scholarly journals Living with Dementia in Aotearoa (LiDiA): a cross-sectional feasibility study protocol for a multiethnic dementia prevalence study in Aotearoa/New Zealand

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046143
Author(s):  
Adrian Martinez-Ruiz ◽  
Susan Yates ◽  
Gary Cheung ◽  
Makarena Dudley ◽  
Rita Krishnamurthi ◽  
...  
Keyword(s):  
New Zealand ◽  
Feasibility Studies ◽  
Population Based ◽  
Assessment Process ◽  
Prevalence Study ◽  
Cross Sectional ◽  
Assessment Protocol ◽  
Dementia Prevalence ◽  
Aotearoa New Zealand ◽  
Two Phases

IntroductionAotearoa/New Zealand (NZ) is officially recognised as a bicultural country composed of Māori and non-Māori. Recent estimations have projected a threefold increase in dementia prevalence in NZ by 2050, with the greatest increase in non-NZ–Europeans. The NZ government will need to develop policies and plan services to meet the demands of the rapid rise in dementia cases. However, to date, there are no national data on dementia prevalence and overseas data are used to estimate the NZ dementia statistics. The overall aim of the Living with Dementia in Aotearoa study was to prepare the groundwork for a large full-scale NZ dementia prevalence study.Methods and analysisThe study has two phases. In phase I, we will adapt and translate the 10/66 dementia assessment protocol to be administered in Māori, Samoan, Tongan and Fijian–Indian elders. The diagnostic accuracy of the adapted 10/66 protocol will be tested in older people from these ethnic backgrounds who were assessed for dementia at a local memory service. In phase II, we will address the feasibility issues of conducting a population-based prevalence study by applying the adapted 10/66 protocol in South Auckland and will include NZ–European, Māori, Samoan, Tongan, Chinese and Fijian–Indian participants. The feasibility issues to be explored are as follows: (1) how do we sample to ensure we get accurate community representation? (2) how do we prepare a workforce to conduct the fieldwork and develop quality control? (3) how do we raise awareness of the study in the community to maximise recruitment? (4) how do we conduct door knocking to maximise recruitment? (5) how do we retain those we have recruited to remain in the study? (6) what is the acceptability of study recruitment and the 10/66 assessment process in different ethnic groups?Ethics and disseminationThe validity and feasibility studies were approved by the New Zealand Northern A Health and Disability Ethics Committee (numbers 17NTA234 and 18NTA176, respectively). The findings will be disseminated through peer-reviewed academic journals, national and international conferences, and public events. Data will be available on reasonable request from the corresponding author.

A Survey of Neonatal Nurses on Mydriatic Regimens Used in Neonatal Retinopathy of Prematurity Eye Examinations

2021 ◽  
Author(s):  
Lisa Kremer ◽  
David Reith ◽  
Natalie J. Medlicott ◽  
Mary J. Sime ◽  
Liza Edmonds ◽  
...  
Keyword(s):  
New Zealand ◽  
Adverse Effects ◽  
Retinopathy Of Prematurity ◽  
Adverse Drug Events ◽  
Preterm Neonates ◽  
Eye Drops ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Aotearoa New Zealand ◽  
Adult Dose

Objective This study was aimed to determine mydriatic regimen(s) used in neonatal units in Aotearoa New Zealand (NZ) and Australia and to estimate the frequency of adverse drug events following mydriatic administration in preterm neonates. Study Design A cross-sectional survey was sent to neonatal nursing staff listed in the Australian and New Zealand Neonatal Network contact list. Participants were asked to state what mydriatic regimen they use, and to estimate the frequency of adverse drug events when eye drops were administered for retinopathy of prematurity eye examinations (ROPEE). Results Thirteen different mydriatic regimens were identified; phenylephrine 2.5% and cyclopentolate 0.5% (1 standard drop of each) was the most commonly used regimen. Two of the regimens exceeded adult doses and five regimens included a mydriatic that is equivalent to an adult dose. Following mydriatic instillation, the three most common adverse effects were apnea, tachycardia, and periorbital pallor. Conclusion Low-concentration single-microdrop regimens are currently in use and resulting in successful ROPEE, yet doses exceeding adult doses are in use throughout Aotearoa NZ and Australian units. We know from this dataset that neonates are experiencing unwanted and potentially preventable, adverse effects associated with mydriatics, and every effort should be made to minimize this risk. Key Points

scholarly journals Retrospective review of abdominal aortic aneurysm deaths in New Zealand: what proportion of deaths is potentially preventable by a screening programme in the contemporary setting?

