indigenous perspective on health and health issues

2013;12(3):317–23. Indigenous Australians are more likely than non-Indigenous Australians to have mental health problems and chronic diseases such as respiratory diseases, cardiovascular disease, diabetes and chronic kidney disease. Larson et al., argue that this is discrimination and a determinant of health and that until change occurs in the perception of the dominant Australian culture, public health, education and employment opportunities will be at risk for Indigenous Australians. For example, use of participatory action research designs4 or research processes that involve extensive community consultation5 may mean that traditional approaches need to be adapted. Study for free with our range of university lectures! Several participants’ comments indicated that people within the communities they supported resented being told how to live their lives or being criticised for not living in a certain manner. 2013;32(1):72–9. 7. Aust J Prim Health. Reference this. Black Point, NS: Fernwood Publishing; 2008. Copy available from author.

42. They’ve got to share it out with whomever, if there’s some sort of relationship. And then it’s monkey see, monkey do. Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales.

We included peer-reviewed journal articles and articles from other publications describing processes, including an evaluation, description of a partnership and development of a model. Communication has a relational component that can be disrupted by distrust [70]. 2011;30(1):55–62. 4.

These depended on the study aim, the collaboration and the community involved. Int J Ment Health Nurs. As it is important to ensure that the voice of ordinary Aboriginal people to be heard and what it is that they want. The themes identified in this study were analysed and categorised within a social ecological framework. Dingwall K, Puszka S, Sweet M, Nagel T. “Like drawing into sand”: acceptability, feasibility, and appropriateness of a new e-mental health resource for service providers working with Aboriginal and Torres Strait Islander people. Two-way approaches to Indigenous mental health literacy. Socio-economic circumstances including economic hardship and unemployment diminished the financial resources available to fund health needs. Available from: 5. Notice the comments in the notes and discussion section.

© 2017 Farnbach et al. [64,65] used this framework to provide insight into health risk behaviour within the African American minority group in the United States. The results reveal the complex relationship between social relationships and the broader Indigenous and non-Indigenous cultures and their impact on individual health behaviours. Acceptance of health behaviour information that is derived from non-Indigenous sources or depicted from a non-Indigenous perspective may be diminished by the influence of marginalisation, racism, and desire for cultural distinctiveness.

Thus, factors that are traditionally considered instrumental in behaviour development could be considered simultaneously with factors that may be more influential within an Indigenous context [32,36,37].

It was believed that some cultural aspects may have reinforced social connections in a manner that promoted group conformity and group expectations. They may also observe Indigenous community members attempting to moderate their health behaviours [14]. SEWB describes a strengths-based holistic perspective of mental health that acknowledges the sociohistorical and personal influences on mental health.13 We included SEWB/mental health, depression disorders, anxiety disorders, dual diagnosis (SEWB and drug or alcohol use), and smoking and alcohol use. This was primarily facilitated by the emphasis that was placed on social connections /networks by the culture.

Indigenous people have been victims of societal and racism since colonial times.

Moreover, Indigenous participants’ comments indicated that the emotional distress and sorrow associated with tragic historical events, such as family massacres, impacted greatly upon Indigenous people. This was thought to produce psychological distress that impeded consideration of appropriate health behaviour; created psychological barriers between the Indigenous and non-Indigenous people; and increased the necessity for coping strategies. Calabria B, Clifford A, Shakeshaft A, Allan J, Bliss D, Doran C. The acceptability to Aboriginal Australians of a family‐based intervention to reduce alcohol‐related harms. A protocol for this review has been published previously12, and is in accordance with PRISMA and MOOSE guidelines. %%EOF Canberra: Commonwealth of Australia; 2003 [cited 2014 Sep 1]. A lot of obligation to their family…aunty or grandma or a child and his or her partner and their kids and whoever else is transient at that time that’s come to stay.

Health Risk Soc.

