In the world, Australians have the highest life expectancy, but some groups experience poor health conditions such as Aboriginal and Torres Strait Islander people, also known as Indigenous Australians (AIHW, 2012). These two different groups comprise a small part of approximately 2.5% of Australian population (ABS, ..).Some people still believe that Indigenous Australians live in country and remote locations, in spite of the fact that greatest percentage of Indigenous Australians living in metropolitan areas (Hampton & Toombs, 2013).These two groups are diverse from one another. The Indigenous people are of mainland of Australia, whereas Torres Strait Islander are from island above the Cape York Peninsula (Tylor & Guerin, 2010). Indigenous
To begin with, a clarification must be made. Although for the purposes of this assessment I will be using the term Indigenous Australians, it is not the most appropriate term to be using, as the technical definition of indigenous is ‘originating or occurring naturally in a particular place; native’ (‘Indigenous’, 1987). The more correct term would be Aboriginal and Torres Strait Islander.
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.
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)
The introduction to the western/European way of living, loss of ancestral land, intolerance and the economic disadvantages that Indigenous Australians suffer fuels socially related conditions within their communities such as substance abuse, violence, increased degrees of infectious diseases and chronic diseases etc. culminating in higher mortality rates than non-Indigenous Australians (Duckett & Willcox, 2011, p. 34-35). Stephens, Porter, Nettleton and Willis (2006) state that “infectious disease burden persists for Indigenous communities with high rates of diseases such as tuberculosis, and inequality also exists in the prevalence of chronic disease, including diabetes and heart disease” (p.2022). Statistics show mortality for most age groups of the
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
“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”
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
Australia is considered one of the safest and best countries to live (OECD, 2016). For instance, Australia exhibits higher life expectancies (80.3 years for males and 84.5 years for females), lower mortality rates (5.4 per 1000 live births), high-quality education and health practices and many employment opportunities (ABS, 2015). However, there are wide disparities in life expectancy, mortality rates, heath outcomes, education and employment for indigenous people (Holland, 2014).For example, life expectancy at birth for indigenous population is 10.6 years lower than that of the non-indigenous male population and 9.5 years for females (ABS, 2015). The mortality rate for the indigenous
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
The racism that goes on around Australia has a very serious impact on Indigenous Australians; this impact is the gap in the life expectancy between Indigenous and Non-Indigenous Australians. Life expectancy for native Australians is in comparison with third world countries with the probability of death being around 20 years lower than other Australians, which has increased since 1997 (Kim 2007). The life of Indigenous Australian 's is short-lived compared to other Australians as 66% of the deaths of native Australians were before the age of 65 (Australian Institute of Health and Welfare 2011). The life expectancy for non-indigenous Australian 's is 75 for males and 81 for females. The life expectancy for Indigenous Australian 's has been the same since the 1900’s with the life expectancy of males being 56 and females 61 (Human Rights and Equal Opportunity Commission 2001). The gap in life probability between
The poor health position of Indigenous Australians is a contemporary reflection of their historical treatment as Australia’s traditional owners. This treatment has led to Indigenous Australians experiencing social disadvantages, significantly low socio-economic status, dispossession, poverty and powerlessness as a direct result of the institutionalised racism inherent in contemporary Australian society.
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
There has been some major improvement in the health and wellbeing of Indigenous people in the past years, there is still some health issues that remain a problem in the indigenous community which still increase the percentage of mortality and morbidity among the group. As of June 30, 2011, there was an estimated 669,900 Indigenous people across Australia which represent the 3% of total Australian population, where the majority of indigenous Australian live in metropolitan or regional and 8% lives in remote areas of Australia according to Australian Bureau of Statistics (2013). The death rates for indigenous population are much higher compare to non-indigenous population across all age group and largest contributory cause of death are circulatory diseases (Australian Institute of Health and Welfare, 2011).
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
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.