A Kaupapa Maori approach to a community cohort study of heart disease in New Zealand

作者：Pitama Suzanne^*; Wells J Elisabeth; Faatoese Allamanda; Tikao Mason Karen; Robertson Paul; Huria Tania; Gillies Tawhirimatea; Doughty Rob; Whalley Gillian; Troughton Richard; Sheerin Ian; Richards Mark; Cameron Vicky A

来源：Australian and New Zealand Journal of Public Health, 2011, 35(3): 249-255.

DOI：10.1111/j.1753-6405.2011.00702.x

• Indigenous population
• ethnic groups
• cardiology
• heart diseases

Objective: To report the processes and protocols that were developed in the design and implementation of the Hauora Manawa Project, a cohort study of heart disease in New Zealand and to report the participation at baseline.
Methods: This study utilised application of a Kaupapa Maori Methodology in gaining tribal and health community engagement, design of the project and random selection of participants from territorial electoral rolls, to obtain three cohorts: rural Maori, urban Maori and urban non-Maori. Logistic regression was used to model response rates.
Results: Time invested in gaining tribal and health community engagement assisted in the development and design of clear protocols and processes for the study. Response rates were 57.6%, 48.3% and 57.2%. Co-operation rates (participation among those with whom contact was established) were 74.7%, 66.6% and 71.4%.
Conclusions: Use of electoral rolls enables straightforward sampling but results in low response rates because electors have moved. Co-operation rates highlight the acceptability of this research project to the participants; they indicate the strength of Kaupapa Maori Methodologies in engaging Maori participants and community.
Implications: This study provides a model for conducting clinical/biomedical research projects that are compatible with cultural protocols and methodologies, in which the primary aim of the research was Maori health gain.

• 出版日期2011-6