Mental Health Impacts of Racial Discrimination in Victorian Aboriginal Communities - The Localities Embracing and Accepting Diversity (LEAD) ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Mental Health Impacts of Racial Discrimination in Victorian Aboriginal Communities The Localities Embracing and Accepting Diversity (LEAD) Experiences of Racism Survey Angeline Ferdinand, Yin Paradies and Margaret Kelaher
‘The colour of my skin might be different but inside I’m the same as you’ by Heidi Knowles, a descendant of the Yorta Yorta tribe from Cummeragunja, Victoria About the Artwork ‘The two Longneck Turtles in the painting represent Peace and Harmony, while the People represent those on whom the research was based. They are surrounded by Spirit Figures, which represent the different nationalities living in the community, and if you look inside these figures you will see that each one has the same insides but different coloured skin. This means that no matter what the colour of your skin, inside we are all exactly the same and bleed the same colour.’
Mental Health Impacts of Racial Discrimination in Victorian Aboriginal Communities The Localities Embracing and Accepting Diversity (LEAD) Experiences of Racism Survey Angeline Ferdinand, Yin Paradies and Margaret Kelaher
© The Lowitja Institute and the individual authors ISBN 978-1-921889-22-6 First published in January 2013 This work is copyright. It may be reproduced in whole or in part for study or training purposes, or by Aboriginal and Torres Strait Islander community organisations subject to an acknowledgment of the source and no commercial use or sale. Reproduction for other purposes or by other organisations requires the written permission of the copyright holder(s). The project on which this report is based has been funded by the Lowitja Institute, which incorporates the Cooperative Research Centre for Aboriginal and Torres Strait Islander Health. Additional copies of this publication can be obtained from: The Lowitja Institute PO Box 650, Carlton South Victoria 3053 AUSTRALIA T: +61 3 8341 5555 F: +61 3 8341 5599 E: publications@lowitja.org.au W: www.lowitja.org.au Authors: Angeline Ferdinand1, Yin Paradies2 and Margaret Kelaher1 Managing Editor: Jane Yule CRCATSIH Program Manager: Vanessa Harris Artwork: ‘The colour of my skin might be different but inside I’m the same as you’ by Heidi Knowles Design: Inprint Design For citation: Ferdinand, A., Paradies, Y. & Kelaher, M. 2012, Mental Health Impacts of Racial Discrimination in Victorian Aboriginal Communities: The Localities Embracing and Accepting Diversity (LEAD) Experiences of Racism Survey, The Lowitja Institute, Melbourne. Please note: For the purposes of this report, the term ‘Aboriginal’ has been used to denote Aboriginal and Torres Strait Islander peoples. 1 Centre for Health Policy, Programs & Economics, School of Population Health, The University of Melbourne (a.ferdinand@unimelb.edu.au; mkelaher@unimelb.edu.au) 2 Centre for Citizenship and Globalisation, Faculty of Arts and Education, Deakin University (yin.paradies@deakin.edu.au)
Table of Contents iii Acknowledgments iv Executive Summary 1 Experiences of racism 1 Mental health Impacts of experiences of racism 1 Implications 1 Background 2 The Localities Embracing and Accepting Diversity (LEAD) Program 2 Contextual background 2 Definitions and concepts 2 Cultural diversity in Australia 3 Racism and health 3 Purpose of the survey 4 Survey Methods 5 Survey administration 5 Survey structure 5 Demographic items 5 Experiences of racism 5 Mental health 6 Data analysis 7 Results 8 Demographic data 8 Sense of belonging 9 Experiences of racism 9 Interpersonal racism: Types and frequencies of experiences 9 Interpersonal racism: Settings 10 Perpetrators 11 Responses to interpersonal racism 11 Factors affecting experiences of interpersonal racism 12 Internalised racism 14 Mental health and racism 14 Discussion 19 Prevalence and nature of racism experienced 19 Settings where racism was experienced 19 Racism and mental health 21 Responses to racism 21 Limitations 22 Implications 23 Conclusions 24 Strategies for change 24 References 25 Appendix 1. Statistics 30 Appendix 2. Experiences of Racism survey items 33
List of Tables and Figures Table 1: Demographic data 8 Table 2: Item regarding sense of belonging to local area/neighbourhood 9 Table 3: Witnessing racism 9 Table 4: Experiences of racism by demographic characteristics 13 Table 5: Item regarding internalised racism 14 Table 6: Items from the Kessler 5 Psychological Distress Scale 15 Table 7: Items regarding anticipation, worrying and avoidance 18 Table 8: Items regarding perceived impact of racism 18 Figure 1: Experiences of racism in past 12 months 10 Figure 2: Settings of racist experiences in past 12 months 10 Figure 3: Participant responses to interpersonal racism 11 Figure 4: Number of different responses used in reaction to last reported experience 12 Figure 5: Experiences of racism by setting and university education 14 Figure 6: Experiences of racism and mean K5 score 15 Figure 7: Experiences of racism and being above the threshold for high or very high psychological distress on the K5 16 Figure 8: Types of experiences and odds of being above the threshold for high or very high psychological distress on the K5 adjusted for frequency of exposure 16 Figure 9: Settings of experiences and odds of being above the threshold for high or very high psychological distress on the K5 17 Figure 10: Responses to last experience and odds of finding the experience stressful or very stressful 17 Acknowledgments This report is based on research from the project program and beyondblue, Australia’s peak body ‘Understanding and addressing racism against for mental health issues. The Experiences of Aboriginal and Torres Strait Islander Australians Racism survey was carried out as part of these two through the LEAD (Localities Embracing and interrelated projects. The report authors are part of Accepting Diversity) program’ funded by the the University of Melbourne LEAD evaluation team. Lowitja Institute, Australia’s National Institute We would like to thank the community workers for Aboriginal and Torres Strait Islander Health for their invaluable support in administering the Research, which incorporates the Cooperative surveys. We would also like to thank Peter Streker Research Centre for Aboriginal and Torres Strait and Pamela Rodriguez from VicHealth for their Islander Health. The LEAD program is funded support and advice in compiling this report, as by the Victorian Health Promotion Foundation well as Anna Ziersch and Donna Cormack for (VicHealth), the Department of Immigration and reviewing the report. Citizenship (DIAC) through its Diverse Australia iv
