新西兰存在严重的健康不公平现象，毛利人和太平洋岛民面临更高的疾病风险和更低的预期寿命。1毛利男性平均寿命为73.7岁，毛利女性为78.0岁，均显著低于欧洲及其他族裔男性的81.1岁和女性的84.3岁。1这一差距由结构性因素驱动，包括吸烟率、肥胖症和疾病筛查覆盖率的种族差异，而非遗传因素。1根据2024-25年新西兰健康调查，毛利人死于可预防疾病的可能性是欧洲新西兰人的1.46倍，太平洋岛民为1.18倍。1
医疗可及性和生活方式差异加剧了这些不平等。1约200,000人无法获得全科医生，其中一半是毛利人。12024-25年新西兰健康调查显示，因成本原因未访问全科医生的成年人中，太平洋岛民占25.1%，毛利人占18.7%。1此外，毛利人的日常吸烟率为15.0%，太平洋岛民为10.3%，均远高于欧洲及其他族裔的5.7%；1太平洋岛民的肥胖率高达69.5%，毛利人为46.9%，欧洲及其他族裔为33.5%；1糖尿病患病率方面，太平洋岛民为12.5%，毛利人为7.0%，欧洲及其他族裔为5.4%。1
近期政策变化可能进一步恶化这些差距。今年7月生效的修订初级保健资金公式取消了种族作为关键指标，1同时国家领导的联合政府废除了Te Aka Whai Ora（毛利健康机构），未提供替代计划。1
New Zealand faces a stark health disparity that disproportionately affects Māori and Pacific Islander populations, driven by systemic rather than genetic factors.1 Māori men have a life expectancy of 73.7 years and women 78.0 years, significantly below the 81.1 years for European and other ethnic groups among men and 84.3 years among women.1 Pacific Islanders and Māori face elevated risks of preventable death, with Māori experiencing a 1.46 times higher likelihood compared to European New Zealanders, while Pacific Islanders face 1.18 times higher risk.1
The underlying causes reflect profound inequities in health behaviors and healthcare access tied to structural disadvantage. Daily smoking rates among Māori stand at 15.0% compared to 5.7% for Europeans and other ethnic groups, while Pacific Islanders smoke at 10.3%.1 Obesity disproportionately affects these communities, with 69.5% of Pacific Islanders and 46.9% of Māori classified as obese, against 33.5% of Europeans and other groups.1 Diabetes prevalence among Pacific Islanders reaches 12.5%—more than double the 5.4% rate among Europeans and other ethnic groups—while Māori prevalence stands at 7.0%.1 Financial barriers further entrench these disparities: according to the 2024-25 New Zealand Health Survey, 25.1% of Pacific Islanders and 18.7% of Māori forgo visits to general practitioners due to cost, compared to 14.9% of all adults surveyed.1 Approximately 200,000 people lack access to a general practitioner, with half being Māori.1
Recent policy shifts threaten to worsen these inequities. The revised primary care funding formula that took effect in July removed race as a key indicator.1 Additionally, the government-led coalition abolished Te Aka Whai Ora, the Māori health authority, without providing an alternative framework to address ethnic health gaps.1
评论
还没有评论，欢迎留下第一条。