An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia


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The less cash available due to welfare quarantining may have reduced the frequency and stake size of bets in community card games leading to a reduction in harm associated with gambling. In addition, there was no Indigenous identifier in the GSS and so it was necessary to utilise the Australian population as a proxy for the non-Indigenous population, creating a small bias towards the null. The convergence in exposure to stressors observed for the remote and non-remote Aboriginal and Torres Strait Islander population in requires more detailed analyses to further unpack the meaning of this finding.

For example, exploring the correlates of individual stressors from the NLES would help in identifying other factors that may influence exposure to stressors, particularly those related to social transgressions. Investigating data sources and instruments that can effectively monitor changes in stressors is therefore important in evaluating efforts to improve Indigenous health. The factor analysis of the NLES showed consistency in use across the different ABS surveys for both the Indigenous and and general population A key strength of the NLES is that it is used widely in ABS surveys and provides a measure of exposure to life stressors, which can be monitored for changes over time.

This is particularly significant given the large-scale Indigenous policy and program changes that have occurred in recent years, including income quarantining as part of the NTER and the introduction of the Family Responsibilities Commission in North Queensland, both of which have similar objectives child safety, school attendance, lawful behaviour, responsible tenancy. Both of these policies have been designed to improve social accountability and rebuild safe social norms within these remote Aboriginal and Torres Strait Islander populations.

The significant decreases observed in exposure to stressors for the remote Aboriginal and Torres Strait Islander population indicate that there are positive changes occurring. Evidence of increases in exposure to some of the stressors reported on in the non-remote Aboriginal and Torres Strait Islander population require more detailed study. These differential changes within the Indigenous population between locations highlight the importance of presenting data for the Indigenous population by remoteness.

MS carried out all statistical analyses and was responsible for the overall drafting of the manuscript.

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YP drafted aspects of, and provided critical comment on, the manuscript. Both authors read and approved the final manuscript. The first author wishes to acknowledge Gambling Research Australia for funding the initial research. Both authors would like to thank the Aboriginal and Torres Strait Islander people who participated in the survey and the Australian Bureau of Statistics for collecting and making the data available.

National Center for Biotechnology Information , U. BMC Public Health.

The Determinants of Health and Health Challenges

Published online Feb Matthew Stevens 1 and Yin Paradies 2. Author information Article notes Copyright and License information Disclaimer. Corresponding author. Matthew Stevens: ua. Received Jun 6; Accepted Feb 6. This article has been cited by other articles in PMC. Results In remote locations, between and , exposure to life stressors decreased significantly for the Indigenous population across seven of the eleven stressors.

Conclusions The reduction in exposure to life stressors for the remote Indigenous population may be related to policy and practice changes e. Background Social and emotional wellbeing SEWB is recognised as an important dimension of health across all life stages [ 1 - 5 ]. In response to this dearth of information this paper will use data from the and National Aboriginal and Torres Strait Islander Social Survey, and the General Social Survey to: 1. Table 1 Data sources, sample size and scope for analyses.

Open in a separate window. The negative life events scale We derived estimates for eleven items of the NLES in and by remoteness for the Indigenous population, and for the Australian population in for comparability and to contextualise Indigenous estimates. Figure 1. Figure 2. Figure 3. Figure 4. Discussion Patterns of association between NLES items The factor analysis of eleven stressors for the and Aboriginal and Torres Strait Islander population identified three domains, social transgressions , labour market stressors, and grief and trauma in both the remote and non-remote population.

Exposure to stressors There was evidence of differential trends in exposure to stressors for the Aboriginal and Torres Strait Islander population by remoteness between and Competing interests The authors declare that they have no competing interests.

Authors' contributions MS carried out all statistical analyses and was responsible for the overall drafting of the manuscript. Acknowledgements The first author wishes to acknowledge Gambling Research Australia for funding the initial research. Social networks, health, and emotional well-being among the oldest Old in London.

J Gerontol. Chronic illness, disability, and mental and social well-being: findings of the Ontario child health study.

On social and emotional wellbeing and Indigenous Australians. Australian eJournal for the Advancement of Mental Health. Social Health Reference Group. Social and emotional wellbeing of Aboriginal and Torres Strait Islander people within the broader context of the social determinants of health; pp.


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    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia
    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia
    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia
    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia
    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia
    An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia An Ethnography of Stress: The Social Determinants of Health in Aboriginal Australia

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