Friday, February 22, 2019
Health Issues in the Aborigines Culture
wellness Issues in the Aborigines Culture Over the course of history, the assert of prime swellness has deterio investd in a congener much connatural to the cultures struggle to survive in the ever-changing society. As a result, this c solely forth has changed from an ideal balance with character during the days of their hunter-gatherer modus vivendi, to the to a greater extent than than disoriented form of endurance in order to cope with required integration and open antagonism by former(a)(a) modern communities (Grbich, 2004).This has guide to an augmentation of the encumbrance of illness and final stage as well as respective(a) forms of morbidity that pristine communities experience finishedout their lives. It is indeed ironical that bandage downstairs the context of an organized and industrialized nation such(prenominal)(prenominal) as Australia, indigenous communities continue to face enlarged wellness problems even condescension countrywide efforts at eradic ating wellness hazards thereby reducing pitch-blackity rate order for youngsterren and adults alike as well as transmissible and non-communicable morbidity indicators. innate wellness problems atomic number 18 alike noned to be a combination of troika world-associated quandaries such as high rates of maternal and infant mortality as well as low feel antepast, malnutrition and other communicable diseases as well as more Western spiritednessstyle wellness problems such as cardiovascular diseases, diabetes, drug and alcoholic drink abuse, mental illness, and many an(prenominal) others (Lewis, 2003). This paper therefore looks at the epidemiology of the state of matter of wellness for the uncreated residential ara, delving into the viable sociological reasons behind this increasingly measly condition.At the same(p) time, a clearer locating will be raiseed into the widening gap that is noted between the state of health for primal communities and that of othe r Australians raise putting this into a loving context. The effect of a modern society on health grapple preparation to indigenous communities is also discussed, as well as the health issues facing these mess such as high blood pressure, stress, drugs, alcohol and poor childrens health. According to the Australian toilet table of Statistics (2008), the central confederation faces higher(prenominal) rates of ill health than any other company in Australia.From the estimate of an average of 450,000 Aborigines in Australia, it is spy that when compared to other communities, this residential district faces enhanced problems of chronic illness and problems from cigarette smoking in entree to other health issues. Among the unlike problems faced by the original quite a little entangle childrens health issues. These entangle low take in slant down accompanied by an infant mortality rate that is almost deuce-ace times that of the national average such a figure results to 15. 2 deaths of Aborigine infants as compared to 5 from other communities per 1,000 births (Thomas, 2003). some other factors connected to low birth weight include that of an enhanced risk for consequent diseases during puberty and maturity that may lead to neonatal death. Low birth weight of the infant is associated with a slow growth rate and short pregnancy length, with Aboriginal women noted to rescue a 12. 4% chance to birth a low birth weight baby as compared to 6. 2% for a non-Aboriginal woman (Australian Bureau of Statistics, 2008). Other issues noted in Aboriginal children include the prevalence of p everyplacety among the members of this group thereby direct to ill-health and poor benefits peculiarly for the young.In addition to a higher rate of low birth weight in Aboriginal women, their children also face a greater risk of malnutrition. The advantage of breastfeeding is noted during the first months, with this go an additional defense against general infant dise ases. However, after weaning, the lack of nutritious foods increases the likelihood of children to contract infective diseases advertize enhancing the childrens malnutrition. Other health problems faced by children include the prevalence of middle ear infection, consequently affecting the learning abilities of the child that may acquire speech and hearing problems.At the same time, the high rate of smoking among the Aboriginal conjunction leads to a high exposure of the children to tobacco smoke during pregnancy and even after birth. This then leads to the noted increase in the prevalence of respiratory disorders including asthma and other related ailments. Other diseases faced by pre-pubescent Aborigines include chest and throat infections as well as injuries from accidents. Adult male Aborigines also face higher risks of inadvertent injuries as compared to non-aboriginal adult males.This increases their chances for hospitalization which is also enhanced by magnetic core and c hest diseases as well as digestive tract ailments. Aboriginal women similarly digest higher rates of urinary and reproductive complications as compared to non-aboriginal women with the latter complications leading to strained pregnancy and births. On an over exclusively basis, members of the Aboriginal communities are twice as apparent to be hospitalized as compared their non-aboriginal counterparts (Australian Bureau of Statistics, 2008). These results from an enhanced susceptibility to injuries sustained during accidents as well as the aforementi peerlessd(prenominal) causes.It is also noted that Aboriginal great deal usu wholey have a higher vulnerability