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027291
Author(s):  
Wing Cheuk Chan ◽  
Dean Papaconstantinou ◽  
Doone Winnard ◽  
Gary Jackson
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
New Zealand ◽  
Aortic Aneurysm ◽  
Screening Programme ◽  
Population Based ◽  
Cross Sectional ◽  
The People ◽  
Abdominal Aortic ◽  
High Prevalence ◽  
History Of

ObjectivesTo describe the proportions of people dying from abdominal aortic aneurysm (AAA) who might have benefited from a formal screening programme for AAA.DesignRetrospective cross-sectional review of deaths.Setting and study populationsAll AAA deaths registered in New Zealand from 2010 to 2014 in the absence of a national AAA screening programme.Main outcome measuresKnown history of AAA prior to the acute event leading to AAA death, prognosis limiting comorbidities, history of prior abdominal imaging and a validated multimorbidity measure (M3-index scores).Results1094 AAA deaths were registered in the 5 years between 2010 and 2014 in New Zealand. Prior to the acute AAA event resulting in death, 31.3% of the cohort had a known AAA diagnosis, and 10.9% had a previous AAA procedure. On average, the AAA diagnosis was known 3.7 years prior to death. At least 77% of the people dying from AAA also had one or more other prognosis limiting diagnosis. The hazard of 1-year mortality associated with the non-AAA related comorbidities for the AAA cohort aged 65 or above were 1.5–2.6 times higher than to the age matched general population based on M3-index scores. In 2014, overall AAA deaths accounted for only 0.7% of total deaths, and 1.0% of deaths among men aged 65 or above in New Zealand. At most, 20% of people dying from AAA in New Zealand between 2010 and 2014 might have had the potential to derive full benefit from a screening programme. About 51% of cases would have derived no or very limited benefit from a screening programme.ConclusionFalling AAA mortality, and high prevalence of competing comorbidities and/or prior AAA diagnosis and procedure raises the question about the likely value of a national AAA screening programme in a country such as New Zealand.

scholarly journals Risk of stomach cancer in Aotearoa/New Zealand: A Māori population based case-control study

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0181581 ◽  
Author(s):  
Lis Ellison-Loschmann ◽  
Andrew Sporle ◽  
Marine Corbin ◽  
Soo Cheng ◽  
Pauline Harawira ◽  
...  
Keyword(s):  
New Zealand ◽  
Stomach Cancer ◽  
Case Control Study ◽  
Population Based ◽  
Case Control ◽  
Aotearoa New Zealand ◽  
Control Study

scholarly journals Prevalence and associated factors of elder abuse in a community-dwelling population of Aotearoa New Zealand: A cross-sectional study

2015 ◽  
Vol 27 (3) ◽  
pp. 29-43 ◽  
Author(s):  
Polly Yeung ◽  
Lareen Cooper ◽  
Michael Dale
Keyword(s):  
Quality Of Life ◽  
New Zealand ◽  
Associated Factors ◽  
Satisfaction With Life ◽  
Elder Abuse ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Aotearoa New Zealand

The purpose of this cross-sectional study was to investigate the prevalence and associated factors of elder abuse in a representative sample of older people in Aotearoa New Zealand. Analysis was conducted on responses from the second wave of the New Zealand Longitu- dinal Study of Ageing (NZLSA) omnibus survey of 3,923 adults aged 50-87 years. Using the elder mistreatment screening questions, the sample was split between those who identified of having experienced elder abuse (n = 529) and those who did not (n = 2417) from a large population-based study to compare on 19 variables (i.e. age, gender, marital status, living arrangement, education levels, ethnicity, personal income, total number of health conditions, physical health, mental health, ability to get around, economic wellbeing, loneliness, social and emotional loneliness, depression, happiness, satisfaction with life and quality of life). Significant differences were found on 16 of the variables assessed. Results suggested that those who have experienced elder abuse had a higher level of loneliness and poor economic wellbeing. They were more likely to experience depression, have poorer mental health and be less happy. The experience of abuse had significant impact on their satisfaction with life and overall quality of life. A better understanding of these risk factors associated with elder abuse in aging population will assist with both prevention and intervention. 

