dc.contributor.author |
Harris, Ricci |
en |
dc.contributor.author |
Cormack, Donna |
en |
dc.contributor.author |
Stanley, James |
en |
dc.date.accessioned |
2018-10-15T19:19:19Z |
en |
dc.date.issued |
2013-01 |
en |
dc.identifier.issn |
1471-2458 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/41735 |
en |
dc.description.abstract |
BACKGROUND: In New Zealand, there are significant and long-standing inequalities in a range of health outcomes, risk factors and healthcare measures between Māori (indigenous peoples) and Pākehā (European). This study expands our understanding of racism as a determinant of such inequalities to examine the concept of socially-assigned ethnicity (how an individual is classified by others ethnically/racially) and its relationship to health and racism for Māori. There is some evidence internationally that being socially-assigned as the dominant ethnic group (in this case European) offers health advantage. METHODS: We analysed data from the 2006/07 New Zealand Health Survey for adult participants who self-identified their ethnicity as Māori (n = 3160). The association between socially-assigned ethnicity and individual experience of racial discrimination, and socially-assigned ethnicity and health (self-rated health, psychological distress [Kessler 10-item scale]) was assessed using logistic and linear regression analyses, respectively. RESULTS: Māori who were socially-assigned as European-only had significantly lower experience of racial discrimination (adjusted odds ratio [OR] = 0.58, 95% confidence interval [CI] = 0.44, 0.78) than Māori who were socially-assigned as non-European. Being socially-assigned as European-only was also associated with health advantage compared to being socially-assigned non-European: more likely to respond with self-rated very good/excellent health (age, sex adjusted OR = 1.39, 95% CI = 1.10, 1.74), and lower Kessler 10 scores (age, sex adjusted mean difference = -0.66, 95% C I = -1.22, -0.10). These results were attenuated following adjustment for socioeconomic measures and experience of racial discrimination. CONCLUSIONS: Results suggest that, in a race conscious society, the way people's ethnicities are viewed by others is associated with tangible health risk or advantage, and this is consistent with an understanding of racism as a health determinant. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
BMC public health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1471-2458/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
http://creativecommons.org/licenses/by/2.0 |
en |
dc.subject |
Humans |
en |
dc.subject |
Health Surveys |
en |
dc.subject |
Confidence Intervals |
en |
dc.subject |
Logistic Models |
en |
dc.subject |
Odds Ratio |
en |
dc.subject |
Social Class |
en |
dc.subject |
Needs Assessment |
en |
dc.subject |
Adult |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
European Continental Ancestry Group |
en |
dc.subject |
Oceanic Ancestry Group |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Health Status Disparities |
en |
dc.subject |
Healthcare Disparities |
en |
dc.subject |
Young Adult |
en |
dc.subject |
Racism |
en |
dc.title |
The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: analysis of the 2006/07 New Zealand Health Survey. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1186/1471-2458-13-844 |
en |
pubs.begin-page |
844 |
en |
pubs.volume |
13 |
en |
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
24028091 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Comparative Study |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
en |
pubs.subtype |
research-article |
en |
pubs.subtype |
Evaluation Studies |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
523731 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Te Kupenga Hauora Maori |
en |
pubs.org-id |
Office of Tumuaki |
en |
pubs.org-id |
TKHM Teaching |
en |
dc.identifier.eissn |
1471-2458 |
en |
pubs.record-created-at-source-date |
2013-11-15 |
en |
pubs.dimensions-id |
24028091 |
en |