Racial discrimination and Aboriginal and Torres Strait Islander suicide mortality rates in Queensland-Reference-Cited by-同舟云学术

Racial discrimination and Aboriginal and Torres Strait Islander suicide mortality rates in Queensland

Published:2023-09-27 Issue: Volume: Page:
ISSN:
Container-title:
language:
Short-container-title:

Author:

Gibson Mandy¹,Kõlves Kairi¹,Ward Raelene²,Leske Stuart³,Rachow Amanda⁴

Affiliation:

1. Australian Institute for Suicide Research and Prevention, Griffith University

2. Institute for Resilient Regions, Knowledge Broker First Nations Engagement Southern Queensland & Northern New South Wales Drought Resilience Adoption & Innovation Hub, University of Southern Queenslan

3. Poche Centre for Indigenous Health, The University of Queensland

4. Indigenous Research Unit, Griffith University

Abstract

Abstract Objective: The study aimed to examine the associations of experiences of racial discrimination within communities with suicide mortality rates for Aboriginal and Torres Strait Islander people. Methods: Age‐standardised suicide rates (ASRs) were calculated using suicides recorded by the Queensland Suicide Register (QSR) of Aboriginal and Torres Strait Islander people in Queensland from 2001–2015. Rate Ratios (RRs) were used to compare ASRs in areas with high and low levels of reported discrimination, and other comparative community-level risk and protective factors (remoteness, socio-economic resources, and Indigenous language use). Results: The age-standardised suicide rate was 31.74 deaths per 100 000 persons/year for Aboriginal and Torres Strait Islander people. ASRs were significantly in areas where more of the First Nations residents experienced recent discrimination (RR=1.33; 95%CI=1.05–1.70, p=0.02), and the age-specific suicide rate was significantly higher for those aged 25-34 in areas with more discrimination (RR=1.67; 95%CI=1.04–2.74, p=0.03). By comparison, the ASRs were not significantly higher in areas with regional and remote communities (RR=1.10, CI 95%=0.75–1.61, p=0.6), or areas with lower socioeconomic resources (RR=0.86, 95%CI=0.66–1.13, p=0.28). Areas in which more First Nations residents spoke Indigenous languages had significantly lower ASRs (RR=1.51; CI95%=1.08–2.10, p=0.02). Conclusion: Suicide mortality rates for Aboriginal and Torres Strait Islander people in Queensland were influenced by experiences of racial discrimination within communities, with greater associations reported than with socio-economic resources or remoteness. The findings reflect the public health risk of discrimination and provide evidence for enacting strategies to reduce institutional and personal discrimination to reduce suicide.

Publisher

Research Square Platform LLC

Reference72 articles.

1. E. M. Ozier, V. J. Taylor, and M. C. Murphy, “The Cognitive Effects of Experiencing and Observing Subtle Racial Discrimination,” J. Soc. Issues, vol. 75, no. 4, pp. 1087–1115, Dec. 2019, doi: 10.1111/josi.12349.

2. L. Bécares, J. Nazroo, and Y. Kelly, “A longitudinal examination of maternal, family, and area-level experiences of racism on children’s socioemotional development: Patterns and possible explanations,” Soc. Sci. Med., vol. 142, pp. 128–135, Oct. 2015, doi: 10.1016/j.socscimed.2015.08.025.

3. Racism, the public health crisis we can no longer ignore;Devakumar D;The Lancet,2020

4. A daily diary investigation of latino ethnic identity, discrimination, and depression;Torres L;Cult. Divers. Ethn. Minor. Psychol.,2010

5. Y. Paradies et al., “Racism as a determinant of health: A systematic review and meta-analysis,” PLoS One, vol. 10, no. 9, p. e0138511, Sep. 2015, doi: 10.1371/journal.pone.0138511.