Open Question: Poor australian aboriginals?
Due to lack of access to medical facilities, Indigenous Australians were twice as likely to report their health as fair/poor and one-and-a-half times more likely to have a disability or long-term health condition (after adjusting for demographic structures).[41]
Health problems with the highest disparity (compared with the non-Indigenous population) in incidence[62] are outlined in the table below:
Health complicationComparative incidence rateComment
Circulatory system2 to 10-fold5 to 10-fold increase in rheumatic heart disease and hypertensive disease, 2-fold increase in other heart disease, 3-fold increase in death from circulatory system disorders. Circulatory system diseases account for 24% deaths[63]
Renal failure2 to 3-fold2 to 3-fold increase in listing on the dialysis and transplant registry, up to 30-fold increase in end stage renal disease, 8-fold increase in death rates from renal failure, 2.5% of total deaths[63]
Communicable10 to 70-fold10-fold increase in tuberculosis, Hepatitis B and Hepatitis C virus, 20-fold increase in Chlamydia, 40-fold increase in Shigellosis and Syphilis, 70-fold increase in Gonococcal infections
Diabetes3 to 4-fold11% incidence of Type 2 Diabetes in Indigenous Australians, 3% in non-Indigenous population. 18% of total indigenous deaths[63]
Cot death2 to 3-foldOver the period 1999?2003, in Queensland, Western Australia, South Australia and the Northern Territory, the national cot death rate for infants was three times the rate
Mental health2 to 5-fold5-fold increase in drug-induced mental disorders, 2-fold increase in diseases such as schizophrenia, 2 to 3-fold increase in suicide.[64]
Optometry/Ophthalmology2-foldA 2-fold increase in cataracts
Neoplasms60% increase in death rate60% increased death rate from neoplasms. In 1999?2003, neoplasms accounted for 17% of all deaths[63]
Respiratory3 to 4-fold3 to 4-fold increased death rate from respiratory disease accounting for 8% of total deaths
Each of these indicators is expected to underestimate the true prevalence of disease in the population due to reduced levels of diagnosis.[62]
In addition, the following factors have been at least partially implicated in the inequality in life expectancy:[41][62]
poverty
insufficient education
substance abuse[65][66]
for remote communities poor access to health services
for urbanised Indigenous Australians, cultural pressures which prevent access to health services
cultural differences resulting in poor communication between Indigenous Australians and health workers.
http://en.wikipedia.org/wiki/Indigenous_Australians#Health

Mon, 10 Aug 2009 07:04:55 GMT

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