Thomson N
Soc Sci Med. 1984;18(11):939-48. doi: 10.1016/0277-9536(84)90264-8.
The health status of Australia's Aborigines is far inferior to that of non-Aboriginal Australians. The factors underlying this low standard of health are complex, but relate to the gross social inequality experienced by Aborigines, even today. The social inequality, characterised by extreme socioeconomic deprivation and relative powerlessness, is the end result of the European occupation of Australia, which caused Aboriginal depopulation and dispossession. Since the early 1970s a number of special programs have attempted to overcome the health inequalities of Aborigines, but have really met with only limited success. This limited success is explicable in terms of the gross social inequalities experienced by Aborigines. Alleviation of Aboriginal ill-health requiries integrated comprehensive programs, with continued support, at least in the medium term, of special Aboriginal health programs.
澳大利亚原住民的健康状况远低于非原住民澳大利亚人。健康水平低下背后的因素很复杂，但即便在当今，仍与原住民所经历的严重社会不平等有关。这种以极端社会经济贫困和相对无权为特征的社会不平等，是欧洲人占领澳大利亚导致原住民人口减少和土地被剥夺的最终结果。自20世纪70年代初以来，一些特别项目试图消除原住民的健康不平等现象，但实际上只取得了有限的成功。从原住民所经历的严重社会不平等角度来看，这种有限的成功是可以解释的。减轻原住民的健康问题需要综合全面的项目，并至少在中期持续得到特别原住民健康项目的支持。
