ISSN 1178-6191

Maori Health Review

Making Education Easy Issue 36-2012

Maori Health Review
Maori Health Review
Maori Health Review

Delaying mandatory folic acid fortification policy perpetuates health inequalities: results from a retrospective study of postpartum New Zealand women

Authors: Mallard SR et al

Summary: These researchers surveyed 758 postpartum women in hospitals and birthing centres across New Zealand about folic supplement use and bread intake in the periconceptional period. Criteria for the adequate intake of folic acid through proposed mandatory fortification were the habitual consumption of three or more slices of bread/day (118–150 μg folic acid/day) in the month prior to conception, and during the first trimester of pregnancy. Thirty-three percent of women reported having used folic acid supplements as recommended during the periconceptional period; with mandatory fortification, the proportion of women who would have achieved adequate folic acid intake increased to 59%. In a model of mandatory fortification, sociodemographic predictors of poor folic acid intake from supplements, including younger maternal age, increasing parity, minority ethnicity status, lower education and less income, were rendered either non-significant or appreciably attenuated. The fully adjusted odds ratio for pregnancy planning was reduced from 17.24 to 2.61 (both p<0.001).

Comment: Compelling evidence in support of folic acid fortification – certainly more compelling than anything else I’ve read from opposing agencies. One gripe though – use of the term ‘minority ethnic group’ to describe Māori ethnicity!

Reference: Hum Reprod. 2012;27(1):273-82.

Abstract

Our lands, our waters, our people

Authors: Hutchings J

Summary: This editorial describes the development of a special indigenous issue of New Genetics and Society, a collection of writings that were collated to inform and speak to a global audience at large about some of the critical issues facing indigenous communities with regard to science technology and society (STS). The Editorial states that the collection contributes to a broadening of our thinking about the issues of new genetics and indigenous peoples, and facilitates the emergence of critical indigenous voices in STS discourses.

Comment: I’ve included this editorial really to point readers to the fact that the entire issue of the journal is focused on the indigenous perspectives of genetic research. With articles from Maui Hudson and Linda Smith, there is something for everyone here. Importantly, the issue is dedicated to Bevan Tipene-Matua, a scientist and colleague I knew and worked with.

Reference: New Genet Soc. 2012:31(1):1-9.

Abstract