Pacific health dialog最新文献

{"title":"Understanding Parental education and health of Pacific families: Background and study protocol","authors":"J. Kokaua, Seini Jensen, Reremoana Theodore, Debbie Sorensen, Wilmason Jensen, R. Audas, R. Richards","doi":"10.26635/phd.2020.622","DOIUrl":"https://doi.org/10.26635/phd.2020.622","url":null,"abstract":"Nakiro'anga ite au meitaki o tei 'āpi'i ia no te ora'anga pu'apinga no tātou te Vakevake a Te Moana Nui o Kiva e no'o nei i Aotearoa (Meitaki o te ‘Api'i) is a programme of research examining the benefits of education to health outcomes for Pacific families in Aotearoa using the Integrated Data Infrastructure (IDI). It is an Health Research Council funded Pacific post-doctoral project. The present study represents part of Meitaki o te ‘Api'i that will investigate any associations between parental education and child health outcomes in Pacific families. Using linked health, income, and Census data, the study will model the influence of parental education levels on child health outcomes accounting for the influence of other key factors. The aim of this methodological paper, ist to give the background for this project, which is in a relatively new data space for Pacific research, and describe our participants. Most children in the study cohort were born in New Zealand and nearly all could speak English. Pacific children were slightly younger, more likely to be able to speak a Pacific or other languages, and most likely to live in areas of socio-ecenomic deprivation compared to non-Pacific children. Pacific children who identified with solely Pacific and Pacific with other ethnicities. Parents of children with solely Pacific ethnicity, more than a third of whom were born in New Zealand, over 60% spoke a Pacific language and four out of five held christian beliefs. By comparison, parents of children with Pacific with other ethnicities were; younger, New Zealand born, less likely to speak another language and half held christian beliefs. Compared with parents of children from Other ethnicities, parents of Pacific children had lower median incomes, were less likely to own their home and had fewer total years of education. This paper reports on some well known inequities that exist for Pacific children living in New Zeland. However, it is important to note that the overall purpose of this study is not to highlight the differences between Pacific and other non Pacific families, but to look at the relationship between parental education and the health of children.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"233-244"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41428392","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":"Mental health and wellbeing of Pacific students : Protocol of a prospective cohort study","authors":"F. Sopoaga, S. Nada-Raja, T. Leckie, A. Samaranayaka","doi":"10.26635/phd.2020.626","DOIUrl":"https://doi.org/10.26635/phd.2020.626","url":null,"abstract":"Introduction: Mental disorders are a significant health concern and an increasing burden for Pacific youth in New Zealand. Approximately 30,000 (30%) of Pacific youth aged 18-24 years are enrolled in tertiary studies with sparse information about their mental health and wellbeing. There is increasing recognition of the impact of stressors and emotional problems faced by students in tertiary institutions internationally. This paper sets out the protocol for the Ola Malohi study which seeks to determine Pacific tertiary students’ mental health and wellbeing, their expectations and experiences, as well as determining risk and protective factors, access and barriers to using health services and their impact on students’ academic progress. Methods: All Pacific students enrolling for the first time and in their first year of study at the University of Otago in 2019 will be invited to participate in this study and be followed for three years. A mixedmethod research approach will be used with a survey obtaining information from all eligible students. Of those that participate in the survey, 30 students will be randomly selected to participate in four interviews over the study period. Findings/Outcomes measure: The primary mental health measures are the Kessler 10 (distress), PHQ9 (depression) and the GAD-7 (anxiety). The primary wellbeing measure utilises a validated Pacific Identity and Wellbeing (PIWBS-R) scale and the WHO-5 (subjective wellbeing). Secondary measures include alcohol use, students’ experience and academic progress. Interviews will provide in-depth perspectives of the students’ journeys, and the relationship to their mental health and wellbeing including the impact on students’ academic progress. Conclusions: This research seeks to better understand the factors that influence the mental health, wellbeing and academic success of Pacific students in tertiary institutions. The findings will be used to inform advocacy approaches and guide targeted support efforts.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"272-280"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46725488","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":"Building research capacity and capabilities in Fiji: are we there yet?","authors":"Jyotishna Mudaliar, B. Kool, J. Natasha, J. McCool","doi":"10.26635/phd.2020.628","DOIUrl":"https://doi.org/10.26635/phd.2020.628","url":null,"abstract":"Introduction: A barrier to local investigator-led research in low income settings, is the limited availability of personnel with appropriate research skills or qualifications to conduct the type of research required for evidence-informed policy making to improve access and quality of health care. In response to this, Fiji National University’s College of Medicine, Nursing and Health Sciences in Fiji, collaborated with academics based at the University of Auckland, New Zealand to deliver a series of research capacity development workshops in Fiji. \u0000Methods: Participants who attended any of the nine workshops (n=123) were contacted via email to take part in a brief survey regarding their perceptions of the effectiveness of the research capacity building workshops. Of the possible 123 participants, 80% (n=76) completed the questionnaire.  \u0000Results: Findings demonstrate that the majority of participants reported that they had gained research skills from the workshops (75%) including proposal development skills (68%) and knowledge of appropriate research methods (59%). Furthermore, 70% agreed that the workshops built their research confidence.  Since attending a workshop, 18% of respondents had successfully applied and received funding for research grants and/or fellowships.  Barriers to conduct research included workload (75%), lack of research knowledge, experience or skills (51%), and lack of institutional support (41%). Suggestions for future workshops included: more focus on data analysis, regular courses rather than ‘one offs’, and preparation of research findings (e.g. publications). \u0000Conclusion: Our findings indicate that research workshops of this nature may increase individual research capabilities but sustained, locally led initiatives, backed by institutional and supplementary technical support are essential.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46965880","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":"Use of Bodily Tissues in Research – Pacific perspectives from Dunedin, New Zealand","authors":"Olivia Thompson, J. Anderson, Margaret Chen, Grace Haack, R. Mane, Tessa Stewart, James Strickland, J. Walthert, Sarah Jutel, Talai Mapusua, D. Schwenke, F. Sopoaga, Simon Walker, R. Richards","doi":"10.26635/phd.2020.624","DOIUrl":"https://doi.org/10.26635/phd.2020.624","url":null,"abstract":"Introduction \u0000Donation of human tissue is essential for biomedical research to improve our understanding of the causes and treatment of diseases. To facilitate this, researchers need to understand what approaches and processes make donation and storage more acceptable for various communities. This study explores the perspectives of Pacific peoples living in Dunedin, New Zealand on the use of human tissues for biomedical research. \u0000Methods \u0000In April 2018, four focus groups (total of 18 participants) were held with members of the Pacific community in Dunedin. Each group was demographically different, with groups consisting of; elders of mixed ethnicity, university students, medical doctors and one Tongan group of mixed ages. An open-ended questioning style was used, with specific prompts about participant’s perceptions of the purpose and processes for donating tissues for research and things that might make them more or less likely to donate. \u0000Findings \u0000There were a diverse range of views expressed, reflecting the diversity of participants across different ethnicities and ages. While participant responses varied widely in terms of enthusiasm or caution towards different types of donation, similar themes emerged regarding the importance of detailed informed consent, and respect and trust towards both the donors and/or their tissues. The importance of culture and religion on the attitudes or perspectives towards donation was also highlighted. Finally, it was perceived that donation is likely to be more acceptable if researchers are able to explain why their work is meaningful in a Pacific context and adapt to Pacific situations and/or concerns within the research protocols. \u0000Conclusions \u0000For Pacific peoples to derive the most benefit from research initiatives it is important that processes to collect human tissue are respectful of cultural protocols and expectations to support participation. This study provides useful information to support the evolution of guidelines within the NZ research context.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"245-252"},"PeriodicalIF":0.0,"publicationDate":"2020-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45618967","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":"Exploring success amongst Pacific families in New Zealand: Findings from the Pacific Islands Families Study","authors":"E. Tautolo, Julienne Faletau, Leon Iusitini, J. Paterson","doi":"10.26635/phd.2020.627","DOIUrl":"https://doi.org/10.26635/phd.2020.627","url":null,"abstract":"An overarching objective of New Zealand society is to have an equitable educational, economic, and health outcomes for all citizens, including its Pacific population. In response to these ambitions, this study explored success and what elements are necessary for Pacific families to be successful in New Zealand. Focus groups were undertaken with 29 Pacific fathers and 27 Pacific mothers aged between 35-71 years. An inductive thematic analytical approach was used to code and identify themes from the data. Pacific methodologies, including the Talanoa and Kakala frameworks, were integral in the systematic process of data analysis. Four key factors were found to represent and constitute success for Pacific families: a connection with God, practicing and embracing Pacific cultural identity, family connectedness and lastly communication. Incorporating these key facets into social service provision to enable Pacific people to lead successful, productive lives and Pacific families to function successfully.