Executive Summary 1 We surveyed 755 Aboriginal Australians in four of exposure into account. The items ‘felt left communities across Victoria in 2011. out and avoided because you are Aboriginal’ and ‘having property vandalised because you • Aboriginal people were asked about their are Aboriginal’ were associated with being background, experiences of racism and where above the threshold for high or very high they occurred, response strategies and the psychological distress. Racism experienced impact of racism on anxiety, mental distress while seeking housing or dealing with real (measured using the K5 scale for psychological estate personnel and on public transport was distress) and behaviour and the impact of racism significantly associated with being above the on their family and community. threshold for high or very high psychological • The surveys were conducted in consultation distress on the K5. with local communities and the data were • Accepting racism or just putting up with it collected by local Aboriginal interviewers in was associated with greater stress. Making each community. a legal complaint was also associated with higher levels of stress although this association Experiences of racism is potentially more likely to be due to more severe experiences of racism than the effects • Almost every Aboriginal Victorian who of making a complaint. participated in this survey had experienced racism in the previous 12 months. • Talking to others about racism reduced the stress associated with experiences of racism. • Most people had experienced racism multiple times, with more than 70 per cent experiencing • Thirty per cent of respondents reported eight or more incidents a year. avoiding situations in daily life because of racism often or very often. This suggests that • Racism occurred across a broad range of rates of racism would otherwise be much settings. It was most commonly experienced in higher than reported here. shops (67%) and public spaces (59%). • This method of coping restricts opportunities • There were no differences in experiences of for Aboriginal Australians to participate in racism due to gender, age or rurality. activities that many other Australians take for • There were differences in experiences granted. of racism due to education, with people • Many participants were also worried about the educated at Year 12 or above reporting more impact of racism on their families and friends. experiences of racism compared to people with lower levels of education. Implications Mental health impacts of experiences • The mental health of Aboriginal Australians can be improved if they are exposed to fewer of racism incidents of interpersonal racism. • Fifty per cent of all participants and 65 per • Prevention is likely to be a more effective cent of participants exposed to 12 or more and efficient public health intervention than incidents reported experiencing high or very responding to harmful incidents. high levels of psychological distress. • Interventions targeting organisational and • There was a dose effect – that is, the risk community settings are needed to reduce of high or very high levels of psychological racism because of the high frequency of distress increased as the volume of racism experiences of racism in these settings. increased. • Effective anti-racism measures need to be • Some types of racism seemed to be more implemented to reduce racism. harmful than others even taking frequency
2 Background The Localities Embracing and economic participation, specifically by working with Accepting Diversity (LEAD) Program mainstream organisations in order to prevent race- based discrimination from occurring and to promote In 2007, the Victorian Health Promotion Foundation the benefits of cultural diversity. VicHealth research (VicHealth) published data from a survey of 4000 has found that this is the best way to reduce Victorians in the report More than tolerance: discrimination and support diversity. By taking this Embracing diversity for health.1 The findings show approach, LEAD aims to have a wide reach in the that although most Victorians supported society community to generate long-lasting cultural change. being made up of people from different cultures, a small number (around 1 in 10) held views that are LEAD is a pilot program that works with local blatantly racist (e.g. the notion that some groups governments to build fair and welcoming are inferior to others or that people from different communities and to prevent discrimination and ‘races’ should not marry), while a substantial support cultural diversity within local communities minority (around 1 in 3) held attitudes suggestive and organisations. It is being implemented in of intolerance of ethnic difference (e.g. the belief two Victorian municipalities with assistance from that there are groups that do not fit into Australian the Victorian Equal Opportunity and Human society, or resistance to people retaining what Rights Commission (VEOHRC), the Department of makes them culturally distinctive). Immigration and Citizenship through its Diverse Australia program, beyondblue, Australia’s The Localities Embracing and Accepting Diversity peak body for mental health, and the Municipal (LEAD) program was developed by VicHealth in Association of Victoria (MAV). response to the More than tolerance findings, and comprises a coordinated range of actions within a specific locality. The design of the LEAD Contextual background program is underpinned by Building on our Definitions and concepts strengths: A framework to reduce race-based discrimination and support diversity in Victoria,2 Racism can be broadly defined as the types of and is being implemented in partnership with behaviours, practices, beliefs and prejudices that local councils. underlie avoidable and unfair inequalities across groups in society based on race, ethnicity, culture In this report we examine exposure to interpersonal or religion. Race-based discrimination is those racism and its impacts on the mental health of behaviours and practices that result in avoidable Aboriginal Australians in four communities in and unfair inequalities across groups in society.2 Victoria using baseline survey data collected This definition encompasses not only racial violence as part of the LEAD program evaluation. The or illegal forms of discrimination, but subtle forms Experiences of Racism survey is part of the Lowitja of exclusion as well. Institute-funded project, ‘Understanding and addressing racism against Aboriginal and Torres Racism can occur at three conceptual levels, Strait Islander Australians through the LEAD which overlap in practice: program’. This project was developed to add an • interpersonal racism (i.e. racist interactions enhanced Aboriginal perspective to the broader between people); LEAD program of work by ensuring that those components of concern to Aboriginal communities • internalised racism (i.e. the incorporation are implemented appropriately and that the benefit of ideologies within the worldview of an of LEAD is maximised for communities, mainstream individual who experiences racism which policy makers and service providers with potential results in the unequal distribution of power to impact positively on Aboriginal affairs. between racial, ethnic, cultural or religious groups); and The overall objectives of LEAD are to improve health outcomes and reduce anxiety and • systemic or institutional racism (i.e. formal depression among Aboriginal and migrant policies, practices, processes and conditions that communities through increased social and serve to increase power differentials between racial, ethnic, cultural or religious groups).3, 4
