The New Zealand medical journal · 2024
Mā te Whakarongo-a qualitative study exploring the impact of middle ear disease on New Zealand Māori.
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Buckthought Lance, Stairmand Jeannine, Garland Rebecca
Аннотация
AIM: The study aimed to explore the impact of middle ear disease on the lives of New Zealand Māori. Ear disease is common, yet there is a paucity of research into the effect it has on people's lives, particularly indigenous populations.
METHOD: The study used Kaupapa Māori-based qualitative methodology and involved a series of seven semi-structured interviews with Māori adults living with middle ear disease.
RESULTS: All participants felt there were delays in recognition and treatment of their ear condition and that there were barriers to accessing healthcare. The ear condition prevented participation in cultural and recreational activities, particularly those involving water. The associated hearing loss affected education and employment opportunities, and together with ear discharge, resulted in social isolation and disconnection from Te Ao Māori (the Māori world). Overall, the condition impacted negatively on mental and spiritual wellbeing. Participants felt that funding for hearing aids, earlier recognition and treatment of the condition and healthcare staff with a better understanding of Te Ao Māori could reduce the morbidity associated with middle ear disease.
CONCLUSION: The study demonstrates that living with middle ear disease presents many challenges and disadvantages for Māori and the importance of early detection and referral to specialist care.
METHOD: The study used Kaupapa Māori-based qualitative methodology and involved a series of seven semi-structured interviews with Māori adults living with middle ear disease.
RESULTS: All participants felt there were delays in recognition and treatment of their ear condition and that there were barriers to accessing healthcare. The ear condition prevented participation in cultural and recreational activities, particularly those involving water. The associated hearing loss affected education and employment opportunities, and together with ear discharge, resulted in social isolation and disconnection from Te Ao Māori (the Māori world). Overall, the condition impacted negatively on mental and spiritual wellbeing. Participants felt that funding for hearing aids, earlier recognition and treatment of the condition and healthcare staff with a better understanding of Te Ao Māori could reduce the morbidity associated with middle ear disease.
CONCLUSION: The study demonstrates that living with middle ear disease presents many challenges and disadvantages for Māori and the importance of early detection and referral to specialist care.