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"216-225"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41710713","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":"Potential for using New Zealand’s Integrated Data Infrastructure in Pacific health and wellbeing research","authors":"J. Kokaua, Seini Jensen, Wilmason Jensen, Debbie Sorensen, R. Richards","doi":"10.26635/phd.2019wos.623","DOIUrl":"https://doi.org/10.26635/phd.2019wos.623","url":null,"abstract":"The Integrated Data Infrastructure (IDI) incorporates national data collected by many of New Zealand’s government agencies, some non-government organisations, Census and other national surveys. Using the IDI for research into social, cultural, health, or other outcomes has become much more common, reflecting its research potential. The primary aim of this paper is to discuss the utility of the IDI for use by Pacific researchers. We use the experiences from a research project collaboration between Pasifika Futures and a University of Otago study. A second aim for this paper is to discuss whether Pacific researchers should consider integrating their own data with data in the IDI. This is an option available to some organisations within the IDI, to supplement their own data with that of other government agencies. \u0000For Pacific researchers, the IDI offers sufficient numbers to investigate outcomes to a level of detail that was available to only a handful of previous studies. With its ability to draw information from multiple sources, it seems a valuable addition to the information requirements of Pacific health research. But it is not without its limitations and it falls well short of being the total solution to all Pacific data needs and the need for other contextual research is likely to remain necessary. Furthermore, from a Pacific perspective, it also comes with several caveats that can reduce its usefulness for many Pacific communities. It is particularly lacking in terms of measures that reflect the value of Pacific culture.  \u0000The IDI offers a cost effective, secure and timely alternative to that process. We argue that it is important that as a community we encourage Pacific researchers to take leadership in shaping the stories that emerge from the IDI. To uphold Pacific world-views, prevent deficit-framed findings and even add value in terms of measures indicating strength of culture.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46413661","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":"PASIFIKA FUTURES WHĀNAU ORA: F’INE – Nurturing the Future for Pasifika LGBTQI","authors":"Saneta Manoa, Phylesha Brown-Acton, Tatryanna Utanga, Seini Jensen","doi":"10.26635/phd.2019wos.624","DOIUrl":"https://doi.org/10.26635/phd.2019wos.624","url":null,"abstract":"F’INE Aotearoa, through Pasifika Futures Whānau Ora programme, is supporting Pacific Lesbian, Gay, Bisexual, Transgender, Queer and Intersex (LGBTQI) individuals and their families to transform their lives and achieve their aspirations.  The LGBTQI community in New Zealand experience significant disadvantage across a range of areas affecting wellbeing, including higher rates of poor mental health, depression and anxiety 1,2,3. For Pacific LGBTQI, the disadvantages are compounded further.  F’INE, an LGBTQI specific provider in New Zealand, is working to change this.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44328999","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":"Leading in partnership - the Whānau Ora Way","authors":"Nigel Beckford, Rouruina Emil’e-Brown, Hamish Crooks, Tevita Funaki, Vui Mark Gosche, Trevor Guttenbeil","doi":"10.26635/phd.2019wos.622","DOIUrl":"https://doi.org/10.26635/phd.2019wos.622","url":null,"abstract":"Several programmes have been trialed previously to support Pacific families in Aotearoa/New Zealand achieve economic independence Whānau Ora is helping Pacific families to prosper where previous programmes have struggled to make an impact. Four Pacific chief executives share their insights through Talanoa into how Whānau Ora is transforming the lives of not just Pacific families, but also the organisations working with them.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47482508","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":"Whānau Ora - A New Beginning","authors":"Debbie Sorensen","doi":"10.26635/phd.2019.wos620","DOIUrl":"https://doi.org/10.26635/phd.2019.wos620","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41993873","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":"HIV/AIDS among young women in Malawi: A review of risk factors and Interventions","authors":"McDonald W. Nyalapa, C. Conn","doi":"10.24135/PACIFICHEALTH.V2I0.9","DOIUrl":"https://doi.org/10.24135/PACIFICHEALTH.V2I0.9","url":null,"abstract":"Young women aged 10-24 years in Malawi currently experience HIV prevalence of about 5%.  This high HIV prevalence amongst young women reflects a heart-breaking feature of the serious epidemic in southern Africa for the past five years. Given the serious situation it is vital to understand the risk factors faced by young women of Malawi, and further understanding of the interventions necessary to address the problem. A narrative review set out to explore the literature, retrieved from institutional reports and peer-reviewed publications, on the factors increasing young women’s vulnerability to HIV in Malawi, and on interventions aimed at reducing their risk. Young women in Malawi are particularly vulnerable to HIV infection as a result of poverty, harmful gender norms, and economic and social inequities. Whilst there are some interventions in place, in the face of such a disproportionately difficult social and socio-economic environment, lack of resources and other systemic gaps, these are not sufficiently effective. Given the scale of the problem and the difficult environment experienced by young women, effective HIV prevention interventions remain critical. Further research is required to establish appropriate and effective interventions, and to address the social determinants of health, especially in relation to gender and rights.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87614072","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}