Home > Review Articles > The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: analysis of the 2006/07 New Zealand Health Survey

The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: analysis of the 2006/07 New Zealand Health Survey

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Authors:
Summary:

This study examined the association between socially-assigned ethnicity (how an individual is classified by others ethnically/racially) and individual experience of racial discrimination, and socially-assigned ethnicity and health (self-rated health, psychological distress [Kessler 10-item scale]) in this analysis of data from 3160 adult participants (aged ≥15 years) in the 2006/07 New Zealand Health Survey who self-identified their ethnicity as Māori. Those who were socially-assigned as European-only had significantly less experience of racial discrimination (adjusted odds ratio [OR] 0.58, 95% CI 0.44 to 0.78) than Māori who were socially-assigned as non-European. Being socially-assigned as European-only was also associated with health advantage compared to being socially-assigned non-European: more likely to respond with self-rated very good/excellent health (age, sex adjusted OR 1.39; 95% CI 1.10 to 1.74), and lower Kessler 10 scores (age, sex-adjusted mean difference –0.66, 95% C I = –1.22 to –0.10). These results were attenuated following adjustment for socioeconomic measures and experience of racial discrimination.

Comment:
As the authors say, the findings here are consistent with work in the US; demonstrating the effects of racism on health for Māori, not only in terms of disadvantage, but also the advantages of ‘whiteness’ in a race conscious society’.
Reference: BMC Public Health 2013;13:844
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.

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