title: Factors Affecting Indigenous West Australians' Health Behavior: Indigenous Perspectives.
abstract: The factors driving the disparity in health outcomes between Indigenous and non-Indigenous Australians include socio-economic factors, racism, and history. The current study focused on exploring Indigenous participants' perspectives of the factors that affect the health behavior of their community members. Participatory action research methodology and a grounded theory approach were utilized. In total, 120 members of two urban West Australian Indigenous communities participated in focus group discussions. There was substantial similarity between the themes that emerged within the discussions held in the two communities. Factors relating to culture, social connections, racism, communication, and personal aspects were particularly salient to health behavior of the participants. Several of the themes including culture, racism, communication, and distrust highlight the tension caused by being a member of a minority cultural group that has been marginalized by the practices and attitudes of the dominant cultural group. Personal choice was sometimes prioritized over health.
authors.affiliation: The University of Western Australia, Perth, Western Australia, Australia Philippa.waterworth@research.uwa.edu.au.
authors.forename: Pippa
authors.initials: P
authors.lastname: Waterworth
authors.affiliation: The University of Western Australia, Perth, Western Australia, Australia.
authors.forename: James
authors.initials: J
authors.lastname: Dimmock
authors.affiliation: Australian National University, Canberra, Australian Capital Territory, Australia.
authors.forename: Melanie
authors.initials: M
authors.lastname: Pescud
authors.affiliation: The University of Western Australia, Perth, Western Australia, Australia.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Braham
authors.affiliation: The University of Western Australia, Perth, Western Australia, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Rosenberg
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D055812:Community-Based Participatory Research; D003466:Cultural Characteristics; D005260:Female; D017144:Focus Groups; D015438:Health Behavior / Q000208:ethnology*; D054625:Healthcare Disparities / Q000208:ethnology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010379:Peer Group; D063505:Racism / Q000523:psychology; D012959:Socioeconomic Factors; D014505:Urban Population; D014904:Western Australia; D055815:Young Adult
keywords: Indigenous Australians; health behavior; participatory action research