Comparative Analysis Of Current And Historical Events' Impact On Health Of Culturally Diverse Communities: An Essay.

Essay Aim of assessment The purpose of this assessment task is to provide students with the opportunity to compare and critically analyse the impact of current and historical events, health care policies and service provision on the health of two culturally diverse communities Details In this assessment task students are required to construct an essay that compares two (2) culturally diverse groups, one of which needs to be Aboriginal and Torres Strait Islander peoples. The essay is required to consider the following in comparing and critically analysing the two groups: 

Current and historical events and how they have impacted on known risk factors in each cultural group 

How health care policies and service provision have influenced health outcomes for each cultural group 

Known Risk Factors for Aboriginal and Torres Strait Islander Peoples and LGBT Groups

Aboriginal indigenous Australian people are the Aboriginal and Torres Strait Islander individuals who were descended from human groups present in Australia and other surrounding islands before the British colonization.  The culture of this group have been changed and developed over time. Before 1788, there were only indigenous aboriginal people living in Australia and nearly 700 languages spoken in entire Australia (Dudgeon, Wright, Paradies, Garvey, & Walker, 2010). LGBT (Lesbian, Gay, Bisexual, and Transgender) groups are the people who are gays, lesbians, bisexual and transgender. These people still experiencing discrimination, hostility, and harassment in the different part in Australia and facing issues in daily life (Addis, Davies, Greene, MacBride?Stewart, & Shepherd, 2009). In this particular essay, the current and historical events the affected the known risk factors in the Aboriginal and Torres Islander and LGBT group will be discussed.  How the health care services and policies have influenced the health outcomes for both groups, will also be discussed in this particular essay.

Aboriginal and Torres Strait Islander people make up to 3 percent of the total population of Australia. They are changed from what they in the past and what they are today. The problems they have been facing increased over time and their numbers reduced. Some of the known risk factors that can impact the social-emotional wellbeing of the people belong to Aboriginal and Torres Strait Islander groups include, impacts of stolen generations, and removal of the children. Some of the other risk factors that need more focus are unresolved trauma, separation from the culture, and their identity, discrimination based on the culture and race, social and economic disadvantages, physical health issues, violence, substance misuse, and incarceration.  Discrimination with the indigenous aboriginals is not an unfamiliar topic in Australia; it is a well-known issue in the country. Nearly 16 percent of people belong to Aboriginal indigenous groups reported being treated badly by other group's people for being aboriginal or Torres Islander (Kelly, Dudgeon, Gee, & Glaskin, 2009). Nearly 80 percent of children of LGBT parents experience homophobic bullying at the schools (Grossman, Haney, Edwards, Alessi, Ardon, & Howell, 2009). Nearly 26 percent gay men, 23 percent gay women, 47 percent transgender men and 37 percent of transgender women experience the verbal abuse particularly in 2012 (Biblarz, & Savci, 2010).  

There some events happen which impacted on the risk factors. On 27^th may 1967 nearly 90.77 percent Australian voted YES to include the Aboriginal and Torres Strait Islander in the census and to make laws for them. The Australian government introduced the Race Discrimination Act in 1975 according to which racial discrimination considered an illegal act (Awofeso, 2011). In 1983, Aboriginal Child Principle developed with the efforts of Aboriginal and Islander Child Care Agencies to ensure that the children or indigenous people are placed with the indigenous families when fostering is necessary (Klenowski, 2009). In 1987, the northern territory election voting made compulsory for the aboriginal people (Western Australian Association for Mental Health (n.a). In 1993 the commonwealth government passes an act named native title act according to which the indigenous people are allowed to make claims for lands. In 1997 commonwealth proposed Bringing them home according to which the stolen generation has been reversed and they apologized for separating the children from families (Queensland government, 2018). In 2013 a ten years national Aboriginal and Torres Strait Islander health plan has been released by the federal government. The NSW State government announces nearly a 73 million dollar reparations scheme for the stolen generation survivors. In the current year 2018, the South Australia State government announces a stolen generation preparation scheme (Health Bulletin, 2018).

Impact of Historical Events on Aboriginal and Torres Strait Islander Peoples and LGBT Groups

The people who are lesbian, gay, bisexual, and transgender are facing various risk factors that impact the emotional, psychological and physical well-being such as discrimination, verbal homophobic abuse, physical homophobic abuse, humiliation, social exclusion, cyberbullying, and graffiti. These risk factors may cause various health issues like depression, lack of concentration, fear, suicidal attempts, anxiety and stress. Nearly 61 percent of total LGBT people experience verbal homophobic abuses, 18 percent suffering from physical homophobic abuse, and 9 percent having another type of homophobias. Estimated 61 percent of people with same-sex attracted and the gender questioning youth experience verbal abuse especially for their sexuality (Australian Human Rights Commission, n.a).

