Home > Review Articles > Ethnicity data > To move or not to move? Exploring the relationship between residential mobility, risk of cardiovascular disease and ethnicity in New Zealand

To move or not to move? Exploring the relationship between residential mobility, risk of cardiovascular disease and ethnicity in New Zealand

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From Māori Health Review Issue 63
Authors:
  • Darlington-Pollock F et al.
Summary:

These researchers investigated associations between residential mobility, risk of cardiovascular disease (CVD) and ethnicity in a cohort of 2,077,470 New Zealand residents aged ≥30 years. Encrypted National Health Index numbers were linked to individual level routinely recorded data. Binary logistic regression modelled the risk of CVD for the population stratified by ethnic group according to mover status, baseline deprivation and transitions between deprivation statuses. The analysis revealed variation between ethnic groups for the relationship between residential mobility and CVD. Furthermore, this ethnic variation was found to be strongly influenced by the inter-relationship between residential mobility and deprivation mobility.

Comment:
The authors recognise the context for these results, i.e. colonisation and more recent urbanisation policies that contribute to the spatial distribution of Māori residency in Auckland. These findings also raise questions about why ‘moving’ in itself is strongly associated with increased CVD risk for Māori and Pacific people. They are more likely to report unfair treatment, based on their ethnicity, when looking for housing compared with NZ Europeans. Furthermore, reported experiences of racial discrimination when looking for housing is associated with negative mental and physical health outcomes, including self-reported CVD.
Reference: Soc Sci Med. 2016;165:128-40
Abstract
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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.

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