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Understanding Parental education and health of Pacific families: Background and study protocol 了解太平洋家庭的父母教育和健康:背景和研究方案
Pub Date : 2020-02-06 DOI: 10.26635/phd.2020.622
J. Kokaua, Seini Jensen, Reremoana Theodore, Debbie Sorensen, Wilmason Jensen, R. Audas, R. Richards
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.
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)是一项利用综合数据基础设施(IDI)研究教育对Aotearo太平洋家庭健康结果的益处的研究计划。这是健康研究委员会资助的太平洋博士后项目。本研究代表了Meitaki o te‘Api的一部分,该研究将调查太平洋家庭中父母教育与儿童健康结果之间的任何关联。利用相关的健康、收入和人口普查数据,该研究将模拟父母教育水平对儿童健康结果的影响,并考虑其他关键因素的影响。这篇方法论论文的目的是为该项目提供背景,并描述我们的参与者。该项目处于太平洋研究的一个相对较新的数据空间。研究队列中的大多数儿童出生在新西兰,几乎所有儿童都会说英语。与非太平洋儿童相比,太平洋儿童年龄稍小,更有可能说太平洋或其他语言,最有可能生活在社会经济贫困地区。只认同太平洋和太平洋其他种族的太平洋儿童。只有太平洋族裔的孩子的父母,其中超过三分之一出生在新西兰,超过60%的孩子会说太平洋语言,五分之四的孩子信奉基督教。相比之下,太平洋地区其他种族儿童的父母是;出生于新西兰的年轻人,不太可能说另一种语言,并且有一半信奉基督教。与其他种族儿童的父母相比,太平洋地区儿童的父母收入中位数较低,拥有住房的可能性较小,受教育年限也较少。本文报告了生活在新西兰的太平洋儿童存在的一些众所周知的不平等现象。然而,值得注意的是,这项研究的总体目的不是强调太平洋家庭与其他非太平洋家庭之间的差异,而是研究父母教育与儿童健康之间的关系。
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引用次数: 4
Mental health and wellbeing of Pacific students : Protocol of a prospective cohort study 太平洋地区学生的心理健康和幸福感:一项前瞻性队列研究的方案
Pub Date : 2020-02-06 DOI: 10.26635/phd.2020.626
F. Sopoaga, S. Nada-Raja, T. Leckie, A. Samaranayaka
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.
导言:精神障碍是新西兰太平洋地区青年面临的一个重大健康问题和日益沉重的负担。大约30 000(30%)年龄在18-24岁之间的太平洋青年正在接受高等教育,但关于其心理健康和福祉的信息很少。国际上越来越多的人认识到高等院校学生所面临的压力和情绪问题的影响。本文阐述了Ola Malohi研究的协议,该研究旨在确定太平洋地区大专学生的心理健康和福祉、他们的期望和经历,以及确定使用卫生服务的风险和保护因素、获取和障碍及其对学生学业进步的影响。方法:所有2019年在奥塔哥大学首次入学和第一年入学的太平洋学生将被邀请参加本研究,并进行为期三年的随访。混合方法研究方法将与调查一起使用,从所有符合条件的学生那里获得信息。在参与调查的学生中,将随机选择30名学生在研究期间参加四次访谈。主要心理健康指标为Kessler 10(苦恼)、PHQ9(抑郁)和GAD-7(焦虑)。主要的幸福感测量采用了经过验证的太平洋身份和幸福感(PIWBS-R)量表和WHO-5(主观幸福感)。次要指标包括酒精使用、学生经历和学业进展。访谈将提供学生旅程的深入视角,以及与他们的心理健康和福祉的关系,包括对学生学业进步的影响。结论:本研究旨在更好地了解影响大专院校太平洋学生心理健康、幸福感和学业成功的因素。调查结果将用于宣传方法和指导有针对性的支持工作。
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引用次数: 1
Building research capacity and capabilities in Fiji: are we there yet? 在斐济建设研究能力:我们做到了吗?
Pub Date : 2020-02-06 DOI: 10.26635/phd.2020.628
Jyotishna Mudaliar, B. Kool, J. Natasha, J. McCool
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. Methods: 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.  Results: 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). Conclusion: 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.
