Engaging Dunedin New Zealand Pacific People in Falls Prevention

2018 ◽  
Vol 21 (2) ◽  
pp. 80-88
Author(s):  
Troy Tararo-Ruhe ◽  
Debra L Waters ◽  
Rosalina Richards

  Introduction: Falls are a common cause of injury in New Zealand. However, falls risk and prevalence have not been investigated in Pacific peoples. To address this knowledge gap, a literature review, falls risk screening,  and attitudes towards exercise as falls prevention questionnaires were conducted in a Pacific population in the southern regional town of Dunedin. Aims: To identify the attitudes towards strength and balance exercise as falls prevention within Pacific Islands peoples in Dunedin, New Zealand. Methods: Participants aged 55+ were recruited from Pacific Trust Otago, flyers, at church groups and existing exercise classes. Falls screening was assessed by the New Zealand Health Quality and Safety Commission’s Ask, Assess, Act questionnaire. Attitudes towards exercise as falls prevention intervention, was assessed using a culturally adapted version of the Attitudes to Falls-Related Intervention Scales (AFRIS). Both questionnaires were verbally administered in the participants’ native tongue. Results: Fifty respondents (mean age: 68.69, males: 39.58%, females: 60.42%) completed the questionnaires. Just over 56% indicated falls risk (62.07% female and 52.63% male) and 30% reported a fall in the last 12 months (31.03% females and 21.05% males). AFRIS highest mean score, was 6.69 (out of 7) for readiness to engage in strength and balance exercise to prevent falls. The lowest score (6.4) was ease of exercise participation. The total mean AFRIS score was 38.96 out of a possible 42. Conclusions: Self-reported falls in the past year and risk within this population was comparable to other groups and highlights the need for falls prevention that caters to cultural needs. The positive response to adding strength and balance exercise provides supporting evidence of incorporating strength and balance exercises into existing programmes  

2020 ◽  
Vol 21 (5) ◽  
pp. 216-225
Author(s):  
El-Shadan Tautolo ◽  
Julienne Faletau ◽  
Leon Iusitini ◽  
Janis Paterson

An overarching objective of New Zealand society is 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. Three key factors were found to represent and constitute success for Pacific families: strong religious affiliation, practicing and embracing Pacific cultural identity, and family connectedness and cohesion. Incorporating these key facets into social service provision to enable Pacific people to lead successful, productive lives and Pacific families to function successfully.


2021 ◽  
Author(s):  
◽  
Emily Fatu

<p>This Master of Arts thesis investigates and draws conclusions regarding how creative arts present accommodating spaces for articulating and understanding cultural mixedness amongst Pacific populations in New Zealand. New Zealand is home to an expanding Pacific population; statistics identify a growing number of these Pacific people who are multi-ethnic, and who are claiming their mixedness in official census data. As Pacific populations have grown, Pacific artists have risen to national prominence in visual, literary and performing arts. Many of these artists have themselves been of mixed ancestry. This thesis examines the work of three female New Zealand artists of mixed Samoan-English or Samoan-Indian descent, asking, “How do these artists and their work express their cultural mixedness?” Discussion centres on mixed media visual artist Niki Hastings-McFall, who is of English and Samoan descent; spoken word poet Grace Taylor, also of English and Samoan descent; and musical performer Aaradhna Patel, who is of Indian and Samoan descent. Placing both the creative work and public commentary of these three artists at its centre, this thesis explores how these artists publicly identify with their Samoan heritage as well as their other heritage(s); how they use their art as a platform for identity articulation; and how creative arts provide flexible and important spaces for self-expression. The thesis draws its theoretical underpinnings from Pacific studies, art history, transnational cultural studies and postcolonial studies, and utilizes Samoan and Tongan conceptions of vā as a key analytic tool.</p>


2009 ◽  
Vol 1 (2) ◽  
pp. 126 ◽  
Author(s):  
Luisa Ape-Esera ◽  
Vili Nosa ◽  
Felicity Goodyear-Smith

