Table of Contents INTRODUCTION...........................................................................................................................1 MAIN BODY..................................................................................................................................1 Diabetes heath issue.....................................................................................................................1 Current statistics to illustrate burden of diabetesAboriginal and Torres strait islander as differentiate between non-Aboriginal and Torres strait islander.................................................1 Ways in which history of colonization has impacted development of diabetes in Aboriginal and Torres strait islander Australians..........................................................................................2 Discuss the impact of two social determinants............................................................................3 Cultural implications and obstacles.............................................................................................4 CONCLUSION................................................................................................................................4 REFERENCES................................................................................................................................5
INTRODUCTION Diabetes is a type of disease that occurs due to increase high blood glucose. It effects the body and it becomes difficult for the body to manage the sugar level. Thus, diabetes can be increased the diseases like heart diseases, kidney damage, stroke and nerve damage. Furthermore, due to lack of awareness it harms the life ofTorres strait islander people andAboriginal. Theassignmentis based onDiabetes illnessor actualhealth issue for Aboriginal and Torres Strait Islander Australians. The report will describe the health issues of Diabetes. Furthermore, assignment will explain the current statics of diabetes onAboriginal and Torres strait islander people as compared to non-Aboriginal and Torres strait islander people. Moreover, report will highlight the history of colonization and discus the impact of social determinants. Lastly, report will elaborate the cultural implication and obstacles to identify the diabetes issues. MAIN BODY Diabetes heath issue Diabetes is one of the most commonly found disease which is mainly caused due to high blood sugar level. Diabetes develops when body does not mane sufficient insulin or does not respond to it, due to which sugar level within blood increases. With increasing blood sugar level, it becomes difficult for body to manage and store sugar in cells due to which efficiency of human body decreases (What, 2015). It is categorised into two different groups such as one diabetes and two diabetes.These are the most common found diabetes is type two diabetes. One out of every 5 individual is suffering from diabetes. Current statistics to illustrate burden of diabetesAboriginal and Torres strait islander as differentiate between non-Aboriginal and Torres strait islander. The gap between the health issues relate diabetes of Aboriginal & Torres strait islander and non-aboriginal & Torres islander Australians are well documented. There are different type of programs and policies working on to improve accurate result or outcome(Hays & et.al. 2015). Despite this type of efforts, the actual life expectancy become less than 10-11 year than the other non- aboriginal Torres Australians, approximately 65% people death before the age of 65 years and also compared with the non- Aboriginal & Torres islander people with 19%. Metabolic diseases such as diabetes which is responsible for generating life expectancy gap associated with the higher mortality rate and hospitalisation. In 2013, the hospitalisation rate for diabetes diseases were 1.6 to 2.5 times higher in the Indigenous Australian peopledepending on 1
agewhile adults or young people die from diabetesas non- Aboriginal & Torres strait islander people because aboriginal face the problem two type ofdiabetes which are ten times greater to be hospitalised than non- aboriginal islander. In this way, it has been acknowledged that hospitalisation is poor indicator of true prevalence of complications regarding diabetes with different community. It helps for identifying the burden of heath diseases associated with the diagnosis of diabetes and higher in the population ofIndigenous in Australia(Hoy & et.al. 2017). Currently, age of onset to critical condition through diabetes which is significantly occurs inyounggenerationofindigenousthannon-indigenouspeoples.Thistypeofcondition continuous to increase the rate of health issues in young people. As per survey, it can be determined that western Australian indicate the discrepancy with two type of diabetes where 12%-person year in the indigenous young people age in between 16 or less than as compare to 0.6 in non-indigenous young people, which strikes difference between them. As per study of New south wales that there are two types of diabetes 6.1 times common among Aboriginal & Torres islander young people than other non- Aboriginal. These statistical illustrate must be indicated the extent of health issues regarding diabetes, despite likely diagnostic under estimation. When many children manage the primary care rather than the diabetes services that’s why, it will increase the incidence in the young people. Ways in which history of colonization has impacted development of diabetes in Aboriginal and Torres strait islander Australians. The history evidence of colonization suggests that influence on the Aboriginal & Torres strait islander Australians, who are survived infancy relatively fit or diseases free. The Native food of Australian contributed towards good health and semi-nomadic active life style kept people physically. The colonization of Australia from 1788 had tremendous effects on the Aboriginal & Torres strait islander population. It was frequently conflict happens among indigenous people and disruption of life because aboriginal peoples are becoming fringe dweller in the social community. It has extremely increase death rate and lower birth rate(Pearson & et.al. 2016). The First consequences of British colonisation settlement appeared in 1789 April when it increases the diseases such as Smallpox, chickenpox but the most common disease is diabetes 2
