Racism and Health Among Aotearoa New Zealand Young People Aged 15-24 years: Analysis of Multiple National Surveys

被引:2
|
作者
Harris, Ricci [1 ]
Li, Chao [2 ]
Stanley, James [3 ]
King, Paula Toko [1 ]
Priest, Naomi [4 ,5 ,6 ]
Curtis, Elana [7 ]
Ameratunga, Shanthi [8 ]
Sorensen, Dakota [9 ]
Tibble, Fushia [10 ]
Tewhaiti-Smith, Jordan [11 ]
Thatcher, Paeone [12 ]
Araroa, Raeana [13 ]
Pihema, Sarah [14 ]
Lee-Kirk, Shafan [15 ]
King, Stanley John Robert [16 ,17 ]
Urlich, Tupua [18 ]
Livingstone, Ngato-Zharnaye [19 ]
Brady, Soraya Kamau [20 ]
Matehe, Charlizza [21 ]
Paine, Sarah-Jane [2 ]
机构
[1] Univ Otago, Te Ropu Rangahau Hauora Eru Pomare, Wellington, New Zealand
[2] Univ Auckland, Fac Med & Hlth Sci, Te Kupenga Hauora Maori, Auckland, New Zealand
[3] Univ Otago, Wellington, New Zealand
[4] Ctr Social Policy Res, Canberra, ACT, Australia
[5] Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[6] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Indigenous Hlth Equ Unit, Melbourne, Vic, Australia
[7] Univ Auckland, Fac Med & Hlth Sci, Te Kupenga Hauora Maori, Auckland, New Zealand
[8] Univ Auckland, Fac Med & Hlth Sci, Sch Populat Hlth, Auckland, New Zealand
[9] Univ Auckland, Rangatahi Partnership Grp, Auckland, New Zealand
[10] Univ Auckland, Rangatahi Partnership Grp, Gisborne, New Zealand
[11] Rangatahi Partnership Grp, Med Res Inst New Zealand, Wellington, New Zealand
[12] Univ Otago, Rangatahi Partnership Grp, Dunedin, New Zealand
[13] Rangatahi Partnership Grp, Auckland, New Zealand
[14] Rangatahi Partnership Grp, Napier, New Zealand
[15] Rangatahi Partnership Grp, Wellington, New Zealand
[16] Rangatahi Partnership Grp, Gisborne, New Zealand
[17] Rangatahi Partnership Grp, Hawkes Bay, New Zealand
[18] Rangatahi Partnership Grp, Ngati Kahungunu Ki Heretaunga, Auckland, New Zealand
[19] Auckland Univ Technol, Rangatahi Partnership Grp, Auckland, New Zealand
[20] Te Paepae Arahi Trust, Rangatahi Partnership Grp, 2 Face Drama, Mahia, Hawkes Bay, New Zealand
[21] Toi Matarua, Napier, Hawkes Bay, New Zealand
关键词
Adolescent and young adult health; Ethnic inequities; New Zealand; Racism; LIFE-COURSE; DISCRIMINATION; MAORI; TIME;
D O I
10.1016/j.jadohealth.2024.04.021
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: This Aotearoa New Zealand-based study addresses a gap in literature focusing on dividual experiences of racism among adolescents and young adults and its links to health. Methods: This cross-sectional study uses data from multiple instances of the New Zealand Health Survey (2002/03, 2006/07, 2011/12, 2016/17) and General Social Survey (2008-2016) restricted participants aged 15-24 years. Prevalence of reported experiences of racism are estimated. Meta-analytic techniques to pool data and multiple regression analyses are used to examine associations between experiences of racism and outcomes measures (mental and physical health, general health and well-being, life satisfaction, inability to access health care, and identity). The study used an ethical co-design process between university researchers and a rangatahi Maori (Maori young people) partnership group. Results: Racism was higher among Maori, Pacific, and Asian young people compared to European young people. Racism was associated with all negative health and well-being measures examined for young people, including negative mental and physical health measures (12-Item Short Form Survey, Kessler Psychological Distress Scale), lower self-rated health, negative life satisfaction, higher unmet need for primary care, and identity measures (feelings of not belonging in New Zealand, less able to express their identity). Discussion: The results of this study are concerning. Non-European young people disproportionately bear the burden of racism in Aotearoa New Zealand with a potentially substantial impact on their health and well-being. This is a breach of Indigenous (for Maori) and other international human rights and should be motivation to act to eliminate racism in all its forms. (c) 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:416 / 425
页数:10
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