Threat To The Health Of Indigenous Australians

Throughout the early 20th century, the Australian public was led to believe that Aboriginal children were disadvantaged in their communities, and that there was a high risk of physical and sexual abuse. Aboriginal children were being removed in order to be exposed to ‘Anglo values’ and ‘work habits’ with a view to them being employed by colonial settlers, and to stop their parents, families and communities from passing on their culture, language and identity

As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social

Education is fundamental to growth, the growth of the individual, and the growth of a nation. Anthropologically this can be seen from the earliest of developments of human societies where practices emerge to ensure the passing of accumulated knowledge from one generation to the next. In the centuries since the invasion and colonisation of Australia in 1788, colonist authorities and governments have dominated the making of policies regarding most major aspects of Australian life, including the lives of Indigenous Australians. The enactment of these policies and legislation, whether targeted at society as a whole or directly at education, has had significant and most often negative causal impact on Aboriginal and Torres Strait Islander peoples, resulting in not only poor educational outcomes, but the loss of cultural identity, the development of serious issues in health and wellbeing, and the restriction of growth of Aboriginal communities. Moreover, there has been an ongoing pattern of the adoption of ill-informed policies in Australia, resulting in these poor outcomes and cultural decimation. Aboriginal people have developed a wariness, a mistrust, and even an attitude of avoidance to engage with non-Indigenous officials and those who they associate as their representatives, i.e. personnel working within

This paper will examine the healthcare of Indigenous Australian peoples compared to non-indigenous Australians. The life expectancy gaps between the two are a cause for alarm when statistics show Indigenous Australian peoples die on average 17 years earlier than non-indigenous Australians (Dick 2017). This paper will examine the social determinants of health to explore these factors and what interventions are in place to improve health status and life expectancy gaps for equality. The Federal Government has seen the implementation of the Northern Territory Intervention and the Closing the Gap Initiative. This essay will examine these two strategies and discuss the effectiveness of both policies. It will explain the differences, similarities and look at the success so far to

Further, low income, unemployment, racism, lack of education further deteriorate their quality-of-life and well-being (Carson, Dunbar, Chenhall, & Bailie, 2007). Therefore “closing the gap” on indigenous disadvantage is crucial for archive equality in life expectancy, health status, education and employment between indigenous and non-indigenous Australians (Black & Richards, 2009).

The racism that goes on around Australia has a very serious impact on Indigenous Australians; this impact is the gap in the life expectancy between Indigenous and Non-Indigenous Australians. Life expectancy for native Australians is in comparison with third world countries with the probability of death being around 20 years lower than other Australians, which has increased since 1997 (Kim 2007). The life of Indigenous Australian 's is short-lived compared to other Australians as 66% of the deaths of native Australians were before the age of 65 (Australian Institute of Health and Welfare 2011). The life expectancy for non-indigenous Australian 's is 75 for males and 81 for females. The life expectancy for Indigenous Australian 's has been the same since the 1900’s with the life expectancy of males being 56 and females 61 (Human Rights and Equal Opportunity Commission 2001). The gap in life probability between

The poor health position of Indigenous Australians is a contemporary reflection of their historical treatment as Australia’s traditional owners. This treatment has led to Indigenous Australians experiencing social disadvantages, significantly low socio-economic status, dispossession, poverty and powerlessness as a direct result of the institutionalised racism inherent in contemporary Australian society.

The Assimilation policy (1961) has impacted on Indigenous Australians within their physical and mental state and identity present in today’s society. Australia is commonly considered to be free and fair in their culturally diverse societies, but when the Indigenous population is closer looked into, it is clear that from a social and economical view their health needs are disadvantaged compared to non-Indigenous equals. In relation to this, the present Indigenous health is being impacted by disadvantages of education, employment, income and health status. Even urban Indigenous residents are being affected just as much as those residing in remote and rural areas of Australia.

Human rights are the rights of humans, regardless of nationality, gender, race, or religion. We should all have this in common as we are all part of humanity. However, Indigenous people did not always have these rights (Ag.gov.au, 2015). Aside from basic human rights, Indigenous people also have their own rights specific to their culture. Before 1967, Indigenous people had different rights in different states and the Australian federal government did not have any jurisdiction over Aboriginal affairs until Australia’s constitution was amended for this purpose in 1967 (Moadoph.gov.au, 2015). Between 1900 and the present time, there have been significant changes to the rights of Indigenous Australians. The effects of the European Settlement on the Indigenous people of Australia have been devastating. When white people began arriving in Australia, the Aboriginal people believed them to be ghosts of ancestor spirits. However, once they realised the settlers were invading their land, the Aborigines became, understandably, hostile (Slater & Parish, 1999, pp.8-11). In 1788, the total Indigenous population was believed to be between 750,000 and one million. By 1888, the Indigenous population was reduced to around 80,000 Australia wide (Korff, 2014). The three main reasons for this dramatic decline were the introduction of new diseases, violent conflicts with the colonisers, and settlers acquiring Indigenous land (Digital, 2015). In 1848, the Board of National Education stated that it