引言:在低收入环境中,当地调查员领导的研究的一个障碍是,具有适当研究技能或资格的人员有限,无法进行循证决策所需的研究,以改善医疗保健的可及性和质量。为此,斐济国立大学医学、护理和健康科学学院与新西兰奥克兰大学的学者合作,在斐济举办了一系列研究能力发展讲习班。方法:通过电子邮件联系参加九个研讨会中任何一个研讨会的参与者(n=123),就他们对研究能力建设研讨会有效性的看法进行简短调查。在可能的123名参与者中,80%(n=76)完成了问卷调查。结果:调查结果表明,大多数参与者报告称,他们从研讨会中获得了研究技能(75%),包括提案制定技能(68%)和适当研究方法的知识(59%)。此外,70%的人同意研讨会建立了他们的研究信心。自参加研讨会以来,18%的受访者成功申请并获得了研究资助和/或研究金。开展研究的障碍包括工作量(75%)、缺乏研究知识、经验或技能(51%)以及缺乏机构支持(41%)。对未来研讨会的建议包括:更多地关注数据分析、常规课程而不是“一次性”课程,以及准备研究结果(如出版物)。结论:我们的研究结果表明,这种性质的研究研讨会可能会提高个人的研究能力,但在机构和补充技术支持的支持下,持续的、地方主导的举措至关重要。
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引用次数: 1
Use of Bodily Tissues in Research – Pacific perspectives from Dunedin, New Zealand 身体组织在研究中的应用——来自新西兰达尼丁的太平洋视角
Pub Date : 2020-02-04 DOI: 10.26635/phd.2020.624
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
Introduction Donation 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. Methods In 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. Findings There 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. Conclusions For 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.
人体组织捐献对生物医学研究至关重要,可以提高我们对疾病原因和治疗的认识。为了促进这一点,研究人员需要了解哪些方法和过程使捐赠和储存更容易被各个社区所接受。本研究探讨了居住在新西兰达尼丁的太平洋民族对使用人体组织进行生物医学研究的看法。方法2018年4月,在达尼丁与太平洋社区成员举行了四个焦点小组(共18名参与者)。每个群体在人口统计学上是不同的,群体包括;混合族裔的老年人、大学生、医生和一个混合年龄的汤加人群体。采用开放式提问方式,具体提示参与者对捐赠组织用于研究的目的和过程的看法,以及可能使他们或多或少可能捐赠的事情。调查结果反映了不同种族和年龄的参与者的多样性,表达了不同的观点。虽然参与者的反应在对不同类型的捐赠的热情或谨慎方面差异很大,但在详细知情同意的重要性以及对捐赠者和/或其组织的尊重和信任方面出现了类似的主题。还强调了文化和宗教对捐赠态度或观点的重要性。最后,人们认为,如果研究人员能够解释为什么他们的工作在太平洋背景下是有意义的,并且能够适应太平洋的情况和/或研究规程中的关切,那么捐赠可能更容易被接受。为了使太平洋人民从研究倡议中获得最大利益,收集人体组织的过程必须尊重文化协议和支持参与的期望。这项研究提供了有用的信息,以支持新西兰研究背景下指导方针的演变。
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引用次数: 0
Exploring success amongst Pacific families in New Zealand: Findings from the Pacific Islands Families Study 探索新西兰太平洋家庭的成功:来自太平洋岛屿家庭研究的发现
Pub Date : 2020-01-30 DOI: 10.26635/phd.2020.627
E. Tautolo, Julienne Faletau, Leon Iusitini, J. Paterson
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.
新西兰社会的首要目标是为包括太平洋人口在内的所有公民提供公平的教育、经济和健康结果。为了回应这些雄心,本研究探讨了成功以及太平洋家庭在新西兰取得成功所需的要素。对年龄在35-71岁之间的29名太平洋父亲和27名太平洋母亲进行了重点小组讨论。采用归纳专题分析方法对数据中的主题进行编码和识别。太平洋方法,包括塔拉诺阿和卡卡拉框架,是数据分析系统过程的组成部分。研究发现,四个关键因素代表并构成了太平洋家庭的成功:与上帝的联系、实践和拥抱太平洋文化身份、家庭联系以及最后的沟通。将这些关键方面纳入社会服务提供,使太平洋人民能够过上成功、富有成效的生活,使太平洋家庭能够成功运作。
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引用次数: 0
Potential for using New Zealand’s Integrated Data Infrastructure in Pacific health and wellbeing research 在太平洋健康和福祉研究中使用新西兰综合数据基础设施的潜力
Pub Date : 2019-08-17 DOI: 10.26635/phd.2019wos.623
J. Kokaua, Seini Jensen, Wilmason Jensen, Debbie Sorensen, R. Richards
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. For 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.  The 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.
