Health Determinants of Aboriginal and Torres Strait Islanders
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This study examines the key determinants of health among Aboriginal and Torres Strait Islanders, including education, employment, racism, and health behaviors. It highlights the impact of these factors on the health outcomes of indigenous Australians.
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Aboriginal and Torres Strait Islanders are considered to be as the indigenous group of people (McKenzie, Dell and Fornssler, 2016). They are considered to be as one of the disadvantaged people in relation with the socio economic outcomes and long term health when compared with the non- indigenous group of people. The disparity associated with the health outcomes is mainly linked with the various set of complex array associated with the economic, environmental, cultural, social and geographical factors which in turn largely influence the wellbeing and health of the indigenous people of Australia. This study will focus on four key determinants of the health factors such as education,employmentandincome,racismandracialdiscriminationandhealth behaviours and lifestyle. Education Poor education among indigenous group of people is considered to be one of the most crucial factor which in turn largely influence the health of the Aboriginal and Torres Strait Islanders people. High degree of education to the people in turn is considered to be as one of the most prominent factor which in turn helps in improving the health outcomes of the people (Baker and et.al. 2018). The key issues associated with the indigenous groups of people within Australia is mainly associated with the suspension from the school, low literacy rate, low numeracy rate, etc. which in turn largely influence the education among the indigenous people of Australia. Education tends to play one of the significant role whichhelps inempoweringthe indigenous peoplein order to participate in various health related issues. The key reason behind poor education among the indigenous group of Australians is linked with lack of resources and respect. This invention early results in critical education gap. Education system of Australia in turn does not respect Aboriginal and Torres group of people. Individuals who tends to have access to the lack of education in turn has high degree of difficulty in life with poorer and worse health conditions when compared with the non-indigenous group of Australia (Azzopardi and et.al. 2018). The key effects associated with the lack of education among the indigenous group of people is mainly linked with poor health, shorter lifespan, exploitation, gender equality, unemployment and lack of voice. Moreover, indigenous people of Australia tends to have low degree of access to the appropriate education material and also lack of fair set of information. Indigenous 1
people do not tends to fully enjoy all the key rights to education. Cultural and ethical discrimination in turn is considered to be as one of the most prominent factor which in turn largely results in low degree of access to the education. Indigenous girls tend to face high degree of difficulty associated with the gender discrimination, sexual abuse, school based violence and unfriendly school environment which in turn largely influence the health and well-being of the Aboriginal Australian people (Indigenous Australians: Aboriginal and Torres Strait Islander people,2020).The indigenous people in turn tends to have high their own set of language and skills which in turn eventually leads to highly affect the indigenous people. Irrelevant education is given to the Aboriginal people as they in turn are more likely to taught survival skills which in turn are considered to be very appropriate for the Aboriginal people. Lack of education eventually leads to lack of employment which in turn have low degree of access to the health services. The jobs and salaries which in turn has been offered to the indigenous people does not tend to match their educational achievements. Employment and income Aboriginal and Torres Strait Islander people in turn tends to have much lower set of employment rates when compared to the non- indigenous people of Australia. One of the key reason behind unemployment among Aboriginal people is mainly because of lack of education, lack of skills, limited market opportunities, low degree of training, lower job retention, high degree of discrimination, poor health conditions, etc. in turn are considered to be as one of the key reasons which eventually leads to lower access to the health services among Aboriginal people. Aboriginal people in turn tends to have low degree of access to the employment which in turn also results in low degree of income levels (Fisher, and et.al. 2016). Lower income levels among the indigenous people in turn also results in low degree of access to the health care facilities. This leads to high degree of illness and disease among the individual. Aboriginal people in turn are considered to be very important because it helps in improving high degree of culturally and quality human and health services for the indigenous group of community. Highdegreeofemploymenteventuallyleadstohigherincomelevelsamongthe Australian people. This eventually results in high degree of access to the job ready applicants and employment incentives which helps in better care and wellbeing to the 2
Aboriginal people. Individual who in turn tends to have high degree of income tends to live longer and also tends to have better health conditions when compared with the people who has lower set of income levels. High degree of income is mainly associated with the education, employment and occupation. Higher the socio- economic conditions there is high degree of health status among the individuals. Indigenous group of people in Australia tends to largely belongs to the lowest income group. They tends to have low degree of education which leads to lower employments and income levels. Hence, they are less likely to have good quality health when compared with the non- indigenous Australian people who have high income levels. Children who tends to belong to higher income people group in turn tends to have better set of health conditions from a very early stage.The Aboriginal people tends to have high degree of risk associated with the early death and increased level of illness (McKenzie, Dell and Fornssler, 2016). The vicious cycle tends to carry out on the continuous basis which states that, no employment means no income. Moreover, no income eventually leads to poor health conditions and no education. This in turn eventually leads to no employment. The cycle in turn tends to carry out on the continuous basis. Racism and racial discrimination The Aboriginal people are considered to be at the highest risk of negative mental health with high degree of exposure to the racial discrimination. Racial discrimination in turn tends to have high degree of negative impact on the health of the Aboriginal and Torres Strait Islander people of Australia (Boulton, 2016). Racism is considered to be one of the director modifiable determining associated with the negative health outcomes which contributes to several set of health disparities among indigenous Australian people. There seems to be high degree of prejudice and racial discrimination among the AboriginalandTorresStraitIslanderspeople.Interpersonalracismtendstohave negative impact on both physical as well as mental health of the Aboriginal people. Racialdiscriminationandracismtendstoinfluencethewell-beingandhealthby initiating physiological dysregulation which leads to change the health behaviour and disturbed sleep patterns and also increase in the substance use. Moreover, indigenous group of people are treated more unfairly when compared with the non-indigenous 3
