The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains

Harris, Ricci; Cormack, Donna; Tobias, Martin; Yeh, Li-Chin; Talamaivao, Natalie; Minster, Joanna; Timutimu, Roimata

doi:10.1016/j.socscimed.2011.11.004

Cited by 226 publications

(219 citation statements)

References 26 publications

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“…Mäori generally lack access to quality care because of discrimination as well as struggling with the associated costs and transport, and navigating the complexity of the health and disability system (Harris et al, 2012;Rumball-Smith, Sarfati, Hider, & Blakely, 2013;Wilson & Barton, 2012). Prohibitive costs are one issue challenging whänau hauä access to services because many lack the disposable income for costs associated with access, reliable transport and appropriate carer support (The Centre, 2014).…”

Section: Whänau Hauämentioning

confidence: 99%

Whānau hauā: Reframing disability from an Indigenous perspective

Hickey¹,

Wilson²

2017

MAI Journal

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Mäori directly or indirectly experience disability at a higher rate than any other population group in Aotearoa New Zealand. Despite one in three Mäori having some form of disability, Mäori have less access to support and health and disability services. Currently, gaps exist in knowledge related to Mäori and disability, and this is not helped by disabled Mäori being excluded from health and disability policy and service planning forums. With regard to disability frameworks, the medical model and the social model are the predominant northern hemisphere approaches to working with disabled persons. These models view disability in an individualised manner that is not relevant for many Indigenous disabled persons whose worldview is holistic, relational and collective in nature. In this paper, we critically examine current approaches to working with disabled Mäori and their experiences as Indigenous disabled persons before presenting Whänau Hauä as an alternative Indigenous approach to disability.

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Section: Whänau Hauämentioning

confidence: 99%

Whānau hauā: Reframing disability from an Indigenous perspective

Hickey¹,

Wilson²

2017

MAI Journal

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“…This is consistent with previous research, 12 as were the related associations that participants described with increasing acculturation, 24 experience of racism, social isolation, and avoidance of health services. 25 Acculturation (the process of socialisation that takes place when there is a meeting of two different cultures) and enculturation (a process that helps an individual to imbibe social values, norms, customs etc. of the culture he/she lives in) are known to be favourably associated with positive mental health; 26 studies from the US and New Zealand report young Asians' relative reluctance to seek professional help for mental health problems being exacerbated by the pressure of balancing two cultures and reported discrimination.…”

Section: Mental Health Was Identified As An Important But Typically Nmentioning

confidence: 99%

Priorities and approaches to investigating Asian youth health: perspectives of young Asian New Zealanders

Wong¹,

Peiris‐John²,

Sobrun-Maharaj³

et al. 2015

J Prim Health Care

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INTRODUCTION:The proportion of young people in New Zealand identifying with Asian ethnicities has increased considerably. Despite some prevalent health concerns, Asian youth are less likely than non-Asian peers to seek help. As preparatory research towards a more nuanced approach to service delivery and public policy, this qualitative study aimed to identify young Asian New Zealanders' perspectives on best approaches to investigate health issues of priority concern to them.

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“…given the substantially lower rates of intervention experienced by minority groups 4,5,22 . Such inequitable outcomes are the product of a mix of unconscious bias 3 , more explicit racial discrimination 5 and institutional racism 23 within health care systems and structures.…”

Section: Collaboration Between Policy Makers Mainstream Inter-discipmentioning

confidence: 99%

“…Such inequitable outcomes are the product of a mix of unconscious bias 3 , more explicit racial discrimination 5 and institutional racism 23 within health care systems and structures. The influence of formal tertiary level education on health professionals could play a part, although it is not the only contributing factor 2,19,20 , in equipping the students with cultural understandings and ways of working as a means of reducing the impacts of racism and bias within health care decision making and hence improve patient outcomes.…”

Section: Collaboration Between Policy Makers Mainstream Inter-discipmentioning

confidence: 99%

Can my mechanic fix blue cars? A discussion of health clinicians' interactions with Aboriginal Australian clients

Hill

Ewen

Paul

et al. 2016

Aust. J. Rural Health

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We expect our professional mechanics to 'diagnose' and 'treat' our cars irrespective of colour, but are we expecting less from our health professionals? There is an increasing focus in the literature on health practitioner decision-making and its influence on the nature and quality of health care. In this article we explore how the basic diagnostic and therapeutic skills that health care practitioners have should be utilised equitably for all clients and propose ways this might be realised. Could the development of Indigenous specific curricula be teaching our medical students to think that Aboriginal patients are different from the norm? We conclude that despite the gains in introducing more comprehensive Aboriginal health curricula there remains considerable work to be done before we can be confident that we are ensuring that health practitioners are no longer contributing to health disparities. Key words:Aboriginal Health, Indigenous Health, health professional, racism in health, health disparities. 3 Applying ones expertise …Consider the following: if we own a car that is experiencing mechanical problems we usually would seek the advice and services of a mechanic, whose expertise in mechanics as demonstrated by their qualifications. We expect the mechanic to be able to diagnose any known mechanical problems that we, as the car owner, cannot be expected to know. We expect the mechanic to explain to us what is wrong with my car, to investigate and apply the most efficient ways of fixing the car and to be held accountable if she/he misdiagnoses or maltreats the mechanical needs of the car. We, as the owner, cannot be responsible for fixing the mechanical problems that are beyond my particular expertise and knowledge. Despite health professionals only playing a small part in the diverse factors influencing health and health care outcomes, it is useful to ask a range of questions. These questions include, could the continuing poor health of Aboriginal people be partly caused by health practitioners due to the practitioners not receiving the education required for reducing the ongoing health disparities? Could health professional's engagement with individuals and / or community also be a factor? Have practitioners not made the contribution they could or should do in this area?And, do we expect practitioners to be sufficiently skilled to substantially reduce the gap? 4 Just as we would expect a qualified mechanic to be able to repair different cars, regardless of their colour, a qualified doctor or other health professional should be able to effectively treat people from different populations with identified medical problems -regardless of their background. What if a mechanic said they could not work on your car because it is blue and

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The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains

Cited by 226 publications

References 26 publications

Whānau hauā: Reframing disability from an Indigenous perspective

Whānau hauā: Reframing disability from an Indigenous perspective

Priorities and approaches to investigating Asian youth health: perspectives of young Asian New Zealanders

Can my mechanic fix blue cars? A discussion of health clinicians' interactions with Aboriginal Australian clients

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