1 / 24

Patterns of Health and Illness in Indigenous Australian Communities

Patterns of Health and Illness in Indigenous Australian Communities. Dr Ross Bailie Associate Professor in Public Health. Menzies School of Health Research. Flinders NT Clinical School. Ph 08-89228835 or 08-89228196 Fax 08-89275187 email: ross.bailie@menzies.edu.au. Learning Objectives.

keon
Download Presentation

Patterns of Health and Illness in Indigenous Australian Communities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Patterns of Healthand Illness in Indigenous Australian Communities Dr Ross Bailie Associate Professor in Public Health Menzies School of Health Research Flinders NT Clinical School Ph 08-89228835 or 08-89228196 Fax 08-89275187 email: ross.bailie@menzies.edu.au

  2. Learning Objectives Patterns of morbidity and mortalityUnderlying determinants

  3. Performance Objectives To use your understanding of patterns and determinants of health and illness in your everyday practice with Indigenous people

  4. Sources of Information and Acknowledgements • Australian Indigenous Health Infonet web site

  5. Definition of Indigenous status • An Aboriginal or Torres Strait Islander is a person of Aboriginal or Torres Strait Islander descent who identifies as Aboriginal or Torres Strait islander and is accepted as such by the community in which he or she is associated. (Barnes, White, & Ross 1997) http://www.healthinfonet.ecu.edu.au/html/html_keyfacts/keyfacts_faq.htm

  6. Population distribution • Total estimated Indigenous population~418,800-476,900(projection for June 2000 based on the 1996 census) • 2.2-2.5% of the total Australian population http://www.healthinfonet.ecu.edu.au/html/html_keyfacts/keyfacts_faq.htm

  7. Age group Non-Indigenous Indigenous Percentage of population

  8. Population distribution(continued) • Age distribution related to patterns of health and illness • Age distribution typical of a developing country population • Chronic diseases occur at a relatively young age

  9. Standardised Mortality Ratios for selected causes of death, WA, SA, NT (1995-97) CAUSE OF DEATH Males Females Circulatory 2.9 2.5 Injuries 3.2 3.5 Respiratory 5.2 6.0 Cancer 1.4 1.4 Endocrine 6.1 12.0 Digestive 5.1 5.5 All causes 3.0 3.0

  10. Infant mortality rates for the Indigenous and total populations, WA, SA, and the NT, 1996(infant deaths per 1000 live births) State/ Total Territory Indigenous Population Ratio WA 24.1 6.5 3.7 SA 12.6 4.9 2.6 NT 19.4 11.5 1.7

  11. Morbidity • Respiratory disease • Injury • Cardiovascular disease • Diabetes • Renal disease

  12. Morbidity(continued) • Metabolic syndrome • Communicable disease • Cancer

  13. Births and pregnancy outcome • Fertility rates • Low birth weight

  14. Trends • Widening disparity • Contrast with other countries

  15. Determinants of Health Status • Colonial history • Education • Employment • Income • Housing

  16. Determinants of Health Status(continued) • Relative and absolute disadvantage • Control

  17. Education • Poor attendance, retention, and outcomes • Geographic variability

  18. Percentage of NT students achieving national reading benchmarks in 1998(from Learning lessons - An independent review of Indigenous education in the Northern Territory) NT Student Group Year 3 Year 5 Non-Indigenous, Urban 82% 78% All students, Urban 78% 71% Indigenous, Urban 54% 36% Indigenous, Non-Urban 6% 4%

  19. Links between health, education andsocio-economic status • Vicious cycle

  20. Employment • Unemployment > 2 x higher • Pastoral industry • Racism • Education

  21. Employment(continued) • Unskilled labour • CDEP

  22. Income • Low paid jobs • Government payments

  23. Housing and physical environment • Infrastructure • Urban/rural/remote disparity

  24. Conclusion • Marked disparities in health status • Underlying determinants • Strategies

More Related