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group of Australian people. Indigenous people have lack of access to various set of affective care services which leads to high degree of health problems and illness (Chenhall, and Senior, 2018). Racial discrimination among the indigenous Australian people is considered to be very detrimental for the mental and physical health of the people.Therearevarioussetofcontemporaryandhistoricalfactorssuchas discrimination, dispossession and racism which in turn largely influence the individual health outcomes.Racism in turn is considered to be as one of the most key determinant associated with the health related with the indigenous people. This eventually leads to unremitting gap related with health outcomes and socio – economic outcomes in relation with Aboriginal and non- indigenous people. Racism in turn is considered to be as one of the social factor which largely influence the health outcomes of the Aboriginal people. Reduction in the racism and racial discrimination among the Aboriginal people in turn is considered to be very important as it helps in the attainment of better health results and outcomes among Aboriginal people of Australia. Health behaviours and lifestyle Indigenous people in turn are highly addicted to the usage of substance misuse, tobacco and alcohol usage, lack of physical activity and poor nutritional diet in turn tends to already influence the health of the aboriginal people. Illicit use of the drugs tends to have high degree of impact on the lower health outcomes among the Aboriginal people(Markwickandet.al.2015).Therearevariousfactorsandinturnlargely contributes to the good well-being and health of the indigenous group of Australian people. This mainly includes being physically active, eating high degree of nutritious foods, no smoking, limited alcohol use and maintenance of the healthy weight. This helps in preventing various set of onset diseases such as cancer, kidney disease, diabetes and cardiovascular diseases. Aboriginal people in turn tends to have high degree of experience associated with the chronic disease when compared with the non- indigenous Australian people.Complying with the healthy lifestyle and also reducing the exposure to the excess use of the substance misuse as in contributing to the prevention of such illness. The nutritional status of the indigenous Torres Islander people is very useful in influencing the various factors such as Geographical, social, social economic and environmental factors. 4
Poor nutrition tends to include both under and over nutrition which eventually contributes to the overweight, malnutrition, obesity, Type II diabetes, tooth decay and cardiovascular diseases. Lower intake of fresh fruits and vegetables in turn results in poor diet among the Aboriginal people of Australia. The current nutritional health factor of the indigenous group of people among Australia is considered to be very poor which eventually leads to higher degree of health outcomes among Australian Aboriginal (Bailie and et.al. 2015).Lack of physical exercise among the individual people in turn tends to largely results in low degree of access to the various health outcomes. Indigenous people tends to have lower life expectancy rate when compared with the aboriginal people. Lack of physical activity largely influence the positive health care results and outcomes when compared with the people who are more likely to get engaged in various set of physical activity which helps them keep fit. Eating healthy and nutritiousvegetablesandfruitsinturnlargelyresultsinbetterhealthoutcomes. Aboriginal people do not have access to the high quality nutritional food which results in lower health outcomes and results.Poor lifestyle that is high degree of substance misuse is considered to be as one of the major severe condition which eventually influence the health and wellbeing of the Aboriginal and Torres Strait Islander people in Australia (MacPhail and McKay, 2018). Poor set of living conditions and no appropriate health conditions in turn is considered to be as one of the major issue which eventually results in high degree of health problems among indigenous Australian people. This study summarizes that, indigenous people of Australia tends to have low degree of access to the appropriate education material and also lack of fair set of information. Lack of education eventually leads to lack of employment which have low degree of access to the health services. The vicious cycle tends to carry out on the continuous basis which states that, no employment means no income. Moreover, no income eventually leads to poor health conditions and no education. It has been concluded that,The Aboriginal people are considered to be at the highest risk of negative mental health with high degree of exposure to the racial discrimination. It has been examined that,Indigenous people are highly addicted to the usage of substance misuse, tobacco and alcohol usage, lack of physical activity and poor nutritional diet tends to already influence the health of the aboriginal people. 5
REFERENCES Books and Journals Azzopardi, P.S and et.al. 2018. Health and wellbeing of Indigenous adolescents in Australia: a systematic synthesis of population data.The Lancet,391(10122), pp.766- 782. Bailie, J and et.al. 2015. Determinants of access to chronic illness care: a mixed- methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.BMJ open,5(11), p.e008103. Baker, P and et.al. 2018. What enables and constrains the inclusion of the social determinantsofhealthinequitiesingovernmentpolicyagendas?Anarrative review.International journal of health policy and management,7(2), p.101. Boulton,J.ed.,2016.Aboriginalchildren,historyandhealth:Beyondsocial determinants. Routledge. Chenhall,R.D.andSenior,K.,2018.Livingthesocialdeterminantsofhealth: Assemblages in a remote Aboriginal community.Medical anthropology quarterly,32(2), pp.177-195. Fisher, M D and et.al. 2016. To what extent do Australian health policy documents addresssocialdeterminantsofhealthandhealthequity?.JournalofSocial Policy,45(3), pp.545-564. MacPhail,C.andMcKay,K.,2018.Socialdeterminantsinthesexualhealthof adolescent Aboriginal Australians: a systematic review.Health & social care in the community,26(2), pp.131-146. Markwick, A and et.al. 2015. Social determinants and psychological distress among Aboriginal and Torres Strait islander adults in the Australian state of Victoria: A cross- sectional population based study.Social Science & Medicine,128, pp.178-187. McKenzie, H.A., Dell, C.A. and Fornssler, B., 2016. Understanding addictions among indigenous people through social determinants of health frameworks and strength- based approaches: a review of the research literature from 2013 to 2016.Current Addiction Reports,3(4), pp.378-386. Online Indigenous Australians: Aboriginal and Torres Strait Islander people. 2020. [ONLINE]. Availablethrough<https://aiatsis.gov.au/explore/articles/indigenous-australians- aboriginal-and-torres-strait-islander-people> 6