Week 5 - Cultural inclusiveness: Safe cultures, healthy indigenous people

Question 1

There are 9 social determinants of health, what are these?

Memory task

Answer 1

• Healthy child development
• Social support networks
• Education literacy
• Employment and working conditions
• Social environments
• Physical environments
• Health practices, coping skills
• Health services, resources
• Gender, culture
• Biology, genetic characteristics

Question 2

A treaty was created, this treaty was developed in New Zealand and made a greater progress than Australia in valuing its Indigenous people, what was the treaty called?

Answer 2

The Treaty of Waitangi.

Question 3

In what year did Australian Prime Minister Kevin Rudd issue a public apology to Indigenous people regarding the stolen generation?

Answer 3

2008

Question 4

Social determinants of health, safe, inclusive indigenous cultures includes 10 aspects, very similar to SHDs, but what are these?

Answer 4

• Gender
• Culture
• Physical environments
• Social norms, social support nerworks
• Child development
• Education, literacy
• Employment
• Health practices, coping
• Socio-economic position (SEP)
• Biology, genetics

Question 5

Memory task:

Trust, reciprocity, participation and belonging are aspects of what?

Answer 5

Social Capital

Question 6

Power and resources that help people maintain social capital in a way that values cultural understandings is what capital?

Answer 6

Cultural capital

Question 7

Non-acceptance of culture by dominant culture is defined as what term?

Answer 7

Magrinalisation

Question 8

Blending of cultures is defined as what term?

Answer 8

Integration

Question 9

People from one culture adopt the values, attitudes and behaviours of another culture is defined as what term?

Answer 9

Acculturation

Question 10

Abandoning culture to become part of the dominant culture is defined as what term?

Answer 10

Rejection and/or assimliation

Question 11

People are not committed to similar goals or ambitions, where decision-making is not based on similar principles and philosophies. Erodes social and cultural capital by causing disharmony is defined as what term?

Answer 11

Culture conflict

Question 12

Viewing the world through one’s own cultural filters, perceiving and interpreting others’ behaviours according to the one’s own believe system and behaviours is defined as what term?

Hint: starts with E

Answer 12

Ethnocentrism

Question 13

An aversion to tolerating other cultures is defined as what term/phobia?

Answer 13

Xenophobia

Question 14

Maintaining feelings of superiority about another race or group which can lead to prejudicial attitudes. when acted on results in discrimination. What term is used to describe this?

Answer 14

Stereotyping

Question 15

A belief in the distinctiveness of human races - the believe that one’’s birth-ascribed race or skin colour is superior to another is defined as what term?

Answer 15

racisim

Question 16

The notion of biological inferiority where offensive behaviours are entrenched in socio-legal structures or scientific research is defined as what term?

Answer 16

scientific rasim

Question 17

Using a universal or ‘one-size-fits-all’ approach to healthcare is defined as what term?

Answer 17

Systematic Bias

Question 18

Find the missing term:

Being authentically and culturally inclusive requires both understanding and actions that are __ __.

Answer 18

Culturally competent

“Being authentically and culturally inclusive requires both understanding and actions that are culturally competent”

Question 19

Find the missing term:

__ __ is a form of cultural relativism; understanding your own culture in relation to others. __ __ actions promote partnership, participation and cultural protection.

Answer 19

Cultural Safety

Cultural safety is a form of cultural relativism; understanding your own culture in relation to others. Culturally safe actions promote partnership, participation and cultural protection.

Question 20

Find the missing terms:

___ and ___ ___ require acceptance of one another’s culture as the legitimate adaption of different peoples to various historical, natural, socio-economic and political environments.

Answer 20

Tolerance and social inclusion

tolerance and social inclusion require acceptance of one another’s culture as the legitimate adaption of different peoples to various historical, natural, socio-economic and political environments.

Question 21

• Acknowledge and value diversity
• Provide culturally appropriate care
• Enable self-determination and reciprocity
• Hold governments and health planners accountable for meeting the needs of all cultures
• Manage from culturally competent evidence-base
• Recognise need for culturally competent training

Are 6 aspects of what system?

Answer 21

Culturally competent health systems

Question 22

“People are linked in more ways than their birthplace divides them” is a term to describe what?

Answer 22

Multiculturalism

Note: The term multiculturalism has been used to camouflage feelings of superiority of one culture over another.

Question 23

Dominant cultures maintain a position of power over those that are economically dependant on them for survival is a term used to describe what?

Answer 23

Globalisation.

Question 24

First or Indigenous peoples or first nations is a term to describe what?

Answer 24

Aborigional

Question 25

Indigenous understandings of health and wellbeing are (4 aspects):

Answer 25

• Holistic
• Symbolic
• Spiritual
• Ecological

Question 26

How to Indigenous Australians see “country”?

Answer 26

Mind-body-spirit connection to their land. Country is where an indigenous person’s life is steeped in the events and stories of their lives.

Question 27

To what degree (years) is life expectancy at birth for indigenous people is less than the rest of the population?

Answer 27

10 - 15

Question 28

In indigenous populations around the world, what is the ‘greater’ rate of infant mortality, than that of the national average?

Answer 28

1.5-3 times higher

Question 29

In 2012, a study shown that Indigenous Australians are younger than non-indigenous people due to higher fertility and shower life expectancy, how many years lower?

Answer 29

11-17 years lower

Question 30

There are 7 aspects of structural and behavioural impediments to healthy lifestyles, What are these?

Answer 30

• Overcrowding
• Lack of access to healthy foods
• Few facilities for excersize, recreation
• Few culturally appropriate support systems, sources of guidance
• Judgemental attitudes, discrimination
• Low cultural and social capital
• High rates of violence (IPV, neighbourhood violence)

Question 31

• Eliminate racism and all forms of discrimination.
• Address the social determinants of disadvantage.
• Improve child and youth health and wellbeing.
• Recognise the uniqueness and importance of Indigenous family and extended family networks.
• Promote public acceptance of the unique needs and sensitivities of Indigenous people.
• Improve responsiveness of mainstream services and programs.
• Recognise the impact of environmental degradation.

Are all goals for who?

Answer 31

Goals for Indigenous health

Question 32

Memory task: What are the 3 pathways to health?

Hint: Prevention

Answer 32

Primary
Secondary
Teritary preventions

Question 33

There are 6 ways of promoting social inclusion, what are these?

Answer 33

• Build healthy public policies
• Create services
• Strengthen community action
• Develop personal skills
• Reorient health services
• Evidence base