Social Determinants Of Health Analysis

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The social disadvantage and poor health of Indigenous Australians is well documented. The barriers to the well-being of Indigenous Australians have deep-seated associations to historical factors and social disadvantage. Health is a reflection of the socio-economic conditions of an individual and their community known as the Social Determinants of Health (SDoH) (Marmot, 2010, p. 3). The SDoH are acknowledged as perpetuating social disadvantage and are directly linked to the health inequalities experienced by Indigenous Australians (Baum, Bentley & Anderson, 2004, p.23; Reilly et al., 2011). The invasion by the British in 1788 marked the beginnings of more than 200 years of Indigenous Australian's struggles with a history of oppression, trauma,…show more content…
This is understood as an interconnection of an individual within the social, emotional and physical well-being of community with a strong spiritual component (Broome, 2002, p.15; Hampton & Toombs, 2013b, pp. 75). "Spirituality connects past, present and future". It is the bonds to 'land and place', it is a part of Indigenous Australian identity. It emphasises an intimate relationship with all aspects of their lives, all living things and the environment (Poroch et al., 2009, pp. 2, 6). An important cultural aspect is 'the Dreamings' which inform their history, culture, identity and codes of 'behaviour and social relations' (Broome, 2002, p. 19). 'The Dreamings' made the law passed on to the ancestors. Law is the stories and songs, the ceremonies and naming of everything, it is the rules by which Indigenous Australians live, it is their spiritual connection and responsibility to their country and Kin (Harvey in Crowden, 2013, p.117). These traditional aspects, are significantly correlated with spirituality "and are important determinants of health" (Hampton., & Toombs, 2013b, p. 78; Poroch et al., 2009, p.…show more content…
These are the SDoH which include social and economic status, employment and income, housing, education, life opportunities, race and racism, gender, access to services, behaviours, nutrition and lifestyle (Marmott, 2005, p.1102). Calma (2007) identifies the SDoH for Indigenous Australians as a reflection of historical factors of treatment and dispossession. These are associated with poverty and inequality in the Indigenous Australian population. Further noting 'human rights principles and social determinants of health are fundamentally connected'. Consistent oppression and disconnection from family, community and country as a result of dispossession and the 'Stolen Generations' for example has resulted in fear, anger and a breakdown of culture and normal social patterns. The consequences are dysfunctional behaviours of violence, alcohol and substance abuse (Osborne, Baum, Brown, 2013, p.

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