Dyall Lorna
Te Kupenga Hauora Maori, School of Population Health, University of Auckland, Private Bag 92019, Auckland, New Zealand.
N Z Med J. 2014 Feb 14;127(1389):68-80.
Dementia has been framed and seen as a condition associated with ageing and in particular with advanced age, especially amongst those over 80 years of age. For Maori and Pacific peoples in New Zealand dementia is not necessarily associated with age but is directly related to our respective histories within this country, patterns of migration and the socioeconomic determinants of health for both populations from different tribes and nations. Issues are discussed in relation to Maori and Pacific development and the importance of prevention and early detection of chronic health conditions. Whānau Ora is proposed as a developing indigenous and Pacific model with one of its purposes being is to support individuals and families involved in the management of one or more of the chronic health conditions, that may lead onto dementia as part of the end of life process. This paper proposes that the needs of Māori and Pacific, especially, in the Tamaki Makaurau area (Auckland region) must be included in the planning and decision making of policy and services related to dementia. The health and social inequalities of these populations during life and across generations also need to be considered in planning to prevent dementia from occurring early or in midlife.
痴呆症一直被视为与衰老相关的病症，尤其是与高龄相关，特别是在80岁以上人群中。对于新西兰的毛利人和太平洋岛民来说，痴呆症不一定与年龄相关，而是与我们在这个国家各自的历史、移民模式以及来自不同部落和民族的这两个人口群体的健康社会经济决定因素直接相关。文中讨论了与毛利人和太平洋岛民发展相关的问题，以及预防和早期发现慢性健康状况的重要性。“家庭福祉”（Whānau Ora）被提议作为一种正在发展的本土和太平洋模式，其目的之一是支持参与管理一种或多种慢性健康状况的个人和家庭，这些慢性健康状况在生命末期可能会发展为痴呆症。本文提出，毛利人和太平洋岛民的需求，特别是在塔玛基·马考劳地区（奥克兰地区），必须纳入与痴呆症相关的政策和服务规划及决策中。在规划预防痴呆症在生命早期或中年发生时，还需要考虑这些人群在生活期间和代际间的健康和社会不平等问题。
