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Social Determinants of Indigenous Health - Bronwyn Carson

Social Determinants of Indigenous Health

By: Bronwyn Carson (Editor)

Paperback Published: 1st March 2007
ISBN: 9781741751420
Number Of Pages: 336

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The opportunities and comfortable lifestyle available to most Australians have been denied to generations of Indigenous people. As a result some of Australia's original inhabitants suffer from what has been described as Fourth World' standards of health. This is out of place in a country that prides itself on egalitarianism and a fair go for all.

Shifting the focus from individual behaviour, to the social and political circumstances that influence people's lives and ultimately their health, helps us to understand the origins of poor health. It can also guide action to bring about change. Social Determinants of Indigenous Health offers a systematic overview of the relationship between the social and political environment and health.

Highly respected contributors from around Australia examine the long-term health impacts of the Indigenous experience of dispossession, colonial rule and racism. They also explore the role of factors such as poverty, class, community and social capital, education, employment and housing. They scrutinise the social dynamics of making policy for Indigenous Australians, and the interrelation between human rights and health. Finally, they outline a framework for effective health interventions, which take social factors into consideration.

This is a groundbreaking work, developed in consultation with Indigenous health professionals and researchers. It is essential reading for anyone working in Indigenous health.

Figures, tables and boxesp. x
Contributorsp. xii
Acknowledgmentsp. xvii
Note on photographsp. xviii
Introductionp. xix
Referencesp. xxix
Defining what we meanp. 1
The biomedical model of health: Its successes and limitsp. 3
The origins of contemporary social models of healthp. 3
The role of the individual: Lifestyle and riskp. 7
Social determinantsp. 9
Causality and the social gradient of healthp. 12
Explanations for the social gradient in healthp. 13
Social determinants and Indigenous healthp. 16
Summaryp. 17
Discussion questionsp. 17
Referencesp. 18
Understanding the processesp. 21
Theories of society, evidence and epidemiological modelsp. 23
Models, relationships and social epidemiologyp. 27
Social epidemiology and biological modelsp. 30
Applying social health models to Indigenous healthp. 31
Conclusionp. 34
Summaryp. 36
Discussion questionsp. 36
Acknowledgmentsp. 37
Referencesp. 37
Historyp. 41
Illness and invasion, sin and sorcery: The first hundred yearsp. 42
Protection, exploitation and activism: Indigenous health in the interwar yearsp. 49
'We demand that this genocide should cease': Health and human rights, 1950-70p. 55
Conclusionp. 61
Summaryp. 61
Discussion questionsp. 62
Referencesp. 62
Racismp. 65
Theoretical considerationsp. 67
Empirical studies of self-reported racism and healthp. 70
Anti-racism and Indigenous Australiansp. 75
Summaryp. 79
Discussion questionsp. 80
Acknowledgmentsp. 80
Referencesp. 80
Poverty and social classp. 87
Social classp. 88
Social class and healthp. 92
Causal pathwaysp. 94
Indigenous poverty and healthp. 94
Conclusionp. 103
Summaryp. 103
Discussion questionsp. 104
Referencesp. 104
Social capitalp. 109
Social capital: What is it?p. 110
Key social capital thinkersp. 111
Bonding, bridging and linking social capitalp. 113
Outcomes of social capitalp. 114
Anomie: The absence of social capitalp. 115
Racism, economic inequity and its impact on social capitalp. 117
Measuring social capitalp. 119
Does social capital offer any directions for improving Indigenous health status?p. 121
Conclusionp. 129
Summaryp. 129
Discussion questionsp. 130
Referencesp. 130
Educationp. 135
The associations between educational attainment and Indigenous health outcomes in Australia: Backgroundp. 136
Indigenous education and health outcomes in Australia: A statistical overviewp. 139
Associations between educational attainment and Indigenous health outcomes: The Australian researchp. 141
Conclusionp. 146
Summaryp. 148
Discussion questionsp. 148
Referencesp. 149
Employment and welfarep. 153
Employmentp. 154
Some neo-classical views of employmentp. 154
Wider considerationsp. 155
The CDEPp. 157
Understanding the Indigenous perspective on workfulnessp. 160
Welfarep. 161
Indigenous people and the Australian welfare systemp. 162
Indigenous direct welfare and healthp. 164
The broader dimensions of Indigenous welfarep. 165
Racialised 'welfare' rhetoric and Indigenous healthp. 168
Political dimensions: Indigenous welfare dependencyp. 169
Critiquing the political dimension of Indigenous welfare from a health perspectivep. 170
Conclusionp. 171
Summaryp. 172
Discussion questionsp. 172
Acknowledgmentp. 172
Referencesp. 173
Countryp. 177
Indigenous definitions of placep. 179
Contemporary Indigenous places: An historical perspectivep. 182
Country needs its peoplep. 186
Healthy country, healthy peoplep. 188
Place and healthp. 190
Place and the social determinants of Indigenous healthp. 192
Conclusionp. 194
Summaryp. 195
Discussion questionsp. 196
Authors' notep. 196
Referencesp. 196
Housingp. 203
A brief historical perspectivep. 204
Housing conditions and their contribution to the ill-health of Indigenous Australiansp. 207
Governance and management of Indigenous housing programsp. 215
Initiatives to improve housing conditions in remote Indigenous communitiesp. 217
Housing and health researchp. 219
A continuous quality improvement, ecological, evidence-based approachp. 221
Summaryp. 224
Discussion questionsp. 225
Acknowledgmentp. 225
Referencesp. 226
Policy processesp. 231
The social dynamics of Indigenous health policyp. 232
A federated health systemp. 236
The constitutional context of Indigenous health policyp. 238
Early Commonwealth powers in healthp. 239
The evolving role of the Commonwealth in health and Indigenous affairsp. 240
After the 1967 referendump. 241
Developing a national Indigenous health programp. 242
Indigenous health Framework Agreementsp. 245
National Strategic Framework for Indigenous healthp. 246
Conclusionp. 247
Summaryp. 248
Discussion questionsp. 249
Acknowledgmentsp. 249
Referencesp. 249
Human rightsp. 253
The human right to healthp. 254
Health and human rightsp. 261
Conclusionp. 264
Summaryp. 265
Discussion questionsp. 266
Acknowledgmentp. 267
Referencesp. 267
Interventions and sustainable programsp. 271
The challenges of a community-based intervention: The Looma Healthy Lifestyle projectp. 274
A national overview: Injury prevention and safety promotionp. 279
Measuring the impact of interventions: The Council for Aboriginal Alcohol Program Servicesp. 283
Conclusionp. 289
Summaryp. 290
Discussion questionp. 291
Acknowledgmentp. 291
Referencesp. 292
Indexp. 296
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9781741751420
ISBN-10: 174175142X
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 336
Published: 1st March 2007
Publisher: Allen & Unwin
Country of Publication: AU
Dimensions (cm): 22.8 x 15.2  x 2.54
Weight (kg): 0.61
Edition Number: 1

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