Talamaivao Natalie, Harris Ricci, Cormack Donna, Paine Sarah-Jane, King Paula
Foxley Fellow, Te Rōpū Rangahau Hauora a Eru Pōmare, Department of Public Health, University of Otago, Wellington.
Associate Professor, Te Rōpū Rangahau Hauora a Eru Pōmare, Department of Public Health, University of Otago, Wellington.
N Z Med J. 2020 Sep 4;133(1521):55-68.
Racism is an underlying cause of ethnic health inequities both in Aotearoa New Zealand and internationally. It is timely to synthesise racism and health research within New Zealand particularly given the current policy environment and shift towards addressing the health effects of racism.
To review quantitative research examining self-reported experiences of racial discrimination and associations with measures of health (health conditions, health risk, health status and healthcare) in New Zealand.
MEDLINE, PsycINFO, Web of Science and CINAHL databases were searched for studies reporting on associations between experiences of racism and health.
The systematic review identified 24 quantitative studies reporting associations between self-reported racial discrimination across a wide range of health measures including mental health, physical health, self-rated health, wellbeing, individual level health risks, and healthcare indicators.
Quantitative racism and health research in New Zealand consistently finds that self-reported racial discrimination is associated with a range of poorer health outcomes and reduced access to and quality of healthcare. This review confirms that experience of racial discrimination is an important determinant of health in New Zealand, as it is internationally. There is a pressing need for effectively designed interventions to address the impacts of racism on health.
在新西兰以及国际上，种族主义都是导致不同种族间健康不平等的一个根本原因。鉴于当前的政策环境以及在应对种族主义对健康影响方面的转变，及时对新西兰国内有关种族主义与健康的研究进行综合分析很有必要。
回顾新西兰关于自我报告的种族歧视经历以及与健康指标（健康状况、健康风险、健康状况和医疗保健）之间关联的定量研究。
在MEDLINE、PsycINFO、科学引文索引和护理学与健康领域数据库中检索有关种族主义经历与健康之间关联的研究报告。
该系统评价确定了24项定量研究，这些研究报告了自我报告的种族歧视与广泛的健康指标之间的关联，这些指标包括心理健康、身体健康、自我评定健康、幸福感、个人层面的健康风险以及医疗保健指标。
新西兰有关种族主义与健康的定量研究一致发现，自我报告的种族歧视与一系列较差的健康结果以及获得医疗保健的机会减少和医疗保健质量降低有关。这一综述证实，种族歧视经历是新西兰健康状况的一个重要决定因素，在国际上也是如此。迫切需要设计有效的干预措施来应对种族主义对健康的影响。
