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Institutional Racism

Decent Essays

There are two different levels of racism found in contemporary health care; institutional and interpersonal racism. Institutional racism encompasses policies and practices carried out by government and other institutions that may limit the benefits received by Indigenous Australians compared with non-Indigenous Australians. An example where institutional racism may play a factor in clinical practice is a lack of culturally appropriate materials or treatment options for Indigenous patients (Shah, A. 2007) Interpersonal racism is the discriminatory interactions between individuals. This includes degrading comments or behaviours by a health care worker or discriminatory behaviours of other individuals in the community (Larson, A., Gillies, M., Howard, P. J., Coddin, J. 2007) Researchers have found compelling evidence connecting the impacts of Indigenous discrimination to the root cause of extreme socio-economic and health disadvantages (Larson, A., Gillies, M., Howard, P. J., Coddin, J. 2007). A study of the Indigenous population by ‘Flinders University’ reported that 97% of Aboriginal or Torres Strait Islanders taking part in the research, regularly experienced racism. These staggering results highlight that this is still an ongoing contemporary issue that continues to be the root of many physical and mental health issues commonly experienced by the community (Creative Spirits, 2017) Discrimination of any form impacts many Indigenous people and can carry with it lifelong issues. Stress and self-diminishing emotional reactions are major factors caused by discrimination and can have unfavourable impacts on one’s physical and mental health and wellbeing. One’s animosity and humiliation can provoke a range of biological responses in the body causing cardiovascular diseases, heightened blood pressure and disrupted neurological processes that can affect immune functions in the body (Larson, A., Gillies, M., Howard, P. J., Coffin, J. 2007) Chronic exposure to racism can also result in long-term external issues including low levels of education, unemployment, housing issues, high rates of incarceration as well as a physical sense of exclusion from the wider community (Hampton, R., Toombs, M. 2013, p. 31).

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