BlackLivesMatter in Healthcare: Racism and Implications for Health Inequity among Aboriginal and Torres Strait Islander Peoples in Australia

被引:63
|
作者
Gatwiri, Kathomi [1 ]
Rotumah, Darlene [2 ]
Rix, Elizabeth [3 ]
机构
[1] Southern Cross Univ, Fac Hlth, Ctr Children & Young People, Gold Coast, Qld 4225, Australia
[2] Southern Cross Univ, Gnibi Coll, Gold Coast, Qld 4225, Australia
[3] Southern Cross Univ, Fac Hlth, Gold Coast, Qld 4225, Australia
关键词
racism; aboriginal and Torres Strait Islander peoples; first nations peoples; social determinants of health; cultural safety; decolonization; Australia; yarning; healthcare; whiteness; PUBLIC-HEALTH;
D O I
10.3390/ijerph18094399
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Despite decades of evidence showing that institutional and interpersonal racism serve as significant barriers to accessible healthcare for Aboriginal and Torres Strait Islander Peoples, attempts to address this systemic problem still fall short. The social determinants of health are particularly poignant given the socio-political-economic history of invasion, colonisation, and subsequent entrenchment of racialised practices in the Australian healthcare landscape. Embedded within Euro-centric, bio-medical discourses, Western dominated healthcare processes can erase significant cultural and historical contexts and unwittingly reproduce unsafe practices. Put simply, if Black lives matter in healthcare, why do Aboriginal and Torres Strait Islander Peoples die younger and experience 'epidemic' levels of chronic diseases as compared to white Australians? To answer this, we utilise critical race perspectives to theorise this gap and to de-center whiteness as the normalised position of 'doing' healthcare. We draw on our diverse knowledges through a decolonised approach to promote a theoretical discussion that we contend can inform alternative ways of knowing, being, and doing in healthcare practice in Australia.
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页数:11
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