E Hine: Talking about Māori teen pregnancy with government groups

2016 ◽  
Vol 12 (4) ◽  
pp. 380-395 ◽  
Author(s):  
Anna Adcock ◽  
Beverley Lawton ◽  
Fiona Cram
Keyword(s):  
Health Outcomes ◽  
Teen Pregnancy ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Positive Health ◽  
Aotearoa New Zealand ◽  
Access To Health ◽  
Health Gap ◽  
Kaupapa Māori ◽  
Positive Health Outcomes

Despite improved access to health services in Aotearoa New Zealand there remains a significant socio-economic and health gap between Māori (Indigenous New Zealanders) and Pākehā (non-Māori). E Hine (Girl) is a qualitative Kaupapa Māori (by Māori, for Māori) research project seeking to identify barriers and facilitators to positive health outcomes for young Māori mothers (under 20 years) and their infants. We present the findings of a discourse analysis of six semi-structured interviews with 13 representatives from six government agencies who were asked how their agency catered to the needs of young Māori mothers. Interviews were conducted in Wellington in 2013. First, we discuss respondents’ perspectives on how their agencies work to increase positive health outcomes. Next, we discuss structural issues, such as resource distribution, organization, and “silence”, that may act as barriers to positive outcomes. Addressing these barriers is essential to successfully deliver policies and initiatives that meet the needs of young Māori mothers and their infants.

scholarly journals The power-trust cycle in global health: Trust as belonging in relations of dependency

2021 ◽  
pp. 1-21
Author(s):  
Emma-Louise Anderson ◽  
Laura Considine ◽  
Amy S. Patterson
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Positive Health ◽  
Global Health Initiatives ◽  
Health Initiatives ◽  
Power Trust ◽  
Trust And Power ◽  
Positive Health Outcomes ◽  
Exercise Of Discretion ◽  
The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

‘You should tell somebody’: An evaluation of a survivor stories blog project to motivate sexual assault victims

2021 ◽  
pp. 001789692110164
Author(s):  
Rachel E Riggs
Keyword(s):  
Sexual Assault ◽  
Health Outcomes ◽  
Thematic Analysis ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Positive Health ◽  
Sexual Assault Survivors ◽  
Assault Victims ◽  
Positive Health Outcomes ◽  
Blog Posts

Objective: Sexual assault victims often do not disclose their assaults or seek positive health outcomes. The RAINN Survivor Stories project shares testimonials in the form of online blogs from sexual assault survivors to motivate and encourage others to come forward and disclose their assaults. This study aimed to better understand the themes present in the survivor stories to motivate victims to disclose their assaults and seek positive health outcomes. Design: A theoretical thematic analysis was conducted on blog posts created for the project to identify (a) how the posts tell survivor stories and (b) how the posts model positive health outcomes using social cognitive theory and the disclosure processes model as a guide. Setting: Online setting linked to the rainn.org website. Method: Blog posts were collected for inductive thematic analysis. Themes were identified based on their prevalence in the data and their pertinence to the research questions. Results: Emerging themes included (a) overcoming initial disclosure, (b) overcoming the lasting effects of victimisation, (c) utilising support and (d) advocating for others after assault. Conclusion: Findings offer insight to researchers and practitioners creating media messages for sexual assault victims and other stigmatised groups by expanding understanding of modelled positive health outcomes in media and the disclosure process of victims.

Understanding Variations in the Health Consequences of Sedentary Behavior: A Taxonomy of Social Interaction, Novelty, Choice, and Cognition

2021 ◽  
pp. 1-9
Author(s):  
Wendell C. Taylor
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Health Outcomes ◽  
Sedentary Behavior ◽  
Age Groups ◽  
Sedentary Behaviors ◽  
Positive Health ◽  
Adverse Health Outcomes ◽  
Important Challenge ◽  
Positive Health Outcomes

