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Ricci Harris, Department of Public Health

MB ChB, MPH, FAFPHM

Ricci_Harris photo

Research Associate Professor; TRRHAEP

Contact Details 

Tel: +64 4 385 5418
Fax: +64 4 389 5319
Email: ricci.harris@otago.ac.nz

Research Interests and Activities 

Dr Ricci Harris (Ngāti Kahungunu, Ngāti Raukawa, Ngāi Tahu) is a public health physician and Research Associate Professor at Te Rōpū Rangahau Hauora a Eru Pōmare. She has research expertise in Māori health, epidemiology (including quantitative aspects of Kaupapa Māori research) and the investigation and elimination of ethnic health inequities in New Zealand. This has included research into the classification of ethnicity, ethnic disparities in health status and receipt of health services, and the impact of social determinants (e.g. SES and racism) on Māori health and inequities. Her current research focus is on racism as a determinant of health. This includes the relationship between experiences of discrimination and health, the impact of socially-assigned ethnicity, ethnic consciousness and ethnic density on health, and ethnic bias among health professionals.

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Publications

Paine, S.-J., Cormack, D., Stanley, J., & Harris, R. (2019). Caregiver experiences of racism are associated with adverse health outcomes for their children: A cross-sectional analysis of data from the New Zealand Health Survey. Critical Public Health. Advance online publication. doi: 10.1080/09581596.2019.1626003

Paine, S.-J., Harris, R., Cormack, D., & Stanley, J. (2019). Self-reported sleep complaints are associated with adverse health outcomes: Cross-sectional analysis of the 2002/03 New Zealand Health Survey. Ethnicity & Health, 24(1), 44-56. doi: 10.1080/13557858.2017.1315368

Stanley, J., Harris, R., Cormack, D., Waa, A., & Edwards, R. (2019). The impact of racism on the future health of adults: Protocol for a prospective cohort study. BMC Public Health, 19(1), 346. doi: 10.1186/s12889-019-6664-x

Harris, R. B., Stanley, J., & Cormack, D. (2018). Racism and health in New Zealand: Prevalence over time and associations between recent experience of racism and health and wellbeing measures using national survey data. PLoS ONE, 13(5), e0196476. doi: 10.1371/journal.pone.0196476

Cormack, D., Harris, R., Stanley, J., Lacey, C., Jones, R., & Curtis, E. (2018). Ethnic bias amongst medical students in Aotearoa/New Zealand: Findings from the Bias and Decision Making in Medicine (BDMM) study. PLoS ONE, 13(8), e0201168. doi: 10.1371/journal.pone.0201168

Edited Book - Research

Robson, B., & Harris, R. (Eds.). (2007). Hauora: Māori standards of health IV: A study of the years 2000-2005. Wellington, New Zealand: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, 273p.

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Chapter in Book - Research

Harris, R., Purdie, G., Robson, B., Wright, C., Zhang, J., & Baker, M. (2007). Appendix 3: Estimating Māori hospitalisations and cancer registrations. In B. Robson & R. Harris (Eds.), Hauora: Māori standards of health IV: A study of the years 2000-2005. (pp. 249-259). Wellington, New Zealand: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago.

Robson, B., Robson, C., Harris, R., & Purdie, G. (2007). Hospitalisations. In B. Robson & R. Harris (Eds.), Hauora: Māori standards of health IV: A study of the years 2000-2005. (pp. 63-101). Wellington, New Zealand: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago.

Paine, S.-J., Harris, R., & Mihaere, K. (2007). Sleep Problems. In R. Robson & R. Harris (Eds.), Hauora: Māori standards of health IV: A study of the years 2000-2005. (pp. 199-207). Wellington, New Zealand: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago.

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Journal - Research Article

Paine, S.-J., Cormack, D., Stanley, J., & Harris, R. (2019). Caregiver experiences of racism are associated with adverse health outcomes for their children: A cross-sectional analysis of data from the New Zealand Health Survey. Critical Public Health. Advance online publication. doi: 10.1080/09581596.2019.1626003

Paine, S.-J., Harris, R., Cormack, D., & Stanley, J. (2019). Self-reported sleep complaints are associated with adverse health outcomes: Cross-sectional analysis of the 2002/03 New Zealand Health Survey. Ethnicity & Health, 24(1), 44-56. doi: 10.1080/13557858.2017.1315368

Harris, R. B., Stanley, J., & Cormack, D. (2018). Racism and health in New Zealand: Prevalence over time and associations between recent experience of racism and health and wellbeing measures using national survey data. PLoS ONE, 13(5), e0196476. doi: 10.1371/journal.pone.0196476

