Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T01:16:46.410Z Has data issue: false hasContentIssue false

The impact of socio-contextual, physical and lifestyle variables on measures of physical and psychological wellbeing among Māori and non-Māori: the New Zealand Health, Work and Retirement Study

Published online by Cambridge University Press:  07 February 2011

PATRICK L. DULIN*
Affiliation:
Department of Psychology, University of Alaska, Anchorage, USA.
CHRISTINE STEPHENS
Affiliation:
School of Psychology, Massey University, Palmerston North, New Zealand.
FIONA ALPASS
Affiliation:
School of Psychology, Massey University, Palmerston North, New Zealand.
ROBERT D. HILL
Affiliation:
Department of Educational Psychology, University of Utah, Salt Lake City, USA.
BRENDAN STEVENSON
Affiliation:
Research Centre for Māori Health and Development, Massey University, Palmerston North, New Zealand.
*
Address for correspondence: Patrick L. Dulin, Department of Psychology, University of Alaska, 3211 Providence Drive, Anchorage, AK 99508, USA. E-mail: [email protected]

Abstract

This article provides an overview of the New Zealand Health, Work and Retirement Study (HWR), the focus of which is on determinants of cultural-contextual factors on physical and mental health among 6,662 New Zealand citizens, a nationally representative sample of adults between 55 and 70 years of age. The HWR was initiated in 2006 with two-year re-assessment intervals. The health and wellbeing of older Māori was a study priority as previous research has shown large health disparities between Māori and non-Māori in New Zealand. Persons of Māori origin were over-sampled to ensure adequate information for subsequent analyses. First-wave results indicated that socioeconomic status, social support and retirement status were associated with optimal ageing among older adults in New Zealand. Māori scored lower on markers of physical and mental health, which was partially explained by restrictive factors including reduced economic living standards and a propensity towards less physical activity. After controlling for multiple socio-contextual and biological variables, ethnicity continued to predict health, suggesting that there are other markers of health and wellbeing in ageing among Māori. Structural variables which restrict access to health care and predispose Māori to engage in maladaptive lifestyle behaviours combined with the distal effects of colonisation may contribute to the health disparities found between Māori and the majority population in New Zealand.

