Inequities in people with gout: a focus on Māori (Indigenous People) of Aotearoa New Zealand

Author:

Te Karu Leanne1,Dalbeth Nicola2,Stamp Lisa K3ORCID

Affiliation:

1. Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand

2. Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand

3. Department of Medicine, University of Otago Christchurch, 2 Riccarton Ave, PO Box 4345, Christchurch 8011, New Zealand

Abstract

Health equity can be defined as the absence of systematic disparities in health between more and less advantaged social groups. Gout is one of the most common forms of arthritis and disproportionally affects Indigenous peoples, including Māori in Aotearoa New Zealand. Inequities in gout management are well documented and clearly evidenced in Indigenous populations. For example, while gout occurs at a younger age and is more severe in Māori, there is less regular dispensing of urate-lowering therapies. Indigenous peoples are also under-represented in clinical trials. Herein, we will review inequities in gout using Aoteoaroa New Zealand as an example. We will explore reasons for health inequities and challenges that need to be faced to achieve health equity.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Rheumatology

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