Population Health Framework - Public Health

Running head: PUBLIC HEALTH
Public health
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1PUBLIC HEALTH
Population health framework regards various social, economic and environmental
factors as key determinants of health. However, for indigenous Australians group, good
health is influenced not only by the above factors but also by historical and contemporary
factors like history of dispossession, separation, discrimination and racism (Macedo et al.,
2019). The journal article by Shepherd et al. (2017) introduces these historical parallels in the
context of current health of indigenous people and gives an analysis of national longitudinal
data on the impact of racial discrimination on health of Australian indigenous children. This
paper will explore more about how historical factors have played a significant role in
disempowering indigenous Australians and adversely affecting their health outcomes.
The longitudinal data by Shepherd et al. (2017) is an example of a scientific paper
which links current and past experience of racial discrimination with poor mental health
status of children. The review of data from a longitudinal study of indigenous children across
Australia that review association between racial discrimination and health outcome revealed
that 14% indigenous children aged 5–10 years experienced racial discrimination. Physical
health issues that emerged because of the effect of contemporary and historical experience of
racism included difficulty in sleeping, obesity and asthma. The risk of mental health
problems was also high. As the research population has been restricted to 5–10 years, the
prevalence rate of discrimination is lower. This number could be higher if adolescent groups
were taken too. The researcher justified that children were not directly affected by
discrimination experience. Instead, experiences of racism among parents and its effect on
their ability to provide support to their children is the reason behind such poor health. The
data by Australian Institute of Health and Welfare (2017) clearly exemplifies the impact of
recent or past trauma and experience of raciam on the indigenous Australians. Social and
emotional wellbeing is affected because of poor opportunities for employment or negative

2PUBLIC HEALTH
experience at primary care. Thus unemployment issues lead to psychological distress which
has impact on other aspects such as housing and living conditions.
When delving deep into the historical past to find out factors contributing to
disempowerment for the indigenous group, it has been found that no single event
singlehandedly contributes to adverse health outcome. Instead, chain of events like the policy
of segregation, child removal, racism and social disadvantage together contributed to gradual
harm, poor living and mental health. After the European settlement, the segregation policy
leads to loss of land and displacement of the group from the cultural lands. Children were
separated from their parents as part of assimilation policy and this policy was based on the
assumption that as indigenous are inferior group, they should die out through natural process
of elimination and gradually assimilated into the white community (Australians together,
2018). This policy in itself was very discriminating as neither it respected the indigenous
culture not it gave access to basic right to life to indigenous children. The children were
subjected to harsh punishments in the institution and they had to go through psychological,
physical and sexual abuse too (Paradies, 2016). On the other hand, parents of these children
failed to recover from the grief. Krakouer, Wise and Connolly (2018) argue too that
undermining of the cultural strengths of indigenous Australians and removal of children from
their parent was a cultural genocide practice. Due to this historical event, grief and loss
became a persistent theme for indigenous families and generations of indigenous parents have
lost parent skills as they themselves do never experienced affectionate parenting in their
childhood. Thus, the historical events suggest how far the indigenous generations were
socially and mentally affected by unjustified political norms and policies.
The historical injustice continued till current time too as the stolen generations could
never experience healthy family condition. The study by Shepherd et al. (2017) gives
evidence for children born from 2003 to 2008 and it reports of racial discrimination by