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Indigenous australians determinants of health factors essay
Indigenous australians determinants of health factors essay
Aboriginal Health disparity
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Indigenous Australians have reported high levels of racism in their lives (Paradies and Cunningham, 2009, Paradies, Y., Harris, R., & Anderson, I., 2008 and Ziersch, A., Gallahera, G., Bauma & Bentleya, M, 2011) but the main focus here is on institutional racism and the effects it has on the health and wellbeing of Indigenous Australians. Institutional racism, also known as systemic racism, signifies one of the vital barricades to improving the health care of Indigenous Australians. Institutional racism can be detrimental to the health and wellbeing of Indigenous Australians as it can go unnoticed and the object behind the racial act is not aware of the actions implied and it can be overlooked (Henry, B.R., Houston, S. & Mooney, G.H., 2004, …show more content…
Williams (2006) enhances that institutional racism “…can adversely affect health by restricting socioeconomic opportunities and mobility” (Williams, 2006, p.173). “…institutional racism is covert or even unrecognised by the agents involved in it” (Henry et al., 2004, p. 517). The fact that this form of racism most often goes unrecognised, it is hard to be aware of it or even understand the impact institutional racism has on Indigenous Australians. Although the 2007 United Nations Declaration on the Rights of Indigenous Peoples act was implemented, institutional racism is still affecting the health and wellbeing of Indigenous Australians in hospitals and in the health care sector (Durey, A, 2010, p. …show more content…
For example, English literacy is dominated by Yolnu people thus Yolnu people are not able to receive, obtain and communicate effectively which affect the health status and health care creating institutional racism. To reduce the impact institutional racism has on Indigenous Australians in hospitals, medical practitioners need to understand the language barrier and the effect cultural misunderstanding has, to promote effect and culturally appropriate practise. According to Larson, A., Gillies, M., Howards, P., & Coffin. J (2007), there needs to be a significant change in the way white Australians act towards Indigenous Australians and if there is to be any improvement, we need to have a better understanding of how institutional racism affects Indigenous Australians and the impact it has on their health and wellbeing (Larson et al., 2007, p.328). Marrie, A., & Marrie, H (2014), discuss if you want to reduce institutional racism in the health care system, you need to have a culturally respectful and non-discriminatory health
Indigenous Australian’s health has been a focal point and topic of interest for many members of the government and policy markers. The reasoning for why this topic has been of popular interest for the government and policy makers is due to the startling and atrocious lack of health that Indigenous Australian’s suffer. Indigenous Australian’s are disadvantaged in the Australian healthcare system and have the poorest health out of all Australians. “Between 2004 and 2008, 66% of Indigenous deaths occurred before the age of 65 compared with 20% of non-Indigenous deaths.” (Red Dust, p.1) Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor health care system and policies that haven’t been able to solve the issue. This essay will explore the significant and negative impact on the Indigenous communities and how policy decisions have impacted and continue to impact the Indigenous communities. This essay will also outline why there have been significant policy shifts over time, the current issues in delivering services to Indigenous Australian’s and why these issues have emerged.
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
Over the years Australia has had many different problems with racism and racism affecting peoples’ lives. Many racial groups have been affected, most significantly the Aboriginals. The end of world war two in 1945 marked a huge change in types of racism. Australia went from the ‘superior’ white Australians dominating over immigrants and aboriginals. To a relatively multicultural and accepting society that is present today.
In 2014 Beyond Blue released a video campaign that illustrated that ‘Discrimination stops with you’ and posted a message that ‘No one should be made to feel like crap just for being who they are’ (Beyond Blue 2014). The campaign dubbed The Invisible Discriminator showed a sequence of events where Aboriginal and Torres Strait Islander people experience racism and links how these incidents that may seem insignificant to those being unconsciously racist can lead to anxiety and depression.
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...
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 ...
... 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.
Poor living conditions are a major health determinant throughout the indigenous population. Most Indigenous Australians are known to live in rural parts of Australia which are commonly not close to major cities and services. People living in these areas generally have poorer health than others living in the cities and other parts of Australia. These individuals do not have as much access to health services and good quality housing. In 2006 roughly 14% of indigenous households in Australia were overcrowded unlike 5% of other households (AIHW, 2009a). Overcrowded and poor quality houses are commonly associated with poor physical and mental health between the people living in them. The indigenous are n...
Puzan (2003, p. 197) discusses racial stratification being responsible for organizing social relations, meaning that through language and practice, nurses participate in the production and maintenance of patient identities. Nurses are vulnerable to interacting and responding to patients with unconscious biases, relying on embedded and accepted stereotypes. Racial health care inequality is a multidimensional problem, with barriers to health care involving the health care system, the patient, community, and health care providers themselves. A lack of awareness and education pertaining to issues of race, racism, and whiteness contribute to poor perceptions are being addressed within Australian nursing curriculum (Van Den Berg, 2010, p. 2). The relationship between health and racism has been found as the cause of persistent health differences by racial or ethnic classification and racism is identified as the root cause of the extreme socio-economic and health disadvantage experienced by Aboriginal Australians (Larson et al, 2007, p. 26). Possessing a diversity and cross cultural competency is important, as is paying attention to systemic policies and procedures that negatively impact a nurse’s ability to provide adequate care to people of all races.
Mentioning a diversity of culture and language in Australia with Aboriginal and/or Torres Strait Islander Australians, the fact sheet indicates that these cultural differences may impact on the practitioner-client relationship and on the delivery of services. Therefore, in order to achieve good practice and health outcomes, physiotherapist should effort to understand the cultural needs and contexts of different patients. To be specific, practitioners need to be aware that some patients or clients have additional needs and modify their approach appropriately. For example, the Code of conduct strongly recommends becoming familiar with and using qualified language interpreters or cultural interpreters to help meet the communication needs of patients. Besides, it also includes more detailed information about Indigenous Australians. It stipulates significant disparities in the health status of Indigenous Australians result from the socio-economic inequities. Lastly, it is also comprised Aboriginal people’s preference of consultation or treatment by a same gender practitioner because of their traditional
Cunningham, J. & Paradies, Y.C. 2013, 'Patterns and correlates of self-reported racial discrimination among Australian Aboriginal and Torres Strait Islander adults, 2008-09: analysis of national survey data', International Journal for Equity in Health, vol. 12, no. 1, pp. 47-61.
Marginalisation of Australia’s Indigenous people is predominantly a social phenomenon by which a minority or sub-group is excluded,
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
But what are the impacts of such a paradigm? Beyond the idea of social incohesion and discrimination caused by racism, there are research links between racism and physical ill-health. This procession is important to note because otherwise one may argue that some may have negative stereotypes of Indigenous Australians because of their substance misuse for example, rather than seeing the substance misuse as a health damaging coping strategy to racism (Paradies,
Australia is commonly known as a multicultural country with multicultural views. Australian TV gives people of different heritage a chance to achieve big in the industry. This is seen through the large quantity of awards given to people from different cultures, for example, the 2016 Logies gave awards to people with Egyptian, Chinese, Italian, Greek, and Australian backgrounds. This shows our cultural diversity on the screens and how everyone is treated equally. However, this is an illusion and only shows the front line of television.