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Disparities in indigenous health: A cross-country comparison between New Zealand and the United States

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  • Bramley, D.
  • Hebert, P.
  • Tuzzio, L.
  • Chassin, M.

Abstract

Objectives. We compared the health statuses of the indigenous populations of New Zealand and the United States with those of the numerically dominant populations of these countries. Methods. Health indicators compared included health outcome measures, preventive care measures, modifiable risk factor prevalence, and treatment measures. Results. In the case of nearly every health status indicator assessed, disparities (both absolute and relative) were more pronounced for Maoris than for American Indians/Alaska Natives. Both indigenous populations suffered from disparities across a range of health indicators. However, no disparities were observed for American Indians/Alaska Natives in regard to immunization coverage. Conclusions. Ethnic health disparities appear to be more pronounced in New Zealand than in the United States. These disparities are not necessarily intractable. Although differences in national health sector responses exist. New Zealand may be well placed in the future to evaluate the effectiveness of new strategies to reduce these disparities given the extent and quality of Maori-specific health information available.

Suggested Citation

  • Bramley, D. & Hebert, P. & Tuzzio, L. & Chassin, M., 2005. "Disparities in indigenous health: A cross-country comparison between New Zealand and the United States," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 844-850.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.040907_0
    DOI: 10.2105/AJPH.2004.040907
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    Cited by:

    1. Liang-Ting Tsai & Feng-En Lo & Chih-Chien Yang & Wen-Min Lo & Joseph Jordan Keller & Chiou-Wei Hwang & Ching-Feng Lin & Shu-Yu Lyu & Donald E. Morisky, 2016. "Influence of Socioeconomic Factors, Gender and Indigenous Status on Smoking in Taiwan," IJERPH, MDPI, vol. 13(11), pages 1-11, October.
    2. Whelan, Stephen & Wright, Donald J., 2013. "Health services use and lifestyle choices of Indigenous and non-Indigenous Australians," Social Science & Medicine, Elsevier, vol. 84(C), pages 1-12.
    3. Burgard, Sarah A. & Chen, Patricia V., 2014. "Challenges of health measurement in studies of health disparities," Social Science & Medicine, Elsevier, vol. 106(C), pages 143-150.
    4. Zhang, Yiyun & Luh, Yir-Hueih, 2018. "Grandparents' health and family fertility choice: Evidence from Taiwan," China Economic Review, Elsevier, vol. 51(C), pages 294-308.
    5. Kris Inwood & Les Oxley & Evan Roberts, 2008. "Physical stature and its interpretation in nineteenth century New Zealand," Working Papers in Economics 08/22, University of Canterbury, Department of Economics and Finance.
    6. Harris, Ricci & Tobias, Martin & Jeffreys, Mona & Waldegrave, Kiri & Karlsen, Saffron & Nazroo, James, 2006. "Racism and health: The relationship between experience of racial discrimination and health in New Zealand," Social Science & Medicine, Elsevier, vol. 63(6), pages 1428-1441, September.
    7. repec:vuw:vuwcpf:3497 is not listed on IDEAS
    8. Jessica Dye & Stephani� Rossouw & Gail Pacheco, 2012. "Well-being of women in New Zealand: The changing landscape," New Zealand Economic Papers, Taylor & Francis Journals, vol. 46(3), pages 273-302, December.
    9. Wood, Lisa & France, Kathryn & Hunt, Kerry & Eades, Sandra & Slack-Smith, Linda, 2008. "Indigenous women and smoking during pregnancy: Knowledge, cultural contexts and barriers to cessation," Social Science & Medicine, Elsevier, vol. 66(11), pages 2378-2389, June.
    10. Johnston, Vanessa & Thomas, David P., 2008. "Smoking behaviours in a remote Australian Indigenous community: The influence of family and other factors," Social Science & Medicine, Elsevier, vol. 67(11), pages 1708-1716, December.

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