NRS427VN Concepts in Community and Public Health - Free Samples to Stu

Develop a compelling piece of advocacy for a current issue that impacts the health of a specific vulnerable population in the local, national, or global community.

Choose a vulnerable population you either have previously been involved in the care of OR a vulnerable population you have an interest in. This should be clearly defined such as adult females in corrections or LGBQTI youth in regional secondary schools, or refugees from war torn countries. You may choose any population from an Australian local or national perspective. If you want to choose a global population ie refugees or an indigenous culture ensure you approach the assignment within the Australian context. 

The difference in the healthcare wellbeing between indigenous and non-indigenous women is large. The aboriginal communities do not get sufficient healthcare felicity what the non-aboriginal gets. The life expectancy gap between the LGBT youth ofindigenous communities and nonindigenous communities is 9.5 years. Moreover, the most notable difference in life expectancy is found in the age group of 25 to 32 years old people where the ghastliness of healthcare problems is 5 times larger than the non-indigenous people (Bainbridge, McCalman, Clifford & Tsey, 2015). Due to the unhealthy lifestyle, the rate of circulatory disease is increased by 26%, cancer by 19%, metabolic and nutrition problem of 9% and 15% of the sexually transmitted disease. There is the requirement for knowledge, awareness, and healthcare development plan for the LGBT communities of aboriginal people. Thus, the knowledge on safety measures for a healthy lifestyle, safe intercourse, healthy food habit, and proper health care must be provided to the aboriginal LGBT communities of TorresStrait Island.

Risk assessment

The increase of disease among the LGBT communities of the Torres Strait Islanders is a big concern for the healthcare development of Australia. The most commonrisks due to an unhealthy lifestyle, unsafe intercourse, and improper food habit are cardiovascular diseases, diabetes, obesity, cancer, and Acquired Immune Deficiency Syndrome.  The smoking habit is also a risk factor associated with the healthcare problems of the LGBT communities of the TorresStrait Islanders (Buttigieg, Rathert & Eiff, 2015). The LGBT men and women start smoking before the completion of 12 years. This increases the risk factors of diabetes, obesity, cardiovascular disease, and respiratory problem. Recently, the symptoms of Acquired Immune Deficiency Syndrome have become very common among the LGBT communities of the aboriginals of Torres Straitislands. This is due to the increasing number of unsafe intercourse, lack of proper knowledge regarding the safe intercourse process and lack of using safety measures during the intercourse. There must be an indulgence of safe and healthy intercourse for better and healthy outcome.

Violence is the most common incident among the aboriginals of the Torres Strait Islanders. Lack of awareness, lack of academic knowledge and lack of healthcare knowledge and unethical behavior are the key reasons for the increased number of violence among the aboriginals of Torres Strait Islanders. 24% of people from the LGBT community of aboriginal people use to suffer from domestic and external violence (DALTON-BROWN, 2016).They cannot get the opportunity to express their desire or preferences and in the aboriginal community homo or bisexuality are considered to crime and unethical. Thus, they are treated brutally in both the domestic and social scenario. The rate is highest among the peoplefrom the age group 25 years to 34 years.

The inappropriateness of the healthcarepractices; domestic violence, inappropriate food habit and lack of health care are the key reasons for the low life expectancy of the LGBT people of the aboriginal groups of Torres Strait Islanders. The unhealthy sexual practices can also be identified as the key reasons for the low life expectancy of the aboriginals of the Torres Strait Islanders.  Thus, the unhealthy lifestyle increases the bodyweight that results in high obesity. It is found that 60% of the aboriginal LGBT male and women use to suffer from high obesity that reduces their life expectancy (Grover, 2007).

The rate of morbidity among the aboriginal LGBT community is high due to the lack of safe healthcare awareness and unavailability of effective healthcare services. The LGBT communities never get sufficient healthcare facility and only 31% of the healthcareorganizations treat the LGBT community with sensitivity. This decreases the rate of mortality to the LGBT communities of Torres Strait Islanders (Anders & Cassidy, 2014).

Health inequalities based on population groups on the unequal distribution

The unequal distribution of the healthcare opportunitiesisone of the key hindrances for the healthcare development of the LGBT communities of the TorresStrait Islanders. In the social; perspective, the LGBT communities are not treated as sensitively as it is required. Moreover, they cannot get sufficient opportunities for healthcare development.  The LGBT communities are not accessible to all the healthcare institutions. The healthcare obstacles increase the symptoms of critical disease among the LGBT communities. The healthcare staffs prefer to stay in distance from them during the healthcare promotions for safety healthcare practices. Thus, they remain ignorant about the safety measures for healthcare practices that increase the possibilities of disease among them (Guest, 2010). Moreover, this unequal distribution of the healthcare practices also increases the possibility of sexually transmitted disease among the LGBT community of aboriginal people.

The rate of hospitalization of aboriginal LGBT people is 8.1% which is a significant concern for the Australian government. Moreover, 20% of the LGBT aboriginal has less access to the surgery. The healthcare outcome of the lack of surgery and proper hospitalization is severe.