There are various events and programs started by Australian national and state governments. In 2012 Australian association of gerontology formed a specific interest group (SUG) solve the problems or issues or needs of gays, lesbians, bisexual, intersex and transgender. This group collaborates with the Australian government to promote the national LGBT Aging and aged strategy (Australian Association of Gerontology, 2018). In 2013 the sex determination act has been amended to make discrimination based on an individual’s gender identity, sexual orientation, and intersex status against the law. In South Australia, the feast festival happened in November 2018 in which provided LGBTI groups the express their feeling through arts and culture presentation.  In Western Australia, pride fest has been started in 1989 in which the community protest against the laws that still discriminating the member of LGBT Community. Between, 19^th to 22^nd July 2018, Cairns Queer Film Festival celebrated in which various social events happened that connected by the films to help and support the LGBT people’s health and wellbeing. The Brisbane pride festival celebrated between, 7^th to 30^th September 2018 to promote the lesbian, gay, bisexual and transgender culture by organizing sports, art competition and some political events (Markwell, & Waitt, 2009).

The Aboriginal and Torres Strait Islander health branch in Queensland play the key important role for improving the health outcomes of Aboriginal indigenous peoples by providing leadership, direction on effective and adequate policies and services, and high-quality advice in specific programs for these people. This branch started some programs to close the gap in health outcomes for the indigenous people. The making tracks toward closing the gap in health outcome for indigenous Queenslanders by 2033 is the programs that initiated to provide better health services for the children, women, antenatal and infant care. This branch also supports the state of action implementation such as the statement of action towards closing the gap in health outcomes in entire Queensland health (Queensland government, 2018). Commonwealth Australia started a program named National Aboriginal and Torres Strait Islander health plan 2013-2023. The priorities area of this health care to provide the mothers and babies the best possible support and care for a favorable start to life, growth, and development of the children’s and youth, to provide active and healthy and culturally safe life to the older people (Australian government, 2013). According to a report published by national authority in Aboriginal primary health care- aboriginal health in aboriginal hands (NACCHO), the alcohol and other drug treatment services provided to the aboriginal people between 2015 -2016 did a good job. The report indicated that nearly 800 alcohol and different other drug treatment agencies delivered their services to 134,000 people specifically by counseling; nearly half of the clients received the care for and treatment for one or more drug (Caffery, Bradford, Wickramasinghe, Hayman, & Smith, 2017).

Health Care Services and Policies Influencing Health Outcomes of Aboriginal and Torres Strait Islander Peoples and LGBT Groups

 According to a report published by human rights commission, between 2005-07 and 2010-12, the health services provided by the Australian government increased the life expectancy for the Aboriginal and Torres Strait Islander people by 0.8 years for men and 0.1 years for women. Between 2002 and 2012 the smoking rates among the indigenous people dropped from 51 percent to 41 percent. On the other hand, a report published by the department of the prime minister and cabinet found that the progress of closing the gap target is not up to the mark and considered slow. According to that report the mortality rates and life expectancy rates improve slightly, the 95 percent education related targets are not met, and the indigenous child mortality rates progressed slowly (Department of Prime Minister and cabinet, 2015).

According to a report published by Victoria state government nearly $500,00 new funding has been allocated to support the LGBTI people, this significantly increases the number of LGBT people seeking for help. This funding has been used to increase counseling for mental health, peer support activities, and resources. Another project named Hey project granted nearly $100000 on 2017 (Victoria state government, 2018). The human right law center works to protect and promote human rights in Australia. They provide services like legal action, research, advocacy, and capacity building. They started a high court challenge to stop the divisive and harmful marriage equality postal survey. They also launched a campaign to get YES votes to form people to secure the equality of marriage in Australia. Their service also included securing the legislation in the NSW, Victoria, Queensland, Tasmania, and The Act to prevent the unjust criminal acts imposed on the gay men when the homosexual conduct was considered illegal.

 In 2001 the statute law amendment Act has been implemented according to which the Australian gay men and lesbians would have the same right as the heterosexual people. The federal government, in 2009 changed nearly 58 laws that allow the discrimination against the lesbian and gay couple, individuals and their families. Victoria made a history and was the first Australian state to establish a ministerial advisory committee on lesbian and gay health. This committee implemented the victoria health and wellbeing action plan for LGBTI people. The well proud (a guide for practice to health and human services) was released in 2009 by the Victoria government. These legislations and services helped the LGBT people a lot to reduce the discrimination, motivating them to seek for help, to reduce the fear they have in society, and to reduce the mental health issues such as depression, anxiety, stress, phobias, etc (McNair, & Hegarty, 2010).

 Aboriginal and Torres Strait Islanders are the people who are ling in Australia and surrounding islands before the British colonization. On the other hand, the LGBTI people are lesbians, gays, bisexual and transgender who are attracted to the same sex people. Both groups experience various issues like on the basis of skin color, culture and sexual identity such as discrimination, domestic violence, separation from culture, substance misuse, social exclusion. The Australian government has initiated various events for their help for example for Aboriginal indigenous people they started race discrimination act, bringing them home in 1997, and announcing 73 million dollars for the stolen generation survivors. For the LGBT people in 2013, the sex determination act was amended, Cairns Queer Film festival in 2018 and Brisbane pride festival in September 2018 to promote these people. There were various policies and services establish for Aboriginal indigenous people including The Aboriginal and Torres Strait Islander health branch in Queensland to improve the health outcomes, health advice, and leadership. For LGBT people policies and services implemented such as statute amendment law act and alteration in 58 discrimination promoting laws by the federal government. These policies and services helped both the groups an opportunity to grow and rights same as the other people of Australia.

References

Addis, S., Davies, M., Greene, G., MacBride?Stewart, S., & Shepherd, M. (2009). The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: a review of the literature. Health & social care in the community, 17(6), 647-658.

Australian Association of Gerontology (2018). Policy, Research & international: lesbian, gay, bisexual, transgender and intersex (LGBTI) etc. Retrieved from: https://www.aag.asn.au/education/special-interest-groups/lesbian-gay-bisexual-transgender-and-intersex-lgbti-sig

Australian government (2013). National Aboriginal and Torres Strait Islander Health Plan 2013-2023. Retrieved from: https://www.health.gov.au/internet/main/publishing.nsf/content/B92E980680486C3BCA257BF0001BAF01/$File/health-plan.pdf

Awofeso, N. (2011). Racism: a major impediment to optimal Indigenous health and health care in Australia. Australian Indigenous Health Bulletin, 11(3), 1-8.

Biblarz, T. J., & Savci, E. (2010). Lesbian, gay, bisexual, and transgender families. Journal of Marriage and Family, 72(3), 480-497.

Caffery, L. J., Bradford, N. K., Wickramasinghe, S. I., Hayman, N., & Smith, A. C. (2017). Outcomes of using telehealth for the provision of health care to Aboriginal and Torres Strait Islander people: a systematic review. Australian and New Zealand journal of public health, 41(1), 48-53.

Department of Prime Minister and cabinet (2015). Closing the Gap 2015. Retrieved from: https://www.pmc.gov.au/indigenous-affairs/closing-gap/closing-gap-2015

Dudgeon, P., Wright, M., Paradies, Y., Garvey, D., & Walker, I. (2010). The social, cultural and historical context of Aboriginal and Torres Strait Islander Australians. Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice, 25-42.

Grossman, A. H., Haney, A. P., Edwards, P., Alessi, E. J., Ardon, M., & Howell, T. J. (2009). Lesbian, gay, bisexual and transgender youth talk about experiencing and coping with school violence: A qualitative study. Journal of LGBT Youth, 6(1), 24-46.

Health Bulletin (2018). Significant dates for cultural events for 2018. Retrieved from: https://healthbulletin.org.au/articles/significant-dates-for-cultural-events-for-2018/

Human right commission (n.a). Face the facts: lesbian, gay, bisexual, Trans and intersex people. Retrieved from: https://www.humanrights.gov.au/education/face-facts/face-facts-lesbian-gay-bisexual-trans-and-intersex-people

Kelly, K., Dudgeon, P., Gee, G., & Glaskin, B. (2009). Living on the edge: Social and emotional wellbeing and risk and protective factors for serious psychological distress among Aboriginal and Torres Strait Islander people. Darwin: Cooperative Research Centre for Aboriginal Health.

Klenowski, V. (2009). Australian Indigenous students: Addressing equity issues in assessment. Teaching Education, 20(1), 77-93.

Markwell, K., & Waitt, G. (2009). Festivals, space, and sexuality: Gay pride in Australia. Tourism Geographies, 11(2), 143-168.

McNair, R. P., & Hegarty, K. (2010). Guidelines for the primary care of lesbian, gay, and bisexual people: a systematic review. The Annals of Family Medicine, 8(6), 533-541.

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