健康研究における民族的分類:アオテアロア・ニュージーランドにおける精神保健サービスの提供への影響
Pablo Richly1, Bell Ratahi1, Matthew Jenkins2
1Waikato Mental Health & Addictions Services, Health New Zealand, Hamilton, New Zealand.
まとめ
アテオラ・ニュージーランド
科学分野:
- 公衆衛生
- 医療の公平性に関する研究
- 健康社会学
背景:
- アオテアロア・ニュージーランドにおける現在の民族データ収集は 単純すぎます
- 現存するカテゴリーは 混雑した民族的アイデンティティの 複雑さを反映していません
- この簡素化は民族間の健康格差を 隠しているかもしれません
研究 の 目的:
- 現在の人種分類が健康上の不平等に与える影響を分析する.
- マオリ族の健康状態の違いを調査する.
- 対象となる介入のための民族データ収集の改善を提唱する.
主な方法:
- ワイカト病院の入院データ分析
- 地域での自殺のデータを分析した.
- 詳細な民族性識別に基づく健康結果の比較
主要な成果:
- 民族,特にマオリ族の間で健康上の大きな格差がある.
- マオリとヨーロッパ人の混在のアイデンティティと比較して 病院入院や自殺のリスクが高くなります
- 集団内の重要な差異を隠している.
結論:
- 現在の民族的慣習は アイデンティティを過度に単純化することで 健康上の不平等を永続させています
- 精巧な民族データは 格差を理解し対処するために不可欠です
- 精神保健サービスには 詳細なデータが必要です
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