{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T14:35:43Z","timestamp":1776695743531,"version":"3.51.2"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1588","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The study aimed to explore the impact of middle ear disease on the lives of New Zealand M\u0101ori. Ear disease is common, yet there is a paucity of research into the effect it has on people\u2019s lives, particularly indigenous populations. method: The study used Kaupapa M\u0101ori-based qualitative methodology and involved a series of seven semi-structured interviews with M\u0101ori adults living with middle ear disease.  results: All participants felt there were delays in recognition and treatment of their ear condition and that there were barriers to accessing healthcare. The ear condition prevented participation in cultural and recreational activities, particularly those involving water. The associated hearing loss affected education and employment opportunities, and together with ear discharge, resulted in social isolation and disconnection from Te Ao M\u0101ori (the M\u0101ori world). Overall, the condition impacted negatively on mental and spiritual wellbeing. Participants felt that funding for hearing aids, earlier recognition and treatment of the condition and healthcare staff with a better understanding of Te Ao M\u0101ori could reduce the morbidity associated with middle ear disease. conclusion: The study demonstrates that living with middle ear disease presents many challenges and disadvantages for M\u0101ori and the importance of early detection and referral to specialist care.<\/jats:p>","DOI":"10.26635\/6965.6300","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T02:23:56Z","timestamp":1705544636000},"page":"57-66","source":"Crossref","is-referenced-by-count":4,"title":["M\u0101 te Whakarongo\u2014a qualitative study exploring the impact of middle ear disease on New Zealand M\u0101ori"],"prefix":"10.26635","volume":"137","author":[{"given":"Lance","family":"Buckthought","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannine","family":"Stairmand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Garland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2024,1,19]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T02:24:03Z","timestamp":1705544643000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-137-no-1588\/ma-te-whakarongo-a-qualitative-study-exploring-the-impact-of-middle-ear-disease-on-new-zealand-maori"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":0,"journal-issue":{"issue":"1588","published-online":{"date-parts":[[2024,1,19]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6300","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]}}}