This paper examined five large-scale surveys (n = 44,830) of alcohol consumption in order to compare differences in alcohol consumption between Mäori and non-Mäori in New Zealand. Whilst the research varied in sample populations and measurement tools, the differences in alcohol consumption between Mäori and non-Mäori were similar across the studies. Non-Mäori were more frequent drinkers across all age groups, with alcohol consumption increasing with age. Whilst the average daily alcohol volume consumed was similar between Mäori and non-Mäori, non-Mäori consistently drank 40% the volume of alcohol of Mäori on any drinking occasion. The authors recommend that the frequency of drinking and the amount consumed on a typical occasion should be considered when examining the relationship between health-related problems and alcohol in Mäori.
An important study because of the significant number of people included in the combined study population. Bramley (Ngapuhi) and others have shown differences in the patterns of alcohol consumption between Mäori and non Mäori. As the authors state, discussion of alcohol consumption by ethnicity is a sensitive topic, partly due to the way in which results have been presented in the past – ‘victim blaming’. However, the researchers used kaupapa Mäori methodologies and in doing so have made an excellent start in describing differences. The next step would be to conduct policy relevant research to identify policies and interventions that benefit Mäori.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