Cormack, D., Harris, R., Stanley, J., Lacey, C., Jones, R., & Curtis, E. (2018). Ethnic bias amongst medical students in Aotearoa/New Zealand: Findings from the Bias and Decision Making in Medicine (BDMM) study. PLoS ONE, 13(8), e0201168. doi: 10.1371/journal.pone.0201168

Harris, R., Cormack, D., Stanley, J., Curtis, E., Jones, R., & Lacey, C. (2018). Ethnic bias and clinical decision-making among New Zealand medical students: An observational study. BMC Medical Education, 18, 18. doi: 10.1186/s12909-018-1120-7

Harris, R. B., Cormack, D. M., & Stanley, J. (2018). Experience of racism and associations with unmet need and healthcare satisfaction: The 2011/12 adult New Zealand Health Survey. Australian & New Zealand Journal of Public Health. Advance online publication. doi: 10.1111/1753-6405.12835

Cormack, D., Stanley, J., & Harris, R. (2018). Multiple forms of discrimination and relationships with health and wellbeing: Findings from national cross-sectional surveys in Aotearoa/New Zealand. International Journal for Equity in Health, 17, 26. doi: 10.1186/s12939-018-0735-y

Paine, S.-J., Harris, R., Stanley, J., & Cormack, D. (2018). Caregiver experiences of racism and child healthcare utilisation: Cross-sectional analysis from New Zealand. Archives of Disease in Childhood. Advance online publication. doi: 10.1136/archdischild-2017-313866

Ben, J., Cormack, D., Harris, R., & Paradies, Y. (2017). Racism and health service utilisation: A systematic review and meta-analysis. PLoS ONE, 12(12), e0189900. doi: 10.1371/journal.pone.0189900

Paine, S.-J., Harris, R., Cormack, D., & Stanley, J. (2016). Racial discrimination and ethnic disparities in sleep disturbance: The 2002/03 New Zealand Health Survey. Sleep, 39(2), 477-485. doi: 10.5665/sleep.5468

Harris, R., Cormack, D., Curtis, E., Jones, R., Stanley, J., & Lacey, C. (2016). Development and testing of study tools and methods to examine ethnic bias and clinical decision-making among medical students in New Zealand: The Bias and Decision-Making in Medicine (BDMM) study. BMC Medical Education, 16, 173. doi: 10.1186/s12909-016-0701-6

Harris, R., Cormack, D., Stanley, J., & Rameka, R. (2015). Investigating the relationship between ethnic consciousness, racial discrimination and self-rated health in New Zealand. PLoS ONE, 10(2), e0117343. doi: 10.1371/journal.pone.0117343

McLeod, M., Blakely, T., Kvizhinadze, G., & Harris, R. (2014). Why equal treatment is not always equitable: The impact of existing ethnic health inequalities in cost-effectiveness modeling. Population Health Metrics, 12, 15. doi: 10.1186/1478-7954-12-15

Harris, R. B., Cormack, D. M., & Stanley, J. (2013). The relationship between socially-assigned ethnicity, health and experience of racial discrimination for Māori: Analysis of the 2006/07 New Zealand Health Survey. BMC Public Health, 13, 844. doi: 10.1186/1471-2458-13-844

Bécares, L., Cormack, D., & Harris, R. (2013). Ethnic density and area deprivation: Neighbourhood effects on Māori health and racial discrimination in Aotearoa/New Zealand. Social Science & Medicine, 88, 76-82. doi: 10.1016/j.socscimed.2013.04.007

Cormack, D. M., Harris, R. B., & Stanley, J. (2013). Investigating the relationship between socially-assigned ethnicity, racial discrimination and health advantage in New Zealand. PLoS ONE, 8(12), e84039. doi: 10.1371/journal.pone.0084039

Harris, R., Cormack, D., Tobias, M., Yeh, L.-C., Talamaivao, N., Minster, J., & Timutimu, R. (2012). The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains. Social Science & Medicine, 74(3), 408-415. doi: 10.1016/j.socscimed.2011.11.004

Harris, R., Cormack, D., Tobias, M., Yeh, L.-C., Talamaivao, N., Minster, J., & Timutimu, R. (2012). Self-reported experience of racial discrimination and health care use in New Zealand: Results from the 2006/07 New Zealand Health Survey. American Journal of Public Health, 102(5), 1012-1019. doi: 10.2105/ajph.2011.300626

