Abstract

Tertiary institutions internationally aim to increase student diversity, however are struggling to achieve equitable academic outcomes for indigenous and ethnic minority students and detailed exploration of factors that impact on success is required. This study explored the predictive effect of admission variables on academic outcomes for health professional students by ethnic grouping. Kaupapa Māori and Pacific research methodologies were used to conduct a quantitative analysis using data for 2686 health professional students [150 Māori, 257 Pacific, 2279, non-Māori non-Pacific (nMnP)]. The predictive effect of admission variables: school decile; attending school in Auckland; type of admission; bridging programme; and first-year bachelor results on academic outcomes: year 2–4 grade point average (GPA); graduating; graduating in the minimum time; and optimal completion for the three ethnic groupings and the full cohort was explored using multiple regression analyses. After adjusting for admission variables, for every point increase in first year bachelor GPA: year 2–4 GPA increased by an average of 0.46 points for Māori (p = 0.0002, 95% CI 0.22, 0.69), 0.70 points for Pacific (p < 0.0001, CI 0.52, 0.87), and 0.55 points for nMnP (p < 0.0001, CI 0.51, 0.58) students. For the total cohort, ethnic grouping was consistently the most significant predictor of academic outcomes. This study demonstrated clear differences in academic outcomes between both Māori and Pacific students when compared to nMnP students. Some (but not all) of the disparities between ethnic groupings could be explained by controlling for admission variables.

Highlights

  • Tertiary institutions internationally aim to widen participation to ensure graduating cohorts meet the needs of the diverse communities in which they operate (Bowes et al 2013; The Sullivan Commission 2004; Whiteford et al 2013)

  • This study explored the predictive effect of admission variables on academic outcomes for health professional students by ethnic grouping

  • A total of 2686 students were included in this study including 5.6% Maori (n = 150), 9.6% Pacific (n = 257) and 84.9% non-Maori non-Pacific (nMnP) (n = 2279) students

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Summary

Introduction

Tertiary institutions internationally aim to widen participation to ensure graduating cohorts meet the needs of the diverse communities in which they operate (Bowes et al 2013; The Sullivan Commission 2004; Whiteford et al 2013). A broad mix of factors that help or hinder academic success for indigenous and ethnic minority students in tertiary health study have been identified internationally: academic preparation (including secondary school academic achievement, exposure to science subjects, meeting tertiary admission prerequisites, and having clear career goals); socioeconomic status; availability of role models and mentors; family support; work/life balance; access to childcare; financial support; clear career information; student support systems; support to transition and first year academic results and environments (Gardner 2005; Jensen 2011; Loftin et al 2012; Orom et al 2013) These findings align with literature specific to Maori and Pacific health professional students in New Zealand (Curtis et al 2012b, 2014b; Morunga 2009; Ratima et al 2008; Sapoaga et al 2013; Wikaire and Ratima 2011; Wilson et al 2011)

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