The social determinants of Indigenous health: A research agenda

Michael Morrissey
Northern NSW University Department of Rural Health, Newcastle, NSW

PP: 031 - 044

Abstract

This paper starts by sketching the main dimensions of what I term the catastrophe of Indigenous health with special reference to the Northern Territory of Australia. It then subjects current research on this topic to critical analysis and finds the bulk of this work is deficient in that it is indifferent to social theory and dominated by a simplistic quantitative positivism which is incapable of capturing the complex aetiology and pathways of chronic disease.

In addition, research in this mode strips away the essential political elements. The paper then reviews some emerging approaches in social epidemiology and health social science and argues that these provide pointers to a new methodology based on transdisciplinary approaches and centring the subjects of research, Indigenous people themselves, as the dominant partners in the research process.

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Keywords

social determinants; indigenous health; social epidemiology; social science methodology; transdisciplinary theory


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References

ABS (1997) Occasional paper: Mortality of Aboriginal and Torres Strait Islander Australians [Catalogue 3315], Canberra: Australian Bureau of Statistics.

ABS (1998) Information paper: Socio-economic indexes for areas series, [Catalogue 2039.0], Canberra: Australian Bureau of Statistics.

Anderson I (2000) Problematic paradigms? Social epidemiology and the health of Aboriginal and Torres Strait Islanders Australasian epidemiologist 7(3): 32-35.

Cowlishaw GK (1999) Black modernity and bureaucratic culture, Australian Aboriginal studies 19(2).

Devitt J, Hall G and Tsey K (2001) An introduction to the social determinants of health in relation to the Northern Territory Indigenous population, CCRATH Occasional Paper #6 Darwin.

Engel, George L. (1980) 'The Biopsychosocial model and medical education' American journal of psychiatry 137: 535-44.

Estroff SE (1993) Identity, disability and schizophrenia: The problem of chronicity, in Shirley Lindenbaum and Margaret Lock (eds) Knowledge, power and practice: The anthropology of medicine and everyday life, Berkeley: University of California Press.

Foucault M (1977) The birth of the clinic, London: Tavistock.

General Practice Evaluation Program (860 Projects, various dates) http://www.phcris.org/resources/databases/gpepdb/GPEPLIST.HTM

Goffman E (1974) [1961] The moral career of the mental patient, in Asylums: Essays on the social situation of mental patients and other inmates, New York: Pelican.

Habermas J (1984) The theory of communicative action, Oxford: Polity.

Higginbotham N, Albrecht G and Connor L (2001) Health social science: A transdisciplinary and complexity perspective, South Melbourne: Oxford University Press.

Higginbotham N, Briceño-Leon R and Johnson N (2001) Applying health social science: Case studies from the developing world, Ottawa: Zed Books.

Humphery K (2001) Dirty questions: Indigenous health and Western research, Australian and New Zealand Journal of Public Health 25(3): 197-202.

Ivanitz MJ (1999) Culture, ethics and participatory methodology in cross-cultural research, Australian Aboriginal Studies 2: 46-60.

Kunitz SJ (1994) Disease and social diversity: The European impact on the health of non-Europeans, New York: Oxford University Press.

McMichael AJ (Tony) (1999) Prisoners of the proximate: Loosening the constraints of epidemiology in an age of change, American Journal of epidemiology 149(10): 887-897.

Manuel G and Poslums M (1974) The Fourth World: An Indian reality, Toronto: Collier-Macmillan.

Marmot M and Wilkinson RG (eds) (1999) The social determinants of health, Oxford: Oxford University Press.

Muntaner C (2000) Applied epidemiology, Journal of Public Health Policy 21(1): 99-102.

Navarro V (1986) Crisis, health and medicine, London: Tavistock.

Oakley A (1984) The captured womb: A history of pregnant women, Oxford: Blackwell.

Public Health Information Development Unit (1999) The social health atlas of Australia Vol 8, Northern Territory Adelaide: Openbook.

Ring I and Firman D (1998) Reducing Indigenous mortality in Australia: Lessons from other countries, Medical Journal of Australia 169: 528-533.

Smith LT (1999) Decolonizing methodologies: Research and Indigenous peoples, Dunedin, New Zealand: Zed Books.

Turner BS (1992) Regulating bodies: Essays in medical sociology, London: Routledge.

Turner BS (1996) The body and society: Explorations in social theory 2nd edn. London: Sage.

World Health Organisation (WHO) (2001) World health report 2001 http://www.who.int/whr2001/2001/



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