous communities suffer the worst health in Australia and are most at risk to many illness’s compared to other Australian’s. “The poor health experienced by Indigenous people reflects the disadvantage they experience, as many Indigenous communities do not have access to quality health care and to clean water.” (Reconciliaction Network, p.1) The specific health concerns for Indigenous Australian’s are the higher rate of diabetes, higher mortality rate with cancers, cardiovascular disease is more common, eye conditions, higher risk of smoking which contributes to other health impacts, ear disease w...
Kirmayer, Sehdev, Whitley, Dandeneau, & Isaac (2009), suggested that a culture-centered approach to resilience is better as a community process, rather than an individual struggle. In this article, the focus is on the Aboriginal people and resilience. The authors warned that resilience should not be used as an all-inclusive term to fix everything, but instead be used as a component of overall wellness in a community. A key strength of the wellness framework is that it is “culturally relative” and each person can define his or her pathway (Newman & Newman, 2012). The road to wellness and resilience is challenging due to the many factors influencing success. External influences can affect how an individual copes with certain situations and it can be detrimental if they have no external support. However, when excellent support is offered, it is more likely that an individual or community can effectively cope. Nevid & Rathus (2010) define acculturative stress as the feelings of tensions and anxiety that comes with trying to adapt to the dominant culture. This can lead to feelings of ambiguity in personal identity and can lead to further
The aim of healing was to reconnect social and emotional harmony to the unwell, identifying the importance of interconnectedness amongst all people, animals, and plants Living in harmony with their environment, family and community is a central concept of health and healing for Indigenous Australians. Ill health is recognized as a manifestation of many factors including, spiritual and emotional alienation from the land, family, and community. The Dreamtime expressed by song, rituals, and art communicate the purpose of life, the spiritual connection of all humans, places, animals and plants and the necessity of balance Wholeness of body, mind, spirit and the living in harmony with nature were key concepts behind the Native Northern American healing philosophy.
Secondly, the customary health beliefs of the aboriginal populace are interrelated with numerous characteristics of their customs such as kinship obligations, land policies, and religion (Boulton-Lewis, Pillay, Wilss, & Lewis, 2002). The socio-medical structure of health beliefs, which the aboriginal people...
1) First topic chosen was wellness which is “a conscious, self-directed and evolving process of achieving full potential.” (The National Wellness Institute, para 3) What wellness means to me is being with my family, surrounding myself with your loved ones, or even being with the environment. To Indigenous people it is the exact same with their wellness with each other, or the wellness with their environment. Mental wellness in Indigenous is living a journey along the way being fulfilled in good health. This changed my thoughts because sometimes I don’t always see the good or surround myself in happiness which can create bad health for me.
Social determinants of health are the conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions of daily life. These focuses and systems include economic policies and systems, development agendas, social norms, social policies and political systems. (WHO, 2016). In the video, various social determinants of health were being portrayed. They include aboriginal status; how aboriginal people are treated and how this treatment contributes to the economic status and health status of aboriginal people. Education, as aboriginal schools receive less funding from the government. Housing, as aboriginal people are forced to live in unsuitable reserves. Social exclusion and social safety net as aboriginal people are excluded from society. The social determinants of health are what contributes to the attributes of social justice. This problem also led to a larger and broader issue in society that includes the attributes of social justice. Social justice problems such as human and civil rights that includes sexism and racism. Equity in which the distribution of society’s wealth is not distributed fairly and results aboriginal people receive less of society’s wealth. Equity refers to fair shares. (CNA, 2010). It also leads to poverty as they experience lack of access to basic needs such as food, water, clothing and shelter. It also led to higher suicide rates and increase rate of aboriginal people in federal prisons. It also contributes to many health issues such as 42% of aboriginal children lack dental care, tuberculous rate four times higher and diabetics rate three times higher. Most of all it has led
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Topic 3: "Outline the social determinants of health in Australia and provide a critical analysis of these determinants. Discuss the current health status comparisons between Indigenous and non-Indigenous Australians and interventions to remedy these inequalities.”
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
The colonisation of Australia occurred throughout 1788-1990. During this time, Great Britain discovered Australia and decided that it would become a new British colony (“Australian History: Colonisation 17-88-1990”, 2014.). It was decided that convicts would be sent to Australia and used for labour to build the new colony. There are many health determinants that are effecting the health of Indigenous Australians including; poor living conditions, risk behaviours and low socioeconomic status. Many of these determinants have an effect on the Indigenous Australians due to the colonisation of Australia.
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
In conclusion the colonisation of Australia and the adoption of discriminatory policies eroded Aboriginal culture and tradition affecting their sense of well-being and thus deteriorated their health. Today these policies are reflected in the social determinants of health as socio-economic disadvantages. They continue to impact contemporary Aboriginal people. In order to improve Aboriginal health outcomes; the impacts of these policies need to be overturned. This can be done by assisting them with improving their socio-economic status in the light of their needs and traditions.
Since colonialism after the invasion, Australia indigenous peoples have experienced a great deal of loss of identity, loss, disempowerment, cultural alienation, grief. Many indigenous people's mental and physical health impaired. Suicide, family violence, drug abuse and unemployment rates is higher than the Australian average(Berry et al. 2012). That is complicated to contributing to develop and support sustainable mental health and social wellbeing for Australian aboriginals staying in rural areas ,related to much diversity involved in and between individuals and communities (Guerin & Guerin 2012).
These Indigenous people realized that the only way to heal the poverty, dysfunction, addiction, and violence that has plagued them since the ‘assimilation’ efforts was to turn back to their traditional spiritual practices and teach them to the young people (Robbins). Often, the return to Native traditions has meant taking on environmental concerns, opposing development activities, and becoming politically active to protect the nature that is so closely tied to indigenous spiritual practices. This is what makes indigenous spirituality different and hard to define and protect, it is closely tied to the land and environment, which is very different from religion (Fisher). The United Nations defines the situation perfectly in “The State of the World’s Indigenous People: Chapter 2”: “…spirituality defines the relationships of indigenous peoples with their environment as custodians of the land; it helps construct social relationships, gives meaning, purpose and hope to life.” (Kipuri,
Saman Khan states that “Aboriginal people have a holistic view of mental wellness” (2008) and Khan illustrates that this means “wellness means being in a state of balance with family, community, and the larger environment”. (2008) This means that Aboriginal people in general value family value more than a typical European. Which is the difference of European models of psychiatric care, which is to according to Khan is to remove the person from their surroundings. (2008) If you think about an approach foreign to aboriginal peoples shouldn’t work with aboriginal people who have different values in life. The mistreatment of Aboriginal people is not the only thing that is affecting their health. Aboriginal people live in remote communities that health care cannot be received in time to fight the illness and