The Inequalities Surrounding Indigenous Health

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

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

Health 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.

It is well studied by health authorities that the current health statistics of the Indigenous population today are clearly reflected on their health status, due to the impacts of the colonisation process. The relating problems associated with this have resulted in destructive families and communities. It is unquestionable that Indigenous Australians were adapted to the environment in which people lived and had control on every feature of their life during the colonisation period. According to ‘The Deplorable State of Aboriginal Ill Health, Chapter 1’ (2014), studies that show that numerous infectious diseases; such as, smallpox and the flu, were not present in the pre-invasion period. It is also shown that lifestyle diseases such as high BP, diabetes and heart diseases were not known to exist.

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

“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). 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

Health Care Accessibility a Challenge for Aboriginal People The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.

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)

Although the health of some Aboriginal peoples is gradually improving, it is generally still poorer than the health of non-Aboriginal peoples living in Ontario. The Aboriginal Peoples Survey indicates that the most commonly reported chronic health conditions for Aboriginal peoples in Ontario over 15 years of age and living off reserve are: arthritis or rheumatism, high blood pressure, asthma, stomach problems, diabetes, and heart problems. (Noelle Spotton. 2001, page. 20)

OECD (Organisation for Economic Co-operation and Development) 2016. OECD Health Statistics 2016. Paris: OECD Marmot, M. (2011). Social determinants and the health of Indigenous Australians. Med J Aust, 194(10),

SOUTHERN CROSS UNIVERSITY ASSIGNMENT COVER SHEET Student: Anushia Bentley Student ID No.: 22413376 Unit Name: Health and Indigenous Australian Peoples Unit Code: CUL0048-2016-2 Tutor’s name: Liz Rix Assignment No.: 3 Assignment Title: Bentley Anushia 22413376 assignment 3 Essay Due date: 15th September 2016 (extension approved) Declaration: I have read and understand the Rules Relating to Awards (Rule 3 Section 18 – Academic Misconduct Including Plagiarism) as contained in the

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 stolen generation is the term now used to highlight this time in Australian history (Heard, Khoo & Birrell 2009). Contemporary health issues of today  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

Current health status of Indigenous Australians depend on many different factors “income education, incarceration, employment, housing, access to services, connection with land and social networks” (Australian Indigenous HealthInfoNet, 2015) all considered determinants of health in today 's Indigenous populations.

Health Concern 1 – Inequities among the Indigenous Community Aboriginal and Torres Strait Islander health inequity occurs across all health areas and many areas of health continue to get worse. Whilst there have been recent gains, the gap is widening as the health of other Australians improves faster. With the gap between aboriginals growing cancer rates has become a major issue among the indigenous community. The crisis facing Indigenous health has a long and complex history. It continues largely as a result of decades of government inaction and a continuing lack of appropriate medical services.