ISSN 1178-6191

Maori Health Review

Making Education Easy Issue 44-2013

Maori Health Review
Maori Health Review

Ethnic, socioeconomic and geographical inequalities in road traffic injury rates in the Auckland region

Authors: Hosking J et al

Summary: These researchers describe substantial ethnic, socioeconomic and geographical inequalities in road traffic injury (RTI) risk in the Auckland region. They analysed rates of RTI deaths and non-fatal hospital admissions using the New Zealand Mortality Collection and the National Minimum Data Set 2000–2008. Poisson regression examined the association of age, gender, prioritised ethnicity and small area deprivation (New Zealand Index of Deprivation) with RTI rates, and RTI rates were mapped for 21 local board areas within the Auckland region. RTI rates increased with levels of deprivation in all age groups, with the steepest gradient among children (9% increase/decile) and adults aged 25–64 years (11% increase/decile). In all age groups, RTI risk was highest among Māori (all ages). Pacific children had an elevated risk of RTI compared with the NZ European/ Other group, but Pacific youth (15–24 years) and adults (25–64 years) had a lower risk. While RTI rates were generally higher for those living in rural local board areas, all but one local board in the southern Auckland urban area had among the highest rates.

Comment: Interventions or strategies that are effective at reducing ethnic or socioeconomic inequalities in RTI rates are required, particularly in South Auckland and for rural areas. The authors raise an interesting point in their discussion that Auckland’s walking school buses (an intervention expected to reduce child pedestrian injuries) found substantially lower coverage in the southern Auckland urban area, despite the fact that children living in this area are at high risk.

Reference: Aust N Z J Public Health 2013;37(2):162-7


Ethnic density and area deprivation: Neighbourhood effects on Māori health and racial discrimination in Aotearoa/New Zealand

Authors: Bécares L et al

Summary: This study analysed the Māori sample from the 2006/07 New Zealand Health Survey to examine the association between increased Māori ethnic density, area deprivation, health, and experiences of racial discrimination. The results of the study showed that whereas ethnic density is protective of the health and exposure to racial discrimination of Māori, this effect is concealed by the detrimental effect of area deprivation, signalling that the benefits of ethnic density must be interpreted within the current socio-political context.

Comment: As identified by the authors, whilst Māori ethnic density is associated with improved Māori health and reduced racial discrimination, these benefits are buried by the detrimental effect of area deprivation. Factors that drive and maintain deprivation in areas where Māori live must be eliminated in order for us to fully realise the advantages of living in self-determined communities.

Reference: Soc Sci Med 2013;88:76-82


An indigenous approach to explore healthrelated experiences among Māori parents: the Pukapuka Hauora asthma study

Authors: Jones B et al

Summary: This paper details the development of a culturally responsive, Kaupapa Māori Research approach that successfully recruited and retained a cohort of Māori families with experiences of childhood asthma. The investigation recruited 32 Māori families, who each participated in a series of four in-depth interviews that were carried out at seasonal intervals over the course of one year. Families also took part in an interviewer-administered questionnaire and participated in a Photovoice exercise. Qualitative analyses were conducted of the material generated by the interviews and questionnaires. The methodology produced a 100% retention rate of the participating families over the course of the follow-up. This was attributed to the research collaboration, the respectful research relationships established with families, and the families’ judgement that the methods used enabled them to tell their stories. The study authors consider that “the methodology and methods of this study set a benchmark for conducting collaborative, Māori health research that can be used to inform intervention strategies that facilitate Māori health and wellness”.

Comment: A fantastic description of ways to successfully engage Māori whānau in research. I look forward to reading the results from the research.

Reference: BMC Public Health 2013;13:228


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