Multiple forms of discrimination and relationships with health and wellbeing: findings from national cross-sectional surveys in Aotearoa/New Zealand

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

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

Aotearoa New Zealand Social Work ◽

10.11157/anzswj-vol27iss3id4 ◽

2015 ◽

Vol 27 (3) ◽

pp. 29-43 ◽

Cited By ~ 1

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.

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Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study

Australasian Journal on Ageing ◽

10.1111/ajag.12496 ◽

2017 ◽

Vol 37 (1) ◽

pp. 68-73 ◽

Cited By ~ 8

Author(s):

Hamish A Jamieson ◽

Helen M Gibson ◽

Rebecca Abey-Nesbit ◽

Annabel Ahuriri-Driscoll ◽

Sally Keeling ◽

...

Keyword(s):

Older Adults ◽

New Zealand ◽

Living Arrangements ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Aotearoa New Zealand

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Medication risk management and health equity in New Zealand general practice: a retrospective cross-sectional study

International Journal for Equity in Health ◽

10.1186/s12939-021-01461-y ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Sharon Leitch ◽

Jiaxu Zeng ◽

Alesha Smith ◽

Tim Stokes

Keyword(s):

General Practice ◽

New Zealand ◽

Cross Sectional Study ◽

Alert System ◽

Cross Sectional ◽

Aotearoa New Zealand ◽

Current Medication ◽

General Practices ◽

Medication Risk

Abstract Background Despite an overt commitment to equity, health inequities are evident throughout Aotearoa New Zealand. A general practice electronic alert system was developed to notify clinicians about their patient’s risk of harm due to their pre-existing medical conditions or current medication. We aimed to determine whether there were any disparities in clinician action taken on the alert based on patient ethnicity or other demographic factors. Methods Sixty-six New Zealand general practices from throughout New Zealand participated. Data were available for 1611 alerts detected for 1582 patients between 1 and 2018 and 1 July 2019. The primary outcome was whether action was taken following an alert or not. Logistic regression was used to assess if patients of one ethnicity group were more or less likely to have action taken. Potential confounders considered in the analyses include patient age, gender, ethnicity, socio-economic deprivation, number of long term diagnoses and number of long term medications. Results No evidence of a difference was found in the odds of having action taken amongst ethnicity groups, however the estimated odds for Māori and Pasifika patients were lower compared to the European group (Māori OR 0.88, 95 %CI 0.63–1.22; Pasifika OR 0.88, 95 %CI 0.52–1.49). Females had significantly lower odds of having action taken compared to males (OR 0.76, 95 %CI 0.59–0.96). Conclusions This analysis of data arising from a general practice electronic alert system in New Zealand found clinicians typically took action on those alerts. However, clinicians appear to take less action for women and Māori and Pasifika patients. Use of a targeted alert system has the potential to mitigate risk from medication-related harm. Recognising clinician biases may improve the equitability of health care provision.

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“It’s how the world around you treats you for being trans”: Mental health and wellbeing of transgender people in Aotearoa New Zealand

Psychology and Sexuality ◽

10.1080/19419899.2021.1897033 ◽

2021 ◽

Author(s):

Kyle K.H. Tan ◽

Johanna M. Schmidt ◽

Sonja J. Ellis ◽

Jaimie F. Veale ◽

Jack L. Byrne

Keyword(s):

Mental Health ◽

New Zealand ◽

Transgender People ◽

Health And Wellbeing ◽

Aotearoa New Zealand ◽

The World

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Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) the United States: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115832 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5832

Author(s):

Alana Gall ◽

Kate Anderson ◽

Kirsten Howard ◽

Abbey Diaz ◽

Alexandra King ◽

...

Keyword(s):

United States ◽

New Zealand ◽

Indigenous Peoples ◽

The United States ◽

Indigenous Populations ◽

Mortality And Morbidity ◽

Health And Wellbeing ◽

Search Terms ◽

Aotearoa New Zealand ◽

Full Text Screening

Despite the health improvements afforded to non-Indigenous peoples in Canada, Aotearoa (New Zealand) and the United States, the Indigenous peoples in these countries continue to endure disproportionately high rates of mortality and morbidity. Indigenous peoples’ concepts and understanding of health and wellbeing are holistic; however, due to their diverse social, political, cultural, environmental and economic contexts within and across countries, wellbeing is not experienced uniformly across all Indigenous populations. We aim to identify aspects of wellbeing important to the Indigenous people in Canada, Aotearoa and the United States. We searched CINAHL, Embase, PsycINFO and PubMed databases for papers that included key Indigenous and wellbeing search terms from database inception to April 2020. Papers that included a focus on Indigenous adults residing in Canada, Aotearoa and the United States, and that included empirical qualitative data that described at least one aspect of wellbeing were eligible. Data were analysed using the stages of thematic development recommended by Thomas and Harden for thematic synthesis of qualitative research. Our search resulted in 2669 papers being screened for eligibility. Following full-text screening, 100 papers were deemed eligible for inclusion (Aotearoa (New Zealand) n = 16, Canada n = 43, United States n = 41). Themes varied across countries; however, identity, connection, balance and self-determination were common aspects of wellbeing. Having this broader understanding of wellbeing across these cultures can inform decisions made about public health actions and resources.

