It is acknowledged in Closing the gap clearinghouse that Australia’s Aboriginal and Torres Strait Islander population experience significant levels of health inequality when compared to non-Indigenous Australians across many sectors (Baum et al. 2013, p. 2). This disparity is prominently evident through discordance in the Australian Bureau of Statistics’ (ABS) data concerning Indigenous health, as well as many other literature, and is contributed to by many interconnected and interdependent social determinants of health negatively affecting this minority. The focal point of this research has been identifying the main ‘upstream’ social determinants – also referred to as ‘distal’ determinants – and thoroughly investigating their impact on Indigenous health. This issuing will examine and link the following distal determinants as the primary causes for the existing intolerable state of Aboriginal and Torres Strait Islander health today: In its Definitions, the Centre for Disease Control and Prevention (CDCP 2014) defines social determinants of health as the ‘key contributors to the living circumstances, quality of life and, …show more content…
Regarding Aboriginal and Torres Strait Islander people, such a protective factor can moderate the impact of stressful social adversities on an individual, family and community level (AIHW 2014). Therefore, the disintegration of this factor leads to loneliness and lack of social support which explains the higher rates of psychological distress such as depression and anxiety among Indigenous communities (Australian Government Department of Human Rights Commission 2014). Petrol sniffing, excessive smoking and alcohol consumption are examples of health risk behaviours which have derived from these conditions and account for the higher rates of respiratory and kidney disease compared to the rest of the non-Indigenous Australian population (ABS
Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . 2018. Social and Cultural Determinants of Indigenous Health - Australian Government Department of Health - Citizen Space . [ONLINE] Available at: https://consultations.health.gov.au/indigenous-health/determinants/. [Accessed 14 April
Among Aboriginal peoples, there are a number of similar historical and contemporary social determinants that have shaped the health and well-being of individuals, families, communities and nations. Historically, the ancestors of all three Aboriginal groups underwent colonisation and the imposition of colonial institutions, systems, as well as lifestyle disruption. However, distinctions in the origin, form and impact of those social determinants, as well as the distinct peoples involved, must also be considered if health interventions are to be successful. For example, while the mechanisms and impact of colonisation as well as historic and neo-colonialism are similar among all Aboriginal groups. The contemporary outcome of the colonial process
Indigenous cultures in Australia are characterised by extensive diversity, comprising numerous kinship networks and language groups. These cultural traditions have developed over millennia, showcasing adaptive responses to various environmental contexts. Torres Strait Islanders are separate people with distinct identities and cultures (National Aboriginal and Torres Strait Islander Health Plan 2021–2031). Studying the social determinants of health for Indigenous Australian peoples in modules one and two has broadened my understanding of the complexities surrounding Indigenous health disparities. In Australia, the health status of Indigenous peoples is deeply intertwined with various social determinants, influencing their well-being and outcomes.
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
“Health inequities are systematic differences in the health status of different population groups” (World Health Organisation 2018). Some common health inequities faced by Aboriginal and Torres Strait Islanders include; a lower life expectancy, a higher risk of chronic diseases, limited access to health care, a
Inequality in health is one of the most controversial topics within Australian Health Care. Inequality in relation to health is defined as being “differences in health status or in the distribution of health determinants between different population groups” (World Health Organization, 2012). Within Australia inequality affects a wide range of population groups; however Indigenous Australians are most widely affected therefore this paper will focus on how inequality has impacted their health. Research shows that Australia’s Indigenous people suffer from a multitude of social and economic inequalities such as inadequate access to nutritious food and health care, being socially and
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
“Aboriginal & Torres Strait Islander people have a greater amount of disadvantage and significantly more health problems than the non-Aboriginal & Torres strait Islander population in Australia”
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
C. (2009). Is ‘Close the Gap useful approach to improving the health and wellbeing of Indigenous Australians?. Australian Review of Public Affairs, 9(2), 1-13.
The inability to make and prolong relationships leads to a sense of isolation, and contributes to poor mental health and depression. Hospitalisation rates for self-harm are representative of mental illness, depression and stress – and in 2006, Indigenous Australians were 3 times more likely to be hospitalized for severe self-harm than other Australians. In 2011, 80% of suicides of the ages 19 to 24 were
This is helping in tackling the increasing cases of chronic diseases among Aboriginal populations leading to reduced burden of disease, increased quality life years and reduced mortality rates. Furthermore, increased allocation of resources to resources to primary healthcare and ensuring better access have offset some of the negative impacts of socioeconomic disadvantage and inequality (Hurley et al. 2010). Proposals for additional
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.
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