Thus, the lack of healthcare facilities and discrimination in healthcare practices are the main reasons for the increasing number of diseases among the aboriginal LGBT community of Torres Strait Island. The possible outcomes associated with the risk factors as follows

• The outcome of inappropriate food habit is gastric ulcer problem and obesity
• The outcome of smoking is cardiovascular disease, respiratory problem, and high BMR rate (Güdük, 2018).
• The outcome of sufficient medical facility and discriminated healthcare services is the long-term sustainability of the disease
• The outcome of unsafe intercourse is the rise of HIV positive symptoms.

Healthcare practices for safe intercourse

According to the data, there is little information about the culture of reproductive health among the aboriginal people in Australia.  According to the researchers, there are different aspects which have effect in the sexual education and sexual practice among the aboriginal people of the Torres Strait Islanders. It is very much essential to know about the socio-economic issues of the aboriginals and LGBT community present in the aboriginal population. According to the Australian population survey it is seen that maximum percentage of the demographic profile among the aboriginal population of Torres Strait Islanders are young compared to the non-indigenous population in Australia (Haugen & Musser, 2012). This implies that the knowledge about safe sexual practice is very important among the aboriginal population of Torres Strait Islanders. The LGBT community is till date secluded from society and they are not accepted in the main flow of the society.

Healthcare discrimination

The LGBT community should be included in the mainstream of the society so they may get the chance to express their problems about the sexual health in front of the medical professionals in a proper way (Beckett, 2011). It is seen in reality that the aboriginal people of Australia are in a position of disadvantage from the socio-economic point of view compared to the Non Indigenous people of the country. It is seen that the educational status of the aboriginal people is not up to the market. There is a deep relationship between education and consciousness for safe sexual practice. It is opined by the researchers that the sexual health practice is positively correlated with the education level. Another important aspect that is related to the sexual health practice is a culture of the community (Hunnicutt, 2010).

According to the data it is seen that the Indigenous people have low expectancy than the Nonindigenous population because of the mentioned factors.

Healthcare obstacles

Since the aboriginal people live in Torres Strait Island that is a very remote place and they have a backward culture. It is sometimes not appropriate to discuss the sexual practice in their culture in an open forum that is considered as taboo. This causes a real problem for the LGBT youth community because of this cultural aspect they cannot properly discuss the problems about their sexual health. According to the educational survey report, it is seen that 32% to 57 % has not got proper school qualification. Another barrier that is faced by the LGBT youth community is the lack of proper health facilities and proper medical professional in the rural parts of Australia where the aboriginal people lives (Miller, 2011). According to the reports it is seen that aboriginal people develop more sexual disease due to inadequate sex education and inadequate health facilities.  The current trend says that sexual disease like HIV, Chlamydia and genital herpes are frequently increased in the LGBT youth among the aboriginal population. These diseases are fatal and are responsible for high mortality.  Due to the lack of proper awareness among the LGBT youth community, these diseases are growing in an exponential way.   Safe sexual health practice should be done among the LGBT community so that this kind of sexual disease can be nullified (Jena, 2017).

Importance of protection

The sexual health should be maintained by using proper protection during intercourse that results in maintenance of the sexual health of the LGBT community among the Aboriginal Torres Strait Islanders (Walls, 2012). The practice of using protection during intercourse will come through proper awareness and education about sexual health. This awareness programme should be done by the government and the social organization to help the LGBT community of the Torres Strait Islanders to get out of this kind of problem. The use of protection will help the community to mitigate the fatal diseases like Human immune deficiency syndrome, papillomavirus infections. It is said by the doctors not to use any objects during intercourse that increases the chances of infection (Nangala, 2008). This is another point that should be kept in mind to develop safe sexual health for the LGBT community among the aboriginals of the Torres Strait Islanders. Besides this regular check-up should be done by the medical professionals to monitor the sexual organs of the LGBT youth community. Appropriate medical facilities should be developed in the Torres Strait Island that will enable the youths of the LGBT community for a regular checkup. Use of the medicated lubricants should only be used during performing intercourse or else there might develop chances of infections that might result in fatal consequences.

Recommendations

The problem of sexual health is one of the essential problems that should be dealt with seriousness to mitigate the issues caused in the young LGBT community among the aboriginal population of the Torres Strait Islanders.  The overall education level of the aboriginal community should be developed properly so that they can comprehend the consequences of sexual health problems. The adolescent youths are in the transition phase and they need proper guidance to maintain their sexual health that should be done by medical camps and awareness among the community people (Parks, 2009). The shreds of evidence about the problem should be collected in the proper way by the medical professionals of the health departments who are in charge of the Torres Strait Islanders and action plan should be performed so that the problems can be mitigated in a proper way. Sensitization of the community people is important so that the discrimination that happens with the LGBT community can be lowered.   Proper knowledge and strategies to perform safe intercourse should be incorporated in the mind of the LGBT youth community. The accountability to aware and sensitize the community people should be taken by the government and the other nongovernmental organization who are working in the region via health promotion campaigns (Watkin Lui, 2012).

