000			03615nab a22003737a 4500
999			_c6463 _d6463
005			20250625151519.0
008			191205s2018 -nz||||| |||| 00| 0 eng d
040			_aAFVC
100			_aWilliams, Ashlea D. _98739
245			_aThe associations between cultural identity and mental health outcomes for indigenous Māori youth in New Zealand _cAshlea D. Williams, Terryann C. Clark and Sonia Lewycka
260			_bFrontiers in Public Health, _c2018
490	0		_aFrontiers in Public Health
500			_aFrontiers in Public Health, 2018, Online publication, 13 November 2018
520			_aObjectives: To explore the relationships between Māori cultural identity, ethnic discrimination and mental health outcomes for Māori youth in New Zealand. Study Design: Nationally representative, anonymous cross-sectional study of New Zealand secondary school students in 2012. Methods: Secondary analysis of Māori students (n = 1699) from the national Youth'12 secondary school students survey was undertaken. Theoretical development and exploratory factor analysis were undertaken to develop a 14-item Māori Cultural Identity Scale (MCIS). Māori students reporting > 8 items were classified as having a strong MCIS. Prevalence of indicators were reported and logistic regression models were used to explore how wellbeing (WHO-5), depressive symptoms (Reynolds Adolescent Depression Scale-SF), and suicide attempts were associated with the MCIS. Results: After adjusting for age, sex, ethnic discrimination and NZ Deprivation Index (NZDep), a strong Māori cultural identity (MCIS) was associated with improved wellbeing scores (OR 1.53, 95% CI 1.18–2.01) and fewer depressive symptoms (OR 0.53, 95% CI 0.38–0.73). Experiencing discrimination was associated with poorer wellbeing scores (OR 0.50, 95% CI 0.39–0.65), greater depressive symptoms (OR 2.2, 95% CI 1.55–3.18), and a previous suicide attempt (OR 2.47, 95% CI 1.71–3.58). Females less frequently reported good (WHO-5) wellbeing (OR 0.33, 95% CI 0.26–0.42), increased (RADS-SF) depressive symptoms (2.61, 95% CI 1.86–3.64) and increased suicide attempts [OR 3.35 (2.07–5.41)] compared to males. Wellbeing, depressive symptoms and suicide attempts did not differ by age or neighborhood level socio-economic deprivation, except those living in neighborhoods characterized as having medium level incomes, were less likely to have made a suicide attempt (OR 0.49, 95% CI 0.27–0.91). Conclusions: Māori youth who have a strong cultural identity were more likely to experience good mental health outcomes. Discrimination has a serious negative impact on Māori youth mental health. Our findings suggest that programmes, policies and practice that promote strong cultural identities and eliminate ethnic discrimination are required to improve mental health equity for Māori youth. (Authors' abstract). Record #6463
650			_aADOLESCENTS _943
650			_aCHILDREN _9127
650			_aCULTURE _9179
650			_aMĀORI _9357
650			_aMENTAL HEALTH _9377
650			_aPROTECTIVE FACTORS _94270
650			_aRANGAHAU MĀORI _95532
650			_aYOUNG PEOPLE _9660
650		0	_96084 _aYOUTH2000
650		4	_aTAIOHI _9595
650		4	_aTAITAMARIKI _9596
650		0	_aTAMARIKI _xHAUORA HINENGARO _98740
650		0	_aTIKANGA TUKU IHO _95542
651		4	_aNEW ZEALAND _92588
700			_aClark, Terryann C. _92412
700			_aLewycka, Sonia _98004
773	0		_tFrontiers in Public Health, 2018, Online publication, 13 November 2018
856			_uhttps://doi.org/10.3389/fpubh.2018.00319
942			_cARTICLE _2ddc