Exposure to interpersonal racism and avoidance behaviours reported by Aboriginal and Torres Strait Islander people with a disability

Temple, Jeromey; Wong, Heather; Ferdinand, Angeline; Avery, Scott; Paradies, Yin; Kelaher, Margaret

doi:10.1002/ajs4.126

Cited by 9 publications

(4 citation statements)

References 35 publications

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“…We have already identified the centrality of co-producing health data with people with disability, and this rationale extends to including the insight of people with disability and other intersectional health disadvantages, such as racial, sexual, gendered, and aged. For example, Aboriginal and Torres Strait Islander people with disability experience multilayered disadvantage from racism and ableism, and collecting and publishing health statistics on this cohort of people is thus vital and complex [ 92 ]. It involves recognition of cultural, social, political and ethical dimensions of research with First Peoples with disability, especially their right to self-determination, and culturally safe and inclusive research practices [ 93 , 94 ].…”

Section: Moving Forward: Some Key Considerationsmentioning

confidence: 99%

Health and Access to Health Services for People with Disability in Australia: Data and Data Gaps

Fortune

Madden

Clifton

2021

IJERPH

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The right of people with disability to enjoyment of the highest attainable standard of health without discrimination on the basis of disability is enshrined in the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Among its obligations as a signatory to the CRPD, Australia is required to collect appropriate information, including statistical and research data, to inform development and implementation of policies to give effect to the Convention. In this commentary, we first describe how the International Classification of Functioning, Disability and Health (ICF) conceptual model of disability can be operationalised in statistical data collections, with a focus on how this is achieved in key Australian data sources such that people with disability can be identified as a population group. We then review existing statistical data on health and health service use for people with disability in Australia, highlighting data gaps and limitations. Finally, we outline priorities and considerations for improving data on health and access to health services for people with disability. As well as conceptual, practical, and ethical considerations, a key principle that must guide future disability data development is that people with disability and their representative organisations must be involved and participate fully in the development of disability data and statistics, and in their use.

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Section: Moving Forward: Some Key Considerationsmentioning

confidence: 99%

Health and Access to Health Services for People with Disability in Australia: Data and Data Gaps

Fortune

Madden

Clifton

2021

IJERPH

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“…In many disability services, a focus on remediating individual pathology can conflict with Indigenous understandings of disability, and services can be experienced by Indigenous people as stigmatising environments (King et al, 2014 ; Ryser et al, 2014 ; Varvarezou, 2020 ). Consequently, Indigenous people in many settler‐colonial states do not access disability services at rates commensurate with the prevalence of disability among Indigenous populations (Newbold, 1999 ; Ryser et al, 2014 ; Temple et al, 2020 ). In response to these issues, policymakers, funding bodies, service providers and Indigenous communities and organisations have developed specific models of care for Indigenous people with disability.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, Indigenous people in many settler-colonial states do not access disability services at rates commensurate with the prevalence of disability among Indigenous populations (Newbold, 1999;Ryser et al, 2014;Temple et al, 2020). In response to these issues, policymakers, funding bodies, service providers and Indigenous communities and organisations have developed specific models of care for Indigenous people with disability.…”

Section: Introductionmentioning

confidence: 99%

Community‐based social care models for indigenous people with disability: A scoping review of scholarly and policy literature

Puszka

Walsh

Markham

et al. 2022

Health Social Care Comm

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Disability is experienced and understood by Indigenous people internationally in distinct ways from other populations, requiring different approaches in disability services. Furthermore, Indigenous populations access disability services at low rates. In response, policymakers, service providers and Indigenous organisations have developed specific models of care for Indigenous people with disability. Social care services, comprising personal care, transport and social activities, can support Indigenous people with disability to live with their families and in their communities. However, little is known about the range of social care models for Indigenous people with disability. To inform policy and practice, we conducted a scoping review of community‐based models of social care designed to meet the needs of Indigenous peoples in Australia, Aotearoa New Zealand, Canada and the United States. Our methods were informed by best practice scoping review principles and a collaborative approach that centred Indigenous voices within research appraisal and project governance processes. Literature searches (conducted March–April 2021) yielded 25 results reporting on 10 models of care. We identified two over‐arching themes (funding and governance arrangements; service delivery design) that encompass nine key characteristics of the included models. Our analysis shows promising practice in contextually relevant place‐based social activity programs, support and remuneration for family carers and workforce strategies that integrate Indigenous staff roles with kinship relationships and social roles. While more research and evaluation are needed, disability funding bodies and service systems that facilitate these areas of promising practice may improve the accessibility of social care for Indigenous peoples.

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“…1 Indigenous Australians are seven-times more likely to experience racism than Anglo-Celtic Australians 2 and the presence of a disability increases the likelihood of exposure to racism 1.6-1.8-fold. 3 Institutional and interpersonal racism within healthcare settings, and the resultant culturally unsafe practices that occur, serve as significant barriers to accessing healthcare services for Indigenous peoples across Australia and NZ. 4 For Māori, hostile healthcare environments and racism were identified as two of the major barriers to accessing hospital services in NZ.…”

Section: Introductionmentioning

confidence: 99%

Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand

Anstice

Alam

Armitage

et al. 2022

Clinical and Experimental Optometry

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Access to culturally safe health services is a basic human right, however through the lasting effects of colonisation, oppression, and systemic racism, the individual and community health of Indigenous peoples in Australia and Aotearoa New Zealand have been severely impacted. The Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy of the Australian Health Practitioners Regulation Agency, and the Standards of Cultural Competence and Cultural Safety of the Optometrists and Dispensing Opticians Board of New Zealand, recognise the importance of access to safe health care for Aboriginal, Torres Strait Islander and Māori patients, which encompasses both clinical competency and cultural safety. Universities have an ongoing responsibility to ensure their learning and teaching activities result in graduates being able to provide culturally safe practice. This article highlights the emergence of culturally safe practices in the Australian and Aotearoa New Zealand optometry curricula over the last five years incorporating Indigenous ways of knowing, being and doing into the curricula, understanding the local Indigenous histories and contexts, the adoption of online cultural education modules, and clinical placement partnerships with local Indigenous communities. Whilst there is still much work to do to achieve the goal of graduating culturally safe optometrists, this paper focuses on features that enable or impede progress in the development of culturally safe practices within the optometry programmes to improve eye health equity for Indigenous recognise the diversity of Indigenous cultures across Australia and NZ.

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Exposure to interpersonal racism and avoidance behaviours reported by Aboriginal and Torres Strait Islander people with a disability

Cited by 9 publications

References 35 publications

Health and Access to Health Services for People with Disability in Australia: Data and Data Gaps

Health and Access to Health Services for People with Disability in Australia: Data and Data Gaps

Community‐based social care models for indigenous people with disability: A scoping review of scholarly and policy literature

Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand

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