Mental health inequities for Māori youth

Making Education Easy

Authors:

Theodore R et al.

November 22, 2022

Summary:

A population-level study of mental health service data has shown that Māori youth are less likely to be identified for anxiety and depression, and more likely to be identified for substance use and self-harm, compared with non-Māori/non-Pasifika (NMNP) youth. The study used the Integrated Data Infrastructure to identify 232,845 Māori and 627,891 NMNP aged 10–24 years. Adjusted risk ratios for identification of anxiety and depression in Māori were 0.88 (95% CI 0.85-0.90) and 0.92 (95% CI 0.90-0.95), respectively, compared with NMNP. Adjusted risk ratios for identification of substance problems and self-harm were 2.66 (95% CI 2.60–2.71) and 1.56 (95% CI 1.50–1.63), respectively. Compared with Māori living in least deprived areas, those living in high deprivation areas were significantly more likely to be identified for substance problems and less likely to be identified for anxiety and depression.

Comment:

These findings are of concern, and unfortunately, in my experience over these past two years, will worsen if we don’t step in now to address. Perhaps we should consider a rangatahi screening/management intervention in the same way we do the B4 School Check and long-term condition programmes.

Reference: N Z Med J. 2022;135(1567):79-90.

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.