Bramley Dale, Hebert Paul, Tuzzio Leah, Chassin Mark
Department of Health Policy, Mount Sinai Medical School, NY, USA.
Am J Public Health. 2005 May;95(5):844-50. doi: 10.2105/AJPH.2004.040907.
We compared the health statuses of the indigenous populations of New Zealand and the United States with those of the numerically dominant populations of these countries.
Health indicators compared included health outcome measures, preventive care measures, modifiable risk factor prevalence, and treatment measures.
In the case of nearly every health status indicator assessed, disparities (both absolute and relative) were more pronounced for Maoris than for American Indians/Alaska Natives. Both indigenous populations suffered from disparities across a range of health indicators. However, no disparities were observed for American Indians/Alaska Natives in regard to immunization coverage.
Ethnic health disparities appear to be more pronounced in New Zealand than in the United States. These disparities are not necessarily intractable. Although differences in national health sector responses exist, New Zealand may be well placed in the future to evaluate the effectiveness of new strategies to reduce these disparities given the extent and quality of Maori-specific health information available.
我们将新西兰和美国的原住民健康状况与这两个国家中数量占优的人口的健康状况进行了比较。
所比较的健康指标包括健康结果指标、预防保健指标、可改变风险因素的流行率以及治疗指标。
在几乎每一项评估的健康状况指标方面，毛利人所面临的差异（包括绝对差异和相对差异）比美国印第安人/阿拉斯加原住民更为显著。两个原住民群体在一系列健康指标上都存在差异。然而，美国印第安人/阿拉斯加原住民在免疫接种覆盖率方面未观察到差异。
种族健康差异在新西兰似乎比在美国更为显著。这些差异不一定是难以解决的。尽管两国卫生部门的应对措施存在差异，但鉴于现有的针对毛利人的健康信息的范围和质量，新西兰未来可能很适合评估减少这些差异的新策略的有效性。
