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Why Indigenous people in Australia are still disadvantaged in 2019 regarding health and community services
Disparities in the health of Indigenous and non-Indigenous Australians
Disparities in the health of Indigenous and non-Indigenous Australians
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Recommended: Why Indigenous people in Australia are still disadvantaged in 2019 regarding health and community services
Rural Area: Australia’s rural and remote populations have poorer health than metropolitan areas. They have higher mortality rates and consequently lower life expectancy. They also experience higher hospitalisations rates for some causes of ill health. Rural areas do not always have the same opportunities for good health as those living in major cities such as access to goods and services, educational and employment opportunities and income. Australia’s Indigenous population continues to experience much poorer health than other Australians. Trafalgar has a population of 25 Indigenous People in town (Trafalgar Local Stats, 2015). Aboriginal and Torres Strait Islander people experience around a five times greater vascular disease burden than other Australians. Trafalgar does not offer any Aboriginal services in town (although are in surrounding towns). No services may affect the Indigenous Australians health as they may not feel culturally safe at other health services, therefore avoiding health services that they may need. …show more content…
Trafalgar being in a rural area also can contribute to the severity of CVD as ambulance drives usually take longer to reach people in crisis instead of metropolitan areas. Risk-taking behaviors are also known to be more prevalent in the rural areas, with more rural people drinking at risky levels, be more likely to smoke and be more inclined to be overweight and unfit which can also contribute to CVD as these are all risk factors (Hunt, R, 2013). Rural areas may also experience worse cardiovascular health as there is unpredictable socioeconomic and ecological circumstances, ageing communities (as there is a migration of young people to cities for education and work) and deceasing public orgainisations (e.g. health services closures) (Smith,
“Health is the state of complete physical, mental, social and intellectual well-beings not merely an absence of disease”(WHO,1998).Good health is essential in life as people’s career will be affected if they fall ill.. In the developed countries like Australia, People who are not involved in the healthy lifestyle are suffering from a range of health disorders like overweight, high blood pressure, obese, heart diseases, obesity, diabetes, high cholesterol, kidney problems, liver disorders and so many. To overcome these health issues Australian government introduced health care system. This essay will firstly, discuss the Australian health care system and secondly, compare Australia with other countries around the world in relation to different consideration on health.
... 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.
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.
Australia is one of the healthiest countries in the world. With the remarkable availability of best facilities in the world in
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
Lynch, J. W. (1996). Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause morality, cariovascular mortality, and acute mycardial infarction? American Journal of Epidemiology, 144 (10), 934-942.
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.
People living in rural areas are experiencing highly limited excess to health care facilities either because they are not aware of the disease symptoms as a result of low education level or because the treatment is not available for them. In addition, rural population tend to smoke and drink more than others which has an extremely negative impact on their health status demonstrated by higher mortality and morbidity rates than that of the population living in the major cities (Beard et al., 2009). the mortality rate in regional areas of Australia are 1.05-1.15 times, and in remote areas 1.2-1.2 times those in major cities (Phillips, 2009).
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 health of individuals and populations is influenced and determined by many factors acting in various combinations. Healthiness, disease, disability and, ultimately, death are seen as the result of … human biology, lifestyle and environmental (e.g. social) factors…” (Mary Louise Fleming, 2009) There are many unchangeable contributing factors that play a role in a person’s health condition, this can be anything from the gender and location that they were born into, to genetic impairments and the lifestyle that their parents raised them in or even government policies; but for as many unchangeable factors, there are also changeable factors. In Mr. A’s case he was born from Pacific Islander descent, therefore it can be assumed that he was born into an obese family with little money, and was raised in poorer living conditions than the average Australian. Due to this, his health is expected to be worse that the average Australian because his social determinants make it so. He is now a full-grown man with a family, but still lives in problematic conditions due to his upbringing and culture along with the minimal to no levels of prevention shown. There are many risk factors that have affected Mr. A’s health due to the social determinants that he has been faced with such as obesity, type 2 diabetes, arthritis, etc. There are also upstream and downstream factors affecting his health, “While upstream and midstream determinants influence the type, likelihood, number and severity of diseases that affect a person, downstream inequities come into play when a person becomes ill.” (AMA, 2007). These factors have had a major role in the result of his heart attack. Finally, his level of prevention exhibited is a key aspect on how much of an eff...
Because rural environments are not as densely populated as urban ones, public services are not as readily available. This requires people to find other means of getting where they need to go and also effects the way they take care of themselves in regards to health. When asked about how she was effected by the lack of healthcare and transportation, my first interviewee stated that it is a constant struggle for her. She said that because she does not work she cannot afford a car to get around with. She said it makes things especially hard when trying to get groceries. She tries to ride to town with some of her friends whenever possible, but if she cannot find a ride she has to walk where she needs to go. She said the lack of healthcare and transportation was a big problem when her husband had a heart attack. She said they had to bring in the helicopter to get him to the hospital in time and it came with a large bill that she doesn’t know how they are going to be able to pay. The second person I interviewed said that the lack of transportation required him to buy a vehicle. He said it was expensive; however, due to where he lives he has to have a four wheel drive to get down his road. He said that he has to drive over an hour to get him and his family to regular doctor and dentist appointments. Because of the lack of access to
Contextually, Aboriginals have been failed by their government through flawed policy and health program mismanagement (Jull & Giles, 2012). There are often discrepancies in health program policy and coverage depending on the “status” of the individual and differing responses of provinces and territories to the policies; resulting in many Aboriginals not being covered for a variety of medical treatments that other populations would be covered for (Jull & Giles, 2012). To illustrate, Jordan River Anderson, a young Aboriginal boy who had been hospitalized for two years, had been waiting to return to return home, while the provincial and federal government disputed who would cover the cost of homecare (Jull & Giles, 2012). Unfortunately, the slow response of the governments resulted in Jordan passing away before he could return home (Jull & Giles, 2012). The location of many reserves where the majority of populations live can also become a factor when it comes to accessing health care. This is a result of many reserves being located long distances from more advanced health care facilities in urbanized areas (Snyder & Wilson, 2012). Not only is the commute hard financially and mentally for the remote Aboriginal population, but the actual facilities themselves pose many barriers to their
The health of an individual and their communities is affected by several elements which combine together. Whether an individual is healthy or not, is determined by their circumstances and environment.1 To a greater extent, factors such as where an individual lives, their relationships with family and friends, the state of their environment, income, genetics and level of education all have significant impacts on health, however the more frequently considered factors such as access and use of health care facilities regularly have less of an impact.6 Determinants of health is a term which was introduced in the 1970s as part of a broader analysis of research and policy on public health. Researchers argued that there was a lot of attention and too much expenditure on health being dedicated to individuals and their illnesses, and little or no investment in populations and their health. It was decided that public health should be more concerned with social policies and social determinants than with health facilities and the outcomes of diseases.7 The determinants of health include social and economic environment, physical environment and an individual’s behaviour and characteristics. The environment of an individual determines their health, holding responsible an individual for having poor health or acknowledging them for good health is inappropriate. Individuals are not likely to be able to control several of the determinants of health. These determinants that make individuals healthy or not include the factors above, and numerous others.6
Geography and the American rural areas have posed a problem when receiving adequate care. “One-fourth of the U.S. population lives in rural areas” (Sylvan, 2013). In comparison to the urban areas, rural occupants have a much higher poverty rate, including more elderly resulting in poorer health and people facing difficulty getting to health services. Primary care is directly aff...
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