A 58-year-old Indigenous man with type 2 diabetes, obesity and hypertension lives in a remote community with limited access to fresh food and exercise...

Question

A 58-year-old Indigenous man with type 2 diabetes, obesity and hypertension lives in a remote community with limited access to fresh food and exercise facilities. He expresses frustration about being blamed for his health. Which physician approach best reflects reconciliation and Indigenous health equity principles?

Accepted Answer

Explain that colonial policies, food insecurity and social determinants contribute to higher diabetes rates in Indigenous communities and work with him and community programmes to support realistic, culturally relevant changes

Answer

Emphasise only individual lifestyle choices and personal responsibility

Answer

Avoid discussing social factors because they are political and not medical

Answer

Tell him his frustration is inappropriate

Answer

Discharge him from the practice for non-compliance

ca-mccqe1 MCQ (SBA): Indigenous health and diabetes - structural determinants