title: Cultural and social factors and quality of life of Maori in advanced age. Te puawaitanga o nga tapuwae kia ora tonu - Life and living in advanced age: a cohort study in New Zealand (LiLACS NZ).
abstract: OBJECTIVE
  To establish 1) the socioeconomic and cultural profile and 2) correlates of quality of life (QOL) of Maori in advanced age.
  
  
  METHODS
  A cross sectional survey of a population based cohort of Maori aged 80-90 years, participants in LiLACS NZ, in the Rotorua and Bay of Plenty region of New Zealand. Socioeconomic and cultural engagement characteristics were established by personal interview and QOL was assessed by the SF-12.
  
  
  RESULTS
  In total 421 (56%) participated and 267 (63%) completed the comprehensive interview. Maori lived with high deprivation areas and had received a poor education in the public system. Home ownership was high (81%), 64% had more than 3 children still living and social support was present for practical tasks and emotional support in 82%. A need for more practical help was reported by 21%. Fifty-two percent of the participants used te reo Maori me nga tikanga (Maori language and culture) daily. One in five had experienced discrimination and one in five reported colonisation affecting their life today. Greater frequency of visits to marae/sacred gathering places was associated with higher physical health-related QOL. Unmet need for practical help was associated with lower physical health-related QOL. Lower mental health-related QOL was associated with having experienced discrimination.
  
  
  CONCLUSIONS
  Greater language and cultural engagement is associated with higher QOL for older Maori and unmet social needs and discrimination are associated with lower QOL.
authors.forename: Lorna
authors.initials: L
authors.lastname: Dyall
authors.forename: Mere
authors.initials: M
authors.lastname: Kepa
authors.forename: Ruth
authors.initials: R
authors.lastname: Teh
authors.forename: Rangimarie
authors.initials: R
authors.lastname: Mules
authors.forename: Simon A
authors.initials: SA
authors.lastname: Moyes
authors.forename: Carol
authors.initials: C
authors.lastname: Wham
authors.forename: Karen
authors.initials: K
authors.lastname: Hayman
authors.forename: Martin
authors.initials: M
authors.lastname: Connolly
authors.forename: Tim
authors.initials: T
authors.lastname: Wilkinson
authors.forename: Sally
authors.initials: S
authors.lastname: Keeling
authors.forename: Hine
authors.initials: H
authors.lastname: Loughlin
authors.forename: Santosh
authors.initials: S
authors.lastname: Jatrana
authors.affiliation: School of Population Health, University of Auckland, Private Bag 92019, Auckland, New Zealand. n.kerse@auckland.ac.nz.
authors.forename: Ngaire
authors.initials: N
authors.lastname: Kerse
mesh_terms: D000369:Aged, 80 and over; D000375:Aging / Q000208:ethnology* / Q000523:psychology*; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009520:New Zealand; D011788:Quality of Life; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires