دورية أكاديمية
The Multidimensional Impacts of Inequities for Tāngata Whaikaha Māori (Indigenous Māori with Lived Experience of Disability) in Aotearoa, New Zealand.
| العنوان: | The Multidimensional Impacts of Inequities for Tāngata Whaikaha Māori (Indigenous Māori with Lived Experience of Disability) in Aotearoa, New Zealand. |
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| المؤلفون: | Ingham TR; Department of Medicine, University of Otago, Wellington 6021, New Zealand., Jones B; Department of Medicine, University of Otago, Wellington 6021, New Zealand., Perry M; Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Wellington 6021, New Zealand., King PT; Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, Wellington 6021, New Zealand., Baker G; Baker Consulting, Ltd., Wellington 6011, New Zealand., Hickey H; Director Pukenga Consultancy Ltd., Auckland 2158, New Zealand., Pouwhare R; Poumanukura Mana Ātea, Whakatane 3192, New Zealand., Nikora LW; Ngā Pae o te Māramatanga, University of Auckland, Auckland 1010, New Zealand. |
| المصدر: | International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Oct 19; Vol. 19 (20). Date of Electronic Publication: 2022 Oct 19. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel : MDPI, c2004- |
| مواضيع طبية MeSH: | Native Hawaiian or Other Pacific Islander* , Racism*, Humans ; New Zealand/epidemiology ; Family |
| مستخلص: | People with lived experience of disability have poorer health and socioeconomic outcomes than people without it. However, within this population, certain social groups are more likely to experience poorer outcomes due to the impacts of multiple intersecting forms of oppression including colonisation, coloniality and racism. This paper describes the multidimensional impacts of inequities for Indigenous tāngata whaikaha Māori (Māori with lived experience of disability). Semi-structured in-depth interviews were conducted with 28 tāngata whaikaha Māori and their whānau (extended family) using a kaupapa Māori Research methodology. An equity framework was used to analyse the data. The results describe: (1) inequitable access to the determinants of health and well-being; (2) inequitable access to and through health and disability care; (3) differential quality of health and disability care received; and (4) Indigenous Māori-driven solutions. These data confirm that tāngata whaikaha Māori in the nation-state known as New Zealand experience racism, ableism and disablism, compounded by the intersection between these types of discrimination. Recommendations from the data support the inclusion of tāngata whaikaha Māori in decision-making structures, including all policies and practices, along with equal partnership rights when it comes to designing health and disability systems and services. |
| References: | J Health Care Poor Underserved. 2009;20(4 Suppl):1-12. (PMID: 20168027) Int J Equity Health. 2018 Feb 17;17(1):26. (PMID: 29454356) N Z Med J. 2020 Sep 4;133(1521):55-68. (PMID: 32994637) |
| معلومات مُعتمدة: | HRC 19-147 Health Research Council of New Zealand |
| فهرسة مساهمة: | Keywords: Indigenous Māori; ableism; disability; disablism; equity; inequities; intersectional disadvantage; multidimensional impacts; racism; tāngata whaikaha Māori |
| تواريخ الأحداث: | Date Created: 20221027 Date Completed: 20221028 Latest Revision: 20230117 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC9602565 |
| DOI: | 10.3390/ijerph192013558 |
| PMID: | 36294138 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1660-4601 |
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| DOI: | 10.3390/ijerph192013558 |