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Health promoting and demoting consumption: what accounts for budget share differentials by ethnicity in New Zealand

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Authors:
Summary:

While Māori households have 25% less per-capita expenditure than non-Māori households, they spend relatively more on tobacco and alcohol, and less on healthcare. These were the findings of three nationally representative household economic surveys undertaken between 2006 and 2013, involving 9030 participants. Differences between Māori and non-Māori in household ownership, education, and income negatively affected consumption of tobacco and alcohol. The household head’s age, education, and employment status had the biggest impact. The study authors suggested that interventions targeting education and employment, that significantly increase household budget, may help narrow the gaps.

Comment:
Confirming that living with poverty is stressful and affects health-related behaviours; and that the health system has a role in paying the minimum living wage, and in supporting Māori employees into professional development pipelines.
Reference: SSM Popul Health. 2022;19:101204.
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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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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