Pacific health dialog最新文献

{"title":"Rethinking and establishing a dental collaboration in the Pacific region","authors":"Leroy Tatui, J. McCool, V. Nosa","doi":"10.26635/PHD.2018.921","DOIUrl":"https://doi.org/10.26635/PHD.2018.921","url":null,"abstract":"In the Pacific Island countries and territories (PICTs) challenge of limited human resource capacity and a corresponding low investment in maintaining access to high quality, accessible health services.2 We argue here that there are significant opportunities to build effective connectivity among the oral health sectors for the benefit of the PICTS. These will necessarily involve: building upon existing networks, sharing human and technology resources and growing leadership with the oral health sector to continue to advocate for oral health as a population health priority.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45583966","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":"Health literacy of Pacific mothers in New Zealand is associated with sociodemographic and non-communicable disease risk factors: surveys, focus groups and interviews.","authors":"Losi Sa'ulilo, E. Tautolo, V. Egli, Melody Smith","doi":"10.26635/phd.2018.914","DOIUrl":"https://doi.org/10.26635/phd.2018.914","url":null,"abstract":"Abstract \u0000Introduction: Pacific people living in New Zealand, suffer from inequitably high rates of non-communicable diseases and their associated risk factors. This disease burden may be compounded by low health literacy levels. The objectives of this research were: (1) measure relationships between health literacy, socio-demographic factors and non-communicable disease risk factors in a large sample of Pacific mothers living in New Zealand and (2) gain in-depth understanding of social and cultural factors contributing to these relationships. \u0000Methods: Logistic regression was employed to investigate health literacy and: acculturation, socioeconomic status, physical activity, education, smoking status, health status, and alcohol consumption. Semi-structured focus groups were conducted with Pacific mothers and interviews with Pacific health professionals adopting the culturally appropriate talanoa, and kakala methods, within the Fonofale framework. \u0000Findings: Associations between low health literacy and age, ethnicity, acculturation, employment, education, smoking status, and alcohol status were shown. Novel findings from the focus groups were: the use and comprehension of health information and what constitutes preferred information and health service delivery modes. \u0000Conclusions: Findings suggest current health related information is not being used to its fullest extent by Pacific mothers. This may be due to underlying socio-demographic factors. This is the first study to examine the factors related to health literacy among Pacific mothers in NZ. Findings should be used to inform future interventions and delivery of public health nutrition messages.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43824640","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":"A Short history of the post-graduate surgical training in Fiji - where to from here?","authors":"J. Cama, S. Nagra","doi":"10.26635/PHD.2018.918","DOIUrl":"https://doi.org/10.26635/PHD.2018.918","url":null,"abstract":"Post-graduate surgical training at the Fiji National University (FNU), previously known as the Fiji School of Medicine) has recently been updated by incorporating elements from the Royal Australasian College of Surgeons (RACS) training curriculum. The revised curriculum maintains strong contextual relevance to the needs and pathologies of the Pacific Island nations.  This paper outlines why the FNU surgical postgraduate training programme should be applauded as a successful programme in the training of surgeons for the region.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45389658","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 impact of living with type 2 diabetes: a descriptive qualitative case study with four Pacific participants","authors":"Darlene Pupi, T. Sullivan, K. Coppell","doi":"10.26635/phd.2018.915","DOIUrl":"https://doi.org/10.26635/phd.2018.915","url":null,"abstract":"Introduction: Diabetes is a common among Pacific peoples. The personal cost of diabetes is substantial with the indirect costs shown to outweigh the direct costs in some instances.  