Home > Review Articles > Self-rated health, health-related behaviours and medical conditions of Māori and non-Māori in advanced age: LiLACS NZ

Self-rated health, health-related behaviours and medical conditions of Māori and non-Māori in advanced age: LiLACS NZ

Making Education Easy

Authors:
Summary:

Te Puāwaitanga O Ngā Tapuwae Kia Ora Tonu: Life and Living in Advanced Age, a cohort study in New Zealand (LiLACS NZ) began in 2010 and is following Māori (aged between 80 and 90 years in 2010) and non-Māori (aged 85 years in 2010) to establish predictors of successful ageing. This paper describes healthrelated behaviours, health conditions and self-rated health of 421 Māori and 516 non-Māori in advanced age. Self-rated health was high in both cohorts: 61% Māori and 59% non-Māori rated their health as good/very good/ excellent. Eleven percent of Māori and 5% of non-Māori smoked; Māori had a higher pack-year history of smoking (9.3 vs 6.6 for non-Māori; p<0.01). Māori drank alcohol less frequently; 23% Māori vs 47% non-Māori had alcohol on ≥2 occasions per week (p=0.01). Māori were not more physically active, with median scores on the Physical Activity Scale for the Elderly of 95 for Māori vs 89 for non-Māori (p=0.29 in analyses adjusted for the differing proportions of each gender). Māori were not at a higher nutrition risk (49% Māori vs 38% non-Māori; p=0.73 after accounting for the differing proportions of each gender). More non-Māori (73%) than Māori (59%) were driving (p<0.01). The three most common health conditions were hypertension (83%), eye diseases (58%) and coronary artery disease (44%). Interactions between gender and ethnicity were noted for smoking and physical activity. Overall, participants had a median of 5 health conditions.

Comment:
As the researchers acknowledge, in-depth studies like this are necessary in order for us to better understand the health and well-being of people of advanced age. Furthermore, the information has important implications for those of us who are perhaps ‘not so advanced’!
Reference: N Z Med J 2014;127(1397):13-29
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

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.