Māori health, wellbeing, and disability in Aotearoa New Zealand

Making Education Easy

Authors:

Ingham TR et al.

June 3, 2025

Summary:

A national cross-sectional survey of 7359 Māori individuals has shown that a culturally aligned, methodological approach is feasible for informing health policies that address the needs and rights of Māori. The survey used Kaupapa Māori research principles, with data analysed using the Te Pae Māhutonga framework. Overall, 58.4% of those surveyed experienced discrimination and 32.6% were unable to contact a general practitioner due to cost. Nearly a quarter of survey participants borrowed from family or friends to meet daily living costs, and over a third economised on fresh produce to save money. The study authors stated that their results could inform global indigenous research addressing culturally relevant health, wellbeing and disability inequities.

Comment:

This research highlights how conventional surveys often fail to capture the complexity of Indigenous peoples’ lives, and underscores the need for Kaupapa Māori methodologies to ensure Māori voices and realities are collected to inform policy and service design. With the recent announcement regarding changes to the New Zealand census, these findings are even more critical.

Reference: Int J Environ Res Public Health. 2025;22(6):829.

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.