dogecoin_pleasures t1_ix75wr9 wrote on November 21, 2022 at 6:50 AM

Reply to comment by hidden-shadow in Indigenous people are less likely to survive the year after an ICU admission. 12 months after being admitted to intensive care, an Indigenous person is more likely to have died than a non-Indigenous person, according to Australian research. by MistWeaver80

For urban indigenous populations, distrust of authorities and therefore unwillingness for follow up care is probably a bigger factor, as well as healthcare bureaucracy being harder to navigate for those who aren't a part of the dominant culture (white, middle class).

hidden-shadow t1_ix76d7l wrote on November 21, 2022 at 6:56 AM

My point being, I don't think there is any evidence to suggest the issue of crossing borders is a key factor whatsoever. I suggest that the distrust surrounding government associated programs is far more relevant.

dogecoin_pleasures t1_ix771hs wrote on November 21, 2022 at 7:05 AM

I did a bit of work in the area of aboriginal healthcare and border crossings between nations did come up as an issue as a way in which western healthcare was insensitive to indigenous needs. It probably doesn't affect the most assimilated but might screw regional mortality rates

hidden-shadow t1_ix78bgf wrote on November 21, 2022 at 7:22 AM

Perhaps, but to call it a key factor in a trend discussing Aboriginal peoples across the country is hard to justify.

Wigglepus t1_ix9s80c wrote on November 21, 2022 at 8:55 PM

Is there research that shows markedly different health outcomes for Aboriginal people living in urban areas vs those living in rural areas? Are these trends markedly different for Aboriginal people than for the general population?

I don't know anything about Australian health care but in most places rural people tend to have worse health outcomes due to limited access to care. So we should expect to see worse outcomes for rural Aboriginal population as well. However, if boarder crossing is a significant issue health outcomes should be disproportionately worse for rural Aboriginal people vs urban Aboriginal people when compared to the overall urban/rural populations. I.e. difference in outcomes for urban Aboriginal Australian and rural Aboriginal Australian is greater than difference in outcomes for urban non-Aboriginal Australian and rural non-Aboriginal Australian.

hidden-shadow t1_ixlcnij wrote on November 24, 2022 at 8:27 AM

Yes, though the remoteness itself is only one factor in the gap. And it is drastically different to the non-Indigenous population. Difference in life expectancy between the two groups is ~8 years but widens in remote to very remote regions to ~14 years. Almost no decrease in non-Indigenous life expectancy across various levels of remoteness.

The 'very remote' indigenous populations tend to 'live on land', in isolated communities separate from the general population. So unlike in urban and regional areas, where facilities are readily available, it often requires even further travel to return to urban hubs for treatment.

So the difference is not a positive indication that crossing cultural borders is a key factor. Whereas historic distrust of government services is well documented.