Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Drug Alcohol Rev. 2019 May;38(4):331-338. doi: 10.1111/dar.12886. Epub 2019 Mar 26.
The Treaty of Waitangi stipulates equality between Māori and non-Māori, yet Māori continue to have substantially poorer health, a driver of which is alcohol-related morbidity. In 2012, the New Zealand government introduced legislation claiming it would facilitate community input on decisions about alcohol. We investigated the experience of Māori communities with the new law.
We obtained submissions made to local governments and invited a diverse range of submitters from iwi (tribes), hapū (sub-tribes/clan groups) and Māori service providers, to participate in semi-structured interviews with Māori researchers. We used template analysis to develop hypotheses, and searched for disconfirmatory evidence within interview transcripts and recordings.
Participants had committed substantial human resources to write submissions informed by technical knowledge of liquor licensing and relevant research. They reported that local governments did not seem to engage meaningfully with the content of their submissions, and failed in many instances to update participants on how the consultation was progressing. Some observed that the alcohol industry had easier access to local politicians, and therefore expected outcomes to reflect industry interests.
In their response to Māori constituents on proposed alcohol policies, local governments were felt to lack the inclination or capacity to consult meaningfully. By devolving responsibility for alcohol availability while failing to compel and resource local government to give regard to treaty obligations, the new legislation risks widening existing health inequalities between Māori and non-Māori.
《怀唐伊条约》规定毛利人与非毛利人之间平等,但毛利人的健康状况仍然明显较差,导致这种情况的一个原因是与酒精有关的发病率。2012 年,新西兰政府出台了一项立法,声称这将促进社区对有关酒精的决策提出意见。我们调查了毛利社区对新法律的经验。
我们获取了地方政府提交的材料,并邀请了来自部落、支系/氏族群体和毛利服务提供者的各种提交者,与毛利研究人员进行半结构化访谈。我们使用模板分析来发展假设,并在访谈记录中寻找证伪证据。
参与者投入了大量的人力资源,根据酒类许可和相关研究的技术知识编写提交材料。他们报告说,地方政府似乎没有认真对待提交材料的内容,并且在许多情况下未能向参与者更新咨询进展情况。一些人观察到,酒精行业更容易接触到地方政客,因此预计结果将反映行业利益。
在回应毛利选民对拟议的酒精政策时,地方政府被认为缺乏认真咨询的意愿或能力。新立法将酒精供应的责任下放,同时未能强制要求并为地方政府提供资源以尊重条约义务,这有可能扩大毛利人和非毛利人之间现有的健康不平等。