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which spread in youth aboriginal & Torres strait islander and develop worst situation because the population decline was increased more rapidly. The second consequence of British settlement was appropriation of water resources where Aboriginal people were having no such concept of land ownership. In fact, they loss their food sources and water resources. In this way, they were consumed more sugar in their food items and having due to lack of awareness or knowledge. It will increase the diseases of diabetes, especially in young children’s and adults (Hill & et.al. 2017). There are several types of factor increase the decline in physical or mental health of aboriginal population due to colonization. It may introduce new diseases by the settler and destruction of resources, lifestyle which leading poverty and marginalization. It also changing their food habits and always use refine sugar on regular basis, which increased the sugar level and face problem of diabetes after colonization. Discuss the impact of two social determinants Many households inTorres Strait Islander communities are considered overcrowded. A situation that can lead the wide range of health problem. Thus, the people of Torres Strait Islander experience social economic disfavour on all major factors. For example, At the 2001, the unemployment rate is high in theTorres Strait Islander communities as the rate was20%; 3 times high than the proportion for non-Indigenous Australians. Thus, this issue is affect the standard of life of Indigenous peopleand people are cannot easily survive (Hyde & et.al. 2018).It affects the health directly or indirectly. On the other side,Torres Strait Islander student also not highly educated due to lack of income as well lack of knowledge about the education. This both issue affect the life of persons which described as follows - Education andliteracy-low teaching and literacyare the reason of poor health as lack of knowledge is affects the people life. There are many reasons which arise the health issues anddiabeteslikeinteractioninfections through lack of hygiene from poor cleaning and close touch with othersand eating unhygienic food and not follow proper dieting etc. This all are the reason which increase thediabetes(Anderson & et.al. 2015). On the other side,Aboriginal and Torres Strait Islander communities depends and survive their life by sharing a single toilet, and the bore water supply. This all the situation is arisen the health issues and high level of sugar level within blood is Increase the symptoms of Diabetes. 3
Thus, poor education and literacy is affects the health and reduce the capacity of people earn the health education. . Poor income-The another social issue is poor income. Lack ofmoneyreducesthe availability ofmedical servicesand medicines for theTorres Strait Islander. Thus, without enough money they cannot survive and they cannot purchase the medicines and medical service. Poor infant diets is increase the level of diabetes.Due to lack of income people are not educated, unlearned aboriginal people, they faced poor education which then reduce their ability to adopt message on the proper and appropriate sustenance or the right formulation of nutritious food. It leads the diabetes level among the people. Cultural implications and obstacles Cultural implications due to which addressing diabetes as a health issue is difficult in Aboriginal people are poverty, insufficient education and poor communication to health services. These cultural implications works as an obstacle for aboriginal people in addressing diabetes among them. As most of the Aboriginal people are poor and have poor communication to health services they do not have any knowledge or does not know any way through which they can address diabetes(Anderson & et.al. 2015). Most of them are uneducated and have lack of knowledge related to diabetes. This is one of the main obstacles due to which it becomes difficult for them to identify symptoms of diabetes and way through which they can reduce its effect. CONCLUSION From the above discussion, it concluded thatDiabetes is the most common diseases that harm the body. Thus, it affects the life ofTorres Strait Islander as result 50 % people facing the diabetes issue due to lack of information,literacy and unhealthy life.The report hasseeks to demonstrated the connectionsbetween low socio-economic status and poorness, and health outcomes. It also reflects the non- enjoyment or non-recognition of their human rights and of their well-defined social characteristics. Lastly, report has described thehistory of colonization that harm the life ofAboriginal and Torres Strait Islander. 4
REFERENCES Books and Journals Anderson, D.,& et.al.(2015). First genome-wide association study in an Australian aboriginal population provides insights into genetic risk factors for body mass index and type 2 diabetes.PLoS One.10(3). e0119333. Hays, R., & et.al. (2015). Does Strongyloides stercoralis infection protect against type 2 diabetes in humans? Evidence from Australian Aboriginal adults.Diabetes research and clinical practice .107(3). 355-361. Hill, K., & et.al. (2017). Social disparities in the prevalence of diabetes in Australia and in the development of end stage renal disease due to diabetes for Aboriginal and Torres Strait Islanders in Australia and Maori and Pacific Islanders in New Zealand.BMC public health.17(1). 802. Hoy, W. E., & et.al. (2017). Absence of APOL1 risk alleles in a remote living Australian Aboriginal group with high rates of CKD, hypertension, diabetes, and cardiovascular disease.Kidney international.91(4). 990. Hyde, Z.,& et.al.(2018). Mortality in a cohort of remote-living Aboriginal Australians and associated factors.PloS one.13(4). e0195030. Pearson, O., & et.al. (2016). The South Australian Aboriginal Diabetes Strategy 2017–2021. What, W. (2015). First Peoples, Second Class Treatment. 5
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