As a result, illnesses such as tuberculosis, small pox, and measles went uncured which led to the death of many Indigenous students (The Truth and Reconciliation Commission, 2012). This was illustrated in Wenjack where it is mentioned how Chanie had developed a lung infection, tuberculosis, which he had failed to receive treatment for. It is noted by Boyden (2016) that “tuberculosis and similar diseases had taken thousands of Indian children’s lives” (p. 11). The Truth and Reconciliation Commission (2012) state how the high mortality rates of students caused devastation within families hoping their children would return home. As a result, they spent their lives grieving never knowing how their child died or where their body was placed. Thus, it is no surprise that the statistics demonstrate that the Aboriginal population has higher rates of premature death (Pederson et al., date). Unfortunately, neglect in Aboriginal’s health care still continues to occur to this day. In particular, Pederson et al. (date) mentions how poor economic and social conditions in the Indigenous community exist which contribute to these individuals viewing their health status as low. Additionally, the neglect in this population has resulted in a reduction in their social determinants of health. For instance, Pederson et al. (date) recognize how physical neglect has resulted in “poverty, poor housing and substance abuse” (p. 297). As a result of being neglected, the Aboriginal population is continuing to suffer which further leads to consequences in their health. Thus, Wenjack enables the reader to acknowledge how neglect continues to play a role in harming the lives on the Aboriginal

Colonialism has contributed to multiple issues in the lives of Aboriginal people including inadequate housing and clean resources on Aboriginal reserves. One significant outcome is health problems reserve residents face, including a lower life expectancy and higher mortality rate. “For Aboriginal men on reserve, life expectancy is 67.1 years, while off reserve it’s 72. 1, compared to 76 years for the general population of Canada. For Aboriginal women, it is 73.1, 77.7, and 81.5 respectively” (Frohlich et al. 134). Additionally, more than 50% of off reserve Aboriginal people have at least one chronic condition (Frohlich et al.). Reserves stem from the colonial era, where Aboriginal people were displaced by the government and are a continuous symbol of oppression.

What might explain these statistics, or at least serve as correlations, are the determinants of health. If the reader is not familiar with the determinants of health, the World Health Organisation (WHO) provides an explanation of them. In essence, these health determinants are factors that have significant impact upon one’s health. The main determinants for health are: socioeconomic status, where the rich and upper classes tend to be healthier; education, where low education is linked to stress, lower self-esteem and poorer health choices; environment, where purer air, cleaner water, healthier workplaces and better housing contribute to being healthier; health services, where access to services and proper equipment all contribute to health; as well as gender, genetics, culture and social behaviour (WHO, 2016). As there are so health determinants, where essays can be written on one alone, it is not within the scope of this essay to critically analyse each determinant for Indigenous Australians. With this in mind, the Australian Institute of Health and Welfare (2014) documents an extensive list of data for Indigenous health, most of which discusses issues which are out-of-scope for this analysis. What is relevant, however, is outlined next. Across the board, in 2011, the Indigenous population was younger than the non-Indigenous population due to high fertility and mortality rates with those

In Australia, many Indigenous communities operate at a social order insufficiency, where negative social norms such as binge drinking and welfare dependency have resulted in an ongoing cycle of poverty, domestic violence, child abuse and neglect, high levels of illness and mortality (Wieland & Heazlewood, 2008). Indigenous children residing in these communities are exposed to socioeconomic disadvantage that contribute to lower educational attainment and poor health (Australia Bureau of Statistics, 2008). An example of such community is Cape York, a vast region of 150000 square kilometres, located in the Far North Queensland (Bound for Success, 2012).

60% of aboriginal children are significantly behind non-indigenous Australians by the time they start years one. Only 40% of aboriginal children stay at school through to year twelve. Causes of this include language because English is their second language, inappropriate context; material being taught does not relate to the aboriginals lives. Over crowed house where aboriginal children cannot learn to do homework is a big factor in them being behind in education.

Throughout the twentieth Century, Australian governments have implemented policies designed to protect, segregate and assimilate Indigenous people. In New South Wales, these policies have sought to marginalise, de-humanise and dominate Indigenous communities and have strongly influenced the delivery of education. Education, throughout the policies of protection and segregation, was strongly influenced by non-indigenous ideals. Education was limiting, culturally irrelevant and modified to enhance their capabilities in domestic and labour intensive occupations. This notion of education had a negative impact when implemented, and continues to leave a lasting legacy for Indigenous education in Australia.