McLeod, M., Cormack, D., Harris, R., Robson, B., Sykes, P., & Crengle, S. (2011). Achieving equitable outcomes for Māori women with cervical cancer in New Zealand: Health provider views. New Zealand Medical Journal, 124(1334). Retrieved from http://journal.nzma.org.nz/journal/124-1334/4661/content.pdf

Fink, J. W., Paine, S.-J., Gander, P. H., Harris, R. B., & Purdie, G. (2011). Changing response rates from Māori and non-Māori in national sleep health surveys. New Zealand Medical Journal, 124(1328). Retrieved from http://journal.nzma.org.nz/journal/124-1328/4505/content.pdf

McLeod, M., Harris, R., Purdie, G., Cormack, D., Robson, B., Sykes, P., Crengle, S., Iupati, D., & Walker, N. (2010). Improving survival disparities in cervical cancer between Māori and non-Māori women in New Zealand: A National Retrospective Cohort Study. Australian & New Zealand Journal of Public Health, 34(2), 193-199. doi: 10.1111/j.1753-6405.2010.00506.x

Cormack, D., Sarfati, D., Harris, R., Robson, B., Shaw, C., & Blakely, T. (2010). Re: 'An overview of cancer and beliefs about the disease in indigenous people of Australia, Canada, New Zealand and the US' [Letter]. Australian & New Zealand Journal of Public Health, 34(1), 90-91. doi: 10.1111/j.1753-6405.2010.00481.x

Curtis, E., Harwood, M., Riddell, T., Robson, B., Harris, R., Mills, C., & Reid, P. (2010). Access and society as determinants of Ischaemic Heart Disease in indigenous populations. Heart, Lung & Circulation, 19, 316-324. doi: 10.1016/j.hlc.2010.04.129

Mihaere, K. M., Harris, R., Gander, P. H., Reid, P. M., Purdie, G., Robson, B., & Neill, A. (2009). Obstructive sleep apnea in New Zealand adults: Prevalence and risk factors among Māori and non-Māori. Sleep, 32(7), 949-956.

Harris, R., Robson, B., Curtis, E., Purdie, G., Cormack, D., & Reid, P. (2007). Māori and non-Māori differences in caesarean section rates: A national review. New Zealand Medical Journal, 120(1250). Retrieved from http://journal.nzma.org.nz/journal/120-1250/2444/content.pdf

Harris, R., Tobias, M., Jeffreys, M., Waldegrave, K., Karlsen, S., & Nazroo, J. (2006). Effects of self-reported racial discrimination and deprivation on Māori health and inequalities in New Zealand: Cross-sectional study. Lancet, 367, 2005-2009. doi: 10.1016/S0140-6736(06)68890-9

Bramley, D., Broad, J., Jackson, R., Reid, P., Harris, R., Ameratunga, S., & Connor, J. (2006). Cardiovascular risk factors and their associations with alcohol consumption: Are there differences between Māori and non-Māori in Aotearoa (New Zealand)? New Zealand Medical Journal, 119(1232). Retrieved from http://journal.nzma.org.nz/journal/119-1232/1929/content.pdf

Harris, R., Tobias, M., Jeffreys, M., Waldegrave, K., Karlsen, S., & Nazroo, J. (2006). Racism and health: The relationship between experience of racial discrimination and health in New Zealand. Social Science & Medicine, 63, 1428-1441. doi: 10.1016/j.socscimed.2006.04.009

Paine, S.-J., Gander, P. H., Harris, R. B., & Reid, P. (2005). Prevalence and consequences of insomnia in New Zealand: Disparities between Maori and non-Maori. Australian & New Zealand Journal of Public Health, 29(1), 22-28. doi: 10.1111/j.1467-842X.2005.tb00743.x

Gander, P. H., Marshall, N. S., Harris, R., & Reid, P. (2005). The Epworth Sleepiness Scale: Influence of age, ethnicity, and socioeconomic deprivation. Epworth Sleepiness scores of adults in New Zealand. Sleep, 28(2), 249-253.

Paine, S.-J., Gander, P. H., Harris, R., & Reid, P. (2004). Who reports insomnia? Relationships with age, sex, ethnicity, and socioeconomic deprivation. Sleep, 27(6), 1163-1169.