The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review, Aboriginal and Torres Strait Islander health, www.researchgate.net/publication/317099307_FINAL_2017_05_25_Farnbach_Systematic_Review_Supp_Tables, Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence, www.nhmrc.gov.au/_files_nhmrc/publications/attachments/e52.pdf, www.lowitja.org.au/sites/default/files/docs/LinksReport.pdf, www.healthinfonet.ecu.edu.au/uploads/docs/sewb-review.pdf, www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/9F3C9BDE98B3C5F1CA257C2F00145721?opendocument, www.naccho.org.au/aboriginal-health/definitions, nceta.flinders.edu.au/files/6813/5787/2431/Abor_mh_worker_program_final.pdf, www.beyondblue.org.au/docs/default-source/research-project-files/bw0165.pdf?sfvrsn=2, Culturally and linguistically diverse communities, More examples are needed of Indigenous-focused health research that are scientifically robust and acceptable to the community, A range of research designs is used depending on the collaboration, community perspectives and the study aim, Participatory action research can inform localised interventions and research designs, including randomised designs, Processes that are culturally sensitive may improve community acceptance. You will need to provide a link to your articles. %PDF-1.6 %���� We were considered animals until they gave us the vote in ‘67. The authors, all non-Indigenous, participated in the discussions relating to the themes; this further contributed to the trustworthiness of the data by providing the opportunity to explore different perspectives.

Of the 16 studies where a primary outcome was identified, eight aimed to identify perceptions or experiences. However, in instances where there is discrimination or oppression, the expectation for cultural leadership to champion health change may inadvertently exacerbate inequities. These authors’ examined media portrayals of Indigenous Australians’ public health issues in selected media over a 12-month period. 2014;14(1):517. Yes This holistic understanding of health and wellbeing involves the whole community throughout the entire life-course. Drug Alcohol Rev. It was often mentioned that interactions between Indigenous people and non-Indigenous representatives from organisations, especially health-related organisations, had the potential to positively influence health behaviour.

The synergetic effect of such interactions impacted upon health behaviour. Multiple articles that reported findings relating to the same study (such as one evaluation15,16, one project17-20, one survey21,22, one interview/focus group session23-26, or one questionnaire27,28) were considered as a single study, and all references were included. Figure 1. Communities’ perspectives were rarely reported.

The questioning was iterative, allowing participants to expand on areas they felt were most important.

In addition, the potential for misinterpreting the data was minimised by an iterative, constant comparison method, combined with member checking and advice from the advisory group and a forum of experts, who were experienced professionals within health promotion (as per, [52,56]).

The importance of cultural distinction may promote resistance to embracing health behaviours that are perceived as being aligned to another culture which in turn could promote engagement with health risk behaviours or healthful behaviours depending on the situation. Culture was identified as fundamental to an Indigenous outlook on life, and therefore, substantially influenced health behaviour and factors that affect health behaviour.

The notion that the normative behaviour of a group (for instance, a cultural group) will influence the individuals within the group is commonly acknowledged [72]. No, Is the Subject Area "Racial discrimination" applicable to this article? Of these, 36 replied and 24 provided new data. This essay will discuss Indigenous health as an important issue to the Australian community and the problems that Indigenous Australian may experience within the current health care system. *You can also browse our support articles here >. This can include, news items in daily papers, journals, television or radio, websites, magazines. Aboriginal people were hunter-gathers who foraged for uncultivated plant and wild animals. Though education is available it is often unmet to the needs of the indigenous children resulting to have low enrolment rate, poor school performance and high dropout rate which increase the vulnerability to child labours. Is the Subject Area "Behavioral and social aspects of health" applicable to this article? In four studies, families29,43 and carers19,20 of primary health care patients were participants. The fundamental wellbeing of the Aboriginal people is their land, its environment that sustained by the people and culture, full of spiritual wellbeing. Further, it was apparent that the Indigenous culture was a strongly empowering and capacity building force within Indigenous communities. The communication gap between health professionals and Indigenous Australians has a significant impact on health outcomes.1-4 Limited health literacy is not confined to Indigenous people,5 but it is greatly magnified for speakers of Indigenous languages in comparison, for example, to non-English speaking migrants from countries where a scientific approach to medicine is practised and where these health concepts are already codified…

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