Racism can be direct (or overt) or indirect (covert Federal government issued a formal apology to or hidden). Direct racism is based in differential Aboriginal and Torres Strait Islander people over treatment that results in an unequal distribution the forced removal of their children in 2008.5,6 of power, resources or opportunities across In 1972 the Federal government introduced different groups, such as a refusal to hire people the policy of self-determination for Aboriginal from a particular ethnic group. Indirect racism is Australians, which was based on the rights of equal treatment that impacts groups differently Aboriginal people to maintain their cultural and, therefore, results in an unequal distribution and linguistic heritage and natural resources on of power, resources or opportunities across Australian land.5,6 However, despite the evolution different groups. An example of indirect racism of government policy towards the support of is a policy that requires all employees to have cultural diversity, the social changes necessary their head uncovered while working: although the to eliminate racist attitudes, actions and beliefs policy is the same for all employees, it adversely within individuals, and policies and processes affects the opportunities of those who wear head within organisations and institutions, are complex coverings for religious or traditional reasons.2 and develop slowly. Cultural diversity in Australia The relationship between Aboriginal and other Australians has been heavily impacted by racist From the early days of European settlement practice over many years and there continues to be in Australia in 1788, racism against Aboriginal a need to address both the effects of past racism people took the form of murder, exploitation and and ongoing forms of discrimination. In 2010 the dispossession of Aboriginal people’s land the University of Western Sydney’s ‘Challenging and culture. The requirement or expectation that Racism Project’ reported that although a large minority ethnic, cultural or religious groups should majority of Australians are positive about living in strive to become culturally indistinguishable from a multicultural country, 41 per cent have a narrow the majority population is an approach called view of who belongs in Australia.8 The ‘Challenging ‘assimilation.’ By contrast, ‘multiculturalism’ is a Racism Project’ echoed More than Tolerance in policy that sees the retention of cultural, social finding that approximately one in 10 Australians and linguistic distinctions as a private matter, hold blatantly racist views. Although more difficult rather than being controlled by government. In to establish, there is also evidence of ongoing 1937, the Federal government developed an systemic discrimination in Australia, including official policy of assimilation towards Aboriginal within health care settings and in responding to Australians, detailing that Aboriginal people issues of child services.2,9,10 of mixed descent were to be assimilated into white society regardless of individuals’ desires Racism and health while confining those not of mixed descent to Aboriginal reserves. This policy led to the further The link between poorer physical and mental destruction of Aboriginal culture, families and health and self-reported perceptions or social structures, segregationist practices and the experiences of racism is well documented.11–14 removal of Aboriginal children from their families Racism can affect mental health in several and Aboriginal people from their land.5, 6 ways. In particular, there is a risk that targets of racism will develop a range of mental health The denial of full citizenship rights to Aboriginal problems such as anxiety and depression.11,14,15 and Torres Strait Islander people continued Racism is understood to have a negative impact until the Constitutional amendment of 1967, on health for a number of reasons, including which allowed for Aboriginal people to be restricting access to resources required for health, counted in the census and empowered the stress and negative emotions having harmful Federal government to legislate for Aboriginal psychological and physiological effects, and injury people. In 1969 all States repealed legislation through racially motivated assault.2 People may that had allowed the systematic forcible experience anxiety when anticipating that they removal of Aboriginal children under the may be subject to racism in specific settings, policy of ‘protection.’ However, the decades and past experiences of racism may cause social of removal and displacement of families and isolation of both individuals and communities that the institutionalisation of Aboriginal people might in turn contribute to mental disorders. In on reserves and missions continues to have some cases, it may be that the racist experiences long-standing effects, including the loss of themselves do not contribute directly to poorer cultural knowledge and Aboriginal identity and attenuation of family relationships.7 The health, but are mediated by other factors along 3
the pathway. For example, if an individual Purpose of the survey experiences racism that prevents them from The Experiences of Racism survey attempted finding adequate employment, the resultant to understand Victorian Aboriginal community un- or underemployment may then contribute to members’ self-reported experiences of poorer health outcomes. There is also evidence interpersonal, systemic and internalised that responses to racism may mediate the racism, their responses and reactions to these relationship between experiencing racism and experiences and the association between these poorer mental and physical health.16 experiences and measures of psychological There is clear evidence that Aboriginal Australians distress. The survey was developed in conjunction experience substantially lower levels of health in with the LEAD program evaluation and comparison to the wider Australian population, administered as part of baseline data collection including a reduced life expectancy of 11.5 years at the beginning of the LEAD program. The two for males and 9.7 years for females.17 This has rural and two metropolitan local government led to a number of studies examining racism areas (LGAs) surveyed have been de-identified as a determinant of ill health in Aboriginal in this report in order to protect the affected Australians.18–24 Collectively, these studies support communities. The surveyed LGAs were selected the correlation between experiencing racism as areas that had a high level of racial and ethnic and poorer mental and physical health outcomes diversity in which the local council recognised for Aboriginal Australians. The studies also racism as a concern in the community and address factors that may mediate the relationship demonstrated both a capacity and commitment between experiencing racism and ill-health, to addressing it. Selection was not due to including stress and social disconnectedness. particularly high levels of racism in comparison to Many of these studies aim to develop an other Victorian communities. understanding of how racism is experienced by Aboriginal Australians, including specifying details around incident settings, perpetrators and individual responses in order to assist in developing appropriate and effective approaches to support the health of Aboriginal Australians.25 4
