Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Pervasive kidney health inequities for Māori require multi-level attention

Indigenous Māori experience inequitably high rates of kidney failure and lower rates of kidney transplant, pre-emptive procedures and home dialysis when compared to the New Zealand population as a whole. Prevention strategies in primary care, cultural safety training and routine clinical audit for renal practitioners alongside Indigenous people in governance, management and the clinical workforce would greatly improve Māori outcomes.

This is a preview of subscription content, access via your institution

Access options

Buy article

Get time limited or full article access on ReadCube.

$32.00

All prices are NET prices.

References

  1. Aotearoa New Zealand Working Group on behalf of the National Renal Advisory Board. Aotearoa New Zealand Nephrology, 13th Annual Report (2018).

  2. Hood, C. M., Gennuso, K. P., Swain, G. R. & Catlin, B. B. County health rankings: relationships between determinant factors and health outcomes. Am. J. Prev. Med. 50, 129–135 (2016).

    Article  Google Scholar 

  3. Selak, V., Rahiri, J.-L., Jackson, R. & Harwood, M. Acknowledging and acting on racism in the health sector in Aotearoa New Zealand. N. Z. Med. J. 133, 7–13 (2020).

    PubMed  Google Scholar 

  4. Crengle, S., Lay-Yee, R., Davis, P. & Pearson, J. A Comparison of Māori and Non-Māori Patient Visits to Doctors. https://www.health.govt.nz/publication/comparison-maori-and-non-maori-patient-visits-doctors (New Zealand Ministry of Health, 2005).

  5. Walker, R. C. et al. Experiences, perspectives and values of Indigenous peoples regarding kidney transplantation: systematic review and thematic synthesis of qualitative studies. Int. J. Equity Health 18, 204 (2019).

    Article  Google Scholar 

  6. Walker, R. C. et al. Values, perspectives and experiences of Indigenous Māori regarding kidney transplantation: a qualitative interview study in Aotearoa/New Zealand. Am. J. Kidney Dis. 80, 20–29.e1 (2022).

    Article  Google Scholar 

  7. Kostakis, I. D. et al. UK renal transplant outcomes in low and high BMI recipients: the need for a national policy. J. Nephrol. 33, 371–381 (2020).

    Article  Google Scholar 

  8. Rush, E. C., Freitas, I. & Plank, L. D. Body size, body composition and fat distribution: comparative analysis of European, Maori, Pacific Island and Asian Indian adults. Br. J. Nutr. 102, 632–641 (2009).

    CAS  Article  Google Scholar 

  9. Dobson, S., Voyer, S. & Regehr, G. Perspective: agency and activism: rethinking health advocacy in the medical profession. Acad. Med. 87, 1161–1164 (2012).

    Article  Google Scholar 

  10. Carter, M., Potiki, M., Haggie, H. & Tipene-Leach D. Cultural Safety Within Vocational Medical Training. Report of Te ORA and the Council of Medical Colleges (Allen & Clarke, 2021).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Tipene-Leach.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Tipene-Leach, D., Walker, R. Pervasive kidney health inequities for Māori require multi-level attention. Nat Rev Nephrol 18, 541–542 (2022). https://doi.org/10.1038/s41581-022-00606-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41581-022-00606-8

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing