Harkness Project Title: Health Status, Sources of Care, Barriers to Care and Health Service Utilization for American Indian and Alaska Native Peoples
Mentors: Barbara Starfield, M.D., and George R. Brenneman, M.D.
Placement: Bloomberg School of Public Health
Biography at time of Harkness Fellowship: Suzanne M. Crengle, M.B.Ch.B., a 1999–2000 Commonwealth Fund Harkness Fellow in Health Care Policy, is a practicing physician and a senior lecturer in Maori Health at the University of Auckland. She is also director of the Tomaiora Maori Health Research Group, whose research focuses Maori children, young people and their families. Crengle’s research interests include the primary care management of childhood asthma, nutritional status infants aged six to 23 months and adolescent health. She served as a member of the executive of Te ORA (the National Maori Medical Practitioners Association) and the council of the Royal New Zealand College of General Practitioners. Crengle is a specialist qualified in General Practice (Family Medicine).
Project: Crengle investigated differences in health and health care among American Indian and Alaska Native People and other ethnic groups. She analyzed data from the Medical Expenditure Panel Survey on: demographic characteristics of the population; self-perceived physical and mental health status; usual source of care; barriers to accessing care; and health care utilization. She also analyzed data from the Healthcare Cost and Utilization Project on hospital discharges, diagnoses, procedures, and lengths of stay.
Career Activity Since Fellowship
Current Position:Senior Lecturer, Te Kupenga Hauora Maori, Faculty of Medical and Health Sciences University of Auckland. (Updated 1/2014)
Hosking, J.E., S.N. Ameratunga, D.M. Bramley, and S.M. Crengle. Reducing Ethnic Disparities in the Quality of Trauma Care: An Important Research Gap. Annals of Surgery, 2010.
Ameratunga, S., S. Abel, S.T. Tin, L. Asiasiga, S. Milne, and S. Crengle, “Children admitted to hospital following unintentional injury: perspectives of health service providers in Aotearoa/New Zealand,” BMC Health Serv Res, 2010. 10: p. 333.
Smylie, J., S. Crengle, J. Freemantle, and M. Taualii, “Indigenous Birth Outcomes in Australia, Canada, New Zealand and the United States – an Overview,” The Open Women's HealthJournal, 2010. 4: p. 7-17
Grant, C. C., C. R. Wall, R. Yates and S. Crengle "Nutrition and Indigenous health in New Zealand," Journal of Paediatrics and Child Health 2010 46(9): 479-482.
Denny, S., S. Grant, J. Utter, E. Robinson, T. Fleming, T. L. Milfont, S. Crengle, T. Clark, S. Ameratunga, R. Dixon, S. Merry and P. Watson "The health and wellbeing of New Zealand youth who attend secondary school: What has changed from 2001 to 2007? " Journal of Paediatrics and Child Health Accepted 29 May 2010.
Denny, S. J., E. M. Robinson, J. Utter, T. M. Fleming, S. Grant, T. L. Milfont, S. Crengle, S. N. Ameratunga and T. Clark "Do Schools Influence Student Risk-taking Behaviors and Emotional Health Symptoms?" Journal of Adolescent Health In Press, Available online 2 September 2010
Utter, J., S. Denny, S. Crengle, S. Ameratunga, E. Robinson, T. Clark, T. Percival and R. Maddison "Overweight among New Zealand adolescents: Associations with ethnicity and deprivation." Int J Pediatr Obes. 2010
Utter, J., S. Denny, S. Crengle, S. Ameratunga, T. Clark, R. Maddison and T. Percival, "Socio-economic differences in eating-related attitudes, behaviours and environments of adolescents." Public Health Nutr 2010 1-6.
Kool, B., S. Ameratunga, M. Lee, E. Robinson, S. Crengle and R. Jackson, "Prevalence of risk and protective factors for falls in the home environment in a population-based survey of young and middle-aged adult New Zealanders," Australian and New Zealand Journal of Public Health 2010 34(1): 63-66.
