Social determinants of health influence a wide range of health conditions, health behaviors and management. As a result of colonization, systematic racism and discrimination; many Aboriginal peoples are disadvantaged by having limited access to the resources and conditions necessary for health care. Aboriginal people in Canada face higher rates of unemployment, limited economic opportunities, poor housing, and lower educational attainment than non-Aboriginal peoples (Reading 2009). This translates to poverty which influences access to material resources such as nutrient rich foods that can lead to diabetes (Appiah-kubi 2015) as well as available resources to manage diabetes and its complications. Education level, employment and income influence …show more content…
Stress and Diabetes
Aboriginal peoples have very stressful and traumatic lives originating from the history of colonization. Colonialism is both a health determinant and a key influence on other health determinants that make it more difficult to maintain optimum health due to limited opportunities and resources (Nelson 2012).
In Aboriginal peoples, stressful experiences arise from coping with conditions of insecure employment, low income, poor housing quality, food insecurity, and discrimination due to Aboriginal status, disability or gender (Mikkonen and Raphael 2010). Discrimination is a key social stressor commonly experienced by Aboriginal people and the continuous stress from these factors weaken the resistance to diseases and may increase vulnerability and progression to diabetes through physiological, psychological and behavioral pathways (Dyck et al. 2015). Therefore, stress can be diabetogenic via endocrine mechanisms causing chromosomal damage (Dyck et al. 2015) and subsequently influences the rates and progression of diabetes among poor and vulnerable populations (Bird et al. 2015). Thus, many Aboriginal people who live in poor communities with low financial security are more likely to develop diabetes, and in most cases, they lack access to resources to help them properly manage their disease thereby increasing stress, anxiety and diabetic
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Therefore, Aboriginal women do not require only physical management of diabetes and its complications but also emotional and psychological support so that they are empowered, confident and hopeful that they can manage the diabetic condition and will not go blind or experience other diabetes complications. Therefore, using the medicine wheel as a framework for this study will holistically address diabetic retinopathy and eye care behavior in the context of the physical, mental, emotional and spiritual health of Aboriginal
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
Kirmayer, Sehdev, Whitley, Dandeneau, & Isaac (2009), suggested that a culture-centered approach to resilience is better as a community process, rather than an individual struggle. In this article, the focus is on the Aboriginal people and resilience. The authors warned that resilience should not be used as an all-inclusive term to fix everything, but instead be used as a component of overall wellness in a community. A key strength of the wellness framework is that it is “culturally relative” and each person can define his or her pathway (Newman & Newman, 2012). The road to wellness and resilience is challenging due to the many factors influencing success. External influences can affect how an individual copes with certain situations and it can be detrimental if they have no external support. However, when excellent support is offered, it is more likely that an individual or community can effectively cope. Nevid & Rathus (2010) define acculturative stress as the feelings of tensions and anxiety that comes with trying to adapt to the dominant culture. This can lead to feelings of ambiguity in personal identity and can lead to further
Social determinants of health are the conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions of daily life. These focuses and systems include economic policies and systems, development agendas, social norms, social policies and political systems. (WHO, 2016). In the video, various social determinants of health were being portrayed. They include aboriginal status; how aboriginal people are treated and how this treatment contributes to the economic status and health status of aboriginal people. Education, as aboriginal schools receive less funding from the government. Housing, as aboriginal people are forced to live in unsuitable reserves. Social exclusion and social safety net as aboriginal people are excluded from society. The social determinants of health are what contributes to the attributes of social justice. This problem also led to a larger and broader issue in society that includes the attributes of social justice. Social justice problems such as human and civil rights that includes sexism and racism. Equity in which the distribution of society’s wealth is not distributed fairly and results aboriginal people receive less of society’s wealth. Equity refers to fair shares. (CNA, 2010). It also leads to poverty as they experience lack of access to basic needs such as food, water, clothing and shelter. It also led to higher suicide rates and increase rate of aboriginal people in federal prisons. It also contributes to many health issues such as 42% of aboriginal children lack dental care, tuberculous rate four times higher and diabetics rate three times higher. Most of all it has led
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
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.
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
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...
Saggers, S., & Walter, M. (2007). Poverty and social class. In Bailie, Carson, Chanhall + Dunbar Social determinants of indigenous health. Crows Nest, N.S.W.: Allen & Unwin.
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...
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
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).
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.
Ed. Shelagh Rogers, Mike DeGagné, Jonathan Dewar, and Glen Lowry. Ottawa, Ont.: Aboriginal Healing Foundation, 2006. Print.
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.
Overall the colonization of Australian is a major health determinant for Indigenous Australians in many ways. Many Indigenous Australians are still being affected by the invasion and are trying to live life in a new way to what they are accustomed to. The colonization led to many deaths, diseases, wars, violence and lifestyle changes which will all continue to make life difficult for the Indigenous.