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Te Rau Hinengaro: The New Zealand Mental Health Survey: The Mäori Data

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From Māori Health Review Issue 2
Authors:
  • Baxter J et al
Summary:

This nationally-representative, face-to-face survey examined aspects of high frequency mental disorders including mood disorders, anxiety disorders, and alcohol and drug abuse disorders. A version of the Composite International Diagnostic Interview (CIDI 3.0), amended for use in the World Health Organisation, World Mental Health Survey Initiative was used. This report presented the data from over 2500 Mäori surveyed. Prevalence of mental disorders was high for Mäori (12-month prevalence 29.5%). Severity was described as moderate or severe for 75% of illnesses occurring in the past 12 months. High rates of co-morbid mental and chronic physical disorders were also described. Rates of significant suicidal thinking (3.8 %), suicidal plans (1.3%) and suicide attempts (0.7%) were significant. However uptake of specific health or other services was low.

Comment:
There is potential for epidemiological research in mental health to be undertaken in a way that further marginalises Mäori. Too often the focus or ‘gaze’ has been on the individual and important external factors that contribute to ethnic differences in mental health rates and outcomes are ignored. As the authors rightly point out in this paper, it is vital that Mäori lead the research process (including design, recruitment, analysis and dissemination of results) for studies of this kind to ensure that it is safe for Mäori.
Reference: Presented at PRIDOC, Rotorua, December 6-10 2006
Abstract
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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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