The ‘invisible homeless’ – challenges faced by families bringing up their children in a remote Australian Aboriginal community

Lowell, Anne; Maypilama, Elaine; Fasoli, Lyn; Guyula, Yalŋarra; Guyula, Abbey; Yunupiŋu, Megan; Godwin-Thompson, Jenine; Gundjarranbuy, Rosemary; Armstrong, Emily; Garrutju, Jane; McEldowney, Rose

doi:10.1186/s12889-018-6286-8

Cited by 24 publications

(23 citation statements)

References 17 publications

(36 reference statements)

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“…Rossmandi brought up the wider social disadvantage that overcrowding creates for youth: "When there is no space to stay or sleep at home, kids spend time on the streets, fighting and breaking in." Participants' accounts indicate that overcrowding is a prominent predictor of other social issues in Galiwin'ku, including infectious disease risk, violence, conflict, unemployment, and school attendance, which is consistent with the literature [60,61].…”

Section: Overcrowded Housing and Culturally And Climatically Unsuitabsupporting

confidence: 83%

“…Recent research has shown that this needs to change [59]. These separations cause severe social and emotional health and wellbeing challenges among children and parents as Indigenous health and wellbeing is dependent upon connections to kin, community, and country [9,60]. Participants shared that, in mission days, technical education facilities in the community provided them with technical skills.…”

Section: Western Technical and Higher Education Lacking In Communitymentioning

confidence: 99%

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Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering

Ali

Buergelt

Paton

et al. 2021

IJERPH

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The Sendai Framework of Action 2015–2030 calls for holistic Indigenous disaster risk reduction (DRR) research. Responding to this call, we synergized a holistic philosophical framework (comprising ecological systems theory, symbolic interactionism, and intersectionality) and social constructionist grounded theory and ethnography within a critical Indigenous research paradigm as a methodology for exploring how diverse individual and contextual factors influence DRR in a remote Indigenous community called Galiwinku, in the Northern Territory of Australia. Working together, Indigenous and non-Indigenous researchers collected stories in local languages using conversations and yarning circles with 20 community members, as well as participant observations. The stories were interpreted and analysed using social constructivist grounded theory analysis techniques. The findings were dialogued with over 50 community members. The findings deeply resonated with the community members, validating the trustworthiness and relevance of the findings. The grounded theory that emerged identified two themes. First, local Indigenous knowledge and practices strengthen Indigenous people and reduce the risks posed by natural hazards. More specifically, deep reciprocal relationships with country and ecological knowledge, strong kinship relations, Elder’s wisdom and authority, women and men sharing power, and faith in a supreme power/God and Indigenous-led community organizations enable DRR. Second, colonizing practices weaken Indigenous people and increase the risks from natural hazards. Therefore, colonization, the imposition of Western culture, the government application of top-down approaches, infiltration in Indigenous governance systems, the use of fly-in/fly-out workers, scarcity of employment, restrictions on technical and higher education opportunities, and overcrowded housing that is culturally and climatically unsuitable undermine the DRR capability. Based on the findings, we propose a Community-Based DRR theory which proposes that facilitating sustainable Indigenous DRR in Australian Indigenous communities requires Indigenous and non-Indigenous partners to genuinely work together in two-directional and complementary ways.

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Section: Overcrowded Housing and Culturally And Climatically Unsuitabsupporting

confidence: 83%

Section: Western Technical and Higher Education Lacking In Communitymentioning

confidence: 99%

Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering

Ali

Buergelt

Paton

et al. 2021

IJERPH

Self Cite

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“…Given the disproportionately poorer cardiometabolic health experienced by Indigenous Australians [33,34], the role of the built environment in such communities should receive further scrutiny. It is well established that the availability [35] and condition [36,37] of housing, along with provision of functioning household amenities [38], impacts Indigenous health. Similarly, the primary determinants of housing condition in rural and remote communities have also been explored in detail [39,40].…”

Section: Discussionmentioning

confidence: 99%

Built Environments and Cardiometabolic Morbidity and Mortality in Remote Indigenous Communities in the Northern Territory, Australia

Gal

Dale

Cargo

et al. 2020

IJERPH

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The health of Indigenous Australians is dramatically poorer than that of the non-Indigenous population. Amelioration of these differences has proven difficult. In part, this is attributable to a conceptualisation which approaches health disparities from the perspective of individual-level health behaviours, less so the environmental conditions that shape collective health behaviours. This ecological study investigated associations between the built environment and cardiometabolic mortality and morbidity in 123 remote Indigenous communities representing 104 Indigenous locations (ILOC) as defined by the Australian Bureau of Statistics. The presence of infrastructure and/or community buildings was used to create a cumulative exposure score (CES). Records of cardiometabolic-related deaths and health service interactions for the period 2010–2015 were sourced from government department records. A quasi-Poisson regression model was used to assess the associations between built environment “healthfulness” (CES, dichotomised) and cardiometabolic-related outcomes. Low relative to high CES was associated with greater rates of cardiometabolic-related morbidity for two of three morbidity measures (relative risk (RR) 2.41–2.54). Cardiometabolic-related mortality was markedly greater (RR 4.56, 95% confidence interval (CI), 1.74–11.93) for low-CES ILOCs. A lesser extent of “healthful” building types and infrastructure is associated with greater cardiometabolic-related morbidity and mortality in remote Indigenous locations. Attention to environments stands to improve remote Indigenous health.

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“…Reducing the negative effects of household crowding is consistently identified as one of the major health priorities for Aboriginal and Torres Strait Islander people and peak bodies 87,88. The term “household crowding” is considered distinct from “overcrowding” — a term which has been criticised for failure “to recognise the cultural strengths of multigenerational close living” potentially including support, connection, and protective influence of extended family 37,89. However, these benefits accrue when people have sufficient control over the people and the numbers of people who they choose to live with, and when there is adequate housing design and infrastructure to support household size 89.…”

Section: Chapter 4 Critical Elements Of a Comprehensive Approach To Ementioning

confidence: 99%

“…The term “household crowding” is considered distinct from “overcrowding” — a term which has been criticised for failure “to recognise the cultural strengths of multigenerational close living” potentially including support, connection, and protective influence of extended family 37,89. However, these benefits accrue when people have sufficient control over the people and the numbers of people who they choose to live with, and when there is adequate housing design and infrastructure to support household size 89. Household crowding with a negative effect on health is often the result of culturally and climatically inappropriate housing design.…”

Section: Chapter 4 Critical Elements Of a Comprehensive Approach To Ementioning

confidence: 99%

Ending rheumatic heart disease in Australia: the evidence for a new approach

Wyber¹,

Noonan²,

Halkon³

et al. 2020

Medical Journal of Australia

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on behalf of the END RHD CRE Investigators Collaborators Acknowledgements: • Children, families and communities living with RHD-We thank the Aboriginal and Torres Strait Islander people for sharing their stories in the Endgame Strategy, and acknowledge that the research and data in this publication reflect the experiences of Aboriginal and Torres Strait Islander people and communities affected by the ongoing trauma of ARF and RHD. • END RHD Review Working Group-We thank the following members of the END RHD Alliance, who formed an expert working group to review content of the Endgame Strategy for feasibility and acceptability, including review from a cultural perspective:

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The ‘invisible homeless’ – challenges faced by families bringing up their children in a remote Australian Aboriginal community

Cited by 24 publications

References 17 publications

Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering

Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering

Built Environments and Cardiometabolic Morbidity and Mortality in Remote Indigenous Communities in the Northern Territory, Australia

Ending rheumatic heart disease in Australia: the evidence for a new approach

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