The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: analysis of the 2006/07 New Zealand Health Survey.

Show simple item record Harris, Ricci en Cormack, Donna en Stanley, James en 2018-10-15T19:19:19Z en 2013-01 en
dc.identifier.issn 1471-2458 en
dc.identifier.uri 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 en
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dc.rights.uri 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 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 Medical and Health Sciences en Te Kupenga Hauora Maori en Office of Tumuaki en TKHM Teaching en
dc.identifier.eissn 1471-2458 en
pubs.record-created-at-source-date 2013-11-15 en
pubs.dimensions-id 24028091 en

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