HPIA: What are the Priority Issues for Improving Australia's Health? Flashcards
what is the difference in life expectancy between ATSI and non-ATSI
8-9 years
what is the life of expectancy of aboriginal women
71.6 year
what is the life expectancy of aboriginal women
75.6 years
what is the trend of aboriginal peoples life expectancy over the past 10 years
increasing `
how much higher are the mortality rates of aboriginal men aged 40-49 than non-aboriginal people
4 times higher
how much higher are child death rates of aboriginal children
2 times higher
how much more likely are aboriginal people to have kidney disease
7 times more likely, due to the high prevalence of diabetes
how much more likely are aborignal people to have diabetes
3 times higher
how much more likely are aboriginal people going to have cancer or obesity
1.5 times more
how much higher is the youth suicide rate in ATSI females
6 times
how much higher is the youth suicide rate in ATSI males
4 times
how much higher is the infant mortality rate in ATSI
2.5 times higher
what sociocultural factors affect the inequities in Aborignal people
- lower levels of education/less likely to complete yr 12=lower health literacy
- less money/funds
- higher imprisonment rates
- less community self-esteem
- language barriers
- poor access to health services
- less trusting of western medicine due to historical factors
what socioeconomic factors affect the inequities in aboriginal people
- are the lowest income bracket
- higher unemployment rates
- poor lifestyle choices due to lack of funds/health literacy eg. smoking, drinking and unbalanced diet
- half as likely to finish year 12
how much less likely are aboriginal people to finish year 12, and what are the impacts
half as likely
less health literacy, and less employment oppurtunities
what environmental factors affect the inequities in aboriginal people
- limited access to health services in rural services
- difficulty accessing GP/dentist
- overcrowding/run down housing
- less safe drinking water
- higher mental issues
- less recreational oppurtunities
role of aboriginal individuals addressing health inequities
- responsible for promoting own health, and health of others
- individual health is influenced by:
age, history, community support, family, education, access to health services, role modelling, socioeconomic - interventions/campaigns available to aid with making risk and protective behaviours.
- health services focus on improving knowledge and skills of commmunity mentors
what is the role of the aboriginal community in addressing health inequities
- implementing the ‘close the gap’ campaign
- creating a supportive community
why do ATSI communities lack access to primary health services
- lack of availability
- costs and language barriers
- transport and distance to services
what are aboriginal community groups eg.
aboriginal community controlled health services (ACCHS)
delvers holistic and cultural appropriate healthcare eg. immunisation, sexual health, substance use
what is the role of the government in addressing aboriginal health inequities
- larger health promotion and funding
eg. 805 million Indigenous Chronic Disease package - goal to reduce key risk factors eg. smoking, and improvement management of chronic disease
- ‘close the gap’ aims to decrease infant mortality and gap in education/employment, increase life expectancy
do low ses people have lower or higher life expectancy
lower
do low ses people have higher/lower morbidity and mortality rates
lower
how much higher are the coronary heart disease for low ses people, and what is the decline rate like
40% higher, and is in slower decline than higher SES areas
how much higher is the incidence of lung cancer in low ses
6 times higher
how much higher incidence of obese women in low ses
a third higher incidence
how much higher incidence of obese low ses children
2 thirds higher
are cancer mortality rates higher or lower in low ses populations
higher
is the burden of stroke higher or lower in low ses populations
higher
how much higher rates of Chronic obstructive pulmonary disease (COPD) in low ses people
double the rate
how much more likely are low ses poeple to have asthma and why
33%, due to substandard housing and more likely to passive smoke
is infant mortality higher or lower in low ses populations
higher
why do low ses people have more visits to the hospital/GP
iller health, less likely to exercise/have balanced diet = obesity levels r higher
why are low ses people more likely to perform risk behaviours eg. smoke, drug abuse
poorer education, culture of peers, less health literacy
what sociocultural factors affect ses inequities
- more likely to experience discrimination
- power structures in society may impact access to health services eg. dr might disregard a rough-looking persons health problems
- more likely to experience family difficulties eg. substance abuse, domestic violence
what socioeconomic factors affect ses inequities
- higher unemployment
- less access to education, = less informed abt health
- lower financial capacity = lower standard of living
- lower access to high quality food
what environmental factors affect ses inequities
- often work in manual labour jobs that carry high risk and may be exposed to asbestos
- often live in crowded, less healthy urban area, rural areas or in areas with fewer health services
- homelessness may be an issue
what is the role of individuals in addressing low ses inequity
- focus on individuals making good health choices, enhancing health status eg. completing school, attend uni
- indivs. encouraging peers to make positive health choices eg. not smoking
these choices reduce risk factors and address health inequities
what is the role of communities in addressing low ses inequity
- providing relevant health care and support services eg. PCYC and ‘youth of the streets’ who aim to improve health outcomes for socioeconomically disadvantaged people
what is the role of the government in addressing low ses inequity
- provide funding for free/reduced health care (medicare)
- goal: provide all Australians with adequate and affordable health care = equity
what is the nature of cardiovascular disease (CVD)
disease of the heart and blood vessels
what is coronary heart disease/ischaemic heart disease
blockage of blood vessels
what is cerebrovascular disease
stroke
blockage of blood vessels to brain
what is cerebrovascular disease
stroke
blockage of blood vessels to brain
what is peripheral vascular disease
affects the arteries, arterioles, capillaries of the extremities.
blood supply is restricted due to artherosclerosis
what is artherosclerosis and what it is the underlying cause of what disease
build up of fat, cholesterol and other substanes incside arteries
underlying cause of CVD
what is arteriosclerosis
hardening of the arteries
what is angina pectoris
chest pain
occurs when the heart has an insufficient supply of oxygenated blood
what is cvd
cardiovascular disease
is cardiovascular disease (CVD) declining or increasing
declining
is prevalence of cvd higher in females or males
females
what percentage of deaths is CVD responsible for
27%