1.0 Introduction
This paper will provide an overview on the mental, social and physical health impacts on Australians living in rural areas. There are many factors contributing towards the disadvantages of living in remote areas, there is inadequate access to services in rural areas such as education, health facilities, jobs, environmental and geographical factors, and social isolation (Francis, 2005). Adequate health services are seen as a basic human right yet those living in remote areas have very limited access to these services (Francis, 2005). The population of Australians living in remote areas are in worse health conditions than those living in major cities (Francis, 2005). Those living in remote areas are said to
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“56 per cent of rural households fall into the two lower income quintiles compared to 36 per cent of capital city households and 45 per cent of other urban households” (Faps, 2011). The cost of food in rural and remote areas is up to 10 per cent higher than those in metropolitan areas (Faps, 2011). “This gives a “double deprivation” effect, resulting from lower levels of income combined with higher basic costs” (Faps, 2011). Poor physical and mental health reflects the lower education levels and higher poverty levels in those living in rural areas (Faps, 2011). This shows that living in remote areas is a huge determinant of health.
3.0 Physical impacts of health on Australians living in isolation “Mortality and illness levels increases as the distance from metropolitan centres increase” (Francis, 2005). Those living in rural areas are subjected to higher levels of physical health impacts such as illness and disease (Australian Institute of Health and Welfare, 2015). Some physical impacts that the rural population face is a higher death rate and shorter life span (Australian Institute of Health and Welfare, 2015). The main factors that contribute to higher death rates are coronary heart disease, other circulatory diseases, motor vehicle accidents and chronic obstructive pulmonary diseases (Australian Institute of Health and
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Get AccessThis 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
Socioeconomic factors are associated with education, employment, and income, and each, has a substantial influence on the health of Indigenous Australians. Education, which is inaccessible for many Indigenous people, allows for the greater knowledge of health issues, and the increased understanding of both protective behaviors and risk factors. It is a known fact that with a lack of education or one that is poor, there is a increased risk that there will be less employment opportunities – ultimately leading to little or no income. Hence, the vicious poverty cycle is born. Education enables
Residents of rural and remote communities tend to experience poorer health outcomes than those in the metropolitan area (Humphreys & Walkerman, 2008). The fact that the high proportion of Indigenous Australians, which increases with remoteness, reflects the lag in Indigenous health outcomes (Humphreys & Walkerman, 2008).
“Failure to acknowledge, and more importantly, to understand the role of Social determinants of Health (SDH) in health and access to health and social services will hamper any effort to improve the health of the population.” (Ompad, Galea, Caiaffa, & Vlahov, 2007). Unemployment, unsafe work environments, globalization and the inability to access health systems are some social determinants of health. Social factors would be considered place of residence, race and ethnicity, gender, and socioeconomic status are also part of social determinants of health. According to “Social Determinants of the Health of Urban Populations: Methodologic Considerations’ Place of residence and an individual’s status within the place are important determinants of health in urban settings. It is important to recognize that the place of residence is
Those who live in poorer communities often suffer from greater ill health while those living in deprived areas are often without access to the best health care. This lack of prevention stems from poor education often received in those areas and the culture that often permeates within them.
Page 3 communities today. Specifically this disadvantage is evident in many areas of community life, with Indigenous people being generally exposed to more risk factors for poor health than other Australians (Thomson, MacRae, Burns, Catto, Debuyst, Krom, Midford, Potter, Ride, Stumpers and Urquhart, 2010, para. 49). Examples of risk factors include social factors such as dispossession, dislocation and discrimination, educational factors such as poor schooling, resulting in much lower literacy and numeracy skills, economic factors such as lower income and higher unemployment, access to good quality health care and GP's, and physical environmental factors such as poor and overcrowded housing. Together these disadvantages provide for a higher likelihood of poor lifestyle choices such as alcohol, tobacco and illicit drug use, a poor and unbalanced diet, obesity and a lack of regular exercise (Thomson et. al. 2010, para. 49, Couzos et. al. 2008, p. 79).
