{"title":"Ethnic Identity Buffers the Effect of Discrimination on Family, Life, and Health Satisfaction for Pacific Peoples in New Zealand","authors":"Sam Manuela","doi":"10.26635/phd.2021.113","DOIUrl":"https://doi.org/10.26635/phd.2021.113","url":null,"abstract":"Introduction: The effect of discrimination on health and wellbeing varies. Mixed findings show that greater ethnic identity can make one more susceptible to the harmful effects of discrimination, or that ethnic identity can protect one against discrimination. This study tests how ethnic identity moderates the relationship between ethnic discrimination and a range of wellbeing measures for Pacific peoples in Aotearoa New Zealand. \u0000Methods: Two independent studies, The Pacific Identity and Wellbeing Study (N = 752) and the New Zealand Attitudes and Values Study (N = 472), surveyed Pacific peoples in New Zealand across measures of ethnic identity, perceived discrimination, family satisfaction, life satisfaction, and health satisfaction. \u0000Findings: Moderated regression analyses for both studies showed a significant identity x discrimination interaction. Across all analyses, for those with lower ethnic identity scores, there was a significant negative relationship between discrimination and the health and wellbeing measures. For those with higher ethnic identity scores, there was no significant relationship between discrimination and wellbeing measures. \u0000Conclusions: These results suggest that higher scores of Pacific ethnic identity buffer the negative effects of discrimination on satisfaction with family, life, and health. These findings offer support for the protective properties of Pacific ethnic identities. As such, initiatives that seek to bolster Pacific ethnic identities and culture will support a multifaceted approach for enhancing Pacific health and psychological wellbeing.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42030199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roman Kingi, W. Erick, V. Nosa, J. Paynter, Debra de Silva
{"title":"Pasifika preferences for mental health support in Australia: focus group study","authors":"Roman Kingi, W. Erick, V. Nosa, J. Paynter, Debra de Silva","doi":"10.26635/phd.2021.110","DOIUrl":"https://doi.org/10.26635/phd.2021.110","url":null,"abstract":"Introduction: Mental wellbeing is a growing health issue for Pacific Islands communities (Pasifika), particularly amongst people who have resettled in a different country. We explored whether Pasifika people living in Australia think mental health services meet their needs.\u0000Methods: We ran eight two-hour focus groups with 183 adults living in Queensland, Australia. There were representatives from the following ethnic groups: Cook Islands, Fiji, Maori, Niue, Papua New Guinea, Samoa, Tokelau and Tonga. We also included mental health providers. We analysed the feedback using thematic analysis.\u0000Findings: Pasifika people welcomed having an opportunity to discuss mental wellbeing openly. They said that economic issues, social isolation, cultural differences, shame and substance use contributed to increasingly poor mental health amongst Pasifika communities in Australia. They wanted to work with mainstream services to develop culturally appropriate and engaging models to support mental wellbeing. They suggested opportunities to harness churches, community groups, schools, social media and radio to raise awareness about mental health. \u0000Conclusions: Working in partnership with Pasifika communities could strengthen mainstream mental health services and reduce the burden on acute services in Australia. This could include collecting better ethnicity data to help plan services, empowering community structures to promote mental wellbeing and training staff to support Pasifika communities. The key message was that services can work ‘with’ Pasifika communities, not ‘to’ them.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43771805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"E le sauaina tatou tagata matutua: Re-examining abuse through cultural lens of the fonofale model","authors":"Juliet Boon-Nanai, S. Thaggard, E. Tautolo","doi":"10.26635/phd.2021.109","DOIUrl":"https://doi.org/10.26635/phd.2021.109","url":null,"abstract":"Introduction Cultural paradigms are emerging as the appropriate way to examine Samoans’ life experiences. In this study, it proposes to employ the fonofale model to explore and examine the notion of abuse among Pacific elders main from a Samoan lens. \u0000Methodology In framing this study, the talanoa approach was deemed culturally appropriate. Twelve Samoan tagata matutua (elderly people) were asked to talanoa (discuss) their experiences of what abuse means to them. \u0000Findings suggest that, initially, abuse of Samoan elders was at first contested. That it is not the fa’asamoa(Samoan way). However, as the talanoa gathered mafana (warmth) and malie (maintained good social relationships), most agreed that physical abuse was uncommon within an aiga (familial) context, but other forms of abuse were apparent. \u0000Conclusion For these tagata matutua, six different forms of abuse were identified; with particular emphasis on cultural and spiritual abuse. Following the fonofale paradigm, which reflects the Samoan worldview, this article informs the perception of spiritual abuse for Samoan elders and is relevant within the wider Pacific context.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41762162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Veisinia Pulu, Iemaima Tiatia-Sheath, B. Borman, R. Firestone
{"title":"Investigating principles that underlie frameworks for Pacific health research using a co-design approach: learnings from a Tongan community based project","authors":"Veisinia Pulu, Iemaima Tiatia-Sheath, B. Borman, R. Firestone","doi":"10.26635/phd.2021.115","DOIUrl":"https://doi.org/10.26635/phd.2021.115","url":null,"abstract":"Co-design is a relatively new method employed in public health-based interventions to identify problems, generate and implement solutions through harnessing knowledge and creativity of citizens and staff . Researchers use different co-design steps in the design and implementation of intervention programmes. The co-design approach has been successfully used in redesigning health care services to fit the needs of the consumers and has extended to develop health interventions for communities . In New Zealand, co-design methods have been used to develop health interventions among minority and indigenous groups. Previous research highlighted that co-design fits well when collaborating with these groups as it allows tool redevelopments and re-fining based on the socio-cultural needs of participants. This method captures and understands the needs of the Tongan community, as well as foster expression, reflection, and sharing to inform the development of the intervention. The generation of discussion in co-design aligns with the indigenous knowledge of systems, creation stories and oral stories which provide a culturally empowering way to generate discussion and insights from Tongan communities.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47821509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Boudville, W. Irava, Silina Motofaga, K. Gilbert, P. Annear