to infectious diseases such as sexually catching infections including HIV/AIDS, Gonorrhea, Syphilis, as well as other potentially fatal conditions such as Tuberculosis and Haemophilus influenza type b (Lutschini, 2005). nutrition and nutrition plays a major role in the state of health of the Aboriginal mess. Before the i nfluence of settlers who arrived in Australia, Aboriginal populate were utilise to their hunter-gatherer lifestyles that incorporated the consumption of wild meats and fallow plants.These customary foods were rich in nutrients, protein and carbohydrates, composition also having limited supplies of sugars and fat. As a result, the Aboriginal people were healthy and did not face diet-related ailments. With the introduction of Westernized foods, which contain higher levels of sugars and fat, while organism low on essential nutrients, the Aboriginal people have become more vulnerable to diet disorders such as diabetes, fleshiness and cardiovascular disease. This increased rate is also noted to be higher in Aborigines than in non-aborigines who are considered to be used to these modern foods.Aboriginal people have also been noted to have a shorter life expectancy than that of non-indigenous communities with Aboriginal males expected to live for around 57 years as compared to 62 years for their female counterparts this translates to a shortfall of around 18 to 20 years when compared to non-aborigines (Australian Bureau of Statistics, 2008). There are diverse causes of this early death amongst the aborigines that include twice the rate of cardiovascular disorders that include strokes and mettle failures as compared to non-aborigines.At the same time, aborigines are three times as in all likelihood to succumb to injuries sustained from accidents as well as other causes such as homicide and even suicide. When seeking an explanation as to these health profiles, it is Coperni plenty to take into consideration the historical context of the changing surround that the Aborigines have had to contend with. Prior to European small town, these individuals were used to a gestateive environment as well as a multifaceted fond support ne twork. They also had an advanced comprehension of their ecology which was advantageous in providing all their nutritional and health req uirements.This was also enhanced by an active lifestyle whose foundation was a community that fired a family culture that exhibited psycho tender veracity (White, 2002). The climax of colonization brought with it a change in lifestyle making the Aborigines more inactive and dependent on the European settlers. This resulted in their acquisition of hateful products and infectious diseases that their health dusts were not equipped to handle. At the same time, a societal shift was noted that clashed with the culture, heritage as well as the concept of family that the Aborigines were used to.In recent years, there has been an effort at social integration coupled with dealing with semipublic health issues at all facets of the community (Carson, Dunbar & Chenhall, 2007). However, even with an overall reduction in the mortality and death rates of all Australians, it is noted that the Aboriginal community still records importantly higher rates of the same. Due to the overall effect that historical events have had on the Aboriginal community including lack of education, poor employment opportunities, elevated drug and alcohol abuse, the improvement of health amongst this community continues to be an emerging battle.Other problems are as a result of the lack of advance to health run by some Aboriginal communities. This is credited to both the fleshly distance to such amenities as well as motley aspects of cultural insensitivity. Due to the occupation of rural areas by the Aboriginal people, they approachability to healthcare is hampered by the lack of transport usually resulting in slight frequent visits to health professionals. The cultural perception about health and fictional character of health services also plays a major role in healthcare service provision (Germov, 2004).Indeed, it is noted that the Aborigines are more likely to be influenced by spiritual beliefs such as curses and punishment from assert transgression than biomedical views on health. As a result, Aboriginal people are more likely to accept the views of traditional healers as opposed to opinions offered by Western health professionals. Other conflicts between traditional Aboriginal views and those provided nether the constructs of biomedical furnish include the notion of informed hope especially when an approval is sought to proceed with a medical procedure.For exemplar traditional applications of the role of kinship as well as community recountingships will take precedence, in the minds of the Aborigines, over that of the sole consent of a patient (McGrath & Phillips, 2008). These cultural differences also expand into the concepts of immediacy and time, the comprehension of health and illness, as well as information on the potential benefits, and harms of handling especially when a language barrier is present thereby clogging the patient-doctor interaction.In precis of the epidemiological aspects of Aboriginal health, it is noted that the advent of Europea n colonization brought with it the change in the communitys health structure. This was either receivable to an alteration of the epidemiological dynamics of diseases that were already present including an induction of new and contagious diseases, or by a change in lifestyle increasing the vulnerability of the indigenous people to such ailments.Irrespective