The need for priority direction
The Australian Research Alliance for Children & Youth imitated the Nest action agenda and established ‘improving the physical health of young Australians’ as one of the six priority directions (ARACY 2014), aiming to achieve good physical health for all children. Many health conditions are associated with early childhood (Patton & Viner 2007). During children’s development, the bodies undergo dramatic physical changes. Puberty that initiates the peaks in neural and hormonal changes, accompanied by the brain maturation and physical growth, provides opportunities and challenges for children and adolescents transiting into healthy young adults (Patton & Viner 2007). Physical health is also inter-related with
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The uncovered disadvantages and vulnerability of the Indigenous young people suggest a priority needs to address this population’s physical health.
Furthermore, as good physical health not only has the on-going impacts across young Indigenous Australians’ lifespans, but also lays a significant foundation to the population health and the success for future public health (Sawyer et al. 2012). Addressing Indigenous young people’s physical health is crucial in achieving the public health agenda. Australian Indigenous children are assets of Australia, improving Indigenous children’s physical health would bring health, social and economic benefits in the current and future generations (Patton et al. 2016). Failure to address young population’s health would further widen the social inequity and jeopardise human rights, resulting in social instability (Resnick et al. 2012). These concerns urge government to establish improving Indigenous young Australians’ physical health as a priority direction.
The selected determinates of Indigenous young Australians’ physical health
Colonisation
A wide range of determinates, such as discrimination, nutrition and education have significant impact on Indigenous young Australians’ physical health. However, and further, the causes of health disparities are linked to the unique Indigenous culture that influenced by the history of colonisation. Colonisation led to the loss of land, the loss of the habitats of the local food sources upon
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.
“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”
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.
“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).
Marmot, M. (2011). Social determinants and the health of Indigenous Australians. Med J Aust, 194(10),
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
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
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
Colonialism has contributed to multiple issues in the lives of Aboriginal people including inadequate housing and clean resources on Aboriginal reserves. One significant outcome is health problems reserve residents face, including a lower life expectancy and higher mortality rate. “For Aboriginal men on reserve, life expectancy is 67.1 years, while off reserve it’s 72. 1, compared to 76 years for the general population of Canada. For Aboriginal women, it is 73.1, 77.7, and 81.5 respectively” (Frohlich et al. 134). Additionally, more than 50% of off reserve Aboriginal people have at least one chronic condition (Frohlich et al.). Reserves stem from the colonial era, where Aboriginal people were displaced by the government and are a continuous symbol of oppression.
Many of the inequalities in the health of the Aboriginal people can be attributed to the
The following report will focus on the health plan Koolin Balit: Victorian Government strategic directions for Aboriginal health 2012-2022 (Koolin Balit). This report will firstly provide an overview of Koolin Balit and will discuss the selected health plan Key Priority Area Two: Healthy Childhood. The at-risks groups pre-school and primary school aged Aboriginal children affected by the priority area will then be discussed. There are three Determinants of Health (DOH) that will be focused on throughout the report, these being education, food (access to and distribution) and access to care and health services (Keleher & MacDougall, 2016). Evidence will be used throughout the report to support the DOH and discuss the relevance of the DOH to Key Priority Area Two: Healthy Childhood.
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
hrough historical and socio-political context, it has caused a ‘gap’ between indigenous children’s health and other parts of the country. The ‘gap’, refers to the immense health and life-expectation inequality between Indigenous and non-Indigenous Australians. This inequality includes higher rates of infant mortality, shorter life expectancy, poorer health and lower levels of education and employment. One of the key issues and concerns in aboriginal children’s health in remote and urban areas is obesity. The 2004-2005 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) found that obesity is becoming an increasing problem in the Indigenous population.(National Audit Office.
Whilst it is evident that Aboriginals’ political rights are need much attention, they are also largely disadvantaged and underprivileged compared to non-indigenous Australians (Henslin, J., A. Possamai and A. Possamai-Inesedy 2010, pg. 288). Health problems that are rare or no longer issues for non-indigenous Australians are still prevalent in indigenous communities (Henslin, J., A. Possamai and A. Possamai-Inesedy 2010, pg. 288). Infant mortality amongst Indigenous peoples, for example, has remained to be about two and a half times the rate for non-indigenous Australians, since the 1980’s (Henslin, J., A. Possamai and A. Possamai-Inesedy 2010, pg. 288). Another issue that most non-indigenous Australians wouldn’t have to have concern for is the quality of their water. A survey conducted in 2001 found that a third of the water supply in remote Indigenous communities was found to be of a less than basic quality (Henslin, J., A. Possamai and A. Possamai-Inesedy 2010, pg. 288, ABS 2003). Uncommon health issues such as these are still significant in
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.