Secondly, a Position Statement from the Australian Medical Association points out various social determinants of health [standards and influences] for all Australians. For example: A persons’ socio-economic status will invariably be a defining foundation for an individuals’ state of health and wellbeing; stress – this can invariably due to psychological and social factors, and this can be damaging to the over-all health and wellbeing of a person; early causes i.e., teratogens. The influence of environmental agents can disturb the [healthy] development of a fetus (e.g., if the zygote is exposed to a teratogen, these factors can have a long-lasting effect on the cognitive development of a child (social and emotional), their family, and the ongoing health and welfare of mother and/ or carer. Furthermore, social inclusion or exclusion; the impact from people experiencing poverty will further disadvantage them from: seeking health care and consequently individuals/ families or communities become [more] susceptible to various diseases e.g., diabetes, obesity, cardiovascular disease [CVD], alcohol/ drug abuse and [other] psychosocial [issues], psychopathological disorders (e.g., depression, anxiety, schizophrenia, substance abuse, dementia and antisocial personality disorder); education – it is noted that people with lower levels of education have lower literacy skills, and this in part will also mean that a person is less likely to gain satisfactory employment, again, the
Living in a remote area has always been thought to have negative influences on the individual. There are 35 % of the total population in Australia living in rural area(Phillips, 2009).Rural areas in Australia and all over the world are not geographically isolated and disadvantaged only but also culturally and economically deprived which has great consequences on the health status of the population. The main two factors that have a major effect on rural health are socioeconomic status and cultural issues(Beard, Tomaska, Earnest, Summerhayes, & Morgan, 2009).
The social determinants of health are the social, physical, ecological and environmental factors that affect a community in which individuals work, relax, and live and which ultimately determine the health and wellbeing of these communities (McMurray & Clendon, 2015). It is important for communities to be aware of the determinants that affect the individuals in the community in order to provide appropriate support networks and health services and resources to maintain health. The aim of this report is to outline and discuss some of the determinants affecting the Morisset-Cooranbong community in NSW, Australia. The determinants discussed are the availability of Health Services and Resources, Social Support Networks to support individuals in the community, and also some of the issues affecting the local Physical Environment.
Aboriginal and Torres Strait Islander people experience social disadvantages which significantly impacts their physical, psychological, emotional, spiritual and social health. This essay analyses the impacts of the social determinants of health such as socioeconomic status, early life and psychological distress to Aboriginal and Torres Strait Islander health which causes the wide gap in the social disadvantages experienced by the Indigenous community.
Aboriginal people have the highest rates of ill health than any other group in Australia. The Australian Bureau Of Statistic (ABS) estimates that there are between 418,800 and 476,900 indigenous people in Australia (Better Health Channel: Aboriginal Health Issues ). Improving the health status of Aboriginal and Torres Strait Islander peoples has been a longstanding challenge for governments in Australia. Indigenous people as a whole, experience disproportionate levels of disadvantage and poorer health compared with other Australians, there is a definite relationship between social disadvantages experienced by Indigenous people and their current health status. These social disadvantages, directly related to dispossession and characterised by
Patients in rural areas have a difficult time receiving timely medical care, leading to more advanced stages of disease at diagnosis and subsequent higher medical costs. Furthermore, scholars agree that disparities in income is a major factor leading to inequality in health. In 2009, urban residents earned 2.33 times more than those in rural areas. People with low income receive
People living in rural and remote areas are subjected to health inequities due to socio-cultural, socioeconomic and environmental determinants that affects them which leads to them having a substandard health in Australia. People residing in rural and remote areas are less educated, unemployed, have high risk jobs and lower paying income. The socioeconomic status of remoteness deals with their average incomes, educational levels and career choices. In 2014, the unemployment rate for people living in remote areas increased to 7% compared to major cities with a 5% rate.
132). However, as is likely true even within geographical locations that have lower morbidity risks on average or better health outcomes as a whole, you can definitely still see differences in socioeconomic class and quality of treatment. To me, it is interesting as to how one can essentially eliminate or account for confounding variables in order to only focus on geographical differences in health outcomes; I wonder how these analyses are done in order to only focus on geography, especially when all of these underlying factors seem so intertwined with each other. Another point of the piece that resonated with me was the discussion about taking into account rural areas when assessing various metrics, and how they often require a different perspective such as the example that was provided about the availability of adequate public transportation versus considering if there is a certain entity within walking distance, which you would do in an urban area (p. 11). Because my hometown is also fairly rural, as are nearby communities, I think the nature of a community itself requires deep understanding before one can analyze the impact of that location on health outcomes. In a sense, this reminds me of how we cannot easily use wealth as a measurement across countries, as it is measured differently around the world; similarly, qualities of individual subgroups such as being rural versus urban can also similarly change the interpretation of data
People who live in rural areas have poorer health outcomes than those living in major cities. Differences in the health status between rural, urban and regional areas are complex and likely to be closely linked to other determinants of health, including socioeconomic and sociocultural factors. The ability to access appropriate health care at time of need is an important factor in maintaining good health. Certain groups such as those of geographical isolation can find it difficult to access services and support when needed. Increasing use of technology especially for young people has impacted significantly on people’s health. Regular use of technology such as computers and phones comes at the expense of physical