Social Determinants of Indigenous... | Buy

This groundbreaking study examines the social and political circumstances that have led to the "Fourth World" health standards of Australia's Indigenous population. Providing a systematic overview of the relationship between the social and political environment and health, leading researchers discuss the causes behind poor health outcomes and outline how such programs can be successful while reflecting on the long-term health effects that dispossession, colonial rule, and racism have had on the Indigenous people.

Bronwyn Carson is a researcher at the Menzies School of Health Research in Darwin. He is the author of numerous articles on Indigenous health issues. Terry Dunbar is an Iwaidjan from the Northwest 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 a National Health and Medical Research Council (NHMRC) fellow at the Menzies School of Health Research. Ross Bailie is a professor of public health at the Menzies School of Health Research and an NHMRC senior research fellow.

Figures, tables and boxes	p. x
Contributors	p. xii
Acknowledgments	p. xvii
Note on photographs	p. xviii
Introduction	p. xix
References	p. xxix
Defining what we mean	p. 1
The biomedical model of health: Its successes and limits	p. 3
The origins of contemporary social models of health	p. 3
The role of the individual: Lifestyle and risk	p. 7
Social determinants	p. 9
Causality and the social gradient of health	p. 12
Explanations for the social gradient in health	p. 13
Social determinants and Indigenous health	p. 16
Summary	p. 17
Discussion questions	p. 17
References	p. 18
Understanding the processes	p. 21
Theories of society, evidence and epidemiological models	p. 23
Models, relationships and social epidemiology	p. 27
Social epidemiology and biological models	p. 30
Applying social health models to Indigenous health	p. 31
Conclusion	p. 34
Summary	p. 36
Discussion questions	p. 36
Acknowledgments	p. 37
References	p. 37
History	p. 41
Illness and invasion, sin and sorcery: The first hundred years	p. 42
Protection, exploitation and activism: Indigenous health in the interwar years	p. 49
'We demand that this genocide should cease': Health and human rights, 1950-70	p. 55
Conclusion	p. 61
Summary	p. 61
Discussion questions	p. 62
References	p. 62
Racism	p. 65
Theoretical considerations	p. 67
Empirical studies of self-reported racism and health	p. 70
Anti-racism and Indigenous Australians	p. 75
Summary	p. 79
Discussion questions	p. 80
Acknowledgments	p. 80
References	p. 80
Poverty and social class	p. 87
Social class	p. 88
Social class and health	p. 92
Causal pathways	p. 94
Indigenous poverty and health	p. 94
Conclusion	p. 103
Summary	p. 103
Discussion questions	p. 104
References	p. 104
Social capital	p. 109
Social capital: What is it?	p. 110
Key social capital thinkers	p. 111
Bonding, bridging and linking social capital	p. 113
Outcomes of social capital	p. 114
Anomie: The absence of social capital	p. 115
Racism, economic inequity and its impact on social capital	p. 117
Measuring social capital	p. 119
Does social capital offer any directions for improving Indigenous health status?	p. 121
Conclusion	p. 129
Summary	p. 129
Discussion questions	p. 130
References	p. 130
Education	p. 135
The associations between educational attainment and Indigenous health outcomes in Australia: Background	p. 136
Indigenous education and health outcomes in Australia: A statistical overview	p. 139
Associations between educational attainment and Indigenous health outcomes: The Australian research	p. 141
Conclusion	p. 146
Summary	p. 148
Discussion questions	p. 148
References	p. 149
Employment and welfare	p. 153
Employment	p. 154
Some neo-classical views of employment	p. 154
Wider considerations	p. 155
The CDEP	p. 157
Understanding the Indigenous perspective on workfulness	p. 160
Welfare	p. 161
Indigenous people and the Australian welfare system	p. 162
Indigenous direct welfare and health	p. 164
The broader dimensions of Indigenous welfare	p. 165
Racialised 'welfare' rhetoric and Indigenous health	p. 168
Political dimensions: Indigenous welfare dependency	p. 169
Critiquing the political dimension of Indigenous welfare from a health perspective	p. 170
Conclusion	p. 171
Summary	p. 172
Discussion questions	p. 172
Acknowledgment	p. 172
References	p. 173
Country	p. 177
Indigenous definitions of place	p. 179
Contemporary Indigenous places: An historical perspective	p. 182
Country needs its people	p. 186
Healthy country, healthy people	p. 188
Place and health	p. 190
Place and the social determinants of Indigenous health	p. 192
Conclusion	p. 194
Summary	p. 195
Discussion questions	p. 196
Authors' note	p. 196
References	p. 196
Housing	p. 203
A brief historical perspective	p. 204
Housing conditions and their contribution to the ill-health of Indigenous Australians	p. 207
Governance and management of Indigenous housing programs	p. 215
Initiatives to improve housing conditions in remote Indigenous communities	p. 217
Housing and health research	p. 219
A continuous quality improvement, ecological, evidence-based approach	p. 221
Summary	p. 224
Discussion questions	p. 225
Acknowledgment	p. 225
References	p. 226
Policy processes	p. 231
The social dynamics of Indigenous health policy	p. 232
A federated health system	p. 236
The constitutional context of Indigenous health policy	p. 238
Early Commonwealth powers in health	p. 239
The evolving role of the Commonwealth in health and Indigenous affairs	p. 240
After the 1967 referendum	p. 241
Developing a national Indigenous health program	p. 242
Indigenous health Framework Agreements	p. 245
National Strategic Framework for Indigenous health	p. 246
Conclusion	p. 247
Summary	p. 248
Discussion questions	p. 249
Acknowledgments	p. 249
References	p. 249
Human rights	p. 253
The human right to health	p. 254
Health and human rights	p. 261
Conclusion	p. 264
Summary	p. 265
Discussion questions	p. 266
Acknowledgment	p. 267
References	p. 267
Interventions and sustainable programs	p. 271
The challenges of a community-based intervention: The Looma Healthy Lifestyle project	p. 274
A national overview: Injury prevention and safety promotion	p. 279
Measuring the impact of interventions: The Council for Aboriginal Alcohol Program Services	p. 283
Conclusion	p. 289
Summary	p. 290
Discussion question	p. 291
Acknowledgment	p. 291
References	p. 292
Index	p. 296
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