Home > Review Articles > Ethnic disparities > Utility of big data to explore medication adherence in Māori and Non-Māori community-dwelling older adults with heart failure in Aotearoa New Zealand

Utility of big data to explore medication adherence in Māori and Non-Māori community-dwelling older adults with heart failure in Aotearoa New Zealand

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Authors:
Summary:

A national cross-sectional study has highlighted significant disparity between Māori and non-Māori in medication adherence for heart failure. The study included 13,743 assessments for older community-dwelling adults with heart failure, including 1526 in Māori, between 2012 and 2019. Mean participant age was 74.5 years for Māori and 82.3 years for non-Māori. A total of 21.8% of those in the Māori cohort did not adhere fully to their medication regimen, compared with 12.8% of those in the non-Māori cohort. The adjusted prevalence ratio for medication non-adherence in Māori vs non-Māori was 1.53 (95% CI 1.36-1.73). The study authors noted that their results are transferable to other countries, allowing the identification of underserved ethnic groups for which culturally appropriate interventions can be targeted.

Comment:
: I’m working with a team of Māori and Pacific researchers (https://www.manawafatu. org/) on hospital discharge ‘activities’ for Māori and Pacific people with heart failure. Preliminary results suggest it’s not so much an issue of being ‘appropriate’ as being clinically and culturally unsafe. Discharge letters are confusing and inconsistent, patients are told to see their GP but can’t afford/access GPs in time, management plans don’t suit peoples’ lives/contexts and people are becoming more unwell and dying as a result. Dr Sandra Hanchard is leading work to resolve this – please contact her if you are interested in knowing more.
Reference: Drugs Aging. 2023;40(9):847-855.
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.

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