The study of sedentary behaviors requires taxonomies (classification schemes) to standardize data collection, measurements, and outcomes. Three taxonomies of sedentary behaviors have been identified, but none address an important challenge in sedentary behavior research, which is to distinguish between beneficial and detrimental health effects of various sedentary behaviors. Some sedentary behaviors (e.g., reading) are associated with positive health outcomes, whereas other sedentary behaviors (e.g., television viewing) are associated with adverse health outcomes. To address directly this complexity and present a different conception and understanding of discrepant findings related to health outcomes, a new taxonomy is needed. The development of the new taxonomy is guided by analysis of literature and selection of a relevant and informative behavioral sciences theoretical framework (i.e., self-determination theory). Because older adults are an increasing percentage of the population and report a high prevalence of sedentary behaviors, the new taxonomy was designed for older adults with potential application to all age groups. Taylor’s taxonomy of sedentary behaviors is parsimonious with four domains: social interaction (i.e., not solitary, companionship, interacting, and connecting with others); novelty (i.e., refreshingly new, unusual, or different); choice (i.e., volition, preferred option or alternative, the power, freedom, or decision to choose); and cognition (i.e., mentally stimulating and engaging).

scholarly journals Implementation Research: An Efficient and Effective Tool to Accelerate Universal Health Coverage

2019 ◽  
Author(s):  
Agnes Binagwaho ◽  
Miriam F. Frisch ◽  
Kelechi Udoh ◽  
Laura Drown ◽  
Jovial Thomas Ntawukuriryayo ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Universal Health Coverage ◽  
Implementation Research ◽  
Implementation Strategies ◽  
Health Coverage ◽  
Positive Health ◽  
Implementation Framework ◽  
Variable Success ◽  
Positive Health Outcomes ◽  
Universal Health

Success in the implementation of evidence-based interventions (EBIs) in different settings has had variable success. Implementation research offers the approach needed to understand the variability of health outcomes from implementation strategies in different settings and why interventions were successful in some countries and failed in others. When mastered and embedded into a policy and implementation framework, the application of implementation research by countries can provide policy-makers and implementers with the knowledge necessary to work towards universal health coverage (UHC) with the effectiveness, efficiency, sustainability, and fidelity needed to achieve sustainable positive health outcomes for all. To achieve this goal however, work is needed by the communities of research producers and consumers to create more clarity on implementation research methodologies and to build capacity to apply them as a critical tool for countries on their path to achieving UHC.

Latino Post-Millennials Create America’s Future

2017 ◽  
Author(s):  
David E. Hayes-Bautista
Keyword(s):  
Life Expectancy ◽  
Health Outcomes ◽  
Presidential Campaign ◽  
First Century ◽  
Large Majority ◽  
Positive Health ◽  
Long Life ◽  
Market Areas ◽  
Definition Of ◽  
Positive Health Outcomes

The 2016 Republican presidential campaign has been based on an overtly anti–Mexican immigrant nativist message, another round in the universalistic versus nativist conflict over the definition of American. Nationally, Latinos exhibit the strong work ethic, avoidance of welfare, positive health outcomes, and long life expectancy of Latinos in California. In the post-millennial generation in the top eleven Latino market areas, Latino presence ranges from being a large majority to being the largest plurality. Latino post-millennials will be instrumental in creating the twenty-first-century definition of American.

Body

2019 ◽  
pp. 23-52
Author(s):  
Nigel Nicholson ◽  
Nathan R. Selden
Keyword(s):  
Health Outcomes ◽  
Human Body ◽  
The Body ◽  
Full Potential ◽  
Healthcare Organizations ◽  
Ancient Greek ◽  
Positive Health ◽  
Patient Health ◽  
Positive Health Outcomes

Chapter 1 explores different conceptions of the human body and their effect on medical care and patient health. Ancient Greek texts offer opposed conceptions of the body, with athletic sources presenting the body as immune to injury and always operating at its full potential and the Hippocratic texts presenting it as weak and highly vulnerable. Similarly divergent narratives also affect modern evaluations of the body by both patients and physicians, interfering with positive health outcomes. Physicians must recognize the operation of these narratives, challenge them with data, and promote a more realistic vision of health and success for patients and healthcare organizations.

Values of cancer survivors and the supportive role of recreational video games

2019 ◽  
pp. 135910531987166
Author(s):  
Maria Leonora (Nori) Comello ◽  
Diane B Francis ◽  
Laurie Hursting ◽  
Elizabeth Swarner ◽  
Laura H Marshall
Keyword(s):  
Content Analysis ◽  
Video Games ◽  
Health Outcomes ◽  
Cancer Survivors ◽  
Positive Health ◽  
Openness To Change ