scholarly journals The Portrayal of Indigenous Health in Selected Australian Media

Author(s):  
Melissa J Stoneham ◽  
Jodie Goodman ◽  
Mike Daube

It is acknowledged that health outcomes for Australian Indigenous peoples are lower than those of non-Indigenous Australians. Research suggests negative media in relation to Indigenous Australians perpetuates racist stereotypes among the wider population and impacts on the health of Indigenous Australians. This study examined the media portrayal of Indigenous Australian public health issues in selected media over a twelve month period and found that, overwhelmingly, the articles were negative in their portrayal of Indigenous health. A total of 74 percent of the coverage of Australian Indigenous related articles were negative, 15 percent were positive, and 11 percent were neutral. The most common negative subject descriptors related to alcohol, child abuse, petrol sniffing, violence, suicide, deaths in custody, and crime.

2016 ◽  
Vol 46 (1) ◽  
pp. 12-22 ◽  
Author(s):  
Angela Durey ◽  
Kate Taylor ◽  
Dawn Bessarab ◽  
Marion Kickett ◽  
Sue Jones ◽  
...  

Progress has been slow in improving health disparities between Aboriginal and Torres Strait Islander (Indigenous) Australians and other Australians. While reasons for this are complex, delivering healthcare respectful of cultural differences is one approach to improving Indigenous health outcomes. This paper presents and evaluates an intercultural academic leadership programme developed to support tertiary educators teaching Indigenous health and culture prepare interdisciplinary students to work respectfully and appropriately as health professionals with Indigenous peoples. The programme acknowledges the impact of colonisation on Indigenous Australians and draws on theories of the intercultural space to inform reflection and discussion on Indigenous/non-Indigenous relations and their impact on healthcare. Furthermore, the programme encourages establishing a community of practice as a resource for educators. Evaluation indicated participants’ confidence to teach Indigenous content increased following the programme. Participants felt more able to create intercultural, interdisciplinary and interactive learning spaces that were inclusive and safe for students from all cultures. Participants learned skills to effectively facilitate and encourage students to grapple with the complexity of the intercultural space, often tense, uncertain and risky, to enable new understandings and positions to emerge that could better prepare graduates to work in Indigenous health contexts.


2020 ◽  
Vol 8 (2) ◽  
pp. 143-157
Author(s):  
Antonio Hilario Aguilera Urquiza ◽  
Ana Keila Mosca Pinezi

O presente artigo objetivou desenvolver breve reflexão a respeito de como os povos indígenas brasileiros têm lidado com a pandemia pelo novo coronavírus e como têm sido afetados por ela. Ainda, pretendeu-se discutir o descaso do Estado brasileiro com os direitos humanos dessas populações mais vulneráveis. Em termos metodológicos, foram utilizadas pesquisas acerca do avanço do novo coronavírus entre etnias indígenas brasileiras, além de dados secundários de depoimentos em sites de ONGs e institutos especializados no assunto. A pesquisa nos mostra que a realidade da pandemia escancarou o quanto a sociedade brasileira é desigual em vários níveis e diferentes contextos, e como são tratadas deficientemente as questões de saúde de grupos vulneráveis, como os indígenas. Evidenciou, ainda, que não apenas cada comunidade tem sua maneira própria de conviver com a pandemia, mas também de que não há políticas de saúde adequadas e eficazes voltadas aos grupos vulneráveis que são os que mais sofrem perdas com esta crise sanitária e humanitária.   Confinement cultures: a look at the crisis, based on the reality of indigenous peoples This article aimed to develop a brief reflection on how different Brazilian indigenous groups deal with the pandemic caused by the new coronavirus, and how they have been affected by it. Furthermore, it intended to discuss the human rights’ neglect by the Brazilian State against those very vulnerable populations. In terms of methodology, the approach taken was based on evaluation of research data about the advancement of the new coronavirus among Brazilian indigenous ethnicities, in addition to secondary testimonial data from NGOs’ and subject matter specialized institutes’ websites. This research shows evidence of how the pandemic clearly revealed the inequalities within Brazilian society, in various levels and different contexts, and how deficiently handled health issues are among vulnerable populations, like the indigenous groups. In addition, it indicates that not only each community has its own way of dealing with the pandemic, but also that there are no adequate and effective health policies aimed at vulnerable groups, which are the ones that suffer the most from this health and humanitarian crisis. Keywords: Pandemic. Indigenous health. Human rights. Coronavirus.


2019 ◽  
Vol 4 (6) ◽  
pp. e001794 ◽  
Author(s):  
Sue Devlin ◽  
David MacLaren ◽  
Peter D Massey ◽  
Richard Widders ◽  
Jenni A Judd

IntroductionDisparities in tuberculosis (TB) rates exist between Indigenous and non-Indigenous populations in many countries, including Australia. The social determinants of health are central to health inequities including disparities in TB rates. There are limitations in the dominant biomedical and epidemiological approaches to representing, understanding and addressing the unequal burden of TB for Indigenous peoples represented in the literature. This paper applies a social determinants of health approach and examines the structural, programmatic and historical causes of inequities for TB in Indigenous Australia.MethodsAboriginal Australians’ families in northern New South Wales who are affected by TB initiated this investigation. A systematic search of published literature was conducted using PubMed, PsycINFO, Scopus and Informit ATSIhealth databases, the Australian Indigenous Health, InfoNet and Google. Ninety-five records published between 1885 and 2019 were categorised and graphed over time, inductively coded and thematically analysed.ResultsIndigenous Australians’ voices are scarce in the TB literature and absent in the development of TB policies and programmes. Epidemiological reports are descriptive and technical and avoid analysis of social processes involved in the perpetuation of TB. For Indigenous Australians, TB is more than a biomedical diagnosis and treatment; it is a consequence of European invasion and a contributor to dispossession and the ongoing fight for justice. The introduction and spread of TB has resulted in the stealing of lives, family, community and cultures for Indigenous Australians. Racist policies and practices predominate in the experiences of individuals and families as consequences of, and resulting in, ongoing structural and systematic exclusion.ConclusionDevelopment of TB policies and programmes requires reconfiguration. Space must be given for Indigenous Australians to lead, be partners and to have ownership of decisions about how to eliminate TB. Shared knowledge between Indigenous Australians, policy makers and service managers of the social practices and structures that generate TB disparity for Indigenous Australians is essential.A social determinant of health approach will shift the focus to the social structures that cause TB. Collaboration with Indigenous partners in research is critical, and use of methods that amplify Indigenous peoples' voices and reconfigure power relations in favour of Indigenous Australians in the process is required.


Author(s):  
Simon Chapman ◽  
Becky Freeman

Many public health interventions are controversial or potentially controversial. The way the media handle such issues can strongly influence public and policy-maker attitudes towards them, and effective media advocacy can be a powerful way of taking forward public health initiatives. After reading this chapter, you should have a better understanding of: how the media deal with public health issues; how the framing of an issue influences whether and how it leads to changes in policy; what you can do when a public health issue is framed in an adverse or harmful way.


2020 ◽  
Author(s):  
Shaan Kamal ◽  
Osama El-Gabalawy ◽  
Nathan Zhao ◽  
Jelena MacLeod

AbstractFilm and cinema are an important part of American culture and discourse. In recent years, there have been increasing discussions around the media portrayal of suicide and psychiatric illness and its subsequent impact on prejudice towards individuals with mental health issues. To date, there is no published work quantifying the depiction of mental illness in film. In this work we use movie plot descriptions to identify movies that depict mental illness and compare their financial and critical success to all movies released during the same time period.


2018 ◽  
Vol 50 (4) ◽  
pp. 179-188 ◽  
Author(s):  
Rosalie D. Thackrah ◽  
Sandra C. Thompson

Study background Increasing cultural safety in health settings is essential to address stark health disparities between Indigenous and non-Indigenous Australians. Respect for cultural knowledge, better communication, and recognition of racism as a determinant of health are required for improved service delivery. How this knowledge is acquired in health professional training and translated to clinical settings is poorly understood. Purpose Impacts of an innovative Indigenous health unit and remote clinical placements on knowledge acquisition and attitude change were explored among midwifery students to inform cultural competency initiatives in health professional training. Methods A multiphased, mixed methods research design used surveys, observations, and interviews. Qualitative analysis was strengthened through triangulation with quantitative data. Results A unit conceived with substantial Indigenous Australian input and which privileged these voices enhanced knowledge and shifted attitudes in a positive direction; however, immediate gains diminished over time. Remote placements had a profound effect on student learning. Exposure to Indigenous Australians in classrooms and communities, and the self-reflection generated, helped dispel stereotypes and challenge assumptions based on limited cultural knowledge and contact. Conclusion Optimization of receptivity to Indigenous Australian content and opportunities for remote placements contributed to students’ developing cultural capabilities with implications for all health professional training. Whether this heightened awareness is enough to address institutional racism identified in health service delivery remains unanswered. The focus must include those established health practitioners and administrators who influence organizational culture if real systemic change is to occur. Given appropriate on-going support, graduates can play a vital role in expediting this process.


2020 ◽  
Author(s):  
Peivand Bastani ◽  
Yaser Sarikhani ◽  
Arash Ghanbarzadegan ◽  
Faeze Ostovar ◽  
Lisa Jamieson

Abstract Background Oral health is a vital area of public health. Access to dental services are particularly important among Indigenous populations at a global level. This scoping review aimed to investigate challenges in the provision and utilization of oral health services among Indigenous Australians. The findings may be an important contribution to the literature and facilitate policymakers in reducing inequities in dental service access and utilisation among this vulnerable population. Methods This scoping review was conducted up to June 10, 2020. Five main databases were searched, including PUBMED, SCOPUS, ISI Web of Science, EMBASE and PROQUEST. The main key words were: oral health, dental health, utilization, provision, access, Indigenous, Native, Aboriginal and Torres Strait Islander. Arksey and O’Malley`s protocol was applied, which comprises 5 steps of: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) charting the data and collating and; (5) summarising and reporting results. Thematic analysis was used to summarize and analyse the data applying MAX QDA10 software for qualitative data analysis. For a better understanding of the themes and subthemes, a thematic network was presented. Results Results show that there are six main themes and fourteen sub-themes affecting Indigenous Australians` utilization and provision of oral health services. Personal characteristics, Socio-economic status and challenges regarding access were that the main factors influencing utilization of oral health services. The findings suggest that challenges relating to public health, policymaking and service provision can affect Indigenous Australians provision to oral health services. Conclusion Benefits in Indigenous Australian access and utilization of oral health services may improve if policy makers at both national and local levels increase resourcing in this important public health sector. A deeper understanding of the social and cultural nuances driving Indigenous Australians’ reluctance to attend for dental care is crucial.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kylie Hunter ◽  
Gemma Xu ◽  
Danai Modi ◽  
Lisa Askie ◽  
Lisa Jamieson ◽  
...  

Abstract Background There are major health disparities between Indigenous and non-Indigenous Australians. To address this, it is vital to understand the landscape of Indigenous trial activity. Methods We extracted data from all Australian trials registered between 2008-2018 on the Australian New Zealand Clinical Trials Registry or ClinicalTrials.gov. Indigenous-focused trials were identified by searching for relevant terms such as ‘Indigenous’ and ‘Aboriginal’. Indigenous versus non-Indigenous trials and Australian trials overall were compared by conditions studied, intervention type, study design and funding. Results Of the 9206 included trials, 139 (1.5%) focused on Indigenous health, and these were mostly in ‘Public Health’ (n = 69, 50%), ‘Mental Health’ (n = 35, 25%) and ‘Cardiovascular’ (n = 25, 18%) (Figure). Compared to other Australian trials, Indigenous trials more frequently studied ear conditions (OR 16.47, 95%CI=8.43-29.99) and public health (OR 4.87, 95%CI=3.65-6.41), and were more likely to focus on screening (OR 3.57, 95%CI=2.10-5.70) and prevention (OR 2.24, 95%CI=1.61-3.08) rather than treatment (OR 0.40, 95%CI =0.30-0.52). They were less likely to be blinded (OR 1.72, 95%CI=1.20-2.49), or have any industry involvement (OR 2.52, 95%CI=1.54-4.43). Conclusions Indigenous trials differed from other Australian trials in health conditions studied, intervention focus, blinding and industry involvement. Relative to population size and burden of disease, the number of trials focusing on Indigenous health is low. Key messages Trial registries can be used to explore whether research appropriately addresses diverse populations such as Indigenous Australians. This can inform future research prioritisation.


Author(s):  
Simon Chapman

Many public health interventions are controversial or potentially controversial. The way the media handle such issues can strongly influence public and policy maker attitudes towards them and effective media advocacy can be a powerful way of taking forward public health initiatives. After reading this chapter you should have a better understanding of how the media deal with public health issues, how the way in which an issue is framed influences whether and how it leads to changes in policy, and what you can do when a public health issue is framed in an adverse or harmful way.


2017 ◽  
Vol 23 (4) ◽  
pp. 309 ◽  
Author(s):  
Sarah MacLean ◽  
Rebecca Ritte ◽  
Alister Thorpe ◽  
Shaun Ewen ◽  
Kerry Arabena

Indigenous people have long maintained that strong cultural identities are critical to health and wellbeing. The purpose of this systematic review is to examine whether interventions that entail strategies to enable expression of cultural identities for Australian Indigenous peoples are associated with measurable improvements in health and wellbeing. Peer-reviewed articles that reported quantitatively expressed health and wellbeing outcomes involving Indigenous Australian participants only were included. The cultural intervention component was defined and assessed by Indigenous researchers on the team. A narrative analysis was conducted. The protocol was registered on PROSPERO (CRD42015027387). Thirteen articles describing eleven studies were identified, including one randomised control trial (RCT), one cluster RCT and two studies with non-randomised controls. Other studies reported on case series or cross-sectional studies. All except two studies described multiple intervention strategies. Eight studies showed significant improvement in at least one psychosocial, behavioural or clinical measure, with two showing a positive direction of effect and one showing no improvement. Publication bias may discourage researchers to report negative findings of these interventions. Although studies vary in quality, this review provides evidence that interventions that include opportunities for expression of cultural identities can have beneficial effects for Australian Indigenous peoples.


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