Bramley, D., Broad, J., Harris, R., Reid, P., Jackson, R., for the Alcohol Burden of Disease and Disability Group. (2003). Differences in patterns of alcohol consumption between Maori and non-Maori in Aotearoa (New Zealand). New Zealand Medical Journal, 116(1184). Retrieved from http://journal.nzma.org.nz/journal/116-1184/645/content.pdf

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Journal - Research Other

Stanley, J., Harris, R., Cormack, D., Waa, A., & Edwards, R. (2019). The impact of racism on the future health of adults: Protocol for a prospective cohort study. BMC Public Health, 19(1), 346. doi: 10.1186/s12889-019-6664-x

Paine, S.-J., Harris, R. B., & Mihaere, K. M. (2011). Managing obstructive sleep apnoea and achieving equity: Implications for health services [Viewpoint]. New Zealand Medical Journal, 124(1334). Retrieved from http://journal.nzma.org.nz/journal/124-1334/4655/content.pdf

Tobias, M., & Harris, R. (2010). Racism and health in New Zealand [Editorial]. Ethnicity & Health, 15(4), 318-320. doi: 10.1080/13557858.2010.500803

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Journal - Professional & Other Non-Research Articles

Hill, S., Shaw, C., Harris, R., & Lindberg, K. (2006). Ethnic differences in nicotine use: Chromosomes or colonisation? [Letter]. New Zealand Medical Journal, 119(1228). Retrieved from http://journal.nzma.org.nz/journal/119-1228/1825/content.pdf

Jones, R., Baxter, J., Bramley, D., Crengle, S., Curtis, E., Harris, R., Pink, R., … Reid, P., … Scott, N. (2004). Skin infections of the limbs of Polynesian children. New Zealand Medical Journal, 117(1200). Retrieved from http://journal.nzma.org.nz/journal

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Conference Contribution - Published proceedings: Abstract

Cormack, D., Harris, R., & Stanley, J. (2018). Multiple intertwined oppressions: Understanding the impacts of multiple discriminations on health in Aotearoa/New Zealand. European Journal of Public Health, 28(Suppl. 1), (pp. 46). doi: 10.1093/eurpub/cky047.080

Cormack, D., Harris, R., Stanley, J., Curtis, E., Jones, R., & Lacey, C. (2017). Assessing racial/ethnic bias amongst medical students: The Bias and Decision Making in Medicine (BDMM) Study. Proceedings of the Leaders in Indigenous Medical Education Conference: LIME Connection VII: The Future of Indigenous Health Education: Leadership, Collaboration, Curriculum. (pp. 101). Retrieved from http://www.limenetwork.net.au

Harris, R., Cormack, D., Stanley, J., & Lacey, C. (2017). Ethnic bias and clinical decision-making in medicine: A study of New Zealand medical students. Proceedings of the Leaders in Indigenous Medical Education Conference: LIME Connection VII: The Future of Indigenous Health Education: Leadership, Collaboration, Curriculum. (pp. 102). Retrieved from http://www.limenetwork.net.au

Harris, R., Cormack, D., Stanley, J., Curtis, E., Jones, R., & Lacey, C. (2017). Racial/ethnic bias and clinical decision-making in medicine: A study of New Zealand medical students. Proceedings of the 15th World Congress on Public Health. Retrieved from https://wcph2017.entegyapp.com/Page/28/18/26/1504

Cormack, D., Priest, N., Paradies, Y., Paine, S.-J., & Harris, R. (2017). Emerging areas in racism and health research: Examples from New Zealand and Australia. Proceedings of the 15th World Congress on Public Health. Retrieved from https://wcph2017.entegyapp.com/Page/28/873/26/1014

Cormack, D., Harris, R., Stanley, J., Lacey, C., Jones, R., & Curtis, E. (2016). Racial/ethnic bias among medical students in New Zealand. Proceedings of the International Association for Medical Education (AMEE) Conference. 7DD10. Retrieved from https://www.amee.org

Cormack, D., Harris, R., & Stanley, J. (2016). The impacts of co-occurring forms of discrimination on indigenous health and wellbeing. Proceedings of the Pacific Region Indigenous Doctors Congress (PRIDoC). (pp. 48-49). Retrieved from http://pridoc2016.org/

Cormack, D., Harris, R., Stanley, J., Curtis, E., Jones, R., & Lacey, C. (2016). Racial/ethnic bias among New Zealand medical students. Proceedings of the Pacific Region Indigenous Doctors Congress (PRIDoC). (pp. 97). Retrieved from http://pridoc2016.org/

Harris, R., Cormack, D., Stanley, J., Curtis, E., Jones, R., & Lacey, C. (2016). Ethnic bias and clinical decision-making in medicine: A study of New Zealand medical students. Proceedings of the International Association for Medical Education (AMEE) Conference. 10K2. Retrieved from https://www.amee.org

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