The Health Status Of Australia

Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.

It is well-known that the health issue of Aboriginal and Torres Strait Islander people has been constantly discussed and analysed up to the present. Indigenous Australian experience poorer health outcome compare to other population in Australian, and also they experienced significantly higher rates of mental illness within their communities, and the suicide rate approximately more than double higher than for the general population (Australian Institute of Health and Welfare,2009). The purpose of this essay is to discuss the factor that associated with higher rate of mental illness and suicide behavior regard to Aboriginal and Torres Strait Islander people, the concept of cultural, social and emotional well-being that triggers this phenomenon.

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.

Critical factors, highlight why things are as they are and if there are possible alternatives (Germov 2011, p.9). Institutionalized racism is a critical reason for the disadvantages indigenous people face that could be expressed implicitly or explicitly (Larson, 2007). The Indigenous population directly experiencing racism through social and political institutions, is critical and a determining factor for their current state (Larson, 2007). Institutional racism is measured through the socio- economic status of certain minorities (Larson, 2017). Although racism is mostly implicit nowadays, it is still overall evident in the social health and wellbeing of Indigenous Australians today (Jackson 1999).The gap between the health statuses of Indigenous Australians as opposed to non-indigenous people are high (Darren, 2007). There is an estimated gap of 17 years between indigenous and non-indigenous life expectancy in Australia (Darren, 2007). This could be due to the absence of equal public health resources in primarily remote areas (Darren, 2007). There is Lack of Access to safe drinking water, effective sewage systems and healthy housing in indigenous neighborhoods (Darren, 2007). This further impacts Indigenous socially as many of them are subjected to poor living standards due to the inability from the government to provide the

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

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.

In addition, the program offered healing to the community still healing from the legacy of colonialism. If the federal government kept funding the suicide prevention program there would not have been a spike in suicide rates in the community. Furthermore, a psychologist at the University of Victoria, Christopher Lalonde, believes the key to stopping suicides is rooted in the communities (McCue, 2016). From two decades of researching, he found that the communities that are the least “culturally healthy” have a higher rate of youth suicide (McCue, 2016). Also, the mental wellness of aboriginal youths is not only about being mentally healthy but also having a balance between Aboriginal youths’ families, communities, and the environment (Khan, 2008). Therefore, it will be better that Aboriginal suicide prevention programs are created by Aboriginal communities to target the prevalence issues in their communities with some assistance from the government to set it up and fund

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.

Further, low income, unemployment, racism, lack of education further deteriorate their quality-of-life and well-being (Carson, Dunbar, Chenhall, & Bailie, 2007). Therefore “closing the gap” on indigenous disadvantage is crucial for archive equality in life expectancy, health status, education and employment between indigenous and non-indigenous Australians (Black & Richards, 2009).

Aboriginal people represent less than 3% of the total population in BC. Yet, they account for more than 9% of all suicides in BC (Chandler). The numbers of suicides amongst aboriginal youth are even more alarming – nearly one-fourth of all youth suicides in BC are committed by aboriginals and more than half of all aboriginal suicides are committed by youth (Chandler). The fact that indigenous communities in Canada have the highest rate of suicide of any culturally identifiable group in the world implies that these alarming statistics may not solely be a result of aboriginal communities belonging to a minority cultural group. I will attempt to build a speculative hypothesis behind the significantly high suicide rates amongst aboriginal

emphasis was on relationships to family, group and country rather than the development of an

The last contributing reason for this paper which relates to the increase of suicide in Canadian aboriginals is limited access to healthcare, especially mental health and addictions counselling. Barriers to receiving proper health care are due to geographical isolation and shortage of trained professionals in the aboriginal communities. Up to 50% of aboriginal communities are so remote they can only be accessed by air, leaving limited options to seek mental and physical healthcare. (Kirmayer et al., 1993, p. 1572)

History has unveiled the early contacts of colonization from the Europeans that set motion to cultural oppression and exclusion of the Aboriginal communities (Kirmayer, Tait, Simpson & Simpson, 2009). The introduction of the residential school system was meant to eliminate the indigenous people’s cultural heritage and way of life, creating a historical trauma. As a result, survivors of the residential school system left the majority of the Aboriginal population without a sense of cultural heritage, lack of self-esteem, and depression (Gone, 2010). Aboriginal culture was suppressed, breaking the connection of traditional knowledge from parent to child (Kirmayer, Tait, Simpson & Simpson, 2009). Trans-generational trauma of the Aboriginal people has left psychologically and physically damage towards their own heritage (Gray & Nye, 2001).

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

Suicide prevention is an important topic to be discussed in academia as suicide has become a big social problem affecting the lives of the individual and the surrounding people. Suicide can be looked as an act of selfishness, consequently leaves perplexity among family and friends, but from a sociological perspective, it is a multifaceted issue. The article from the Current, brought into light how the Indigenous community Canada have higher rates of suicide compared to the general population, especially amongst the youth. The feeling of anomie and experience of racism puts immense stress on aboriginal youths, and this experience is replicated in the sociological imagination of the history and biography of Indigenous people.