The Effects Of Chronic Kidney Disease On Indigenous Australians

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1. The concern of social issue in this study is the disproportionate burden of chronic kidney disease in Indigenous Australians. Aboriginal and Torres Strait Islander suffer considerably higher rates of chronic kidney disease than the non-Indigenous population in which 11% of those getting treatment for end-stage kidney disease (ESKD) are Indigenous people. On the other hand, the population of Indigenous Australians is only around 3% of the total population in Australia (Anderson, Cunningham, Devitt, & Cass, 2013; Anderson, Devitt, Cunningham, Preece, & Cass, 2008). Therefore, such condition indicates a serious public health problem due to several barriers that affect Indigenous people’s response towards ESKD and its treatments. Living in remote area with poor health facilities creates a constraint for Aboriginal people to receive equitable treatments while renal specialist, renal transplantation and dialysis services tend to be allocated in the urban area (Cass, Cunningham, Snelling, Wang, & Hoy, 2004; Preston-Thomas, Cass, & O 'Rourke, 2007). Patients with ESKD have to attend dialysis treatment three times a week. Hence, Indigenous people who come from a remote area must leave their community to get dialysis medication. Coming from low socio-economic status and education level, Indigenous people also have to face some difficulties to engage with the treatment services. Effective communication between Indigenous people and health providers during the treatment process might
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