{"title":"Overseas Medical Referral: the health system challenges for Pacific Island Countries","authors":"A. Boudville, W. Irava, Silina Motofaga, K. Gilbert, P. Annear","doi":"10.24135/PACIFICHEALTH.V4I.49","DOIUrl":"https://doi.org/10.24135/PACIFICHEALTH.V4I.49","url":null,"abstract":"The delivery of specialised clinical services in the small Island nations of the Pacific region is an increasing challenge in the context of a rising burden of non-communicable diseases. Resources are limited and case-loads too low to support local specialists. This article focuses on the common practice of Overseas Medical Referral (OMR), which is an increasing challenge in the region. We collected interview and secondary data across 16 Pacific Island Countries. We found that OMR policies are often weak or incomplete, systems inadequate and reforms needed. Integrating OMR fully into national health referral systems and national strategic planning and prioritisation processes is needed. There is an additional need for collection of routine data on OMR service providers in the recipient countries and the outcomes of clinical care. With these reforms, a move towards increased regional cooperation and some form of strategic purchasing is possible.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80752061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Access to ICT in the Pacific Islands region: a brief report","authors":"J. McCool, Janine Hill, R. Dobson, R. Whittaker","doi":"10.26635/phd.2020.642","DOIUrl":"https://doi.org/10.26635/phd.2020.642","url":null,"abstract":"Abstract\u0000Mobile technologies are an essential component necessary for the functioning of contemporary health systems. The advent of digital health represents a logical collaboration between the need for greater efficiencies in health service delivery and systems and the rapid expansion of personal mobile devices. Worldwide mobile subscriptions are expected to reach 8.9bn, smartphone subscriptions 7.2bn and mobile broadband 8.3bn 1. For many countries, mobile subscriptions exceed population numbers; the Pacific Islands region is no different 1. Yet within the region huge diversity in access to information and communication technologies (ICT) contributes to gradual progress in implementing digital health initiatives that could accelerate and extend measures to improve public health.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43939856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The COVID-19 Pandemic and Pacific resilience","authors":"A. Ekeroma","doi":"10.26635/phd.2020.635","DOIUrl":"https://doi.org/10.26635/phd.2020.635","url":null,"abstract":"On the 21st November 2020, the number of COVID19 cases recorded worldwide is about to reach 59 million with close to 1.4 million deaths.1 Countries such as New Zealand with the promptness in strict border controls, screening, tracking and isolation policies and procedures have the least rate of infection and deaths, compared to countries such as the United States of America (USA) who lacked a prompt coordinated response, leadership and population willingness to prevent infection spread. \u0000 ","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"307-308"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45825520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bula vakavanua and the spiritual disruption of elder abuse: A Fijian perspective","authors":"S. Thaggard, E. Tautolo","doi":"10.26635/phd.2020.639","DOIUrl":"https://doi.org/10.26635/phd.2020.639","url":null,"abstract":"ABSTRACT\u0000Introduction: This article used a cultural lens to explore issues of elder abuse from a Fijian perspective. Fijian tradition of respect for the older adult is a priority and any mistreatment is viewed as a spiritual disconnection and most injurious to God, the land and the people; their ancestral foundations and traditional customs.\u0000Methods: The Fonofale model, as a pan-pacific approach was employed as a methodological paradigm to explore elements of abuse within a larger study of 50 Pacific Island elders from Pacific communities of Aotearoa, New Zealand. This article examines perceptions of abuse as seen from a Fijian perspective.\u0000Findings: The findings argue that all forms of abuse; physical, psychological, financial or neglect are seen as a spiritual disconnection to the very foundation of what it is to be Fijian, referred to as bula vakavanua - the Fijian way of life.\u0000Conclusion: Practitioners with the possibility of confronting situations of abuse may benefit from a cultural awareness programme, addressing the many different ways that abuse may be construed from within a culture other than the dominant one in society.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"335-340"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41334323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Covid-19 underscores long held strengths and challenges in Pacific health.","authors":"Jacinta Fa'alii-Fidow","doi":"10.26635/phd.2020.644","DOIUrl":"https://doi.org/10.26635/phd.2020.644","url":null,"abstract":"Much has been made of the Pacific Covid-19 response and the manner in which Pacific providers and communities rallied to combat Covid-19, particularly during the second Auckland outbreak. Led by a well-coordinated central team of Pacific experts from across the country, frontline workers, officials, media, communications experts, researchers and community champions across all sectors acted swiftly, demonstrating their versatility and the potential to respond and to protect their people when given the mandate and resources. \u0000 ","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"351-353"},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45871989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dr Joseph Williams MBChB, MPH, QSM, QSO","authors":"Debbie Sorensen","doi":"10.26635/phd.2020.646","DOIUrl":"https://doi.org/10.26635/phd.2020.646","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43509943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}