AIM: To scope future needs of the NZ Pacific primary care workforce. METHOD: Semi-structured interviews with key informants including Pacific primary care workers in both Pacific and mainstream primary health care organisations and managers at funding, policy and strategy levels. Qualitative thematic analysis using general inductive approach. RESULTS: Thirteen stakeholders interviewed (four males, nine females) in 2006. Included both NZ- and Island-born people of Samoan, Tongan, Niuean, Fijian and NZ European ethnicities; age 20–65 years. Occupations included general practitioner, practice nurse, community worker, Ministry of Health official and manager representing mainstream and Pacific-specific organisations. Key themes were significant differences in attributes, needs and values between ‘traditional’ and contemporary Pacific people; issues regarding recruitment and retention of Pacific people into the primary health care workforce; importance of cultural appropriateness for Pacific populations utilising mainstream and Pacific-specific primary care services and both advantages and disadvantages of ‘Pacific for Pacific’ services. CONCLUSION: Interviews demonstrated heterogeneity of Pacific population regarding ethnicity, age, duration of NZ residence and degree of immersion in their culture and language. Higher rates of mental disorder amongst NZ-born Pacific signpost urgent need to address the impact of Western values on NZ-born Pacific youth. Pacific population growth means increasing demands on health services with Pacific worker shortages across all primary health care occupations. However it is not possible for all Pacific people to be treated by Pacific organisations and/or by Pacific health workers and services should be culturally competent regardless of ethnicity of providers. KEYWORDS: Pacific Islands, New Zealand, manpower, ethnic groups, Oceanic Ancestry Group, primary health care


2021 ◽  
Vol 21 (8) ◽  
pp. 475-476
Author(s):  
Colin Tukuitonga ◽  
Alec Ekeroma

The Covid-19 outbreak in Aotearoa/New Zealand is a timely reminder of the chronic inequities in health and the importance of socioeconomic factors in the origins of the disease. The pandemic has affected mainly indigenous Maori and Pacific people.  There were 5,371 confirmed and probable cases of Covid-19 as at 13 November 2021, of which 2,104 (39%) were in Maori and 1,646 (31%) were in Pacific people.  Furthermore, 228 (70%) of all hospital admissions were Maori and Pacific people


2007 ◽  
Vol 13 (1) ◽  
pp. 19-28 ◽  
Author(s):  
John Utanga

The proportion of people who identified as Pacific Islanders in New Zealand grew by 14.7 percent to 265,974 in the 2005 Census. Overall, Pacific people now comprise almost 7 percent of the total New Zealand population. As the Pacific communities have grown, so have the Pasifika media developed and grown. Today, most of the Pacific Islands community has become well served by radio, newspapers, online media and, to a lesser extent, television—but not well served by mainstream media. Almost all of the media services are owned/and or operated by Pacific Islands businesses or organisations based either in New Zealand or in the Islands. This commentary outlines the state of Pasifika media in New Zealand and the challenges ahead for telling Pacific stories in the digital era.


2021 ◽  
Author(s):  
◽  
Emily Fatu

<p>This Master of Arts thesis investigates and draws conclusions regarding how creative arts present accommodating spaces for articulating and understanding cultural mixedness amongst Pacific populations in New Zealand. New Zealand is home to an expanding Pacific population; statistics identify a growing number of these Pacific people who are multi-ethnic, and who are claiming their mixedness in official census data. As Pacific populations have grown, Pacific artists have risen to national prominence in visual, literary and performing arts. Many of these artists have themselves been of mixed ancestry. This thesis examines the work of three female New Zealand artists of mixed Samoan-English or Samoan-Indian descent, asking, “How do these artists and their work express their cultural mixedness?” Discussion centres on mixed media visual artist Niki Hastings-McFall, who is of English and Samoan descent; spoken word poet Grace Taylor, also of English and Samoan descent; and musical performer Aaradhna Patel, who is of Indian and Samoan descent. Placing both the creative work and public commentary of these three artists at its centre, this thesis explores how these artists publicly identify with their Samoan heritage as well as their other heritage(s); how they use their art as a platform for identity articulation; and how creative arts provide flexible and important spaces for self-expression. The thesis draws its theoretical underpinnings from Pacific studies, art history, transnational cultural studies and postcolonial studies, and utilizes Samoan and Tongan conceptions of vā as a key analytic tool.</p>


