{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:26:13Z","timestamp":1789525573908,"version":"build-2803163510"},"reference-count":49,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"unspecified","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["22\/172\/A"],"award-info":[{"award-number":["22\/172\/A"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,2,9]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The COVID-19 pandemic has had both direct and indirect impacts on the health of populations worldwide. While racial\/ethnic health inequities in COVID-19 infection are now well known (and ongoing), knowledge about the impact of COVID-19 pandemic management on non-COVID-19-related outcomes for Indigenous peoples is less well understood. This article presents the study protocol for the Health Research Council of New Zealand funded project \u2018M\u0101 te M\u014dhio ka M\u0101rama: Impact of COVID-19 on M\u0101ori:non-M\u0101ori inequities\u2019. The study aims to explore changes in access to healthcare, quality of healthcare and health outcomes for M\u0101ori, the Indigenous peoples of Aotearoa New Zealand (NZ) and non-M\u0101ori during the COVID-19 outbreak period across NZ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This observational study is framed within a Kaupapa M\u0101ori research positioning that includes Kaupapa M\u0101ori epidemiology. National datasets will be used to report on access to healthcare, quality of healthcare and health outcomes between M\u0101ori and non-M\u0101ori during the COVID-19 pandemic in NZ. Study periods are defined as (a) prepandemic period (2015\u20132019), (b) first pandemic year without COVID-19 vaccines (2020) and (c) pandemic period with COVID-19 vaccines (2021 onwards). Regional and national differences between M\u0101ori and non-M\u0101ori will be explored in two phases focused on identified health priority areas for NZ including (1) mortality, cancer, long-term conditions, first 1000 days, mental health and (2) rheumatic fever.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This study has ethical approval from the Auckland Health Research Ethics Committee (AHREC AH26253). An advisory group will work with the project team to disseminate the findings of this project via project-specific meetings, peer-reviewed publications and a project-specific website. The overall intention of the project is to highlight areas requiring health policy and practice interventions to address Indigenous inequities in health resulting from COVID-19 pandemic management (both historical and in the future).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-083564","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T21:59:04Z","timestamp":1709935144000},"page":"e083564","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Examining the impact of COVID-19 on M\u0101ori:non-M\u0101ori health inequities in Aotearoa, New Zealand: an observational study protocol"],"prefix":"10.1136","volume":"14","author":[{"given":"Elana","family":"Curtis","sequence":"first","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2993-5964","authenticated-orcid":false,"given":"Rebekah","family":"Jaung","sequence":"additional","affiliation":[{"name":"Te Kupenga Hauora M\u0101ori, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah-Jane","family":"Paine","sequence":"additional","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5834-7846","authenticated-orcid":false,"given":"Melissa","family":"McLeod","sequence":"additional","affiliation":[{"name":"Te R\u014dp\u016b Rangahau Hauora a Eru P\u014dmare, University of Otago Wellington, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"Tamatea","sequence":"additional","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Atkinson","sequence":"additional","affiliation":[{"name":"University of Otago, Dunedin, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7663-9164","authenticated-orcid":false,"given":"Yannan","family":"Jiang","sequence":"additional","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Robson","sequence":"additional","affiliation":[{"name":"Te R\u014dp\u016b Rangahau Hauora a Eru P\u014dmare, University of Otago Wellington, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Papaarangi","family":"Reid","sequence":"additional","affiliation":[{"name":"Te Kupenga Hauora M\u0101ori, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricci B","family":"Harris","sequence":"additional","affiliation":[{"name":"Te R\u014dp\u016b Rangahau Hauora a Eru P\u014dmare, University of Otago Wellington, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"2025121508125422000_14.3.e083564.1","unstructured":"Nazroo J , B\u00e9cares L . 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