Abstract
Systemic racism within the health system and the ongoing effects of colonialism have contributed to poor health outcomes for Māori. Evidence shows a vegan diet can be protective against diseases of lifestyle, protective of the environment, and fit within an indigenous world view. Yet, evidence also shows prejudice against vegans.
This study aimed to understand how Māori engaging in a potentially health-improving vegan diet experience these two identities of being Māori and vegan and how they view their interactions with mainstream health professionals. A qualitative approach using semi-structured interviews with six Māori vegans was used to capture data that was then thematically analysed using Braun and Clarke's (2006) framework. Three major themes emerged: Māori identity and the connection and disconnection to tikanga Māori that shapes it; Synergies between Māori and vegan world views, including health, kaitiaki and strength of conviction, and The therapeutic relationship. The relationship was enhanced by nutritional advice, reassurance and supportiveness from health professionals, while judgement, misinformation and lack of knowledge around tikanga and nutrition detracted from it.
Recommendations included being open to learning from patients and willing to upskill in knowledge around tikanga, and vegan nutrition.