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Week 14 ~ Aboriginal Health ~ PBL J. Education - Jess. Employment - Raph. • In 2010, 202,700 indigenous people in labour workforce (this represents 56% of population) • 18% unemployed (36,600) • 46% employed (166,100) • Participation in labour workforce declines with remoteness
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Employment - Raph • In 2010, 202,700 indigenous people in labour workforce (this represents 56% of population) • 18% unemployed (36,600) • 46% employed (166,100) • Participation in labour workforce declines with remoteness • Unemployment gap between indigenous and non-indigenous people 12.6% • In 2009, 63% of indigenous employees at lower salary levels while only 4.8% at upper salary level Schemes to Help • Public Calling • Making it Our Business • Aboriginal Employment Strategy • Community Development Employment Projects
Transport (Access to health Services) • Remoteness: 26% Ind v 2% N/I • Med Practitioners: 281/100k v 312 metro. • Specialists: 29 v 114/100k • 78% of communities > 78k from hospital 50% > 25k from Community Health Centre • Vehicular access/ability: 60% Ind v 85% N/I Remote = 48% Ind (? N/I)
Transport (Access to Health Services) • “transport difficulty” (getting from A to B) • 12% Ind v 4% N/I Reference: http://www.aihw.gov.au/access-to-health-services-indigenous/
Discrimination (1) What is it and what are the facts? • Refers to self-reported situations/places in which the person received unfair or racist treatment. • Major contributing factor to poor Abs. health as studies have shown it to be directly associated with various adverse health conditions. • In 2008, 27% of Indigenous adults (aged 15 years and over) reported experience of discrimination in the previous 12 months. Most commonly experienced in the: • general public (11%), • police/security personnel/courts of law (11%), • at work or when applying for work (8%). • More specifically, discrimination was more common among those who: • Have even displaced from their natural families 45% compared to 26% • Are unemployed 41% compared tp those who are employed 25%. • Had a disability or long-term health condition 32% compared to those without disability 22%.
Discrimination (2) • Effect of discrimination: • Recent research suggests that experiencing racism and discrimination can negatively affect areas of wellbeing such as mental and physical health • Indigenous Australians who had experienced discrimination were: • More likely to report higher levels of psychological distress (44% compared with 26%), • Be in fair/poor health (28% compared with 20%). • More likely to engage in binge drinking (42% compared with 35%) • To have recently used illicit substances (28% compared with 17%) • These victims of discrimination were less likely to trust the police, their local school, their doctor and/or hospital and other people in general. Problems? • Need for change • Has adverse impacts on health +hinders equal access to healthcare. • Improving community awareness • Strengthening political will • Improve cultural competence among healthcare workers • Health service redesign to facilitate optimal access to BOTH Aboriginal AND Torres Strait Islanders.
