Measuring Māori Health, Wellbeing, and Disability in Aotearoa Using a Web-Based Survey Methodology

Tristram R. Ingham (), Bernadette Jones, Meredith Perry, Martin von Randow, Barry Milne, Paula T. King, Linda W. Nikora, Andrew Sporle and Te Ao Mārama Study Group
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Tristram R. Ingham: Department of Medicine, University of Otago, Wellington 6242, New Zealand
Bernadette Jones: Department of Medicine, University of Otago, Wellington 6242, New Zealand
Meredith Perry: School of Physiotherapy, University of Otago, Dunedin 9016, New Zealand
Martin von Randow: Compass Research Centre, University of Auckland, Auckland 1142, New Zealand
Barry Milne: Compass Research Centre, University of Auckland, Auckland 1142, New Zealand
Paula T. King: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, Wellington 6242, New Zealand
Linda W. Nikora: Nga Pae o te Māramatanga, Faculty of Arts, University of Auckland, Auckland 1142, New Zealand
Andrew Sporle: iNZight Analytics Ltd., Auckland 1010, New Zealand
Te Ao Mārama Study Group: The iwi (tribal) affiliations of these authors are denoted here: Tristram Richard Ingham (Ngāti Kahungunu. ki Heretaunga, Ngāti Porou), Bernadette Jones (Ngā Wairiki, Ngāti Apa), Paula Toko King (Te Aūpouri, Te Rarawa, Ngāpuhi, Ngāti Whātua, Waikato-Tainui, Ngāti Maniapoto), Linda Waimarie Nikora (Te Aitanga a Hauiti, Ngāi Tūhoe), Gabrielle Baker (Ngāpuhi, Ngāti Wairupe-Ngāti Kuri), Huhana Hickey (Ngāti Tāhinga, Whakatōhea).

IJERPH, 2023, vol. 20, issue 18, 1-30

Abstract: High-quality evidence on the prevalence and impact of health, wellbeing, and disability among Māori, and other Indigenous peoples, is crucial for mitigating health inequities. Current surveys are predominantly centred within a biomedical paradigm, with the constructs mismatched with Indigenous worldviews. We aimed to develop and deploy an accessible and culturally grounded survey exploring Māori health, wellbeing, and disability using a Kaupapa Māori Research methodology. An extensive codesign process with Māori community partners interrogated all aspects of the design to ensure the process and outcomes met the needs of Māori. A large-scale, nationally representative survey of people of Māori descent was conducted. We used a multi-modal deployment approach that included online and alternate methods of completion. Our analysis included a novel dual-weighting system to ensure generalisability of results to the national Māori population. This achieved a survey of 7230 participants, a sample size comparable with government-administered surveys. The response rate was 11.1%, with 7.3% opting for alternate methods. A high completion rate of 93.4% was observed. This approach demonstrated a high level of engagement, resulting in an unprecedented collection of Māori health, wellbeing, and disability data. This highlights the importance of Indigenous codesign for ensuring accessible and culturally appropriate survey methods.

Keywords: indigenous methodology; Kaupapa M?ori research methods; indigenous survey design; disability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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