McLeod, M., R. Harris, G. Purdie, D. Cormack, B. Robson, P. Sykes, S. Crengle, D. Iupati and N. Walker "Improving survival disparities in cervical cancer between maori and non-Māori women in New Zealand: A national retrospective cohort study." Australian and New Zealand Journal of Public Health 2010 34(2): 193-199.
Riddell, T., S. Wells, R. Jackson, A. W. Lee, S. Crengle, D. Bramley, S. Ameratunga, R. Pylypchuk, J. Broad, R. Marshall and A. Kerr, "Performance of Framingham cardiovascular risk scores by ethnic groups in New Zealand: PREDICT CVD-10." N Z Med J 2010 123(1309): 50-61.
Priest, P., L. Sadler, P. Sykes, R. Marshall, J. Peters and S. Crengle, "Determinants of inequalities in cervical cancer stage at diagnosis and survival in New Zealand." Cancer Causes Control 2010 21(2): 209-214.
Fanslow, J., E. Robinson, S. Crengle and L. Perese, "Juxtaposing beliefs and reality: prevalence rates of intimate partner violence and attitudes to violence and gender roles reported by New Zealand women." Violence Against Women 2010 16(7): 812-831.
Arroll, B., F. Goodyear-Smith, S. Crengle, J. Gunn, N. Kerse, T. Fishman, K. Falloon and S. Hatcher , "Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population." Annals of Family Medicine 2010 8(4): 348-353.
Thomson, R. M., S. Crengle and R. Lawrenson, "Improving participation in breast screening in a rural general practice with a predominately Maori population." N Z Med J 2009 122(1291): 39-47.
Arlidge, B., S. Abel, L. Asiasiga, S. L. Milne, S. Crengle and S. N. Ameratunga, "Experiences of whanau/families when injured children are admitted to hospital: a multi-ethnic qualitative study from Aotearoa/New Zealand." Ethn Health 2009 14(2): 169-183.
Grant, C. C., C. R. Wall, S. Crengle and R. Scragg, "Vitamin D deficiency in early childhood: prevalent in the sunny South Pacific." Public Health Nutr 2009 12(10): 1893-1901.
Jackson, C., D. R. Lennon, V. T. Sotutu, J. Yan, J. M. Stewart, S. Reid, S. Crengle, P. Oster, E.Ypma, I. Aaberge, K. Mulholland and D. R. Martin "Phase II meningococcal B vesicle vaccine trial in New Zealand infants." Arch Dis Child 2009 94(10): 745-751.
Milfont, T. L., S. Merry, E. Robinson, S. Denny, S. Crengle and S. Ameratunga, "Evaluating the short form of the Reynolds Adolescent Depression Scale in New Zealand adolescents." Aust N Z J Psychiatry 2008 42(11): 950-954.
Tin, S. T., S. Ameratunga, E. Robinson, S. Crengle, D. Schaaf and P. Watson, "Drink driving and the patterns and context of drinking among New Zealand adolescents," Acta Paediatr 2008 97(10): 1433-1437.
Clark, T., E. Robinson, S. Crengle and P. Watson,"Contraceptive use by Maori youth in New Zealand: associated risk and protective factors," N Z Med J 2006 119(1228): U1816.
Smylie, J., I. Anderson, M. Ratima, S. Crengle and M. Anderson "Indigenous health performance measurement systems in Canada, Australia, and New Zealand," Lancet 2006 367(9527): 2029-2031.
Anderson, I., S. Crengle, M. L. Kamaka, T. H. Chen, N. Palafox and L. Jackson-Pulver, "Indigenous health in Australia, New Zealand, and the Pacific," Lancet 2006 367(9524): 1775-1785.
Jones R, Crengle S, McCreanor T. “How Tikanga Guides and Protects the Research Process: Insights from the Hauora Tane Project,” Social Policy Journal of New Zealand 2006; 29:60-77.
Crengle SM. "The Development of Maori Primary Care Services," Pacific Health Dialogue, March 2001;7(1):48–53.