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Cultural awareness in health care
Cultural consideration in health care
Health inequalities for indigenous Australia
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Recommended: Cultural awareness in health care
This study investigated how the cultural practices of Indigenous Australian ad Torres Strait Islander people impact the perception of their health. The discrepancy between the health status of Indigenous and non-Indigenous people reveals different health needs for each group. The results of this study suggest that increased engagement with cultural practices, including a firm commitment to cultural continuity as well as creating a better future, reduces trauma among Indigenous Australian and Torres Strait Islander people. Thus failure to consider how people relate with their environment, including land, sea and family can create a gap in the delivery of health care.
Key Findings
1 Indigenous Australian people’s perception of healthcare
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Such practices include aspects of environmental spirituality, kinship and connection to country (Kingsley et al., 2009). Spirituality is the heart of Indigenous people’s culture as it defines how and why they relate with other elements of the Earth and Universe. The elements of the Earth and Universe include people, plants, animals, landforms, celestial bodies and water bodies among others. Indigenous people also believe that powerful ancestors created the world and laid rules that would ensure the continuity of life. Thus, the concept of environmental spirituality, kinship and connection means that every individual has a responsibility to maintain a healthy relationship with others, the country and the spirits of the ancestors who created the Universe (Kingsley et al., 2009). The analysis of Indigenous and Torres Strait Islander culture led to the conclusion that the quality of their health status is affected when the level of their cultural engagement is compromised. This research paper seeks to investigate how their cultural practices impact on their health …show more content…
Trauma is associated with historical loss, discrimination, suicide ideation and substance abuse. Indigenous people tend to live better lives when they maintain a high level of engagement with their cultural practices (Grieves, 2009). The culture of Indigenous people provides laws, which guides their behaviours and relationships. Colquhoun and Dockery (2012) maintained that
“Enculturation, it is argued provides resilience by preventing individuals from internalizing stress associated with historical loss and trauma” (p.4)
Pattel (2007) discussed four principles of wellbeing of the Indigenous people, which can be used to understand the relationship between their culture and wellbeing. These principles include wholeness, change and the nature of change and the reality of the physical and the spiritual world. The principle of wholeness portrays the Universe as interconnected. Elements are dependent on each other. Therefore, destroying one element would cause the destruction of the other. The principle of change maintains that the Universe is in continuing change. Human beings are born, they live and die; however, an individual should do everything possible to maintain their lives. Human beings can only fulfill this when they maintain a positive relationship with other elements of the Universe
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
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.
Definition: Mental health has become a pressing issue in Indigenous communities. Often, a combination of trauma, a lack of accessible health resources, substance abuse, violence, and socioeconomic situations lead to high rates of depression, anxiety, and suicidality in Indigenous Peoples. This crisis is especially apparent in Indigenous youth, where there is a growing suicide epidemic but little mental health support and resources are provided. The increase in stigmatized and untreated mental illness has continued as trauma and systemic injustices remain unaddressed. Indigenous groups, governmental parties, and health organizations are involved.
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...
The 1967 referendum resulted in the change of the Constitution on August 10 of that year, initiating the start of great change for the lives of indigenous people in Australia. The referendum sought to change Sections 51 and 127 of the Constitution. Section 51 stated the Federal Government could make laws for anyone in the nation except aborigines, leaving state governments in charge (Creative Spirits – 1967 Referendum, online, 14/8/15). Section 127 specified that when the population of the Commonwealth was counted, indigenous people were not included (Creative Spirits – 1967 Referendum, online, 14/8/15). According to Faith Bandler, an indigenous civil rights activist, it was important to force the Commonwealth to be responsible for the aborigines
0.8% of the overall Federal health expenditure in 2009 which was spent on Aboriginal health. The overall wellbeing of an individual is more than just being free from disease. It is about their social, emotional, spiritual, physiological as well as the physical prosperity. Indigenous health issues are all around us, but we don’t recognise because it doesn’t affect us, but this issue is a concern to Indigenous Australia and also to modern day Catholics in Australia The statistics relating to Indigenous health is inexcusable, life expectancy is at an all time low, higher hospilatisation for avoidable diseases, alerting rates of deaths from diabetes and kidney disease. This issue is bigger than we all think, for example 13% of Indigenous homes
Aboriginal and Torres Strait Islanders have some of the worst health outcomes in comparison to any other indigenous community in the world (AIHW, 2011). According to United Nations official Anand Grover, Aboriginal health conditions are even worse than some Third World countries (Arup & Sharp, 2009), which is astonishing, considering Australia is one of the worlds wealthiest countries. Thoroughly identifying the causes and analysing every aspect behind poor health of indigenous Australians, and Australian health in general, is near impossible due to the complexity and abundant layers of this issue. Even within the category of social determinants, it is hard to distinguish just one factor, due to so many which interrelate and correspond with each other. The aim of this essay is to firstly identify and analyse components of the social determinants of health that impact the wellbeing of Aboriginals and Torres Strait Islanders, and demonstrate how they overlap with each other. By analysing the inequalities in health of Aboriginal and non-indigenous Australians, positive health interventions will then be addressed. Racism and the consequences it has on Indigenous health and wellbeing will be discussed, followed by an analysis of how and why social class and status is considered a determining factor when studying the health of the Aboriginal population. The issue relating ...
