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  • Essay / Social determinants of health among Aboriginal people - 1814

    The health of Aboriginal people is mainly determined by several social factors linked to their cultural beliefs. Health care professionals routinely struggle to provide health care to Indigenous people due to the cultural disparity that exists between mainstream and Indigenous cultures, primarily regarding health belief systems (Carson, Dunbar and Chenhall, 2007). The gap between indigenous culture and typical Western customs appears to magnify the difficulties encountered in any cross-cultural health service delivery context (Selin & Shapiro, 2003). Most of the social determinants of indigenous health are due to their strict belief in superstition and divine intervention. First, gender disparity plays a significant role in indigenous health, particularly in health care administration. In indigenous culture, certain health practices can only be practiced by men or women, but not by all (Bonvillain, 2001). In most cases, women are treated by their female counterparts, while male doctors care for male patients. This means that a male doctor cannot perform a vaginal inspection and a nurse cannot teach a native man to self-catheterize. As a result, a violation of this traditional gender division, for example a male doctor helping a woman in an emergency, is likely to cause shame, distress, depression and fear of breaking a particular taboo (Freud, 2000). The health beliefs of the indigenous population are linked to many features of their customs, such as kinship obligations, land policies, and religion (Boulton-Lewis, Pillay, Wilss, & Lewis, 2002). The socio-medical structure of health beliefs that indigenous peoples...... middle of article ......s. New York, NY: Springer. Shahid, S., Finn, L., Bessarab, D., and Thompson, SC (2009). Western Australian Indigenous people's understanding, beliefs and perspectives on cancer and its impact on access to cancer. BMC Health Services Research, 9, 1-9. Taylor, K. and Guerin, P. (2010). Health care and Indigenous Australians. Crows Nest, NSW: Macmillan Education Publishers. Thomson, N. (2005). Cultural respect and related concepts: A brief summary of the literature. Australian Aboriginal Health Bulletin, 5, 1-11.Warry, W. (2008). Ending denial: understanding Indigenous issues. Toronto, ON: University of Toronto Press. Wilkinson, RG and Marmot, MG (2003). Social determinants of health: the hard facts. Washington, DC: World Health Organization. World Health Organization. (2014). Poverty. Retrieved from http://www.who.int/topics/poverty/en/