Thomson N
Aust N Z J Med. 1984 Oct;14(5):705-18. doi: 10.1111/j.1445-5994.1984.tb05038.x.
An analysis of the limited available data confirms that the health status of Australia's Aborigines remains much worse than that of non-Aboriginal Australians. Despite significant improvements over the past decade Aboriginal fetal and infant mortality is still approximately three times that of non-Aborigines. Aboriginal life expectancy remains at least twenty years less than that of the total Australian population. Levels of Aboriginal hospitalisation have declined markedly, but remain well in excess of overall levels, particularly for infants and children. For Aborigines, the reduced overall impact of the communicable diseases has been balanced by a worsening of the "lifestyle" diseases, particularly hypertension, coronary heart disease and diabetes mellitus. Alcohol abuse plays an important role in these diseases, and in the level of accidents and violence amongst Aborigines. The current patterns require a reassessment of Aboriginal health priorities, with more attention being directed at the health problems of Aboriginal adults. Special Aboriginal health programs need to be expanded, and integrated with broad wide-ranging programs aimed at alleviating Aboriginal social inequality.
对有限可用数据的分析证实，澳大利亚原住民的健康状况仍远差于非原住民澳大利亚人。尽管在过去十年中有显著改善，但原住民胎儿和婴儿死亡率仍约为非原住民的三倍。原住民的预期寿命仍比澳大利亚总人口至少少20年。原住民住院率已显著下降，但仍远高于总体水平，尤其是婴儿和儿童。对原住民来说，传染病总体影响的降低被“生活方式”疾病的恶化所抵消，特别是高血压、冠心病和糖尿病。酗酒在这些疾病以及原住民中的事故和暴力发生率中起着重要作用。当前的模式需要重新评估原住民的健康优先事项，更多地关注原住民成年人的健康问题。需要扩大专门的原住民健康项目，并将其与旨在缓解原住民社会不平等的广泛项目相结合。
