Improving the health status within the Aboriginal communities is a challenge for governments in Australia. Despite some small improvements over the past couple of decades, Indigenous Australians continue to demonstrate the lowest levels of health indicators and outcomes in the country. During 2005 - 2007, Indigenous males and females experienced a life expectancy gap of 11.5 years and 9.7 years respectively, compared to the rest of the Australian population (1). High rates of chronic disease remain as a crucial feature of the Indigenous disease burden, with chronic diseases being responsible for 64% of the total disease burden for Indigenous Australians in 2015 (2).
The epidemiology of the low health status in the Australian Indigenous
As a people, our rate of chronic disease is still 2.5 times higher than that of other Australians, and Indigenous people in this country die 15 to 20 years younger than those in mainstream Australia. More than half of
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.
“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”
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
“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),
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
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
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
Heart and circulatory conditions contribute most to the disease burden of Aboriginal and Torres Strait Islander people and are major contributors to the gap in life expectancy between Indigenous and other Australians. Research evidence shows that, as well as having higher rates of cardiac conditions, Aboriginal and Torres Strait Islander people have poorer access to health services aimed at preventing and treating cardiac conditions.
The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is
According to the 2011 census, there were 548,370 Indigenous people living in Australia making up 2.5% of the Australian population. It is known that many health inequalities occur between the indigenous and non-indigenous population, with indigenous people being more likely to experience a reduced quality of life. The differences between the health of Aboriginal and Torres Strait Islander people and the broader Australian population occur for a number of different reasons including differing levels of education, geographical location and genetics. Indigenous Australians have lower life expectancy than non-Indigenous Australians. In 2007 the gap between Indigenous and non-Indigenous life expectancy was 11.5 years for males and 9.7 years for females.
There are a number of key health aspects that must be reinforced and improved for Indigenous Australians over the following five years. Education is commonly seen to be a major aspect in improving the health of Indigenous individuals. Education has improved over the years with participation rates increasing and a greater percentage of Indigenous people achieving a non-school qualification. In spite of these improvements, education for Indigenous people still remains below the educational level of non-Indigenous individuals (ABS & AIHW 2005). As stated in the 2005 Social Justice Report, “Poor education and literacy are linked to poor health status, and affect the capacity of people to use health information” (Australian Human Rights Commission