Week 11 Flashcards
what is the government definition for indigineous australians?
3 criteria:
- Aboriginal and/or Torres strait islander descent
- perceives themself to be an aboriginal person
- accepted by the indigenous community in which they live
what are considerations t be made when communicating with indigenous people?
- every community has its own protocols that should dictate communication approach
- not all indigenous people are the same
- may be barriers to communication
What are some potential barriers to communication when dealing with indigineous people?
- previous negative experience with governments
- cultural difference within a group
- No is not always used in aboriginal language, more likely to receive a yes or maybe to questions
What are some things not to do when communicating with indigenous people?
- dont force eye contact
- dont use jargon or technical terms
- don’t refer to deceased by name
- be careful with use of humour
- don’t presume all indigenous know their age and DOB
what are the social determinants underlying the current health status of indigenous?
- Aboriginal health
- Racism
- Health, social, emotional well-being
- alcohol and drug dependence
What factors contribute to poorer health outcomes in indigenous populations?
- poverty
- unemployment
- limited education
- discrimination
- unresolved trauma
- lack of empowerment
Define the illegality of racism under australian law
illegal for people to behave in a racist manner or encourgae, incite or permit racist acts tp occur
Which group of aboriginals suffer poorer mental health>?
victorian aboriginals
What is the burden of disease of alcohol on indigenous pops?
almost double of general population
In what ways are indigenous less trusting of the health system?
8x more likely to discharge from the hospital against medical advice
what are the categories of ‘rural and remote’?
- inner regional
- outer regional
- remote
- very remote
What are the challenges in remote medicines
difficult to assess the implications of remoteness for health
Difficult to measure whether there is adequate supply of medical services due to varying
- > health seeking behaviour
- > Professional scope of practice
- > health system efficiency
What health factors are more significant in rural and remote medicine?
Chronic = same
Injury = more likely to report a recent injury or long term condition - 20% more
Mental health = Depression is more prevalent
Dental health = more decay, missing or filled teeth
Communicable disease = increases with remoteness
Birthweight = very low birthweight more prevalent compared to major cities
Disability = more prevalent
Life expectancy = lower
what is the mortality rate in regional areas?
overall mortality = higher in regional
Perinatal mortality = higher in regional
Cause of death = circulatory disease
what factors might relate to poorer determinants of rural health?
- less access to fluridated water
- higher unemployment rate
- lower after tax household income
- birth rates higher
- homicide rates higher
- more household crowding
- food prices higher
- fuel prices higher
- cost of housing lower