of the sources of the problem, it is noted that the prevalence of health problems is higher in Aborigines than in non-aborigines with inequities arising due to inadequate healthcare for the former, as well as cultural disparities that exist between the two societies and that promote the further segregation of health services among them. When making considerations into the various views held by social theorizers to the situations faced by Aborigines, a further abbreviation can be drawn into the health situation and the disparities faced by this community in relation to that of non-aborigines.Marxs view of class, work and aliena tion, is such a theory. This theory has been utilized by many ideologists who have substantiate the presence of an oppressive structure in any society that is retained by the dominant culture, language or social position (Western & Najman, 2000). The lesser group therefore undergoes manipulation and control at the will of the more ascendant group. This phenomenon is also noted to traverse generations, cultures and time therefore existence present in all societies.To further its causes, the dominant culture promotes its ideologies through education as well as other services provisions which favor the ruling class and keep the lesser group insensible of their rights. Thus the ownership of mogul of capital primary(prenominal)tain structures that provide for the upkeep and concentration of this power among the elite thereby ensuring that it is not lost or watered down with the cause of time. Such structures, according to various social theorists, extend past the constructs of sc hools and education and even go as removed as health provisions such as the case under study (McGrath & Phillips, 2008).In the societal and cultural context of the state of Aboriginal health in Australia, it can be argued that its structure over time has been change to serve the best interests of the more dominant non-aboriginal communities. As a result, the Aboriginal people have received constant interference, conquering and misinterpretation as to the rights that are provided to them in healthcare as well as other community services that they are entitled to. There are also similarities noted between this form domination and the colonialist tyranny by Europeans over other societies in Africa, South American and parts of East Asia.The main effect of such oppression was the changing of the mindset or perceptions of the indigenous communities as to their rights and the changes they had to make to their traditions (Grbich, 2004). Proponents of this view argue of its accurate asser tion on the negative Western attitudes towards cultural aspects and the upbeat of Aboriginal people and how these have been propagated in all aspects of the society, including healthcare provision.This can therefore be construed as the actions of a dominant culture that reserves its gains in science to not only promote the agenda of this stronger community but to also picture the Aborigines as being crushed and submissive. This further alienates the two societies further change the Aboriginal people and resulting in cultural insensitivity. Indeed, this has been noted as one of the reasons behind why the Aborigines do not advocate for the use of biomedical options of treatment but opt to stick to traditional forms of healing establish more on their spiritual beliefs.The sociological change in relation to this theory can be observed with the Aboriginal approach at self-empowerment in which they aim at gaining the necessary skills to seek their rights thereby gaining security measu re from current and future forms of oppression. This is evident with the acceptance by the Aboriginal communities to not only seek biomedical approaches to treatment but to also handle the underlying aspects of science and language that the non-aboriginal communities had used to oppress them in the past.By pickings a proactive approach at undertaking research into the health issues affecting them as well as the possible application of their findings into their communities, the Aboriginal people are gaining assurance and assertion from the knowledge of medicine and other forms of science through. As a result, the possibility of improving their health and wellbeing becomes an ever-closer reality (White, 2002). Another perspective that can be adopted visit issues based on Aboriginal health are those proposed by Erving Goffman.This theorist discussed various notions such as stigma, passing, deviance and social control and how these abnormal social structures and the manner in which i ndividual members of a community interacted with apiece other. For instance, Goffman affirmed that the prevalence of stigma resulted from the lack of comprehension of an unknown, with this perspective leading to a change of attitude or behavior towards the object under scrutiny. This theorist further described three forms of stigma including physical abominations, imperfections of character, and tribal stigma (Lewis, 2003).Aspects of the latter form can therefore be observed in the provision of healthcare to Aboriginal communities being neglected by the mainstream communities that are overabundantly non-aboriginal. This is due to a lack of understanding of the Aboriginal customs and beliefs especially regarding health and illness and the associated forms of treatment. Similarly proponents of the theorists views assert the clear observations of aspects of social control against Aboriginal communities in all aspects of the society, and including the healthcare system.In the past, som e form of segregation has been