Diabetes Among Māori and Other Ethnic Groups in New Zealand

Atlantis, Evan; Joshy, Grace; Williams, Margaret; Simmons, David

doi:10.1007/978-3-319-41559-8_10

Cited by 14 publications

(14 citation statements)

References 28 publications

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“…In addition, the country has a significant and increasing Polynesian population, split between Maori and Pacific Islanders (16.5% and 9%, respectively, in 2019) [48]. These dietary changes have affected these minority populations significantly more severely, with very high and rapidly increasing levels of morbid obesity and diabetes [49]. These changes, and their negative outcomes, are also establishing themselves very early in life [50].…”

Section: Research Hypothesesmentioning

confidence: 99%

An Experimental Comparison of the Impact of ‘Warning’ and ‘Health Star Rating’ FoP Labels on Adolescents’ Choice of Breakfast Cereals in New Zealand

Hamlin

2020

Nutrients

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This research investigated the performance of the red, octagonal Vienna Convention traffic ‘STOP’ sign as a front of pack (FoP) warning nutritional label. While the Vienna Convention traffic light system is an established FoP label, the potential of the ‘STOP’ sign in the role has not been investigated. The performance of the ‘STOP’ label was compared with that of a single star (low nutritional value) Australasian Health Star Rating (HSR) label using a fractionally replicated Latin square design. The labels were presented on choice diads of cold breakfast cereal packets. The sample of 240 adolescents aged 16–18 was drawn from a secondary school in the South Island of New Zealand. A large and significant main effect was observed at the p < 0.01 level for the difference between the ’STOP’ sign and the control condition (no nutritional FoP label), and at p < 0.05 for the difference between the HSR and the ‘STOP’ label. There was no significant difference between the HSR FoP and the control condition. A significant non-additivity (interaction) (p < 0.01) was also observed via the fractional replication. The results indicate that the Vienna Convention ‘STOP’ sign is worthy of further research with regard to its potential as an FoP nutritional label.

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Section: Research Hypothesesmentioning

confidence: 99%

An Experimental Comparison of the Impact of ‘Warning’ and ‘Health Star Rating’ FoP Labels on Adolescents’ Choice of Breakfast Cereals in New Zealand

Hamlin

2020

Nutrients

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“…Inequities in health and variations between ethnicity groups in the prevalence of systemic diseases have been reported in New Zealand. 15 The health gap is persistent between Māori and non-Māori. 16 Chronic conditions such as diabetes, cardiovascular disease and chronic obstructive pulmonary disease are more prevalent among Māori compared with other New Zealanders.…”

Section: Introductionmentioning

confidence: 99%

“… 16 Chronic conditions such as diabetes, cardiovascular disease and chronic obstructive pulmonary disease are more prevalent among Māori compared with other New Zealanders. 17 18 Māori have a higher need for renal replacement therapy 15 and a 30% higher risk of developing a cardiovascular event compared with European New Zealanders. 19 15 16 17 18 15 …”

Section: Introductionmentioning

confidence: 99%

Vision impairment and differential access to eye health services in Aotearoa New Zealand: protocol for a scoping review

et al. 2021

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IntroductionIn Aotearoa New Zealand, Māori and Pacific people experience worse health outcomes compared with other New Zealanders. No population-based eye health survey has been conducted, and eye health services do not generate routine monitoring reports, so the extent of eye health inequality is unknown. This information is required to plan equitable eye health services. Here we outline the protocol for a scoping review to report the nature and extent of the evidence reporting vision impairment, and the use of eye health services by ethnicity in New Zealand.Methods and analysisAn information specialist will conduct searches on MEDLINE and Embase, with no limit on publication dates or language. We will search the grey literature via websites of relevant government and service provider agencies. Reference lists of included articles will be screened. Observational studies will be included if they report the prevalence of vision impairment, or any of the main causes (cataract, uncorrected refractive error, macular degeneration, glaucoma or diabetic retinopathy) or report the use of eye health services in New Zealand among people of any age. Two authors will independently review titles, abstracts and full-text articles, and complete data extraction. Overall findings will be summarised using descriptive statistics and thematic analysis, with an emphasis on disaggregation by ethnicity where this information is available.Ethics and disseminationEthical approval has not been sought as our review will only include published and publicly accessible data. We will publish the review in an open access peer-reviewed journal. We anticipate the findings will be useful to organisations and providers in New Zealand responsible to plan and deliver eye care services, as well as stakeholders in other countries with differential access to eye care.Registration detailsThe protocol has been registered with Open Science Framework (https://osf.io/yw7xb).

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“…Pacific people make up 7% of the total NZ population 3 with Tongan people comprising 20.4% of Pacific peoples in NZ 4 . Pacific peoples are at high risk of T2D both within their homelands and as migrants to NZ 5 . Overall, Pacific populations in NZ are more likely to have a non‐communicable disease, compared to NZ/European people 5‐7 …”

Section: Introductionmentioning

confidence: 99%

“…The chronic and non‐acute nature of prediabetes can lead to late diagnosis and delayed treatment. Established risk factors associated with prediabetes include ethnicity (particularly for ethnic groups in NZ, being of Māori, Pacific Islander or South Asian descent) 5 and increasing age. Other risk factors include a sedentary lifestyle, poor nutrition (and overweight), high blood pressure and family history of T2D 9 .…”

Section: Introductionmentioning

confidence: 99%

Falling into a deep dark hole: Tongan people’s perceptions of being at risk of developing type 2 diabetes

Faletau

Nosa

Dobson

et al. 2020

Health Expectations

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Background Prediabetes is a precursor for type 2 diabetes. Compared to the New Zealand/European and other population groups (24.6%), the prevalence of prediabetes is higher within Pacific groups (29.8%). The diagnosis of prediabetes presents a potential opportunity to intervene to prevent progression to type 2 diabetes. Objective To develop an understanding of how being ‘at risk’ of developing type 2 diabetes is perceived by Tongan people with prediabetes living in Auckland, New Zealand. Methods The Kakala and Talanga Tongan methodologies underpinned this study. Twelve one‐on‐one, semi‐structured interviews with Tongan patients who had prediabetes from a primary health‐care clinic in Auckland, New Zealand, were conducted. Thematic analysis was used to identify recurrent themes from the data. Results Participants were not aware of their prediabetes diagnosis, emotions associated with the diagnosis reflected fear and disbelief and a perception of imminent danger. Family history informed perceptions of the risk of developing type 2 diabetes. Participants could not differentiate prediabetes from type 2 diabetes, and recollections of being ‘back in the Islands’ of Tonga were consistent with healthy lifestyles. Conclusions Prediabetes appeared to be poorly understood and was believed to be irreversible, which could discourage behaviour change, social and physical improvements in health. Appropriate culturally tailored messages to accompany a prediabetes diagnosis, including cause and management, would be beneficial for Pacific peoples.

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Diabetes Among Māori and Other Ethnic Groups in New Zealand

Cited by 14 publications

References 28 publications

An Experimental Comparison of the Impact of ‘Warning’ and ‘Health Star Rating’ FoP Labels on Adolescents’ Choice of Breakfast Cereals in New Zealand

An Experimental Comparison of the Impact of ‘Warning’ and ‘Health Star Rating’ FoP Labels on Adolescents’ Choice of Breakfast Cereals in New Zealand

Vision impairment and differential access to eye health services in Aotearoa New Zealand: protocol for a scoping review

Falling into a deep dark hole: Tongan people’s perceptions of being at risk of developing type 2 diabetes

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