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Media portrayal of Māori and bariatric surgery in Aotearoa/New Zealand

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Summary:

This qualitative analysis examined all print and online news articles published in New Zealand between January 2007 and June 2017 that reported stories, opinion pieces or editorials concerning Māori and bariatric surgery. Of the 246 articles that were analysed, 31 (13%) were representative of Māori. Articles were scored on a 5-point scale that assessed the level of reporting as ‘neutral’ to ‘positive’ with a mean reporting score of 3.7 (Kappa score of 0.72; 95% CI, 0.66–0.78, p<0.0001). Thematic analysis identified 5 main themes: Attitudes towards bariatric surgery; complexity of obesity and weight loss; access to bariatric surgery; Māori advocacy; and framing of Māori. The major themes that emerged were access to bariatric surgery and attitudes towards bariatric surgery. Māori advocacy was also a common theme that arose largely due to the support of public funding of bariatric surgery championed by Dame Tariana Turia. Few narratives described equity of bariatric surgery provision and equitable outcomes following bariatric surgery for Māori.

Comment:
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Reference: N Z Med J. 2018;131(1479):72-80
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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