Aboriginal and Torres Strait Islanders

Question 1

Social detriments of health

Answer 1

socio-economic status
impact of poverty
housing
unemployment
education attainment
exposure to violence
trauma
stressful events 
racial discrimination

Question 2

Historical determents of health

Answer 2

Impact of post policies
extent of historical oppression
cultural displacement

Question 3

Cultural determents of health

Answer 3

colonisation

assimilation and self determination

Question 4

Mortality rates

Answer 4

infants - twice as high
males - 10 years less than non ATSI
females - 9.5 years less than non ATSI

Question 5

Main causes of death

Answer 5

Cardiovascular
Neoplasms - cancer
Injury related
Diabetes
Respiratory disease

Question 6

Otitis Media

Answer 6

Middle ear disease
has high infection rates
long term damage
hearing loss rates are high

Question 7

Why is Otitis Media a problem?

Answer 7

Low expectations of health
Overcrowding
Poor hygiene 
Poor resources
Antibiotic resisted

Question 8

The Dreaming

Answer 8

The dreaming explains all areas of life
Economy - trade routes, travel patterns
Land management -plants and animals, hunting and gathering
Social organisation - division of labour
Rituals - sacred objects, totemic sites
Knowledge - education, language, songs

Question 9

Social contexts

Answer 9

structure of society - hunter gatherer

Relationships - to community (kinship), to the land, to the spirit world/ancestry

Question 10

Totems

Answer 10

Symbols of relationship between people and nature
Relationship with each other, to ancestors and the past. At particular sites.
Clan Totems

Question 11

Rituals

Answer 11

Contact with supernatural world renews spiritual vitality
Creation stories. Gender Business
Physical markings e.g. Scarring, tooth removed

Question 12

Introduction of Christianity

Answer 12

Many missionaries would not allow Aboriginal languages to be used, initiations to take place or heritage to be passed onto children.

Question 13

Traditional ways of healing

Answer 13

Bush medicine
Traditional healers
Identity and Place in Culture
Caring on Country

Question 14

Providing Culturally Appropriate Healthcare - Historical Background

Answer 14

Segregation – Gave birth in tin sheds
Stolen Generation – taken from medical facilities
Scientists – multiple research and no feedback

Question 15

Providing Culturally Appropriate Healthcare - contemporary practise

Answer 15

Cultural Awareness Training for staff
Aboriginal Community Controlled Health services and
Aboriginal specific organisations e.g. legal, healing and education

Question 16

Community Controlled Health Care

Answer 16

Aboriginal Community Controlled Health Services were established as an alternative to mainstream health services which were, for various reasons, not accessible or not appropriate for Aboriginal and Torres Strait Islander people

Question 17

Cultural Respect

Answer 17

demonstrate consciousness that respect for different cultural values and meanings must be taken into consideration within their practice.

Question 18

Cultural Sensitivity

Answer 18

encourages self reflection from participants, particularly on their personal attitudes and experiences and how this may impact on how they communicate and behave with people outside of the dominant culture

Question 19

Cultural Safety

Answer 19

Cultural Safety is practice which
Respects
Supports and
Empowers
the cultural identity and wellbeing of an individual.
AND empowers him/her to EXPRESS that identity
AND have her/his CULTURAL NEEDS MET

Question 20

Cultural Competency

Answer 20

(1) the capacity of the professional to work efficiently with individuals / organizations within the cultural beliefs, practices and needs presented.
(2) the capacity of the health care system to improve health and wellbeing by integrating culture into the delivery of health services