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150.202 Maori Health > From Quizlet > Flashcards

Flashcards in From Quizlet Deck (23):
1

Maori concepts

Whakapapa, tapu, mana, mauri, wairua, hau.

2

Medicalisation


Treatment was about the treatment of illnesses.

Medico-biological advances have contributed enormously to human pain and suffering.

3

Institutionalisation


Institutions became the answer to many health problems and began closing in 1980's, Kimberly Hospital (Levin) was the last to close. Institutions disempowered communities and individuals and robbed local initiative.

4

Demographic Change - 2006 Census


Median age: 22.7 years.
Maori under 15 years: 35.4%
65+ years: 4.3%
65+ years by 2021: 8%
2051 1/3 tamariki will be Maori

5

Self definition of Maori in NZ


14.6% of population.
Tane: 69 years (1952 = 56 years)
Wahine: 73.2 years (1952 = 54 years)

6

Mate Huka

Diabetes

7

Diabetes and Maori


1. Serious and not uncommon.
2. Continually getting worse, for all indigenous throughout the world.
3. Has many determinants e.g. no single factor that causes diabetes, illustrates how several factors can produce highly prevalent disorder.

8

What incidence is going to occur in 15 years?

Incidence of T1DM and T2DM is to double.

9

How much will it cost annually to treat T2DM by 2021?

Approximately $1,000 million dollars.

10

What intervention projects have started?


Waikato's Te Wai O Rona - Diabetes Prevention Strategy and Counties Manukau Lets Beat Diabetes project.

11

How is diabetes managed?

If found early, exercise, diet, regular checks and sometimes medication. It can also be preventable.

12

T1DM is when?

Pancreas makes little or no insulin.

13

DM results in?

Damage to small blood vessels, eye problems, kidney disease, leg/foot problems. Narrowing of blood vessels may cause heart attacks, stroke, or gangrene.

14

Most common DM in Maori?


T2DM.

15

What age is blood testing offered to Maori?


35 years and older.

16

What can halt or reverse T2DM at the early stages?


Control BGL, weight loss and physical exercise.

17

How much more prominent is DM in Maori than non-Maori?


Almost 3 times.

18

Maori aged 45-64 death rate is how much more than non-Maori?


9 times more.

19

What area of Maoris is supposed to get significantly worse with higher incidence and mortality rates in the next 20 years?


Those living in lower socioeconomic areas/ deprived neighbourhoods.

20

What is the average age of onset for diabetes in Maori?

47.8 years.
Non-Maori = 54.2 years.

21

What is Maori estimated lifetime risk compared to non-Maori?

More than twice.

22

Risk of hospitalisation for Maori is how much higher than non-Maori?


4 times higher.

23

What co-morbities are Maori twice as likely to have?


Blindness, cataracts in both eyes, major lesions in both limbs requiring amputation, ischemic heart disease.