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
The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.
It is well studied by health authorities that the current health statistics of the Indigenous population today are clearly reflected on their health status, due to the impacts of the colonisation process. The relating problems associated with this have resulted in destructive families and communities. It is unquestionable that Indigenous Australians were adapted to the environment in which people lived and had control on every feature of their life during the colonisation period. According to ‘The Deplorable State of Aboriginal Ill Health, Chapter 1’ (2014), studies that show that numerous infectious diseases; such as, smallpox and the flu, were not present in the pre-invasion period. It is also shown that lifestyle diseases such as high BP, diabetes and heart diseases were not known to exist.
Aboriginal health standards are so low today that all most half aboriginal men and a third of the women die before they are 45. Aboriginal people can expect to live 20 years less than non-indigenous Australians. Aboriginals generally suffer from more health problem and are more likely to suffer from diabetes, liver disease and glaucoma. The causes of their poor health and low life expectancy are poverty, poor nutrition, poor housing, dispossession of their traditional land, low education level, high unemployment, drug and substance use, unsafe sex, limited health care and diseases.
How we define health differs to how Indigenous Australians define health. The World Health Organisation defines health as “not only the absence of infirmity and disease but also a state of physical, mental and social well-being” (WHO, 1946) However, the National Aboriginal Health Strategy Working Party (1989)
According to Vass, Mitchell, and Dhurrkay (2011), the incidence of chronic diseases such as type 2 diabetes, renal disease, cardiovascular disease and chronic obstructive airway disease among Indigenous Australians is quite significant. In addition, the presence of mental health conditions and infectious diseases such as scabies, skin infections and rheumatic fever has also attributed considerably to the disease burden (Vass, et al, 2011). As a disability support worker, I had the opportunity to look after indigenous clients. With my experience working with them, it shed some light on me with how they value their culture and gave me an insight on their view about health concerning issues. I had my misconceptions about how aboriginal people
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
Imagine having your identity and culture stripped away from you. This is what has happened to many Indigenous people throughout history in Canada. This has been done through the process of colonization. There are many devastating impacts of colonization that has affected Indigenous people all over Canada including racism and stereotyping as well as the downfall of the health of Indigenous people. Racism against Indigenous people has been a major impact of colonialism throughout the years. The racism and institutionalized racism has grown over the years and has made it complicated for many Indigenous people to practice their spirituality and culture. There are also many health consequences of colonization including starvation, disease, mental illness and addiction. There are many impacts of colonization that have affected Indigenous people throughout history and continue to impact them today.
“The status of Indigenous health in contemporary Australia is a result of historic factors as well as contemporary socio-economic issues” (Hampton & Toombs, 2013, p. 1).
Marmot, M. (2011). Social determinants and the health of Indigenous Australians. Med J Aust, 194(10),
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
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.
Many of the inequalities in the health of the Aboriginal people can be attributed to the
Colonialism in Australia places a detrimental threat to the health of Indigenous Australians. Inherent in colonialism were scientific racisms, institutional racism and structural violence. These factors continues to persist in the fabric of Australian society today and limits the life chances of Indigenous Australians. This essay illuminates colonialism as a major contributor to the social marginalisation and low socioeconomic status experienced by indigenous Australian. An analysis of Aboriginal infant mortality rate, a health indicator highlights the difference between biomedical and sociological approach and the embedded negative impact of social marginalisation and low socioeconomic status on the health of Indigenous Australians. The
The Aboriginals also known as the Indigenous people are the first people’s inhabitants of mainland Australia (WIKIPEDIA). Historically, Aboriginals enjoyed better health before any invasions from non-Indigenous peoples. They didn’t suffer from any major illnesses though they did have other type of health issues, but their life was happier and content. Everything started to change after 1788 when non-Indigenous people introduced illnesses where the mortality rate of Aboriginals population started to increase, and this affected their life and the community (http://www.healthinfonet.ecu.edu.au/health-facts/overviews/the-context-of-indigenous-health). There are various factors that contribute to the poor health status of Indigenous people, and this is part of the social determinants of health which should been seen in a broader context (1)(2). Factors such as employment, income, stress, gender, education, behavioral aspects, working and living conditions, social networks and support, are interrelated and complex, and are part of the social
Due to colonisation the Aboriginal languages declined, from over 250 different languages spoken, today around 6Loss of land and culture affected Aboriginal people physically, mentally and spiritually. Losing the connection to their land also meant the loss of their hunter-gatherer lifestyle making traditional ceremonies meaningless. When tribes split up people began to lose their purpose and identity (Promote Aboriginal and/or Torres Strait islander cultural safety, 0 remain. Without language the connection to ancestors is also lost, impacting on the health and well-being of Aboriginal people