The aim of this case study was to identify and describe the personal cost to four Pacific people living with type 2 diabetes in New Zealand. \u0000Methods: Two Pacific men and two Pacific women with type 2 diabetes were recruited with the assistance of the Pacific Island Centre and the Pacific Research Student Support Unit, University of Otago, Dunedin, New Zealand. The participants were interviewed (three in Samoan and one in English) using an open question approach. Appropriate cultural protocols were observed, and interviews were audio-recorded and transcribed. Samoan interviews were translated into English. A thematic analysis was undertaken using an inductive approach. \u0000Findings: Participants’ ages ranged from the mid-30s to 75 years. The two retired participants had difficulty paying their prescription fees and three participants considered healthy food expensive. Other costs included time off work and family members moving towns to take care of participants and their diabetes. Pacific community members provided time, gifts and money at times when participants were less well. At the same time, participants considered they had a role in educating their community about diabetes prevention. A diagnosis of diabetes triggered healthful lifestyle changes for one participant. \u0000Conclusions: The personal cost associated with diabetes is broad and complex, with particular implications for roles and responsibilities among Pacific communities.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47494504","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 starting University in New Zealand","authors":"F. Sopoaga, J. Meer, S. Nada-Raja, T. Wilkinson, Sarah Jutel","doi":"10.26635/PHD.2018.916","DOIUrl":"https://doi.org/10.26635/PHD.2018.916","url":null,"abstract":"Introduction \u0000Aim : To explore the mental health and factors that impact on the wellbeing of Pacific students in their first year at University. \u0000Methods : Twenty Pacific students who enrolled to study in the Health Sciences First Year at a University in New Zealand in 2015 were randomly selected to participate in this research. Participants were interviewed three times during their first year at University. The Pacific research methodology Talanoa was used for the data collection process. Of the 60 planned interviews, 59 were able to be completed. Interviews were recorded, transcribed and uploaded to NVivo to assist data management. Data was analysed using a thematic approach. \u0000Results \u0000Pacific students reported on their experiences of various stresses during the year. Some stress was related to their own personal expectations and others due to expectations of others. Students experienced a range of emotions and symptoms in response to these stresses. Many had developed skills or effective management strategies to deal with these stresses. For many, resilience contributed to maintaining wellbeing. In addition, families, friends, peers, mentors, supportive staff and targeted Pacific support services played critical roles in supporting the mental health and wellbeing of Pacific students in the first year at University. \u0000Conclusion \u0000There is increasing concern worldwide about students’ mental health and wellbeing in higher education. Pacific students felt stressed for many reasons which affected their mental health in the first year at University. Their resilience and other coping skills and connecting to a wide support network enabled them to maintain wellness. Pacific students or those from minority groups are likely to require different and or more support to enable them to adapt to the higher education environment. Strengthening and facilitating access to support networks and culturally relevant services, and increasing connectedness and sense of belonging, are important for Pacific students’ mental health and wellbeing in the tertiary environment.  ","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47317715","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":"Identifying and overcoming barriers to healthier lives","authors":"Riz Firestone, Tevita Funaki, S. Dalhousie, Akarere Henry, M. Vano, J. Grey, A. Jull, R. Whittaker, L. T. Te Morenga, C. N. Mhurchu","doi":"10.26635/PHD.2018.913","DOIUrl":"https://doi.org/10.26635/PHD.2018.913","url":null,"abstract":"Understanding the key determinants of health from a community perspective is essential to address and improve the health and wellbeing of its members.  This qualitative study aimed to explore and better understand New Zealand-based Pasifika communities’ sociocultural experiences and knowledge of health and wellbeing. Fifty-seven participants were involved in six separate focus groups. Community coordinators co-facilitated and transcribed the discussions and conducted thematic analysis. The findings suggested two overarching themes: (1) ‘Pasifika experiences on poor health and well-being’: were based on sub-themes: (i) ‘recognisable issues’ (e.g., poor diet and lifestyle behaviours); (ii) ‘systemic issues’ that support the perpetual health issues (e.g., lack of knowledge and education) and; (iii) ‘profound issues’ that are often unspoken of and create long-term barriers (e.g., cultural lifestyle and responsibilities).  (2) ‘Hopes and dreams’ to improve health and well-being requires: (i) a family-centric approach to health; (ii) tackling systemic barriers; and (iii) addressing community social justice issues.  This study provides deepened insights on Pasifika communities’ understanding healthier living in the context of their cultural environment and family responsibilities. If we are to develop effective, sustainable programmes that prioritises health and well-being based on the needs of Pasifika communities, the findings from this study highlight their needs as step forward in overcoming barriers to healthier lives.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46589213","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":"Cytisine as an alternative smoking cessation product for Pacific smokers in New Zealand","authors":"V. Nosa, Kotalo Leau, Natalie Walker","doi":"10.26635/phd.2018.919","DOIUrl":"https://doi.org/10.26635/phd.2018.919","url":null,"abstract":"ABSTRACT \u0000Introduction: Pacific people in New Zealand have one of the highest rates of smoking.  Cytisine is a plant-based alkaloid that has proven efficacy, effectiveness and safety compared to a placebo and nicotine replacement therapy (NRT) for smoking cessation.  Cytisine, like varenicline, is a partial agonist of nicotinic acetylcholine receptors, and blocks the rewarding effects of nicotine. Cytisine is naturally found in some plants in the Pacific region, and so may appeal to Pacific smokers wanting to quit. This paper investigates the acceptability of cytisine as a smoking cessation product for Pacific smokers in New Zealand, using a qualitative study design. \u0000Methods: In December 2015, advertisements and snowball sampling was used to recruit four Pacific smokers and three Pacific smoking cessation specialists in Auckland, New Zealand. Semi-structured interviews where undertaken, whereby participants were asked about motivations to quit and their views on smoking cessation products, including cytisine (which is currently unavailable in New Zealand). Interviews were recorded and transcribed verbatim, with thematic analysis conducted manually. \u0000Findings: Pacific smokers reported wanting to quit for loved ones and family, but did not find currently available smoking cessation products effective. Almost all participants had not previously heard of cytisine, but many of the Pacific smokers were keen to try it. Participants identified with cytisine on a cultural basis (given its natural status), but noted that their use would be determined by the efficacy of the medicine, its cost, side-effects, and accessibility. They were particularly interested in cytisine being made available in liquid form, which could be added to a “smoothie” or drunk as a “traditional tea”.  Participants thought cytisine should be promoted in a culturally-appropriate way, with packaging and advertising designed to appeal to Pacific smokers. \u0000Conclusions: Cytisine is more acceptable to Pacific smokers than other smoking cessation products, because of their cultural practices of traditional medicine and the natural product status of cytisine.","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46904565","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 Health Impacts of Climate Change","authors":"C. Tukuitonga","doi":"10.26635/PHD.2018.920","DOIUrl":"https://doi.org/10.26635/PHD.2018.920","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42855759","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":"Climate change – transitions, tipping points and typhoons","authors":"A. Woodward","doi":"10.26635/PHD.2018.912","DOIUrl":"https://doi.org/10.26635/PHD.2018.912","url":null,"abstract":"As I write Hurricane Florence is approaching the east coast of the US. Here is a storm out of the ordinary. It is most uncommon for such a powerful hurricane to reach so far north. The projected rainfall (up to 1.2 meters) is unprecedented. The tidal surge, which may be as high as 5.5 metres, has been experienced only twice since 1851. On no other occasion has a hurricane combined all these features.1","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49577007","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":"Traditional Medicine Use in the Dunedin Pacific Community in New Zealand","authors":"E. Wilson, Ben Grant, Rosa Tobin-Stickings, H. Lewthwaite, G. Franklin, Sarah Oh, Simon Guan, Thomas Borowsky, K. Thwaites, Timothy Leaper, Jun Lee, J. Susan, F. Sopoaga","doi":"10.26635/PHD.2018.903","DOIUrl":"https://doi.org/10.26635/PHD.2018.903","url":null,"abstract":"","PeriodicalId":82251,"journal":{"name":"Pacific health dialog","volume":"21 1","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48759963","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}