Introduction:
This essay explores the effectiveness of the Looma healthy lifestyle program in prevention and management of diabetes, obesity, and cardiovascular disease in the Aboriginal community of north-west of Australia and it compares the results with The Zuni Diabetes Prevention Program which engaged in a community-based educational plan to reduce health diabetes in North America.
The Looma Aboriginal community, in the remote Kimberley region of north-west Australia and the Zuni Indians community in North America, has few facts in common. Both have been victims of colonisation, and they have become a minority relative to the dominant Caucasian groups in both countries. Aboriginals and American Indians/Alaska Natives are over-represented
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They were very skilled hunter-gatherers and had a high understanding of plants, animals, and natural resources as well as spiritual connection and respect for the land. The legacy of colonisation in the late 1800s introduced a new, unfamiliar way of life to the Aboriginal lifestyle. Changes including: living in permanent homes, cooking food in pots and pans, foreign ingredients and goods from outside of Australia. Colonisation in Australia also brought new diseases, infecting the Aboriginal, who had no resistance to the new illnesses limiting their ability to continue living a traditional lifestyle. European cooking techniques and imported ingredients such as refined cereals, sugars, saturated fats, and salt fused with their native foods. These significant dietary influences affected indigenous community’s health and wellbeing. Among all the major influences, consumption of processed and westernised food, changes in the distribution of local plants and animal varieties and changes in cultural eating and cooking habits had a significant effect on ethnic dietary changes of native people globally (Brimblecombe, Maypilama and Colles …show more content…
(2000), The Looma Healthy Lifestyle program’s had success as the evaluation of the program in 4 years period has shown reductions in cardiovascular risk factors but the minimal decrease in obesity and diabetes. The success of the program was established on several factors; Firstly, the program was supported by the Aboriginal community members. They contributed and involved in the program themselves. Their contribution linked directly to the ongoing process of change and dietary improvement. Aboriginal people controlled and managed the community-based plans which made it sustainable and successful by lowering biochemical and behavioural risk factors for diabetes and cardiovascular diseases. This program helped Aboriginal people to have a better knowledge of the importance of diet and physical activity in prevention and self-management of diabetes. Secondly, the commitment of the community members, council members, workers, store managers and academic
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...
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...
Wang, Z., Hoy, W. E., & Si, D. (2010). Incidence of type 2 diabetes in aboriginal australians: An 11-year prospective cohort study. BMC Public Health, 10(1), 487-487. doi:10.1186/1471-2458-10-487
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
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...
Hampton, R. & Toombs, M. (2013). Indigenous Australians and health. Oxford University Press, South Melbourne.
Discussion Ancient Aboriginals were the first people to set foot on the Australian continent, over 40,000 years or more before colonization (Eckermann, 2010). They survived by hunting and gathering their food, worshipping the land to protect its resources, and ensuring their survival. The aboriginal community has adapted to the environment, building a strong framework of social, cultural, and spiritual beliefs (Eckermann, 2010). Colonisation of Australia began in 1788, when Englishman Captain Cook claimed the land as an empty, uninhabited, continent giving it the classification Terra Nullius and leaving it open to colonization. Eckermann (2010), stated that the English failed to recognise the aboriginal tribes as civilized, co-inhibiters of the land, feeling they had no right to a claim.
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.
Wakerman J, Tragenza J, Warchivker I (1999) Review of health services in the Kutjungka Region of WA. Perth: Office of Aboriginal Health, Health Department of Western Australia
The authors describe Indigenous perspectives on health and well-being based on Aboriginal and Torres Strait Islander people’s historical and cultural backgrounds. In the Indigenous culture, health comprises not just physical and mental health, but emotional well-being, social and environmental factors as well. Moreover, this holistic approach to health is most associated with their cultural and spiritual dimension. For instance, it is important to maintain their physical and cultural connection to traditional lands as well
The Canadian Food Guide1 is an important health promotion tool, as long as it is adapted to the sociocultural context in which it is used. This is crucial for the First Nations, which are struggling with health problems related to nutrition and whose traditional eating habits must be taken into account2. Drawing deeply into their values and culture, Atikamekw health services have developed their own Food Guide (AFG) in 1998. For ten years, it was the main tool used by health workers to teach basic principles of healthy eating.
Minore, B., Boone, M., Katt, M., Kinch, P., & Birch, S. (2004). Addressing the realties of health care in northern aboriginal communities through participatory action research. Journal Of Interprofessional Care, 18(4), 360-368. doi:10.1080/13561820400011784
American Diabetes Association, “Native Americans and Diabetes”; available from http://www.diabetes.org/communityprograms-and-localevents/nativeamericans.jsp; Internet; accessed 11 November 2004.
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.
The Aboriginal people of Australia were here thousands of years before European settlement and we forced them to adapt to the changes of environment around them. This change might be for better or worse, but we will never find out. But with the European settlement came the birth of industry, agriculture, forestry, fishing, mining, manufacture, electricity, gas and water just to name a few.