Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/11105
Title: "That Heart Sickness": Young Aboriginal People's Understanding of Rheumatic Fever.
Authors: Mitchell, Alice G
Belton, Suzanne
Johnston, Vanessa
Gondarra, Wopurruwuy
Ralph, Anna P
Affiliation: a Menzies School of Health Research , Charles Darwin University , Darwin , Australia..
a Menzies School of Health Research , Charles Darwin University , Darwin , Australia..
a Menzies School of Health Research , Charles Darwin University , Darwin , Australia..
b Miwatj Health Aboriginal Corporation , Charles Darwin University , Nhulunbuy , Australia..
a Menzies School of Health Research , Charles Darwin University , Darwin , Australia.. c Royal Darwin Hospital, Division of Medicine , Charles Darwin University , Darwin , Australia..
Issue Date: 1-Aug-2018
Citation: Medical anthropology 2018-08-01: 1-14
Abstract: High rates of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in Australia predominate in young Aboriginal people highlighting underlying racial and equity issues.  This article focuses on the perceptions of the disease among young Aboriginal people living in remote Australia. Participant understanding was constrained by clinicians' use of language rooted in biomedicine and delivered through English, a second language for all participants. Clinicians' communicative competency is a social determinant of Aboriginal health. We recommend that the use of Aboriginal languages be prioritized in health services caring for Aboriginal people and that biomedical dominance in the services be relinquished.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/11105
DOI: 10.1080/01459740.2018.1482549
Type: Journal Article
Subjects: Aboriginal languages
communicative competency
medical dominance
rheumatic fever
rheumatic heart disease
social determinants
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