Ethnic Comparisons of the 12 Month Prevalence of Mental Disorders and Treatment Contact in Te Rau Hinengaro: The New Zealand Mental Health Survey

Baxter, Joanne; Kokaua, Jesse; Wells, J. Elisabeth; McGee, Magnus A.; Browne, Mark A. Oakley

doi:10.1080/j.1440-1614.2006.01910.x

Cited by 79 publications

(78 citation statements)

References 13 publications

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“…The mental health challenges faced by adolescents in Aotearoa New Zealand disproportionately fall on Māori, the tangata whenua (Indigenous people) of this land, and adolescents from low socio-economic contexts (Horwood and Fergusson 1998;Baxter, Kokaua, et al 2006;Clark, Robinson, Crengle, Herd, & Grant, 2008;Clark, Robinson, Crengle, Fleming, et al 2011). For example, relative to non-Māori, Māori adolescents experience higher rates of depression and anxiety (Marie et al 2008), are over-represented in admissions to in-patient facilities (van Kessel et al 2012), and are markedly more likely to take their own life (Beautrais and Fergusson 2006;Snowdon 2017).…”

Section: Introductionmentioning

confidence: 99%

Positive youth development in Māori and New Zealand European adolescents through an adventure education programme

Arahanga-Doyle

Moradi

Brown

et al. 2018

Kōtuitui: New Zealand Journal of Social Sciences Online

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Within Aotearoa New Zealand there is growing interest in positive youth development (PYD). A PYD approach provides balance to narratives surrounding outcomes for youth and broadens our views of what we consider beneficial developmental outcomes. In the current study we used sail training as a method to promote PYD in Māori and New Zealand European adolescents. Specifically, 54 Māori and 37 New Zealand European adolescents completed the 7-day youth-development voyage on-board the gaffed rigged schooner, R. Tucker Thompson. We demonstrate that, for both Māori and New Zealand European adolescents, psychological resilience, self-esteem, and positive outlook on life increased from the first day to the last day of the voyage. In addition, we demonstrate that the increases in psychological resilience were driven by the social/collective identity adolescents formed with their group over the course of the voyage. ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Positive youth development in Māori and New Zealand European adolescents through an adventure education programme

Arahanga-Doyle

Moradi

Brown

et al. 2018

Kōtuitui: New Zealand Journal of Social Sciences Online

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“…The OR for sex was almost unchanged. Both Māori and Pacific populations are younger than the Other population (Baxter et al 2006; Wells et al 2006) so when in a joint model with age, the OR for Māori was reduced from 2.7 to 1.7 but the OR for Pacific people, which was already less than that for Others, fell even further from 0.9 to 0.5. Those with the highest level of education were still the least likely to have used in the past year, although the OR of 1.3 for those with 11–12 years of competed education was not significantly higher (CI 0.9, 1.8).…”

Section: Resultsmentioning

confidence: 99%

Geographical clustering of cannabis use: Results from the New Zealand Mental Health Survey 2003–2004

Wells

Degenhardt

Bohnert

et al. 2009

Drug and Alcohol Dependence

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Background-In epidemiology, it always has been important to study local area patterns of disease occurrence. New methods to quantify local area and household clustering of disease emerged late in the 19 th century and were refined during the 20 th century. Nonetheless, multi-level models to estimate local area clustering of illegal drug use did not appear until the 1990s, and to date, there is just one study with estimates of local neighbourhood clustering of cannabis use, based on a United States sample. Here, seeking the first replication of that single prior study, we estimate the degree to which cannabis use might cluster within neighbourhoods of New Zealand (NZ), and we also study higherlevel clustering and suspected individual-level determinants of recent cannabis use.Methods-A national probability community sample (n=12,992) of adults aged 16 years or more with standardized assessment of cannabis use. Alternating logistic regression produced estimates for cannabis clustering.Results-In NZ, use of cannabis was common: 41.6% had ever used it and 13.1% had used it in the past year. There was clustering within the smallest local areas (PairWise Odds Ratio = 1.3-1.5) but not within larger government districts (PWOR=1.02). Age, male sex, ethnicity, education, and marital status were all associated with cannabis use, but did not account for observed clustering.Conclusions-Neighborhood clustering of recent cannabis use has emerged in New Zealand, as in the US. Standard individual-level characteristics explain only some of this clustering. Other explanations must be sought, perhaps including personal networks and local supply.

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“…There is evidence that Indigenous people are more likely to seek help from traditional healers than from other medical providers, including mental health specialists, and report greater satisfaction with care provided by a traditional healer compared with mental health specialists [6, 32, 65]. Some Indigenous people report using both traditional and allopathic methods to treat emotional or substance abuse problems [66].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…There is evidence from epidemiological studies that Indigenous people diagnosed with a mental disorder use mental health services at different rates than other ethnic groups [6, 8]. Of Māori people with any mental disorder, only 32.5% visited services for mental health purposes, compared to 41.1% of other ethnic groups [6]. In one Native American tribe, women with any mental disorder made fewer visits for mental health to both specialty (30.8%) and general medical providers (22.6%) than their general population counterparts (33.8% and 42.7%, respectively) [8].…”

Section: Introductionmentioning

confidence: 99%

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Assessing service use for mental health by Indigenous populations in Australia, Canada, New Zealand and the United States of America: a rapid review of population surveys

McIntyre

Harris

Baxter

et al. 2017

Health Res Policy Sys

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BackgroundIndigenous people in Australia, Canada, New Zealand and the United States of America experience disproportionately poor mental health compared to their non-Indigenous counterparts. To optimally allocate resources, health planners require information about the services Indigenous people use for mental health, their unmet treatment needs and the barriers to care. We reviewed population surveys of Indigenous people to determine whether the information needed to guide service development is being collected.MethodsWe sought national- or state-level epidemiological surveys of Indigenous populations conducted in each of the four selected countries since 1990 that asked about service use for mental health. Surveys were identified from literature reviews and web searches. We developed a framework for categorising the content of each survey. Using this framework, we compared the service use content of the surveys of Indigenous people to each other and to general population mental health surveys. We focused on identifying gaps in information coverage and topics that may require Indigenous-specific questions or response options.ResultsNine surveys met our inclusion criteria. More than half of these included questions about health professionals consulted, barriers to care, perceived need for care, medications taken, number, duration, location and payment of health professional visits or use of support services or self-management. Less than half included questions about interventions received, hospital admissions or treatment dropout. Indigenous-specific content was most common in questions regarding use of support services or self-management, types of health professionals consulted, barriers to care and interventions received.ConclusionsEpidemiological surveys measuring service use for mental health among Indigenous populations have been less comprehensive and less standardised than surveys of the general population, despite having assessed similar content. To better understand the gaps in mental health service systems for Indigenous people, systematically-collected subjective and objective indicators of the quality of care being delivered are needed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12961-017-0233-5) contains supplementary material, which is available to authorized users.

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Ethnic Comparisons of the 12 Month Prevalence of Mental Disorders and Treatment Contact in Te Rau Hinengaro: The New Zealand Mental Health Survey

Cited by 79 publications

References 13 publications

Positive youth development in Māori and New Zealand European adolescents through an adventure education programme

Positive youth development in Māori and New Zealand European adolescents through an adventure education programme

Geographical clustering of cannabis use: Results from the New Zealand Mental Health Survey 2003–2004

Assessing service use for mental health by Indigenous populations in Australia, Canada, New Zealand and the United States of America: a rapid review of population surveys

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