Type
Articles
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arking, R. 2006. Biology of Aging: Observation and Principles. Third edition, Oxford University Press, New York.Google Scholar
Asquith, N. 2009. Positive ageing, neoliberalism and Australian sociology. Journal of Sociology, 45, 3, 255–69.CrossRefGoogle Scholar
Baken, D. and Stephens, C. 2005. More dimensions for the Multidimensional Health Locus of Control: confirmatory factor analysis of competing models of the structure of control beliefs. Journal of Health Psychology, 10, 5, 643–56.CrossRefGoogle ScholarPubMed
Baltes, P. B. 1997. On the incomplete architecture of human ontogeny: selection, optimization, and compensation as foundations of developmental theory. American Psychologist, 52, 4, 366–80.CrossRefGoogle ScholarPubMed
Belich, J. 1996. Making Peoples: A History of the New Zealanders from Polynesian Settlement to the End of the Nineteenth Century. Allen Lane/Penguin, Auckland.Google Scholar
Blakely, T., Fawcett, J., Hunt, D. and Wilson, N. 2006. What is the contribution of smoking and socioeconomic position to ethnic inequalities in mortality in New Zealand? Lancet, 368, 9529, 4452.CrossRefGoogle ScholarPubMed
Blakely, T., Tobias, M., Robson, B., Ajwani, S., Bonne, M. and Woodward, A. 2005. Widening ethnic mortality disparities in New Zealand 1981–99. Social Science and Medicine, 61, 10, 2233–51.CrossRefGoogle ScholarPubMed
Börsch-Supan, A., Hank, K. and Jürges, H. 2005. A new comprehensive and international view on ageing: introducing the Survey of Health, Ageing and Retirement in Europe. European Journal of Ageing, 2, 4, 245–53.CrossRefGoogle ScholarPubMed
Chandola, T., Ferrie, J., Sacker, A. and Marmot, M. 2007. Social inequalities in self reported health in early old age: follow-up of prospective cohort study. British Medical Journal, 334, 990.CrossRefGoogle ScholarPubMed
Cutrona, C. and Russel, D. 1987. The provisions of social relationships and adaptation to stress. In Jones, W. H. and Perlman, D. (eds), Advances in Personal Relationships. JAI Press, Greenwich, Connecticut, vol. 1, 3767.Google Scholar
Dillman, D. A. 2000. Mail and Internet Surveys: The Tailored Design Method. John Wiley and Sons, New York.Google Scholar
Durie, M., Fitzgerald, E., Kingi, T. K., McKinley, S. and Stevenson, B. 2002. Te Hoe Nuku Roa. Maori Specific Outcomes and Indicators. A Report Prepared for Te Puni Kokiri. Te Putahi a Toi, Massey University, Palmerston North, New Zealand.Google Scholar
Gergen, M. and Gergen, K. 2005. Positive aging: reconstructing the lifecourse. In Goodheart, C. and Worell, J. (eds), Handbook of Women and Girls. Oxford University Press, New York, 416–26.Google Scholar
Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., Macera, C. A., Heath, G. W., Thompson, P. D. and Bauman, A. 2007. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Health Association. Medicine and Science in Sports and Exercise, 39, 8, 1423–34.CrossRefGoogle Scholar
Heeringa, S. G. and Connor, J. H. 1995. Technical Description of the Health and Retirement Survey Sample Design. Institute for Social Research, University of Michigan, Ann Arbor, Michigan.CrossRefGoogle Scholar
Helman, C. G. 2005. Cultural aspects of time and ageing. Science and Society, EMBO Reports, S1, S54-8. doi:10.1038/sj.embor.7400402.Google Scholar
Hill, R. D. 2005. Positive Aging: A Guide for Mental Health Professionals and Consumers. W. W. Norton, New York.Google Scholar
Hill, R. D. 2010. A Positive Aging framework for guiding geropsychology interventions. Behavior Therapy. Epublication ahead of print. doi:1016/j.beth.2010.04.006.Google Scholar
Jensen, J., Spittal, M., Crichton, S., Sathiyandra, S. and Krishnan, V. 2002. Direct Measurement of Living Standards: The New Zealand ELSI Scale. Ngā whakaaturanga ahuatanga noho. The Ministry of Social Development, Wellington.Google Scholar
Löckenhoff, C. and Carstensen, L. 2004. Socioemotional selectivity theory, aging, and health: the increasingly delicate balance between regulating emotions and making tough choices. Journal of Personality, 72, 6, 1395–424.CrossRefGoogle ScholarPubMed
Marmot, M. G. 2006. Status syndrome: a challenge to medicine. Journal of the American Medical Association, 295, 11, 1304–7.CrossRefGoogle ScholarPubMed
New Zealand Ministry of Health 2002. Reducing Inequalities in Health. New Zealand Ministry of Health, Wellington. Available online at http://www.moh.govt.nz/moh.nsf/wpg_index/Publications-Reducing+Inequalities+in+Health [Accessed 15 February 2010].Google Scholar
New Zealand Ministry of Health 2004. An Indication of New Zealanders' Health. New Zealand Ministry of Health, Wellington. Available online at http://www.moh.govt.nz/moh.nsf/ [Accessed 15 February 2010].Google Scholar
New Zealand Ministry of Social Policy 2001. The New Zealand Positive Ageing Strategy. New Zealand Ministry of Social Policy, Wellington. Available online at http://www.osc.govt.nz/positive-ageing-strategy/publication [Accessed 15 February 2010].Google Scholar
Nusselder, W. J., Mackenbach, M. A. and Mackenbach, J. P. 1996. Rectangularization of the survival curve in the Netherlands. Gerontologist, 36, 6, 773–82.CrossRefGoogle ScholarPubMed
Orange, C. 1992. The Treaty of Waitangi. Bridget Williams Books, Wellington.Google Scholar
Paddison, C. A. M. 2004. Psychological distress among people with diabetes: the impact of illness/treatment representations. International Journal of Behavioural Medicine, 11, supplement, 280.Google Scholar
Ranzijn, R. 2010. Active ageing – another way to oppress marginalized and disadvantaged elders? Aboriginal elders as a case study. Journal of Health Psychology, 15, 5, 716–23.CrossRefGoogle ScholarPubMed
Sporle, A. 2002. Socio-economic differences in health in Māori. In Pearce, N. and Ellison-Loschman, L. (eds), Explanations for Socio-economic Differences in Health: Proceedings of the First Annual CPHR Symposium in Health Research and Policy. Centre for Public Health Research, Massey University, Wellington, 5775.Google Scholar
Sport and Recreation New Zealand (SPARC) 2003. SPARC Facts: Results of the New Zealand Sport and Physical Activity Surveys (1997–2001). SPARC, Wellington.Google Scholar
Statistics New Zealand 2006. 2006 Census of Population Dwellings: National Summary Statistics. Available online at http://www.stats.govt.nz/methods_and_services/access-data [Accessed 15 February 2010].Google Scholar
Statistics New Zealand 2007. New Zealand Census of Population and Dwellings 2006. Statistics New Zealand, Wellington.Google Scholar
Stephens, C., Alpass, F., Towers, A., Baars, M. and Stevenson, B.SF-36 norms for New Zealanders aged 55–69 years. New Zealand Medical Journal (forthcoming).Google Scholar
Taylor, M. A. and Shore, L. M. 1995. Predictors of planned retirement age: an application of Beehr's model. Psychology and Aging, 10, 1, 7683.CrossRefGoogle ScholarPubMed
Taylor, R., Conway, L., Calderwood, L., Lessof, C., Cheshire, H., Cox, K. and Scholes, S. 2007. Health, Wealth and Lifestyles of the Older Population in England: The 2002 English Longitudinal Study of Ageing. Technical report, National Centre for Social Research, London, England. Available online at http://www.ifs.org.uk/elsa/report03/w1_tech.pdf.Google Scholar
Towers, A. J., Alpass, F., Stephens, C., Davey, J., Fitzgerald, E., Stevenson, B. and Pennington, H. 2006. Maximising response rates in postal surveys: lessons from the Health, Work and Retirement Study. Poster presented at ‘Ageing in New Zealand: Reporting Research Progress’, 13 November, Te Papa, Wellington.Google Scholar
Towers, A. and Noone, J. 2008. Health Work and Retirement Summary Report: Characteristics of the Sample. Available online at http://hwr.massey.ac.nz/resources/Chapter%202_Our%20Sample.pdf [Accessed 26 March 2009].Google Scholar
United Kingdom Department of Health 1996. Strategy Statement on Physical Activity. Department of Health, London.Google Scholar
Ware, J. E., Kosinski, M. and Dewey, J. E. 2000. How to Score Version 2 of the SF36® Health Survey. Quality Metric, Lincoln, Rhode Island.Google Scholar
Warr, P., Cook, J. and Wall, T. 1979. Scales for the measurement of some work attitudes and aspects of psychological well-being. Journal of Occupational Psychology, 52, 3, 129–48.CrossRefGoogle Scholar
World Health Organisation 2002. Active Ageing: A Policy Framework. Available online at http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf [Accessed August 2010].Google Scholar