Cultural and social factors and quality of life of māori in advanced age. Te puawaitanga o nga tapuwae kia ora tonu – life and living in advanced age: a cohort study in New Zealand (LiLACS NZ)

Dyall, Lorna, Kepa, Mere, Teh, Ruth, Mules, Rangimarie, Moyes, Simon A., Wham, Carol, Hayman, Karen, Connolly, Martin, Wilkinson, Tim, Keeling, Sally, Loughlin, Hine, Jatrana, Santosh, and Kerse, Ngaire (2014) Cultural and social factors and quality of life of māori in advanced age. Te puawaitanga o nga tapuwae kia ora tonu – life and living in advanced age: a cohort study in New Zealand (LiLACS NZ). New Zealand Medical Journal, 127 (1393). pp. 62-79.

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Abstract

Aim To establish 1) the socioeconomic and cultural profile and 2) correlates of quality of life (QOL) of Maori in advanced age.

Method A cross sectional survey of a population based cohort of Maori aged 80–90 years, participants in LiLACS NZ, in the Rotorua and Bay of Plenty region of New Zealand. Socioeconomic and cultural engagement characteristics were established by personal interview and QOL was assessed by the SF-12.

Results In total 421 (56%) participated and 267 (63%) completed the comprehensive interview. Maori lived with high deprivation areas and had received a poor education in the public system. Home ownership was high (81%), 64% had more than 3 children still living and social support was present for practical tasks and emotional support in 82%. A need for more practical help was reported by 21%. Fifty-two percent of the participants used te reo Maori me nga tikanga (Maori language and culture) daily. One in five had experienced discrimination and one in five reported colonisation affecting their life today. Greater frequency of visits to marae/sacred gathering places was associated with higher physical health-related QOL. Unmet need for practical help was associated with lower physical health-related QOL. Lower mental health-related QOL was associated with having experienced discrimination.

Conclusion Greater language and cultural engagement is associated with higher QOL for older Maori and unmet social needs and discrimination are associated with lower QOL.

Item ID: 62593
Item Type: Article (Research - C1)
ISSN: 1175-8716
Copyright Information: © NZMA.
Date Deposited: 12 Dec 2021 22:18
FoR Codes: 45 INDIGENOUS STUDIES > 4510 Te hauora me te oranga o te Māori (Māori health and wellbeing) > 451003 Ngā tokoingoa ahurea o te hauora o te Māori (Māori cultural determinants of health) @ 60%
45 INDIGENOUS STUDIES > 4510 Te hauora me te oranga o te Māori (Māori health and wellbeing) > 451018 Ngā tokoingoa pāpori o te hauora o te Māori (Māori social determinants of health) @ 40%
SEO Codes: 21 INDIGENOUS > 2107 Te hauora (hauora Maori) (Maori health) > 210701 Nga tokoingoa hauora (determinants of Maori health) @ 60%
21 INDIGENOUS > 2107 Te hauora (hauora Maori) (Maori health) > 210702 Te tunga me nga putanga hauora (Maori health status and outcomes) @ 40%
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