Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study

Abstract Objective: To examine the prevalence of key outcomes among Māori and non‐Māori 12 months post‐injury, and to estimate the risk of these outcomes for Māori compared to non‐Māori. Methods: The Prospective Outcomes of Injury Study recruited 2,856 New Zealand residents from five regions of New...

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Main Authors: Brett Maclennan, Emma Wyeth, Gabrielle Davie, Suzanne Wilson, Sarah Derrett
Format: Article
Language:English
Published: Elsevier 2014-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12228
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author Brett Maclennan
Emma Wyeth
Gabrielle Davie
Suzanne Wilson
Sarah Derrett
author_facet Brett Maclennan
Emma Wyeth
Gabrielle Davie
Suzanne Wilson
Sarah Derrett
author_sort Brett Maclennan
collection DOAJ
description Abstract Objective: To examine the prevalence of key outcomes among Māori and non‐Māori 12 months post‐injury, and to estimate the risk of these outcomes for Māori compared to non‐Māori. Methods: The Prospective Outcomes of Injury Study recruited 2,856 New Zealand residents from five regions of New Zealand. This paper examines outcomes at 12 months post‐injury for the Māori (n=405) and non‐Māori (n=1,875) groups. Results: High levels of adverse outcomes at 12 months post‐injury were observed in both groups. A greater proportion of Māori than non‐Māori were experiencing disability, problems with mobility and psychological distress 12 months post‐injury. After controlling for pre‐injury and injury‐related characteristics, Māori were found to be at greater risk of disability, problems with mobility, having trouble performing usual activities, psychological distress and reporting ‘barely/not enough’ household income at 12 months compared to non‐Māori. Conclusion: Explanations for higher risk of these poor outcomes are unclear. Future research to identify potential explanations will include experiences with health services and rehabilitation support following injury, subsequent injury and illness, and major life events post‐injury. Implications: Adequate post‐injury care focused on physical and psychological health and financial security is required to reduce the burden experienced by Māori due to injury.
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spelling doaj.art-a202e438343f40b4aeea8b2fa2be41572023-09-03T03:26:45ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052014-06-0138322723310.1111/1753-6405.12228Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort studyBrett Maclennan0Emma Wyeth1Gabrielle Davie2Suzanne Wilson3Sarah Derrett4Injury Prevention Research Unit, Department of Preventive and Social Medicine University of Otago New ZealandTe Roopū Rakahau Hauora Māori a Kāi Tahu (Ngāi Tahu Māori Health Research Unit), Department of Preventive and Social Medicine University of Otago New ZealandInjury Prevention Research Unit, Department of Preventive and Social Medicine University of Otago New ZealandInjury Prevention Research Unit, Department of Preventive and Social Medicine University of Otago New ZealandInjury Prevention Research Unit, Department of Preventive and Social Medicine University of Otago New ZealandAbstract Objective: To examine the prevalence of key outcomes among Māori and non‐Māori 12 months post‐injury, and to estimate the risk of these outcomes for Māori compared to non‐Māori. Methods: The Prospective Outcomes of Injury Study recruited 2,856 New Zealand residents from five regions of New Zealand. This paper examines outcomes at 12 months post‐injury for the Māori (n=405) and non‐Māori (n=1,875) groups. Results: High levels of adverse outcomes at 12 months post‐injury were observed in both groups. A greater proportion of Māori than non‐Māori were experiencing disability, problems with mobility and psychological distress 12 months post‐injury. After controlling for pre‐injury and injury‐related characteristics, Māori were found to be at greater risk of disability, problems with mobility, having trouble performing usual activities, psychological distress and reporting ‘barely/not enough’ household income at 12 months compared to non‐Māori. Conclusion: Explanations for higher risk of these poor outcomes are unclear. Future research to identify potential explanations will include experiences with health services and rehabilitation support following injury, subsequent injury and illness, and major life events post‐injury. Implications: Adequate post‐injury care focused on physical and psychological health and financial security is required to reduce the burden experienced by Māori due to injury.https://doi.org/10.1111/1753-6405.12228injuryoutcomesindigenousdisability
spellingShingle Brett Maclennan
Emma Wyeth
Gabrielle Davie
Suzanne Wilson
Sarah Derrett
Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
Australian and New Zealand Journal of Public Health
injury
outcomes
indigenous
disability
title Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
title_full Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
title_fullStr Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
title_full_unstemmed Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
title_short Twelve‐month post‐injury outcomes for Māori and non‐Māori: findings from a New Zealand cohort study
title_sort twelve month post injury outcomes for maori and non maori findings from a new zealand cohort study
topic injury
outcomes
indigenous
disability
url https://doi.org/10.1111/1753-6405.12228
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AT gabrielledavie twelvemonthpostinjuryoutcomesformaoriandnonmaorifindingsfromanewzealandcohortstudy
AT suzannewilson twelvemonthpostinjuryoutcomesformaoriandnonmaorifindingsfromanewzealandcohortstudy
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