Home > Review Articles > Ethnic disparities > Indigenous-non-Indigenous disparities in health and health and social outcomes 5 years after first episode psychosis

Indigenous-non-Indigenous disparities in health and health and social outcomes 5 years after first episode psychosis

Making Education Easy

Authors:
Summary:

A national cohort study has found that non-Māori experience relative advantage over Māori for outcomes five years after a diagnosis of first episode psychosis (FEP). The study used Statistics New Zealand’s Integrated Data Infrastructure to describe mental health and social service interactions and outcomes for 918 Māori and 1275 non-Māori who were aged 13 to 25 years at the time of FEP diagnosis. Compared with Māori, non-Māori were more likely to have positive outcomes in the fifth year after FEP diagnosis, including higher employment and income levels, and lower rates of benefit receipt and involvement with the criminal justice system. Ethnic disparity was seen across diagnostic groups, and occurred in those who were receiving ongoing care and those who were not.

Comment:
This research confirmed that the inequities between Māori and non-Māori ethnicity were the most compelling of all potential variables, although they flipped it to look at the advantages offered to one (rather than disadvantages for the other). As the authors say, an inter-sectoral approach is needed ensure equitable advantage to all.
Reference: BJPsych Open. 2024;11(1):e9.
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.

Related Articles

Despite overall improvement in life expectancy in New Zealand, according to a cause-specific decomposition analysis

A retrospective study has highlighted ethnic disparities in the utilisation of epidural analgesia at Christchurch

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.