Lacey Cameron, Clark Mauterangimarie, Manuel Jenni, Pitama Suzanne, Cunningham Ruth, Keelan Karen, Rijnberg Vivienne, Cleland Lana, Jordan Jennifer
Māori/Indigenous Health Institute (MIHI), University of Otago, Christchurch; Department of Psychological Medicine, University of Otago, Christchurch.
Māori/Indigenous Health Institute (MIHI), University of Otago, Christchurch.
N Z Med J. 2020 May 8;133(1514):71-76.
The New Zealand Mental Health Survey, Te Rau Hinengaro, indicated that eating disorders are at least as common in Māori as non-Māori, which is consistent with international findings that eating disorders exist in other indigenous and ethnic minority groups. Specific factors may be relevant to the development and treatment of eating disorders in the Māori population. We suggest this may include differential exposure to risk factors, the impact of acculturation, changing body image ideals and systemic bias reducing access to treatment and research participation. However, an absence of high-quality research regarding eating disorders in Māori makes it difficult to be certain about this. We suspect that Māori do not receive treatment in specialist eating disorders services at a level commensurate with comparable prevalence data in New Zealand and that a significant contributory factor to the apparent unmet need for Māori with eating disorders is likely to be systemic bias. Urgent attention to this area of research is required.
新西兰心理健康调查“蒂劳希内加罗”表明，饮食失调在毛利人群中的普遍程度至少与非毛利人相当，这与国际上其他原住民和少数族裔群体存在饮食失调的研究结果一致。特定因素可能与毛利人群饮食失调的发展和治疗相关。我们认为，这可能包括接触风险因素的差异、文化适应的影响、身体形象理想的变化以及减少获得治疗和参与研究机会的系统性偏见。然而，由于缺乏关于毛利人饮食失调的高质量研究，很难确定这一点。我们怀疑，毛利人在专门的饮食失调服务机构接受治疗的比例与新西兰类似患病率数据不匹配，而毛利人饮食失调明显未得到满足的需求的一个重要促成因素很可能是系统性偏见。迫切需要关注这一研究领域。