observed amongst healthcare providers when offering their services to Aborigines and non-aborigines (Carson et al. , 2007). The poor delivery of health services the former leads to the deplorable health state of this particular community and can be further attributed to the widening gap between the states of health on a community level. Providing primary health care to meet specific Aboriginal necessitate has not been put under consideration with this being a major indicator of the flaws of the system.Various other social theorists have added their diverse views about the state of health of the Aboriginal community in Australia. According to McGrath & Phillips (2008), research into the effects of public health system and especially on the response by various institutions to indigenous public health ask is lacking. At the same time, healthcare provision for aboriginal communities is not directed by the needs of the indigenous people, as it should be, thereby demonstrating a flaw in the power structure between non-aboriginal health experts and Aboriginal health workers.As a result, provision of indigenous health care takes a back seat thereby promoting the already deplorable state of affairs. Such a notion is further promoted by the sociological view that the flaws in the public healthcare systems that are not in the favor of the Aboriginal community, stem from the unbalanced nature of the governmental economy. According to this perspective, the governmental and economic relations that exist promote the negative effects noted in the public healthcare system.The hunched access that the Aboriginal people have to the political and economic resources in Australia is therefore translated into various structural and situational disadvantages such as the lack of access to health services by Aboriginal communities. At the same time, the public health system is flawed for dealing with race-based aspects of healthcare in which the pop ulation is considered to be asocial.The resultant notion therefore asserts that the public health system assumes that the needs of various communities are similar and that no underlying societal disparities exist (Western & Najman, 2000). The resultant situation is that of a system that deals with the needs of the predominant culture or community which in this case is that of the non-aborigines and neglects the needs of the lesser communities. This leads to the lack of appropriate health care for the needs of the Aboriginal people further adding to the poor state of health affairs faced by the indigenous societies.In retrospect, the sociological explanations behind the state of Aboriginal health are noted to be based on flaws in the political and economic structures that provide the basis of public health. As a result, a relation can be further made between the social and political influences and the provision of public healthcare to Indigenous communities. Such flawed structures ca n therefore be blamed for the poor state of affairs in a situation that can be controlled by an emphasis for health services that cater for the needs of the Aboriginal community.Such systems should also not offer any room to any form of segregation whether as a result of stigma or as a result of forms of oppression by a dominant culture over another that it deems as inferior. Aboriginal health is indeed an important aspect of health, illness and welfare in Australia that needs consideration. The increasing disparities that are noted between the states of health of Aborigines and non-aborigines provide a sufficient need to worry especially with the differences being added by sociological boundaries that exist in the healthcare system.The changes in social, political and economic attitudes should provide a foundation to improve health services and awareness of the Aboriginal community in order to increase life expectancy, decrease mortality rates at all stages of life, reduce the fi x of diseases and enhance the social and emotional well being of members of this and all communities, thereby leading to a unified healthy nation. Works CitedAustralian Bureau of Statistics 2008, The wellness and Welfare of Australias Aboriginal and Torres Strait Islander Peoples, 2008, Viewed June 3, 2009, Carson, B, Dunbar, T Chenhall, RD 2007, Social Determinants of Indigenous Health, Allen Unwin, Sydney Eckersley, R, Dixon, J, Douglas, RM Douglas B 2001, The social origins of health and well-being, Cambridge University Press Grbich, C 2004, Health in Australia Sociological Concepts and Issues, Pearson Longman, Sydney Germov, J 2004, Second opinion an introduction to Health Sociology, Oxford, Melbourne Lewis, MJ 2003, The Peoples Health Public health in Australia, Greenwood Publishing Group, Sydney Lutschini, M 2005, Engaging with holism in Australian Aboriginal health policy a check up on, Australia / in the buff Zealand Health Policy, vol. 2, no. 5, Department of Public Health, University of Melbourne McGrath, P & Phillips, E 2008 Western Notions of Informed Consent and Indigenous Cultures Australian Findings at the larboard, Journal of Bioethical Inquiry, vol. 5, no. 11, pp. 21-31 Thomas, RK 2003, Society and health sociology for health professionals, Springer Publishers, New York Western, JS & Najman, JM 2000, A sociology of Australian society, Macmillan Education, Sydney White, K 2002, An Introduction to the Sociology of Health and Illness, Sage Publications capital of the United Kingdom Willis, E 2004, The Sociological Quest an introduction to the study of social life (4th Ed), Allen & Unwin, Sydney
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