Survey Methods 5 Aboriginal participants in the Experiences of (K6) questionnaire to assess psychological distress Racism surveys were aged 18 years or older and in response to feedback from the community. lived within Rural Council 1 (n=313), Metropolitan Only items that were included on all surveys are Council 1 (n=90), Metropolitan Council 2 (n=57) or presented in this report. Rural Council 2 (n=295) for at least one year. Survey structure Survey administration Demographic items In each area, four (Metropolitan Council 1 and The survey began with demographic questions, Rural Council 2) or five (Rural Council 1 and including age, gender, education and whether Metropolitan Council 2) Aboriginal workers the participant was Aboriginal and/or Torres Strait were recruited to administer the surveys. The Islander. Although a range of other factors such as recruitment process included a consultation existing chronic conditions and socio-economic phase with relevant stakeholder groups in each status can also be associated with health council. This process was used to identify the outcomes, these were not measured in the survey most appropriate way of recruiting community as it was believed that inclusion of additional interviewers and to develop data governance items would lead to an overly long survey and protocols. Community workers were trained reduce participant interest in completing it. in ethical research practices and survey administration by the LEAD evaluation team and supported throughout the data collection Experiences of racism period by frequent contact with evaluation The next section of the survey presented items team members. Community workers distributed assessing participants’ sense of belonging within surveys through their personal and professional their local area or neighbourhood, internalised contacts as well as at local community events and racism, frequency of witnessing discrimination, functions. Surveys were administered face-to-face frequency of anxiety around friends and family in group or individual sessions. experiencing discrimination, and the level The community workers who administered the of effect that racism has had on their own surveys recorded both participants and people lives and the lives of their friends and family. who were invited but declined to participate. The Internalised racism was assessed through the reasons provided for declining to participate were item: ‘I feel good about being Aboriginal…’ recorded. Community workers also participated in using a subjective frequency scale (i.e. ‘very a follow-up session for feedback and debriefing. often’/’often’/’sometimes’/etc.). For all other Participants received a $20 supermarket gift items in this section, the response categories voucher after completing the surveys. Surveys consisted of either Likert scales (i.e. ‘to a great were administered between March and May 2011 extent’/’to a moderate extent’/’only slightly’/’not in Rural Council 1, between January and April at all’) or objective frequency scales (e.g. ‘at 2011 in Metropolitan Council 1, between June least once a week’/‘a few times a month’ etc.). and October 2011 in Metropolitan Council 2, and An additional item to assess internalised racism between December 2010 and June 2011 in Rural by asking whether the respondent believed that Council 2. Aboriginal people should think and act more like other Australians was removed because Consultation was conducted in each area to ensure communities felt that it could be construed as that the relevant Experiences of Racism survey was offensive. ‘Local area or neighbourhood’ was appropriate for each community. The Experiences not defined in the survey to allow participants to of Racism survey varied slightly in each locality as interpret their local area in a way that reflected wording was changed or items removed on advice their own experiences. of local community members. Most significantly, in the Experiences of Racism survey for Rural Council The next section in the survey recorded frequency 2, one question was removed from the Kessler 6 of exposure to systemic racism as well as the level
of distress caused by exposure. Participants were well the participant knew the perpetrator, how asked to indicate the frequency and resulting stressful the incident was for the participant, and stress level over the previous 12 months of actions that the participant took in relation to the negative media exposure of Aboriginal people incident. An open-ended item gave participants and communities, witnessing discrimination as a the opportunity to supply any other comments result of policies or practices at work, in businesses about their experiences. The survey items and the or in government agencies, exclusion from sources of the items are listed in Appendix 2. decision-making opportunities or witnessing racial tension or conflicts in the local area. Responses to Mental health this section are not detailed in this report. All participants were asked to indicate how The survey assessed types of interpersonal racism frequently they anticipated and worried about experienced in the past 12 months, and where experiencing racism as well as how often they these incidents took place, using a grid that had took action to avoid racism. experiences listed on the left and settings listed across the top. Participants then indicated which Mental health was assessed through the inclusion type of experience had occurred and where it of a modified version of the Kessler 6 (K6) took place by marking the appropriate grid box. scale. The scale is a quantifier of non-specific This method was based on a tool used previously psychological distress, which was derived from with young Australians.26 the Kessler Psychological Distress Scale (K10) as a simple measure of psychological distress. It Experiences listed included racist name-calling has demonstrated excellent internal consistency or teasing; verbal abuse or offensive gestures; and reliability as well as consistency across major being told the participant does not belong, that socio-demographic sub-samples.27 The K6 involves they should ‘go home’ or ‘get out’; being left six questions about emotional states, each with out or avoided; being treated as inferior or less a five-level response scale. The measure can be intelligent; being ignored, treated with suspicion used as a brief screen to identify levels of distress. or treated rudely; having property vandalised; and The K6 can be given to participants to complete, physical abuse or the threat of physical abuse. or alternatively the questions can be read to the Settings listed were: participant by the administrator. The question ‘In the past 4 weeks, about how often did you feel • in a shop, store or mall worthless?’ was removed from the K6 in Rural • while doing sport, recreational or leisure activities Council 2 on advice from the community that it could be offensive. The five-question scale (K5) • while seeking housing or in dealing with real has also been used by the Australian Bureau of estate personnel Statistics for Aboriginal and Torres Strait Islander • in a bank or other financial institution people’s surveys, after consultation with the creator of the K10.28–30 • in dealings with local council The K5 is scored using the sum of answer • in dealings with other government agencies responses, where responses of ‘None of the • at work, on the job or when looking for a job time’ are given a score of one to ‘All of the time’ yielding a score of five. Thus, the range of • at school, university or another educational responses is 5–25. Low scores indicate low levels setting of psychological distress and high scores indicate • in public spaces (on the street, beach, park etc.) high levels of psychological distress. There are • with the police, courts or jails a number of different categories and groupings used for analysis of the K10 and K6 scores.30,31 • in hospitals, health centres, at the doctor’s However, in most ABS and other Australian office surveys, the data is presented according to four • on public transport. categories (low, moderate, high and very high), with a very high score of psychological distress The participants who reported experiencing a possibly indicating a need for professional racist incident over the past 12 months received a help.31 In 2003, data from the 1997–98 NSW series of questions asking for details about their Health Survey were used to validate K5 scoring most recent experience. These included how categories. According to these categories, scores long ago it occurred, whether it had occurred in of 12 to 25 on the K5 indicate high or very high the participant’s local neighbourhood, whether 6 the perpetrator was Aboriginal or not, how psychological distress.30 Despite the reduction