综合数据基础设施(IDI)包含了新西兰许多政府机构、一些非政府组织、人口普查和其他国家调查收集的国家数据。将IDI用于社会、文化、健康或其他结果的研究变得更加普遍,这反映了其研究潜力。本文的主要目的是讨论IDI的效用,供太平洋研究人员使用。我们使用了Pasifika Futures和奥塔哥大学研究项目合作的经验。本文的第二个目的是讨论太平洋研究人员是否应该考虑将自己的数据与IDI中的数据相结合。IDI内的一些组织可以选择用其他政府机构的数据补充自己的数据。对于太平洋地区的研究人员来说,IDI提供了足够的数据来调查结果,达到了只有少数先前研究可以获得的细节水平。凭借其从多个来源获取信息的能力,它似乎是太平洋健康研究信息需求的一个宝贵补充。但它并非没有局限性,它远不能完全解决太平洋地区所有数据需求,对其他背景研究的需求可能仍然是必要的。此外,从太平洋的角度来看,它还附带了一些警告,这些警告可能会降低它对许多太平洋社区的有用性。它在反映太平洋文化价值的措施方面尤其缺乏。IDI提供了一种经济高效、安全及时的替代方案。我们认为,重要的是,作为一个社区,我们鼓励太平洋研究人员在塑造IDI产生的故事方面发挥领导作用。维护太平洋世界观,防止赤字调查结果,甚至在表明文化力量的措施方面增加价值。
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引用次数: 2
PASIFIKA FUTURES WHĀNAU ORA: F’INE – Nurturing the Future for Pasifika LGBTQI 帕西菲卡的未来WHĀNAU ORA:F'INE-为帕西菲卡·LGBTQI培育未来
Pub Date : 2019-08-17 DOI: 10.26635/phd.2019wos.624
Saneta Manoa, Phylesha Brown-Acton, Tatryanna Utanga, Seini Jensen
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.
F'INE Aotearoa通过Pasifika Futures Whānau Ora计划,支持太平洋女同性恋、男同性恋、双性恋、跨性别、酷儿和双性恋(LGBTQI)个人及其家人改变他们的生活,实现他们的愿望。新西兰的LGBTQI社区在影响幸福感的一系列领域都处于显著劣势,包括心理健康不佳、抑郁和焦虑的比率较高1、2、3。对于太平洋地区的LGBTQI来说,不利因素进一步加剧。F'INE,一家新西兰的LGBTQI特定提供商,正在努力改变这一现状。
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引用次数: 1
Leading in partnership - the Whānau Ora Way 领导伙伴关系- Whānau Ora方式
Pub Date : 2019-08-16 DOI: 10.26635/phd.2019wos.622
Nigel Beckford, Rouruina Emil’e-Brown, Hamish Crooks, Tevita Funaki, Vui Mark Gosche, Trevor Guttenbeil
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.
此前已经试行了几个方案,以支持新西兰奥特亚的太平洋家庭实现经济独立。Whānau Ora正在帮助太平洋家庭在之前的方案难以产生影响的地方繁荣发展。四位太平洋地区首席执行官通过Talanoa分享了他们对Whānau Ora如何改变太平洋地区家庭以及与他们合作的组织的生活的见解。
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引用次数: 0
Whānau Ora - A New Beginning 时区-新的开始
Pub Date : 2019-08-06 DOI: 10.26635/phd.2019.wos620
Debbie Sorensen
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引用次数: 0
HIV/AIDS among young women in Malawi: A review of risk factors and Interventions 马拉维年轻妇女中的艾滋病毒/艾滋病:风险因素和干预措施的审查
Pub Date : 2019-05-03 DOI: 10.24135/PACIFICHEALTH.V2I0.9
McDonald W. Nyalapa, C. Conn
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.
马拉维10-24岁的年轻妇女目前的艾滋病毒感染率约为5%。年轻妇女中艾滋病毒的高流行率反映了过去五年来南部非洲严重流行病的一个令人心碎的特点。鉴于这种严重情况,了解马拉维年轻妇女面临的危险因素以及进一步了解解决这一问题所需的干预措施至关重要。一项叙述性综述旨在探索从机构报告和同行评议出版物中检索到的文献,探讨增加马拉维年轻妇女易感染艾滋病毒的因素,以及旨在降低其风险的干预措施。由于贫困、有害的性别规范以及经济和社会的不平等,马拉维的年轻女性特别容易感染艾滋病毒。虽然已经采取了一些干预措施,但面对如此异常困难的社会和社会经济环境、缺乏资源和其他系统性差距,这些措施还不够有效。鉴于问题的规模和年轻妇女所经历的困难环境,有效的艾滋病毒预防干预仍然至关重要。需要进一步研究,以确定适当和有效的干预措施,并处理健康的社会决定因素,特别是与性别和权利有关的社会决定因素。
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引用次数: 3
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Pacific health dialog
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