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Health Needs Assessment of Middle Eastern, Latin American and African People Living in the Auckland Region

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Health Needs Assessment of Middle Eastern, Latin American and African People Living in the Auckland Region HHeeaalltthh nneeeeddss aasssseessssmmeenntt ooff MMiiddddllee EEaasstteerrnn,, LLaattiinn AAmmeerriiccaann aanndd AAffrriiccaann ppeeooppllee lliivviinngg iinn tthhee AAuucckkllaanndd rreeggiioonn September 2010 Health Needs Assessment Middle Eastern, Latin American and African people Auckland Region, 2010 Disclaimer: Information within the report may be freely used provided the source is acknowledged. Every effort has been made to ensure the information in this report is correct. Auckland District Health Board and the author will not accept any responsibility for information which is incorrect and where action has been taken as a result of the information in this report. This report was commissioned by the Northern DHB Support agency on behalf of the Auckland Regional Settlement Strategy Health Steering group which represents Waitemata, Auckland and Counties Manukau District Health Boards. Published in September 2010, by Auckland District Health Board ISBN: 978‐0‐473‐17751‐5 Suggested citation: Perumal L. Health needs assessment of Middle Eastern, Latin American and African people living in the Auckland region. Auckland: Auckland District Health Board, 2010. This report is available electronically on the Auckland District Health Board website. Health Needs Assessment Middle Eastern, Latin American and African people Auckland Region, 2010 Table of Contents Table of Contents ................................................................................................................... i List of Tables ....................................................................................................................... vii List of Figures ....................................................................................................................... xi Abbreviations...................................................................................................................... xv Glossary .............................................................................................................................xvii Acknowledgements.............................................................................................................xix Executive Summary .............................................................................................................xxi 1 Introduction...................................................................................................................1 1.1 Health Needs Assessments and District Health Boards .................................................................1 1.2 The Auckland region.......................................................................................................................1 1.3 Ethnicity .........................................................................................................................................1 1.4 MELAA ethnicity grouping..............................................................................................................2 1.4.1 Middle Eastern people in New Zealand................................................................................2 1.4.2 African people in New Zealand.............................................................................................3 1.4.3 Latin American people in New Zealand................................................................................5 1.5 The usefulness of the MELAA ethnicity grouping ..........................................................................6 1.6 The effects of migration on the health of populations ..................................................................7 1.6.1 The healthy migrant effect ...................................................................................................7 1.6.2 Refugee health in New Zealand............................................................................................8 2 Aims and objectives ....................................................................................................... 9 3 Methodology ................................................................................................................. 9 3.1 Approach........................................................................................................................................9 3.2 Ethnicity Data.................................................................................................................................9 3.2.1 ‘Total response vs. prioritised response’..............................................................................9 3.2.2 Custom prioritised ethnicity .................................................................................................9 3.3 Indicator selection..........................................................................................................................9 3.4 Data sources.................................................................................................................................10 3.5 Statistical methods.......................................................................................................................11 3.5.1 Population estimates..........................................................................................................11 3.6 Data presentation ........................................................................................................................13 3.7 Data limitations............................................................................................................................13 3.8 Health service provider interviews ..............................................................................................13 3.8.1 Objectives of health service provider interviews ...............................................................13 3.8.2 Methodology ......................................................................................................................13 4 Population demography............................................................................................... 15 4.1 Population size.............................................................................................................................15 4.1.1 Census 2006 MELAA population.........................................................................................15 4.1.2 Census 2006 versus PHO enrolment data for MELAA in Auckland.....................................17 4.2 The distribution of MELAA populations within territorial authorities .........................................18 4.2.1 African people ....................................................................................................................18 4.2.2 Middle Eastern people........................................................................................................19 4.2.3 Latin American people........................................................................................................20 4.3 MELAA population density in the Auckland region......................................................................21 4.4 MELAA population growth...........................................................................................................26 4.5 MELAA population projections ....................................................................................................26 4.6 Population age structure..............................................................................................................26 4.6.1 Census 2006 population age structures .............................................................................26 4.7 Proportion born in New Zealand or overseas ..............................................................................30 4.8 Years of residence in New Zealand ..............................................................................................30 4.9 Mobility of population .................................................................................................................30 4.10 Summary‐ population demography ........................................................................................31 5 Socioeconomic determinants of health ........................................................................ 33 i Health Needs Assessment Middle Eastern, Latin American and African people Auckland Region, 2010 5.1 Deprivation measures ..................................................................................................................33 5.2 Housing conditions.......................................................................................................................34 5.2.1 Home ownership ................................................................................................................34 5.2.2 Household crowding...........................................................................................................34 5.2.3 Household composition......................................................................................................36 5.2.4 Rental..................................................................................................................................36 5.2.5 Access to household heating..............................................................................................37 5.3 Income .........................................................................................................................................37 5.3.1 Personal income .................................................................................................................37
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