A Kaupapa Māori approach to a community cohort study of heart disease in New Zealand
Version of Record online: 31 MAY 2011
© 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 35, Issue 3, pages 249–255, June 2011
How to Cite
Pitama, S., Wells, J. E., Faatoese, A., Tikao-Mason, K., Robertson, P., Huria, T., Gillies, T., Doughty, R., Whalley, G., Troughton, R., Sheerin, I., Richards, M. and Cameron, V. A. (2011), A Kaupapa Māori approach to a community cohort study of heart disease in New Zealand. Australian and New Zealand Journal of Public Health, 35: 249–255. doi: 10.1111/j.1753-6405.2011.00702.x
- Issue online: 31 MAY 2011
- Version of Record online: 31 MAY 2011
- Submitted: June 2010 Revision requested: October 2010 Accepted: December 2010
- Indigenous population;
- ethnic groups;
- 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 Māori 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 Māori, urban Māori and urban non-Māori. 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 Māori Methodologies in engaging Māori 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 Māori health gain.