dc.contributor.author |
Clark, Terryann C |
|
dc.contributor.author |
Ball, Jude |
|
dc.contributor.author |
Fenaughty, John |
|
dc.contributor.author |
Drayton, Bradley |
|
dc.contributor.author |
Fleming, Theresa Terry |
|
dc.contributor.author |
Rivera-Rodriguez, Claudia |
|
dc.contributor.author |
Le Grice, Jade |
|
dc.contributor.author |
Peiris-John, Roshini |
|
dc.contributor.author |
Bavin, Lynda-Maree |
|
dc.contributor.author |
Schwencke, Ariel |
|
dc.contributor.author |
Sutcliffe, Kylie |
|
dc.contributor.author |
Lewycka, Sonia |
|
dc.contributor.author |
Lucassen, Mathijs |
|
dc.contributor.author |
Waa, Anaru |
|
dc.contributor.author |
Greaves, Lara M |
|
dc.contributor.author |
Crengle, Sue |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2022-12-08T00:42:25Z |
|
dc.date.available |
2022-12-08T00:42:25Z |
|
dc.date.issued |
2022-11 |
|
dc.identifier.citation |
(2022). The Lancet regional health. Western Pacific, 28, 100554-. |
|
dc.identifier.issn |
2666-6065 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/62070 |
|
dc.description.abstract |
<h4>Background</h4>Rangatahi Māori, the Indigenous adolescents of Aotearoa New Zealand (NZ), have poorer health outcomes than Pākehā (NZ European /other European/"White") adolescents. We explored the influence of policies for Indigenous youth by presenting health trends, inequities and contrasting policy case examples: tobacco control and healthcare access.<h4>Methods</h4>Cross-sectional representative surveys of NZ secondary school students were undertaken in 2001, 2007, 2012 and 2019. Health indicators are presented for Māori and Pākehā adolescents (relative risks with 95% CI, calculated using modified Poisson regression) between 2001-2019 and 2012-2019. Policy examples were examined utilising Critical Te Tiriti Analysis (CTA).<h4>Findings</h4>Rangatahi Māori reported significant health gains between 2001 and 2019, but an increase in depressive symptoms (13.8% in 2012 to 27.9% in 2019, RR 2.01 [1.65-2.46]). Compared to Pākehā youth there was a pattern of persistent Māori disadvantage, particularly for racism (RR 2.27 [2.08-2.47]), depressive symptoms (RR 1.42 [1.27-1.59]) and forgone healthcare (RR 1.63 [1.45-1.84]). Tobacco use inequities narrowed (RR 2.53 [2.12-3.02] in 2007 to RR 1.55 [1.25-1.93] in 2019). CTA reveals rangatahi Māori-specific policies, Māori leadership, and political support aligned with improved outcomes and narrowing inequities.<h4>Interpretation</h4>Age-appropriate Indigenous strategies are required to improve health outcomes and reduce inequities for rangatahi Māori. Characteristics of effective strategies include: (1) evidence-based, sustained, and comprehensive approaches including both universal levers and Indigenous youth-specific policies; (2) Indigenous and rangatahi leadership; (3) the political will to address Indigenous youth rights, preferences, priorities; and (4) a commitment to an anti-racist praxis and healthcare Indigenisation.<h4>Funding</h4>Two Health Research Council of New Zealand Project Grants: (a) Fleming T, Peiris-John R, Crengle S, Parry D. (2018). Integrating survey and intervention research for youth health gains. (HRC ref: 18/473); and (b) Clark TC, Le Grice J, Groot S, Shepherd M, Lewycka S. (2017) Harnessing the spark of life: Maximising whānau contributors to rangatahi wellbeing (HRC ref: 17/315). |
|
dc.format.medium |
Electronic-eCollection |
|
dc.language |
eng |
|
dc.publisher |
Elsevier |
|
dc.relation.ispartofseries |
The Lancet regional health. Western Pacific |
|
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. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Adolescent |
|
dc.subject |
Effective strategies |
|
dc.subject |
Ethnicity |
|
dc.subject |
Indigenous |
|
dc.subject |
Inequity |
|
dc.subject |
Maori |
|
dc.subject |
Mental health |
|
dc.subject |
Policy |
|
dc.subject |
Poverty |
|
dc.subject |
Racism |
|
dc.subject |
Rangatahi |
|
dc.subject |
Substance use |
|
dc.subject |
Surveys |
|
dc.subject |
Tobacco |
|
dc.subject |
Trends |
|
dc.subject |
Youth |
|
dc.subject |
Pediatric |
|
dc.subject |
Clinical Research |
|
dc.subject |
3 Good Health and Well Being |
|
dc.title |
Indigenous adolescent health in Aotearoa New Zealand: Trends, policy and advancing equity for rangatahi Maori, 2001-2019. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.lanwpc.2022.100554 |
|
pubs.begin-page |
100554 |
|
pubs.volume |
28 |
|
dc.date.updated |
2022-11-29T02:25:44Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
35996697 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/35996697 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
915594 |
|
pubs.org-id |
Arts |
|
pubs.org-id |
Education and Social Work |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Science |
|
pubs.org-id |
Psychology |
|
pubs.org-id |
Statistics |
|
pubs.org-id |
Nursing |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Epidemiology & Biostatistics |
|
pubs.org-id |
Counselling,HumanServ &Soc.Wrk |
|
pubs.org-id |
Social Sciences |
|
pubs.org-id |
Politics & International Relations |
|
dc.identifier.eissn |
2666-6065 |
|
dc.identifier.pii |
S2666-6065(22)00169-9 |
|
pubs.number |
100554 |
|
pubs.record-created-at-source-date |
2022-11-29 |
|
pubs.online-publication-date |
2022-08-12 |
|