in the number of items the reliability of the scale racism and position above or below the threshold was high among this sample (Cronbach’s α=0.85). for high or very high psychological distress on the K5 scale. The relationship between the types of The final item in the survey was an open-ended racism experienced and settings for experiencing question for participants to give any comments racism and being above or below the threshold they thought relevant. for high or very high psychological distress on Someone who can be visibly identified as the K5 scale was also explored using logistic belonging to an ethnic minority group is likely to regression. Logistic regression is used to predict have higher exposure to racism than someone the outcome of one variable based on other who is not visibly identifiable. However, visibility variables within a model. A logistic regression status was not taken into account in this survey was conducted to assess the role of response as there is no accepted way of assessing visibility strategies on stress associated with the most for Aboriginal people and questions to this effect recent racist incident. were likely to be highly offensive to communities. Stress was coded into two categories (Not at all/a little/somewhat stressful and very/extremely Data analysis stressful). These relationships are reported in the form of odds ratios, which indicates the SPSS Statistics 19, a statistical software package, strength of the relationship. An odds ratio of one was used to analyse the data. Participants’ indicates that there is no difference between the experiences of racism were divided into None, groups being studied. All models controlled for Low (1–7 experiences), Medium (8–11) and High age, gender, education and LGA as potential (12+) frequency categories. These cut-off points confounding factors. As some participants did were selected so approximately one-third of not complete every item, valid percentages people who experienced racism were in each are reported for all frequencies, with missing category. Chi-square analysis was used to assess data removed. Within demographic items, data demographic differences between people with regarding education is missing for 17.4 per cent different frequency levels. Chi-square analysis is of participants and age is missing for 6.9 per cent used to determine whether there is an association of participants. Throughout the rest of the survey, between two variables based on their frequencies data is missing for between 1.6 per cent and 5.2 in the data. per cent of participants. Logistic regression was used to assess the relationship between participants’ experiences of 7
8 Results A total of 755 Aboriginal people participated in and 2 make up the majority of the sample, with the Experiences of Racism survey. The response Metropolitan Councils 1 and 2 each having rate across all LGAs was 99 per cent. There was fewer than 100 participants. In Rural Council 1, no indication that anyone declined to participate 27 per cent of the Aboriginal population over due to not experiencing racism. The most frequent 18 years old was surveyed. These proportions difficulties reported by community workers in for Metropolitan Councils 1 and 2 and Rural conducting surveys were privacy and confidentiality Council 2 were 14 per cent, 7 per cent and 32 per concerns and low levels of literacy and numeracy cent respectively.32 The majority of participants in the communities. The use of community workers were female, with a mean age of 36 years. to conduct the surveys helped to ensure that the Approximately one-fifth of participants held either survey items could be explained in an accessible tertiary, trade or TAFE qualifications (Table 1). manner, and also reassured participants that The 2011 Census reports that across the four their data would be handled sensitively, without LGAs, the majority of Aboriginal residents over identifying information being made available to the 18 years old are women (55%) with a mean age university researchers without explicit permission. of 38 years. In the 2006 Census, 24 per cent of Aboriginal residents in these LGAs held tertiary, Demographic data trade or TAFE qualifications.32 Demographic data for participants is presented in Table 1. Participants from Rural Councils 1 Table 1: Demographic data n % LGA Rural Council 1 313 41.5 Metropolitan Council 1 90 11.9 Metropolitan Council 2 57 7.5 Rural Council 2 295 39.1 Gender Male 284 37.6 Female 451 59.7 Age 18–24 178 23.6 25–34 175 23.2 35–44 174 23.0 45–54 90 11.9 55–64 53 7.0 65+ 33 4.4 Education Tertiary qualifications 78 10.3 Trade or TAFE 88 11.7 Higher School Certificate 99 13.1 School certificate 236 31.3 Primary school 74 9.8 Other 49 6.5 Level of experiences None 26 3.4 Low 191 25.3 Medium 285 37.7 High 253 33.5 *n may not add up to 755 due to missing values; percentages may not add up to 100% due to rounding.
Sense of belonging Nearly 85 per cent of respondents reported a moderate or great sense of belonging to their local area/ neighbourhood (Table 2). Table 2: Item regarding sense of belonging to local area/neighbourhood To a great To a moderate Only slightly n Not at all % extent % extent % % I have a sense of belonging in my local area/ 743 44.4 38.9 11.8 3.3 neighbourhood... Experiences of racism and 11 experiences and 34 per cent reporting 12 or more experiences. Only 3 per cent of Interpersonal racism: types and frequencies participants reported no racist experiences. The of experiences highest number of experiences reported was 101, reported by one person. The average across Nearly all participants reported at least one the sample was 13.7 experiences. Nearly half of racist incident in the preceding 12 months, with respondents (44%) also reported witnessing other 25 per cent reporting between one and seven people being treated unfairly due to their race, experiences, 38 per cent reporting between eight ethnicity, culture or religion at least once a week. Table 3: Witnessing racism At least A few A few Less than Almost n once a times a times a once a Never every day week month year year How often have you seen people being treated unfairly because 738 17.8 25.6 28.4 15.6 7.5 2.7 of their race, ethnicity, culture or religion? When asked about the most recent racist incident comments that rely on stereotypes of Aboriginal that they had experienced, approximately people. Two-thirds of participants reported being one-third of the incidents (35%) had occurred told that they don’t belong, that they should within the past month. A majority (81%) had ‘go home’ or ‘get out,’ and more than half of occurred within the respondent’s local area or participants (55%) reported having property neighbourhood and of those that were not in the vandalised (Figure 1). Overall, Figure 1 suggests local area, 70 per cent happened within Victoria. that experiences of racism are very common even at the more extreme ends of the spectrum. Almost all participants reported being a target of racist names, jokes or teasing, or hearing 9
