Māori Experiences of Eating Disorders: A Scoping Review of How Little We Know

OBJECTIVE: Māori, the Indigenous people of New Zealand, have unique cultural perspectives on health and wellbeing, yet information about Māori experiences eating disorders (EDs) remains limited. This scoping review maps existing literature on EDs among Māori to identify current knowledge, gaps, and future research needs. METHOD: Six academic databases were systematically searched for studies involving Māori with EDs, following Arksey and O'Malley's scoping review framework and the PRISMA-ScR scoping review guidelines. Eligible peer-reviewed publications involving Māori participants and Māori-specific data on EDs or disordered eating were charted and summarised using narrative synthesis. RESULTS: The search identified 72 potential sources, 11 met the inclusion criteria. These studies examined Māori experiences with EDs, ED-service use, and treatment barriers. Population survey data suggested that Māori may experience EDs at comparable or higher rates than non-Māori, although estimates were statistically uncertain. Recent studies reported that stereotypes, discrimination, and culturally incongruent treatment created barriers to accessing diagnosis, support, and care, contributing to low engagement until hospitalisation is required. CONCLUSIONS: The small number of eligible publications highlights a critical gap in understanding Māori experiences of EDs. Updated epidemiological studies and Māori-led research are needed to strengthen knowledge and inform culturally responsive practice and policy.