2018 ◽  
Vol 38 (01) ◽  
pp. 1-11 ◽  
Author(s):  
Plaiwan Suttanon ◽  
Pagamas Piriyaprasarth ◽  
Kitsana Krootnark ◽  
Thanyaporn Aranyavalai

Background: Although there is extensive research on falls prevention, most of this knowledge is from western countries, and this may limit its usefulness when implementing in countries with different culture and healthcare systems.Objective: This study evaluated the feasibility and effectiveness of a falls prevention intervention programme for older people in Thailand.Methods: Two hundred and seventy-seven community-dwelling older people were randomized to either an intervention programme which included an education about falls risk management plus a home-based balance exercise delivered by a physiotherapist for four-month duration or control group. Falls, balance, physical activity, and other falls risk factors were measured at baseline and after programme completion.Results: About 90% of the participants in the intervention group completed the programme, with very high adherence to the exercise programme, though poor compliance with the suggestions of other falls risks management. There were no falls or injuries related to the exercise programme reported. There was no significant difference in falls rate between the two groups.Conclusion: This falls prevention program was not effective in reducing falls in community-dwelling older people in Thailand. However, the study provided encouraging evidence that home-based balance exercise could be practically implemented in older people living in communities in Thailand.


2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Beverley Pullon

Only four cases of Hb I-Toulouse have been reported to date. Current literature associates Hb I-Toulouse in the heterozygote with a mild chronic hemolytic anemia. The variant is mildly unstable with a tendency to form metHb. The quantity of the variant in heterozygotes has been reported as varying between 33 to 40%. This report confirms the finding from a single case, that a reduced percentage of Hb IToulouse along with microcytosis can be attributed to the co-inheritance of an abnormal α globin genotype. This current case was found in a woman of Pacific People ethnicity residing in New Zealand. There is a high prevalence of α thalassemia in this ethnic group and New Zealand has the highest Pacific population in the world. Therefore, if a reduced percentage of Hb I-Toulouse is found with microcytosis and normal iron studies, co-inheritance with α thalassemia should be considered.


2020 ◽  
pp. 101053952095643
Author(s):  
Philip J. Schluter ◽  
Ophélie A. M. Collet ◽  
El-Shadan Tautolo ◽  
Leon Iusitini ◽  
Jesse Kokaua ◽  
...  

Within New Zealand (NZ), Pacific people experience higher prevalence of mental disorder than non-Pacific people. Bilinguals are believed to have psychological advantages over monolinguals, although the empirical evidence base is equivocal. A prospective cohort of Pacific mothers was studied at 6 weeks (n = 1272), 1-year (n = 1135), and 2-year (n = 1059) postpartum. At 6 weeks, 343 (27.0%) mothers were fluent in both Pacific and English languages, 519 (40.8%) only fluent in Pacific language(s), and 410 (32.2%) only fluent in English. Over assessment waves, 16.0%, 12.5%, and 8.7% of mothers had mental disorder symptom indications. In adjusted generalized estimating equation analysis, mothers speaking English only had odds of mental disorder symptom indication 2.24 (95% confidence interval [CI] = 1.44-3.49) that of bilingual mothers, while those who spoke Pacific language(s) only had odds of 1.52 (95% CI = 0.95-2.42). Supporting Pacific and English languages within NZ may confer mental health benefits to new Pacific mothers and potentially others.


2018 ◽  
Vol 21 (2) ◽  
pp. 89-95
Author(s):  
Vili Nosa ◽  
Kotalo Leau ◽  
Natalie Walker

ABSTRACT Introduction: 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. Methods: 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. Findings: 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. Conclusions: 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.


Sign in / Sign up

Export Citation Format

Share Document