100 92.3 90 85.8 84.1 81.9 79.9 80 70 67.4 66.0 Percent of respondents 60 54.7 50 40 30 20 10 0 Names, teasing Ignored Swore at/ Less intelligent Left out Spit or Don’t belong Property or comments verbally abused something in Australia vandalised thrown Figure 1: Experiences of racism in past 12 months Interpersonal racism: settings level and in banks and other financial settings, although more than one-fifth of participants Participants indicated that racism was most indicated experiencing racist incidents in each commonly experienced in shops and public of these settings (Figure 2). As data were not spaces, as reported by 67 per cent and 59 per collected on perpetrators in specific settings, it is cent of participants respectively. People were not known whether the racist behaviours in these less likely to experience racism at a local council settings were initiated by staff, clients or others. 80 70 92.3 60 58.5 50.9 Percent of respondents 50 47.8 42.1 40.4 40 35.2 33.6 33.5 29.3 30 23.8 20.3 20 10 0 Shops Public Education Sport Employment Justice Housing Public Other Health Finance Council spaces transport gov’t Figure 2: Settings of racist experiences in past 12 months 10
Perpetrators Responses to interpersonal racism When asked about the last racist incident People who had experienced racism used a range experienced by participants who had experienced of methods to respond to these incidents. Twelve interpersonal racism, a high proportion (92%) responses were listed, plus an ‘other’ category, of respondents reported that the perpetrator in with participants able to choose however many the incident was non-Aboriginal. Approximately applied to their most recent experience. With one-quarter (26%) of respondents knew the regards to respondents’ most recent experiences, perpetrator of their most recent experience the two most common responses were either to a little, while 64 per cent did not know the ignore it or to verbally confront the perpetrator perpetrator at all. The remaining 10 per cent of (33% and 32% respectively of respondents who respondents reported that the perpetrator was reported at least one experience) (Figure 3). someone they knew well or someone who was close to them. 35 33.2 32.4 Percent of respondents who experienced at least one incident 30 25 25 20 18 15 13.7 13.4 11.2 10.8 10 6.4 5.6 4.4 5 2.3 1.6 0 Ignored Verbally Wanted to Talked to Accepted Tried to Used Made a Changed Received Reported Wrote, Other it confronted confront; someone it reason humour complaint self help to police drew, didn’t sang or painted Figure 3: Participant responses to interpersonal racism 11
More than one-third of participants who reported used more than one type of response in relation to the experiencing racism (37%) indicated that they had last racist incident they had experienced (Figure 4). 45 40 39.4 Percent of respondents the experienced at least one incident 35 30 25 20 16.6 15 10.2 10 6.0 5 1.9 1 0.7 0.4 0.3 0.1 0 1 2 3 4 5 6 7 8 9 10 Figure 4: Number of different responses used in reaction to last reported experience Factors affecting experiences of interpersonal education. Figure 5 shows that university- racism educated people reported more experiences of racism than non-university educated people in There were no differences in experiences of council, government, employment, education, racism due to gender (χ2=2.84, df=3, p=0.42), public spaces and health settings (Figure 5). age (χ2=11.5, df=9, p=0.24) or rurality (χ2=2.8, Levels of experiences in shops, sport, housing, df=3, p=0.43). People educated at Year 12 or finance, justice and public transport were above reported more racism than people with not significantly different between university- lower levels of education (χ2=32.5,df=12, p=0.001) educated people and others (see Appendix 1, (Table 4). This effect was particularly marked for Table 1 for statistics). the small number of people with a university 12
Table 4: Experiences of racism by demographic characteristics Experiences of racism Demographics Total None Low Medium High Gender n 6 67 107 104 284 Male % 2.1% 23.6% 37.7% 36.6% 100.0% n 17 117 171 146 451 Female % 3.8% 25.9% 37.9% 32.4% 100.0% n 23 184 278 250 735 Total % 3.1% 25.0% 37.8% 34.0% 100.0% Age n 5 51 79 57 192 18–24 % 2.6% 26.6% 41.1% 29.7% 100.0% n 4 64 103 88 259 25–39 % 1.5% 24.7% 39.8% 34.0% 100.0% n 9 40 62 69 180 40–54 % 5.0% 22.2% 34.4% 38.3% 100.0% n 4 27 27 28 86 55+ % 4.7% 31.4% 31.4% 32.6% 100.0% n 22 182 271 242 717 Total % 3.1% 25.4% 37.8% 33.8% 100.0% Education n 5 34 38 34 111 Below Year 10 % 4.5% 30.6% 34.2% 30.6% 100.0% n 7 77 91 74 249 Year 10 % 2.8% 30.9% 36.5% 29.7% 100.0% n 3 18 50 37 108 Year 12 % 2.8% 16.7% 46.3% 34.3% 100.0% Education n 7 19 53 49 128 TAFE/Trade % 5.5% 14.8% 41.4% 38.3% 100.0% n 0 8 13 27 48 University % 0.0% 16.7% 27.1% 56.3% 100.0% n 22 156 245 221 644 Total % 3.4% 24.2% 38.0% 34.3% 100.0% Rurality n 6 30 56 55 147 Urban % 4.1% 20.4% 38.1% 37.4% 100.0% n 20 161 229 198 608 Rural % 3.3% 26.5% 37.7% 32.6% 100.0% n 26 191 285 253 755 Total % 3.4% 25.3% 37.7% 33.5% 100.0 13
90% 80% 70% Percent experienced racism 60% 50% 40% Non-university 30% university 20% 10% 0% s t g ce il t t n es ce h rt op or sin nc en en io ac sti alt po Sh Sp an u at Ho u Fi n Co nm ym c p Ju He an s er lo du ics tr ov p E bl lic G Em Pu b Pu Figure 5: Experiences of racism by setting and university education Internalised racism on the advice of local communities. However, nearly 90 per cent of respondents felt positively about One of the two items designed to assess being Aboriginal often or very often (Table 5). internalised racism was removed from the survey Table 5: Item regarding internalised racism Often Sometimes Rarely Never n Very often % % % % % I feel good about 735 72.6 13.8 9.5 1.1 0.4 being Aboriginal... Mental health and racism psychological distress was common among survey participants. This is well above the level Scores of 12 to 25 on the K5 scale are indicative obtained in other large population surveys of the of high or very high psychological distress. The Aboriginal and Torres Strait islander population, mean K5 score for the sample was 11.5 (Table 6). including those that used the K5 as a measure of Overall, 50 per cent of the sample scored over the psychological distress.17, 33–38 K5 threshold for high or very high psychological distress, indicating that high and very high 14
Table 6: Items from the Kessler 5 Psychological Distress Scale None of the A little of the Some of the Most of the All of the n time % time % time % time % time % In the past 4 weeks, about how often did you feel so 716 25.4 28.6 29.4 9.7 1.7 sad that nothing could cheer you up? In the past 4 weeks, about how often did you feel 723 19.3 36.3 29.3 8.2 2.6 nervous? In the past 4 weeks, about how often did you feel 727 24.5 26.5 31.5 10.2 3.6 restless or fidgety? In the past 4 weeks, about how often did you feel 719 35.9 22.8 26.8 7.8 2.0 hopeless? In the past 4 weeks, about how often did you feel that 728 21.3 29.0 31.0 11.5 3.6 everything was an effort? Figure 6 demonstrates that while racism at any be above the threshold for high or very high level was associated with worse mental health, psychological distress compared to people who the deleterious effects of racism were greatest experienced less racism (see Appendix 1, Table 2 among people who reported more than 11 for statistics). There were no significant differences incidents of racism in a year. in being above the threshold for high or very high psychological distress for people who experienced Figure 7 shows that people who experienced none, low or medium levels of racism. high levels of racism were much more likely to 13 12.5 12 Mean K5 score 11.5 K5 score 11 Threshold for high or very high psychological distress 10.5 10 9.5 9 0 1–7 8–11 12+ Number of experiences Figure 6: Experiences of racism and mean K5 score 15
70 Percent above threshold for high or very high 60 psychological distress on the K5 50 40 30 20 10 0 0 1–7 8–11 12+ Number of experiences Figure 7: Experiences of racism and being above the threshold for high or very high psychological distress on the K5 The items ‘having someone suggest that you the threshold for high or very high psychological do not belong in Australia, that you should distress. Once frequency of experiences was taken ‘go home” or “get out”’, ‘feeling left out and into account feeling left out and avoided, and avoided’, ‘having property vandalised’ and ‘having having property vandalised, were associated with someone spit or throw something at you or hit greater odds of being above the threshold for high you or threaten to because you are Aboriginal’ or very high psychological distress on the K5 (see were significantly associated with being above Appendix 1, Table 3 for statistics) (Figure 8). Had someone spit or throw something at you or hit you or threaten to hit you because you are Aboriginal? Has your property vandalised because you are Aboriginal? Been ignored, treated with suspicion or treated rudely because you are Aboriginal? Had someone treat you as less intelligent, or inferior, because you are Aboriginal? Felt left out or avoided because you are Aboriginal? Had someone suggest you do not belong in Australia because you are Aboriginal, that you should ‘go home’ or ‘get out’ and so on? Been sworn at, verbally abused or had someone make offensive gestures because you are Aboriginal? Been a target of racist names, jokes or teasing or heard comments that rely on stereotypes about Aboriginal people? 0 0.5 1 1.5 2 2.5 3 Odds ratio 95% CI Odds ratio Figure 8: Types of experiences and odds of being above the threshold for high or very high psychological distress on the K5 adjusted for frequency of exposure Experiencing racism while seeking housing being above the threshold for high or very high or dealing with real estate personnel and on psychological distress on the K5 (See Appendix 1, 16 public transport was significantly associated with Table 4 for statistics) (Figure 9).
Other Public Transport Hospitals or health services Police, courts or jails Public space on the street, beach, park etc. School, university or another educational Work, on the job or when looking for a job Government agencies Local Council Bank or other financial institution Housing or in dealing with real estate Sport, recreational or leisure activities Shop, store or mall 0 0.5 1 1.5 2 2.5 3 Odds ratio 95% CI Odds ratio Figure 9: Settings of experiences and odds of being above the threshold for high or very high psychological distress on the K5 A participant was more likely to report that the whether these incidents were more extreme, most recent experience was very stressful or and therefore more stressful, or whether higher extremely stressful if they had responded to the levels of stress are attributable to the response incident by ‘accepting racism as a fact of life’, strategy chosen. Talking to someone about the ‘getting into a verbal confrontation with the experience was associated with lower odds of perpetrator’ or ‘reported [it] to the police or took finding the experience stressful or very stressful legal action’. However, it cannot be determined (see Appendix 1, Table 5 for statistics) (Figure 10). Other coping strategy Tried to change the way you are or things you did to avoid it in the future Reported to the police or took legal action Made a complaint Talked to someone about the experience Wrote, drew, sang or painted about the experience Got into a verbal confrontation Sought or accepted help from others Used humour Tried to reason with the person Wanted to face up to the person but didn’t Accepted it Ignored it 0 1 2 3 4 5 6 7 8 9 10 Odds ratio 95% CI Odds ratio Figure 10: Responses to last experience and odds of finding the experience stressful or very stressful 17
Nearly three-quarters of respondents reported that with 70 per cent of respondents worrying about they sometimes, often or very often anticipated experiencing racism sometimes, often or very people saying or doing something racist. Nearly often and 70 per cent worrying about people they two-thirds tried to avoid specific situations because know experiencing racism a few times a month or of racism sometimes, often or very often. High more frequently (Table 7). levels of worrying about racism were also evident, Table 7: Items regarding anticipation, worrying and avoidance Often Sometimes Rarely Never n Very often % % % % % When you interact with people how often do you anticipate them saying or 726 6.2 19.3 45.2 18.3 7.2 doing something racist either intentionally or unintentionally? In the past 12 months, how often did you worry that you would experience 731 9.5 22.3 35.9 19.1 10.1 unfair treatment because you are Aboriginal? In your daily life, how often do you try to avoid specific 730 9.4 19.6 32.7 17.2 17.7 situations because of racism? Almost At least A few A few Less than Never n every day once a times a times a once a % % week % month % year % year % In the past 12 months, I worried about people I know experiencing 741 17.1 22.1 30.9 15.5 6.9 5.7 unfair treatment because of their race, ethnicity, culture or religion... Additionally, the majority of respondents and family. Respondents indicated a stronger indicated that racism has had a large or moderate perceived effect of racism on the lives of friends effect on their lives and the lives of their friends and family than on their own lives (Table 8). Table 8: Items regarding perceived impact of racism To a To a great Only slightly n moderate Not at all % extent % % extent % When I think about my family and friends, 737 38.5 38.3 17.1 3.7 in general, racism has affected their lives... Racism has affected my life... 731 25.3 37.0 23.4 11.1 18
Discussion 19 The current study highlights that experiencing tenet of terra nullius, used to dispossess Aboriginal high levels of interpersonal racism is associated people of their land on the claim that Australia with increased psychological distress which had no occupants prior to European arrival.41–43 itself is an indicator of increased risk of mental The legal concept of terra nullius was overturned illness. The demonstrated mental health impact 20 years ago and was followed by the institution of experiencing racism supports the rationale of the Native Title Act in 1993; however, the for programs like LEAD in protecting the mental delegitimisation of Aboriginal Australians continues health of Aboriginal communities through to have legal and social ramifications.42 The addressing race-based discrimination. historic apology to Australia’s Stolen Generations in 2008 was welcomed as an important step not only in recognising past wrongs but in bringing Prevalence and nature of racism the legitimacy of Aboriginal people as the first experienced Australians into mainstream consciousness. The high prevalence of social exclusion reported in this Almost every Aboriginal Victorian who sample suggests further work is required to ensure participated in this survey had experienced that the intentions of the apology are reflected in at least one racist incident in the previous 12 the everyday experiences of Aboriginal people. months, with more than 70 per cent experiencing eight or more incidents a year. Notably, the The results also indicate that a high proportion prevalence of racism remained high even at the of respondents avoid specific situations because more severe end of the spectrum with around of racism, which implies that the levels of two-thirds of participants reporting being spat experienced racism may have been