A Kaupapa Māori approach to a community cohort study of heart disease in New Zealand

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Authors
Whalley, Gillian
Pitama, S.G.
Wells, J.E.
Faatoese, A.F.
Huria, T.
Troughton, R.W.
Sheerin, I.G.
Richards, Mark
Cameron, V.A.
Robertson, P.
Tikao-Mason, K.N.
Gillies, T.W.
Author ORCID Profiles (clickable)
Degree
Grantor
Date
2011
Supervisors
Type
Journal Article
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
heart disease
Māori communities
kaupapa Māori
ANZSRC Field of Research Code (2020)
Citation
Pitama, S., Wells, J. E., Faatoese, A., Tikao‐Mason, K., Robertson, P., Huria, T., ... & Cameron, V. A. (2011). A Kaupapa Māori approach to a community cohort study of heart disease in New Zealand. Australian and New Zealand Journal of Public Health, 35(3), 249-255.
Abstract
Objective: To report the processes and protocols that were developed in the design and implementation of the Hauora Manawa Project, a cohort study of heart disease in New Zealand and to report the participation at baseline. Methods: This study utilised application of a Kaupapa Māori Methodology in gaining tribal and health community engagement, design of the project and random selection of participants from territorial electoral rolls, to obtain three cohorts: rural Māori, urban Māori and urban non-Māori. Logistic regression was used to model response rates. Results: Time invested in gaining tribal and health community engagement assisted in the development and design of clear protocols and processes for the study. Response rates were 57.6%, 48.3% and 57.2%. Co-operation rates (participation among those with whom contact was established) were 74.7%, 66.6% and 71.4%. Conclusions: Use of electoral rolls enables straightforward sampling but results in low response rates because electors have moved. Co-operation rates highlight the acceptability of this research project to the participants; they indicate the strength of Kaupapa Māori Methodologies in engaging Māori participants and community. Implications: This study provides a model for conducting clinical/biomedical research projects that are compatible with cultural protocols and methodologies, in which the primary aim of the research was Māori health gain. Key words: Indigenous population, ethnic groups, cardiology, heart diseases
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Link to ePress publication
DOI
10.1111/j.1753-6405.2011.00702.x
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© 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia
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