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An examination of Māori tamariki (child) and taiohi (adolescent) traumatic brain injury within a global cultural context

Making Education Easy

From Māori Health Review Issue 37
Authors:
  • Elder H
Summary:

This paper describes the size and shape of Māori tamariki (child) and taiohi (adolescent) traumatic brain injury (TBI) and reviews the wider international literature related to cultural factors and TBI. Scant research focuses on children and young people at highest risk of TBI. There is evidence of Māori tamariki and taiohi being significantly over-represented in TBI populations, with poorer outcomes including higher mortality rates. According to international research, ‘minority’ culture is a risk factor for certain causes of injury and a differential rehabilitation service response.

Comment:
As the author suggests, given the high incidence and prevalence of TBI in tamariki and tai tamariki Māori, and poor outcomes including mental health issues, reduced educational achievement and incarceration, all health providers should consider a context of TBI in these settings. Application of tikanga Māori may be useful. However, I’d also like to see equity in clinical care, including diagnosis and management of TBI.
Reference: Australas Psychiatry. 2012;20(1):20-3.
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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