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.
Table of Contents
Figures, tables and boxes
Introduction - Terry Dunbar, Bronwyn Carson, Richard D. Chenhall and Ross Bailie
1 Defining what we mean - Sherry Saggers and Dennis Gray
2 Understanding the processes - Ian Anderson
3 History - Jessie Mitchell
4 Racism - Yin Paradies
5 Poverty and social class - Maggie Walter and Sherry Saggers
6 Social capital - Fran Baum
7 Education - Terry Dunbar and Margaret Scrimgeour
8 Employment and welfare - Maggie Walter and Gavin Mooney
9 Country - Paul Burgess and Joe Morrison
10 Housing - Ross Bailie
11 Policy processes - Ian Anderson
12 Human rights - Natalie Gray
13 Interventions and sustainable programs - Kathleen Clapham, Kerin O'Dea and Richard D. Chenhall
Bronwyn Carson is a Researcher with the Menzies School of Health Research in Darwin and has published a number of articles and chapters on Indigenous health issues.
Terry Dunbar is an Iwaidjan person from north-west Arnhem region, and a Senior Research Fellow in the Faculty of Education, Health and Science at Charles Darwin University.
Richard D. Chenhall is a medical anthropologist and an NHMRC Fellow at the Menzies School of Health Research.
Ross Bailie is Professor of Public Health at the Menzies School of Health Research and an NHMRC Senior Research Fellow.