| Author(s) |
Naughton, William
Baumann, Angus
Neal, Kirsten
Wilson, Dan
Johnson, Richard
Holwell, Anna
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| Publication Date |
2024-10-26
|
| Abstract |
The persisting life-expectancy 'gap' between First Nations and non-First Nations Australians is fundamentally driven by the social determinants of health. These include income and social protection, access to adequate housing and food security, among others. These factors are particularly prominent in Central Australia. Inadequate housing has led to some of the highest rates of Streptococcus pyogenes infection in the world, which in turn drives an extremely high prevalence of rheumatic heart disease. Food insecurity and inadequate social protection manifesting as energy insecurity result in inadequate nutrition and have resulted in a huge burden of diabetes in Central Australia. These factors, combined with social exclusion, racism and the pervasive effect of colonisation, also drive a high rate of alcohol misuse. Only by prioritising equity in these 'social determinants' and emphasising the importance of First Nations leadership in formulating and implementing solutions will health inequity be addressed.
|
| Affiliation |
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
School of Medicine, Flinders University Rural Clinical School, Adelaide, South Australia, Australia.
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
School of Medicine, Charles Darwin University, Darwin, Northern Territory, Australia.
Department of Medicine, Alice Springs Hospital, Alice Springs, Northern Territory, Australia.
|
| Citation |
Intern Med J . 2024 Oct 26. doi: 10.1111/imj.16548. Online ahead of print.
|
| ISSN |
1445-5994
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| OrcId |
0009-0009-2580-3110
0000-0003-4128-7012
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| Pubmed ID |
https://pubmed.ncbi.nlm.nih.gov/39460656/?otool=iaurydwlib
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| Link | |
| Subject |
alcohol use disorders
diabetes
rheumatic heart disease
skin infections
social determinants
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| MESH subject | |
| Title |
The heart of the matter: a re-iteration of the role of the social determinants of health in addressing health inequity in Central Australia.
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| Type of document |
Journal Article
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| Entity Type |
Publication
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| Name | Size | format | Description | Link |
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