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Flexible resources and experiences of racism among a multi-ethnic adolescent population in Aotearoa, New Zealand

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Authors:
Summary:

Anti-racist interventions and policies in multi-ethnic western societies must address both structural deprivation and associated intergenerational mobility and colourism, according to an intersectional analysis of health and socioeconomic inequities in New Zealand. The analysis used data from 20,410 adolescents in school years 9-13 (median age 15 years) involved in the Youth2000 survey series undertaken in the Auckland, Tai Tokerau, and Waikato regions between 2001 and 2019. Findings showed that socioeconomic, interpersonal, and health inequities varied with access to flexible resources among Māori and racialised migrant youth. High levels of socioeconomic inequities were experienced by Māori and racialised migrants from low-income and middle-income countries. Socioeconomic inequalities for racialised migrant youth persisted over three generations, especially for Pasifika migrants. Compared with visibly racialised groups, minorities perceived as White experienced less discrimination and had more advantages. Modelling showed that embodiment resources, and to a lesser extent structural resources, mediated, but did not eliminate ethnic disparities in socioeconomic status and interpersonal discrimination. These resources did not strongly mediate ethnic disparities in health.

Comment:
As the authors suggest, there are so many layers to discrimination. It is so important to test these as they have done here. I suspect that other ‘isms’ based on people’s perceptions of us (i.e. beyond colour to include tā moko or te reo use) will become increasingly prominent over time.
Reference: Lancet. 2022;400(10358):1130-1143.
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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