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Social determinants of health and social class
Social determinants of health and social class
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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.
Aboriginal and Torres Strait Islanders have a lower life expectancy than the rest of the Australian population. In 2010 the life expectancy for Indigenous Australian men was 69.1 years and 73.7 years for women (ABS, 2010). Figured taken in 2010-2012 show that the life expectancy of aboriginal men is 10.6 years below the non-indigenous male and for the indigenous females it is 9.5 years below the non-indigenous females (ABS, 2010-2012).
Poor living conditions are a major health determinant throughout the indigenous population. Most Indigenous Australians are known to live in rural parts of Australia which are commonly not close to major cities and services. People living in these areas generally have poorer health than others living in the cities and other parts of Australia. These individuals do not have as much access to health services and good quality housing. In 2006 roughly 14% of indigenous households in Australia were overcrowded unlike 5% of other households (AIHW, 2009a). Overcrowded and poor quality houses are commonly associated with poor physical and mental health between the people living in them. The indigenous are n...
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...s a way of coping with bad memories and changes in culture (Reser, 1991). Many Indigenous are still being affected by the events which unfolded long ago. Alcohol is consumed by many who are known to have mental disorders. Depression is a major issue within the aboriginal population with many suffering with factors like grief, shame, worry, homesickness, and anger due to the colonization and the way it has changed their everyday life, culture and environment (Reser).
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.
To begin with, once the policy of assimilation came into effect, Aboriginals were subject to a new environment, resulting in the loss of their culture. It is due to this, that the rates of suicide for First Na...
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...
Aboriginal and Torres Strait Islanders have some of the worst health outcomes in comparison to any other indigenous community in the world (AIHW, 2011). According to United Nations official Anand Grover, Aboriginal health conditions are even worse than some Third World countries (Arup & Sharp, 2009), which is astonishing, considering Australia is one of the worlds wealthiest countries. Thoroughly identifying the causes and analysing every aspect behind poor health of indigenous Australians, and Australian health in general, is near impossible due to the complexity and abundant layers of this issue. Even within the category of social determinants, it is hard to distinguish just one factor, due to so many which interrelate and correspond with each other. The aim of this essay is to firstly identify and analyse components of the social determinants of health that impact the wellbeing of Aboriginals and Torres Strait Islanders, and demonstrate how they overlap with each other. By analysing the inequalities in health of Aboriginal and non-indigenous Australians, positive health interventions will then be addressed. Racism and the consequences it has on Indigenous health and wellbeing will be discussed, followed by an analysis of how and why social class and status is considered a determining factor when studying the health of the Aboriginal population. The issue relating ...
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...
According to Australian indigenous website, healthinfoNet, in 2010-2012 life expectancy of indigenous people were 69 years which is 11 years less than the 80 years expected for the non- indigenous men and women. Moreover, the life expectancy for native women was 73 years, during 2010-2012, which is 9.5 years less than the expectation of 83 years for non-Indigenous women. The reason for decreased health can be due to deficiencies in water supply, sanitation and lack of proper medical services.
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
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).
In addition there needs to be an understanding to the relationships towards the Aboriginal and Torres Strait Islanders health and well-being. These include the historical context and legacy which lies within the Aboriginal and Torres Strait Islanders history and the future uncertainty the Aboriginal and Torres Strait Islanders face towards the unresolved issues that have contributed to the decline in health and well-being of the Aboriginal and Torres Strait Islander community. (Dudgeon et al.)
One of the biggest issues effecting Indigenous Australians is inequality, this negative one-sided view has led to many young Aboriginals leading a life of social disparity.
Many of the parents faced great grief from having their children taken away from them. as a result of this grief many parents turned to alcohol as a way of coping with the grief. Furthermore, the removal of several generations of children caused a massive disruption in the aboriginal oral culture, and as a result much of the cultural knowledge was lost. So from this we can see that these assimilation policies greatly changed the lives of many aboriginals. It caused much heart ache and pain not only for the families effected but for the greater aboriginal community as a whole. The assimilation policy failed in its attempt of improving the life of the Aboriginals. The main reason for this was because of the contradictory logic behind the assimilation. It expected the Aboriginals to take responsibility for becoming the same as white, but never gave them the same opportunities. Regardless of the governments efforts to assimilate the Aboriginals, they were never accepted as equals in a society that still considered them as a lesser race. The constant belief in the inferiority of the Aboriginal people and their traditions weakened the assimilation policy which ultimately lead to its failure. The effects of the assimilation policies are still prevalent today in the Aboriginal communities.
Statistics Canada reports that in 2017, the predicted life expectancy for the total Canadian population is projected to be 79 years for men and 83 years for women. Among the Aboriginal Population, the Inuit have the lowest life expectancy of 64 years for men and 73 years for women. Metis and First Nations people have a life expectancy of 73-74 years for men and 78-80 years for women.( 2015-11-30) There is a five to fifteen years life expectancy difference for men and three to ten years life expectancy difference for women when comparing aboriginal and general populations. This indicates that the health of first nation’s people is well below that of the general population. The socio-economic factors of living on a reserve like poor housing,contaminated
0.8% of the overall Federal health expenditure in 2009 which was spent on Aboriginal health. The overall wellbeing of an individual is more than just being free from disease. It is about their social, emotional, spiritual, physiological as well as the physical prosperity. Indigenous health issues are all around us, but we don’t recognise because it doesn’t affect us, but this issue is a concern to Indigenous Australia and also to modern day Catholics in Australia The statistics relating to Indigenous health is inexcusable, life expectancy is at an all time low, higher hospilatisation for avoidable diseases, alerting rates of deaths from diabetes and kidney disease. This issue is bigger than we all think, for example 13% of Indigenous homes
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.
Not only did the students experience emotional, physical, and sexual abuse, the mental trauma that comes along with those experiences last a lifetime. To help cope with what the Indigenous people had gone through, turning to substance abuse was one of the ways that a majority of the Indigenous population turned to (Mcquaid et al. 2017, 424). According to Statistics Canada in 2015, about forty percent of Indigenous people who between the ages of 12 to 24 drank heavily every day, and about thirty five percent of Indigenous people who are aged 25 to 44 drank heavily every day. Mass trauma is what the Indigenous cultures endured, and according to Elias, B et al. (2012), there is a direct correlation between historical trauma, such as the residential schools, and intergenerational trauma and grief, such as having parents, grandparents, or caretakers who attended the schools and experiencing their trauma through them, and higher suicide and mental illness rates.
The Aboriginal and Torres Strait Islander peoples have been the first nations, which represented the whole Australian population, for centuries. However, the continuous European colonization has severely affected these peoples and, over the decades, their unique values and cultures, which enriched the life of Australian nation and communities, were not respected and discriminated by numerous restrictive policies. As a result, Aboriginal and Torres Strait Islander peoples have turned into the voiceless minority of the Australian population. Fortunately, in recent years, these issues became the concern of the Australian government, promoting a slight improvement in the well being of native Australians. Nowadays, there are numerous social work