Advanced knowledge of Aboriginal Health policy and issues at the level and national level including understanding successful measures around Closing the Gap in Aboriginal Health inequality. My desire to work in the aboriginal field begins since I was very young. That is why at 16 years of my age I started to be even more interested in understanding all the issues related to the aborigines of this country. Over time, I looked that all my knowledge be trained at health level basis to help to improve the Aboriginal quality of life standards.
...s a way of coping with bad memories and changes in culture (Reser, 1991). Many Indigenous are still being affected by the events which unfolded long ago. Alcohol is consumed by many who are known to have mental disorders. Depression is a major issue within the aboriginal population with many suffering with factors like grief, shame, worry, homesickness, and anger due to the colonization and the way it has changed their everyday life, culture and environment (Reser).
In order to understand the impact of colonisation on Aboriginal health; it is important to recognize their worldview or set of beliefs on health (Tilburt, 2010). They practice a “holistic” approach unlike the Western Biomedical model where health is centred on biological functioning (Lock, 2007). According to this model the essence of being healthy relies on the mental, spiritual and social well-being rather than the absence of an illness (Hampton & Toombs, 2013). It is closely linked to spiritual and environmental factors; the heart of which is country, tradition and kinship. Land is a source of identity and spirituality for indigenous people (Hampton & Toombs, 2013). Kinship manages connection to land as well as ceremonial obligations and interpersonal relationships (Hampton & Toombs, 2013). For Aboriginal and Torres Strait Islanders a healthy person consists of physical and spiritual elements. It’s evident that colonisation eroded the structures upon which Indige...
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).
Therefore, providing culturally appropriate services for people has significant role for health professional; the main reasons of this is culturally appropriate services are linked inextricably with the health of the clients. According to Oda & Rameka (2012), in 1980s, Maori were experience racial discrimination and that is linked to higher rate of illness on Maori, such as mental illness, cardiovascular disease, hypertension, cancer, mortality, and health-risk behaviors such as tobacco and alcohol consumption. This is the results of unfair health service. During to the research (Oda & Rameka, 2012), people are more attempt not to see the doctor when they are experiencing discrimination and it makes their mortality higher than other non- Maori. Another factor could be Maori are not unable to access the health information and there was poor health literacy in that era and they were not able to understand different disease and lack of health education of living with a healthy lifestyle (Oda & Rameka, 2012). A classic example can be seen in the consumption of tobacco and alcohol, at the era, people did not know the repercussion of tobacco and alcohol use, but if they were able to access the information they would understand the
Department of Health South Australia. (2004). Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. Australian Health Ministers’ Advisory Council. Standing Committee on Aboriginal and Torres Strait Islander Health Working Party
It is part of the healing process in communities. Since then among indigenous peoples, the emphasis on the promotion of culture and traditional spirituality. Some areas of social life have been reconfigured in this direction. Indian communities try to
The health status of indigenous people of Australia is certainly the worst as compared to Non-indigenous people of Australia (Gwynne & Cairnduff, 2017). Health inequalities faced by indigenous Australians are under scrutinized by different health organizations of the world (O'Faircheallaigh, 2012). Australia’s indigenous people have encountered disparities in all levels of their livelihood such as inadequate access to health care services, nutritious food, and lack of education opportunities (Gwynne & Cairnduff, 2017). According to a study, life expectancy for the indigenous Australian is estimated to be ten years lower than that of the non-indigenous Australian population in males and around nine years lower in females (Sushames, van Uffelen,