higher if at or having something thrown at them and avoidance behaviour was not as common. more than half reporting vandalism of property. The rate of property destruction offenses in the four LGAs included in the study was higher on Settings where racism was experienced average than for Victoria overall in the 2011/2012 High levels of racism were reported in every financial year (1079.839 and 879.540 per 100,000 setting identified in the study. However, there people respectively). However, the data suggest was considerable variability in the frequency that rates of vandalism experienced by Aboriginal with which people reported racism in different people are still much higher than would be settings, ranging from around two-thirds of expected based on the overall rate of property people reporting racism in shops and more than destruction in the LGAs studied. half reporting racism in public places to one-fifth It was particularly striking that two-thirds of reporting racism at a council level. The variability participants reported being told that ‘they didn’t in experiencing racism in different settings belong in Australia, that they should “go home”, suggests that the organisational and institutional or “get out”’. This indicates a high prevalence contexts in different settings and the nature of of social exclusion based on Aboriginality within interactions between people in these settings can this sample. Although this item includes general impact on the level of racism experienced. This social exclusion based on Aboriginality, it is indicates that intervening at an organisational or likely that at least some of the participants who institutional level may be an effective approach in reported this experience had been told they reducing exposure to racism.44, 45 don’t belong in Australia. This is supported Within this sample, a high proportion of racist by qualitative data collected in training and incidents happened in areas where interactions debriefing sessions with community workers, who occur with peers or other members of the public, confirmed that they had also experienced being such as within shops, public spaces and sport told that they did not belong in Australia. and recreational settings. The high prevalence The idea that Aboriginal Australians do not belong of racism in shops and other public places is in Australia is deeply problematic and echoes the supported by the finding that almost two-thirds of respondents reported they did not know the
perpetrator involved in their last experience of people from Aboriginal backgrounds receive racism. Experiencing racist incidents in these harsher sentences for similar offences or are settings may limit the ability of Aboriginal unnecessarily arrested or detained for minor community members to take part safely in some infractions. Repeated contact with both the aspects of community life, including enjoyment juvenile and adult justice systems is linked to a of parks and recreation centres, interacting with higher risk of developing mental illness and can other community members through sports clubs exacerbate existing mental illness.50,51 Community or events or attending community celebrations or consequences of overrepresentation in the justice festivals. One-fifth of participants reported having system include increased rates of substance racist experiences in dealings with the local abuse, violence, un- and underemployment and council, which may also hamper participation in family breakdown.52–54 Racism within health care community life by causing them to have limited settings may lead to reduced access to health contact with local government. This has important care services, including preventative services, implications for the social connectedness of and poorer treatment and care from health Aboriginal Australians, particularly if these professionals.9,55,56 settings are avoided in order to limit personal The current study further suggests that Aboriginal exposure to racism. This highlights the need to Australians who have higher levels of formal implement strategies that reach the community education may be more subject to discrimination as a whole, in addition to interventions within than their peers with lower levels of education. organisational contexts. This effect was particularly marked for the small Both employment and education are within the number of Aboriginal people with university five settings where racism was most commonly education in the sample. The finding that reported. This may indicate a reduction in life more educated minority people report higher chances for Aboriginal Australians, which also exposure to racism is consistent with the research has significant implications for mental health literature.57–59 and wellbeing. Mental health inequality is at There are three possible explanations for this least partly linked to income inequality, which effect. The first explanation is that more educated is associated with differential employment and people may have higher expectations about how education outcomes.46–48 Although the LEAD others should treat them: that is, the difference survey was restricted to people aged 18 and over, is about perception rather than actual exposure. other Australian research with young people The second explanation is that higher educated also indicates that racism in schools is prevalent. people from minority groups defy stereotypes of In 2009, the Foundation for Young Australians Aboriginal people as being uneducated.60 They conducted a survey of 698 students from 18 are, therefore, more likely to be in situations Australian secondary schools across four States. where they challenge the status quo with more This study found that 80 per cent of young racism directed against them as a result. A related people (including 63% of only 20 Aboriginal third possibility is that educated Aboriginal and Torres Strait Islander students in this study) people are more likely to work and socialise with had experienced racism, with 67 per cent of people from majority (Anglo) backgrounds. Under these incidents taking place at school.26 This is the assumption that racism is more likely to be particularly concerning as racism has the potential perpetrated by those from the majority culture, to negatively affect young people’s psychological this would lead to increased experiences of adjustment and thereby their wellbeing into racism for this group. adulthood. Experiencing racism within school may also have a negative effect on Aboriginal The settings in which university-educated people and Torres Strait Islander students’ educational were more likely to report racism than non- outcomes49 as a social determinant in its own right. university educated people were overwhelmingly institutional (council, government, employment, It is also concerning that 40 per cent of education, public spaces and health settings). participants indicated that they had experienced However, there were no differences in reported racism within the justice system and 30 per exposures in a range of other settings. The levels cent within health care systems. Experiences of racist incidents experienced in shops, sport, in these settings can strongly influence housing, finance, justice and public transport individual and community health and wellbeing. were not significantly different between people Experiencing racism within the justice system educated at university level and those educated may lead to further unnecessary contact with 20 this system and higher rates of incarceration if below university level. A bias in perception
You can also read