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Opioid substitution treatment planning in a disaster context: Perspectives from emergency management and health professionals in Aotearoa/New Zealand

10.26686/wgtn.14198576 ◽

2021 ◽

Author(s):

Denise Blake ◽

Antonia Lyons

Keyword(s):

New Zealand ◽

Emergency Management ◽

Health Professionals ◽

Substitution Treatment ◽

Opioid Substitution Treatment ◽

Health And Wellbeing ◽

Preparedness Planning ◽

Aotearoa New Zealand ◽

Emergency Managers ◽

Opioid Substitution

© 2016 by the authors. Opioid Substitution Treatment (OST) is a harm reduction strategy enabling opiate consumers to avoid withdrawal symptoms and maintain health and wellbeing. Some research shows that within a disaster context service disruptions and infrastructure damage affect OST services, including problems with accessibility, dosing, and scripts. Currently little is known about planning for OST in the reduction and response phases of a disaster. This study aimed to identify the views of three professional groups working in Aotearoa/New Zealand about OST provision following a disaster. In-depth, semi-structured interviews were conducted with 17 service workers, health professionals, and emergency managers in OST and disaster planning fields. Thematic analysis of transcripts identified three key themes, namely “health and wellbeing”, “developing an emergency management plan”, and “stock, dose verification, and scripts” which led to an overarching concept of “service continuity in OST preparedness planning”. Participants viewed service continuity as essential for reducing physical and psychological distress for OST clients, their families, and wider communities. Alcohol and drug and OST health professionals understood the specific needs of clients, while emergency managers discussed the need for sufficient preparedness planning to minimise harm. It is concluded that OST preparedness planning must be multidisciplinary, flexible, and inclusive.

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Sense of Place and Belonging in Developing Culturally Appropriate Therapeutic Environments: A Review

10.26686/wgtn.13749838.v1 ◽

2021 ◽

Author(s):

Bruno Marques ◽

Claire Freeman ◽

Lynette Carter ◽

Maibritt Pedersen Zari

Keyword(s):

New Zealand ◽

Human Health ◽

Indigenous People ◽

Environmental Values ◽

Landscape Design ◽

Culturally Appropriate ◽

Health And Wellbeing ◽

Aotearoa New Zealand ◽

Cultural Connections ◽

Significant Health

The connection the Māori, the Indigenous people of Aotearoa-New Zealand, have to the land is threatened by the effects of colonisation, urbanisation and other factors. In particular, many Māori suffer significant health and wellbeing inequalities compared to the non-Māori population. In an effort to reduce such inequalities, there is a growing consciousness of the need to better understand the cultural and place-specific determinants that affect the health and wellbeing of population groups in different environments. This article explores how environmental and cultural connections to land enable the development of place-specific and culturally-driven principles that promote the health and wellbeing of Māori populations. It argues that concepts of place, belonging, landscape and wellbeing play an important role in linking environment and culture as well as in contributing to creating therapeutic spatial environments that promote both human health and ecosystems. A set of principles is developed that allows for the landscape design of such therapeutic environments while accommodating the socio-cultural and environmental values that promote health and wellbeing of both Māori and non-Māori people.

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

BMJ Open ◽

10.1136/bmjopen-2020-046143 ◽

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.

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Perceptions and satisfaction of a mandatory continuing professional development programme amongst Aotearoa New Zealand podiatrists

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00492-6 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Matthew Carroll ◽

Angela Brenton-Rule ◽

Hannah Jepson ◽

Prue Molyneux

Keyword(s):

Professional Development ◽

New Zealand ◽

Work Experience ◽

Continuing Professional Development ◽

Cultural Safety ◽

Specific Work ◽

Full Time ◽

Cross Sectional ◽

Financial Barriers ◽

Aotearoa New Zealand

Abstract Background Aotearoa New Zealand (NZ) registered podiatrists are required to participate in a mandatory continuing professional development (CPD) programme. This study investigated podiatrist’s perceptions and satisfaction surrounding mandatory CPD requirements following the implementation of a new 2-year CPD programme. Methods A cross-sectional study of NZ registered podiatrists was conducted between October 9th and December 9th, 2020. Data was collected using a web-based survey. The 39-item survey included questions to elicit participant characteristics, perceptions of CPD, difficulties undertaking CPD, and satisfaction with the new CPD programme. The survey findings were reported using descriptive statistics and conventional content analysis. Results One hundred and thirty-four podiatrists completed the survey. Most respondents worked in private practice (n = 107, 80 %), were in full-time employment (n = 83, 62 %), and had greater than 16 years of work experience (n = 73, 54 %). Respondents agreed it was important to engage in CPD (n = 126, 94 %) and reported that knowledge gained from CPD contributed to their daily work (n = 78, 58 %). 44 % (n = 58) reported difficulties keeping up to date with CPD. The main barriers to CPD participation reported were workload (n = 90, 67 %) and lack of time (n = 84, 63 %). Three categories (understanding the CPD programme; access to CPD; and time to complete CPD) were identified from the qualitative analysis to describe why it was difficult to meet CPD requirements. Conclusions NZ podiatrists value CPD and are satisfied with most aspects of the mandatory CPD programme apart from the hours attributed to compulsory activities. The current approach to cultural safety CPD requires revision, with a move away from a time-based approach to a system that promotes an understanding and relevance to practice. Lack of time, practice workload, financial barriers, geographical location, and employment context were factors that influenced a practitioner’s ability to engage in CPD. Facilitation of CPD activities that are flexible to ensure relevance to the practitioner’s specific work within their scope of practice, and that can occur in the workplace environment, may address barriers and increase engagement with to CPD activities.

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