scholarly journals Factors influencing help-seeking by those who have experienced intimate partner violence: Results from a New Zealand population-based study

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261059
Author(s):  
Zarintaj Malihi ◽  
Janet L. Fanslow ◽  
Ladan Hashemi ◽  
Pauline Gulliver ◽  
Tracey McIntosh
Keyword(s):  
Intimate Partner Violence ◽  
New Zealand ◽  
Partner Violence ◽  
Help Seeking ◽  
Population Based ◽  
Intimate Partner ◽  
Limited Information ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Informal Help

Background There is limited information about what influences help-seeking following experience of intimate partner violence (IPV). This study investigated determinants of formal and informal help-seeking by those who had experienced lifetime physical, sexual or psychological IPV. Methods A cross-sectional population-based New Zealand study conducted from 2017 to 2019 recruited 2,887 participants (1,464 women and 1,423 men) aged 16 years and older. Face-to-face interviews were conducted. Of these, 1,373 participants experienced physical, sexual or psychological IPV. Two series of logistic regressions were conducted: 1) comparing those who sought help with those who did not, and 2) comparing those who had not sought help with those who sought informal help only, or with those who also sought formal help. Results Of the 1,373 participants who reported experience of physical, sexual or psychological IPV 835 participants (71.3% of women and 49.0% of men) sought some form of help. In both genders self-reported physical and mental health or work-related IPV impacts were significantly associated with help-seeking. Experiencing only one form of IPV was associated with lower odds of seeking formal help by women (Adjusted odds ratio = 0.38; 95%CI = 0.15, 0.92 for physical/sexual only and AOR = 0.37, 95%CI = 0.22, 0.64 for psychological only) compared to those experiencing concurrent types of IPV. Conclusion and implications Although there were gender differences in help-seeking, for both women and men the experience of greater impacts associated with IPV exposure increased the likelihood of help-seeking. Agencies providing services for people who are experiencing IPV need to be equipped to identify and respond to multiple forms of IPV, and prepared to address the suite of impacts experienced.

scholarly journals Does the prevalence of promotions on foods and beverages vary by product healthiness? A population-based study of household food and drink purchases in New Zealand

2021 ◽  
pp. 1-23
Author(s):  
Essa Tawfiq ◽  
Kathryn E Bradbury ◽  
Cliona Ni Mhurchu
Keyword(s):  
New Zealand ◽  
Subgroup Analysis ◽  
Population Based ◽  
Food Composition ◽  
Unhealthy Food ◽  
Food Retailing ◽  
Cross Sectional ◽  
Food And Beverage ◽  
Food And Drink ◽  
Sectional Analysis

Abstract Objective: To assess the prevalence of promotions on foods and non-alcoholic drinks purchased by New Zealand households and to determine if they vary according to healthiness of products. Design: We undertook a cross-sectional analysis of Nielsen New Zealand Homescan® 2018/19 panel data. We conducted multivariate analyses to examine the variability in quantities of healthy vs. unhealthy food and beverage products purchased on promotion. Promotion was self-reported by the panelist. Healthiness of products was measured by the Health Star Rating system (HSR). We also carried out a subgroup analysis for beverages according to the threshold of < 5 g vs. ≥ 5 g sugar per 100 ml content of products. Setting: The Nielsen New Zealand Homescan® data were linked with two New Zealand food composition databases (Nutritrack and the FOODfiles). Participants: Food and beverage purchases data by 1,800 panel households were used. Results: Overall, 46% (1,803,601/3,940,458) of all purchases made were on promotion. Compared with purchases of food and beverage products with HSR < 3.5 (unhealthy), food and beverage products with HSR ≥ 3.5 (healthy) were significantly less likely to be on promotion (OR=0.78, 95% CI 0.77 - 0.79). The subgroup analysis for beverages shows that products with < 5 g per 100ml were significantly less likely to be on promotion than those with > 5 g sugar per 100ml (OR=0.76, 95% CI 0.75 - 0.78). Conclusions: Policies to improve healthy food retailing should focus on increasing the promotion of healthier food and drink options in stores and supermarkets.

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