The rural health facilities should be developed in a proper way that will help in monitoring the sexual health of the LGBT community among the aboriginal population of the Torres Strait Islanders (Taylor, Thompson & McDermott, 2016). The test regarding the Human immune deficiency syndrome requires advanced technologies so proper funding should be done by the Australian government so that the medical facilities can become modernized to mitigate and treat the sexual health of the LGBT youth community.

Conclusion

It is seen according to the data that the mortality in the aboriginal population is more than the non Indigenous population of the country. The sexually transmitted disease is one of the essential factors of morbidity and mortality. The LGBT youth community among the aboriginal population of the Torres Strait Islanders is suffering from different sexually transmitted diseases like human immune deficiency syndrome, Human papillomavirus. The prime cause for this kind of disease is lack of proper education, socioeconomic and cultural background and lack of adequate medical facilities in the rural areas of the Torres Strait Island. Due to discrimination and inadequate education, the LGBT communities are facing problems in their sexuality that is resulting in fatal sexual disease (Sajiv, 2013). Safe practice like using protection during intercourse, use of properly medicated lubricants will help to mitigate the chance of developing sexual problems. The Government should take responsibility in developing the awareness and sensitization program that will enable the communities to get sensitized about this serious problem. The government health facilities that exist in the Torres Strait Islands should be developed properly so that the monitoring and diagnosis of the disease can be performed in a proper way. These steps from the government will help to mitigate the issues prevalent in the LGBT community among the Aboriginal Torres Strait Islanders.

References

Anders, C., & Cassidy, A. (2014). Effective organizational change in healthcare: Exploring the contribution of empowered users and workers. International Journal Of Healthcare Management, 7(2), 132-151. doi: 10.1179/2047971913y.0000000061

Bainbridge, R., McCalman, J., Clifford, A., & Tsey, K. (2015). Cultural competency in the delivery of health services for Indigenous people. [Canberra, A.C.T.]: [Closing the Gap Clearinghouse].

Beckett, J. (2011). The Torres Strait Islanders and the pearling industry: a case of internal colonialism. Aboriginal History Journal, 1. doi: 10.22459/ah.01.2011.04

Butlow, P., Mullan, B., White, K., Morrison, V., & Bennett, P. (2017). Introduction To Health Psychology in Australia. Melbourne: P. Ed Australia.

Buttigieg, S., Rathert, C., & Eiff, W. (2015). International best practices in health care management. Bingley, U.K.: Emerald.

Cunningham, J. (2010). Socioeconomic disparities in self-reported cardiovascular disease for Indigenous and non-Indigenous Australian adults: analysis of national survey data. Population Health Metrics, 8(1). doi: 10.1186/1478-7954-8-31

DALTON-BROWN, S. (2016). Healthcare in Australia. Cambridge Quarterly Of Healthcare Ethics, 25(03), 414-420. doi: 10.1017/s0963180116000062

Grover, J. (2007). Healthcare. Detroit: Greenhaven Press.

Güdük, Ö. (2018). Health care accreditation system in Australia. Health Care Academician Journal, 5(1), 54. doi: 10.5455/sad.13-1513247209

Guest, C. (2010). Diabetes in Aborigines and Torres Strait Islanders: effects, causes and strategies. Australian Journal Of Public Health, 19(5), 442-444. doi: 10.1111/j.1753-6405.1995.tb00407.x

Haugen, D., & Musser, S. (2012). Health care. Farmington Hills, MI: Greenhaven Press.

Hunnicutt, S. (2010). Universal health care. Detroit: Greenhaven Press.

Jena, B. (2017). Effective marketing tool for the marketing professionals in healthcare organization: The 4 ‘S’ model. International Journal Of Healthcare Management, 1-6. doi: 10.1080/20479700.2017.1402423

Miller, D. (2011). Health care. Detroit, Mich.: Lucent Books.

Nangala, S. (2008). Aboriginal and Torres Strait Islander Health: today's challenges, tomorrow's opportunities. Australian Health Review, 32(2), 302. doi: 10.1071/ah080302

Parks, P. (2009). Health care. San Diego, CA: ReferencePoint Press.

Sajiv, C. (2013). Cultural considerations when providing care to Aboriginal and Torres Strait Islanders (ATSI) opting for conservative care. Nephrology, n/a-n/a. doi: 10.1111/nep.12080

Taylor, S., Thompson, F., & McDermott, R. (2016). Barriers to insulin treatment among Australian Torres Strait Islanders with poorly controlled diabetes. Australian Journal Of Rural Health, 24(6), 363-370. doi: 10.1111/ajr.12315

Walls, V. (2012). PRACTITIONER APPLICATION: Effective US Health System Websites: Establishing Benchmarks and Standards for Effective Consumer Engagement. Journal Of Healthcare Management, 57(1), 64-65. doi: 10.1097/00115514-201201000-00010

Watkin Lui, F. (2012). My island home: re-presenting identities for Torres Strait Islanders living outside the Torres Strait. Journal Of Australian Studies, 36(2), 141-153. doi: 10.1080/14443058.2012.674544.