Living with middle ear disease presents many challenges and disadvantages for Māori, according to a Kaupapa Māori study, and highlights the importance of early detection and specialist referral. The study involved a series of seven semi-structured interviews with Māori adults with middle ear disease. Delays in recognition and treatment of their ear condition were noted by all subjects, as well as barriers to accessing healthcare. Participation in cultural and recreational activities, particularly those involving water, was prevented by the subjects’ condition. Education and employment opportunities were affected by associated hearing loss, and alongside ear discharge, led to social isolation and disconnection from Te Ao Māori. Overall, mental and spiritual wellbeing were negatively impacted by having middle ear disease. Subjects felt that morbidity associated with their condition could be reduced by funding for hearing aids, earlier recognition and treatment and healthcare staff with a better understanding of Te Ao Māori.
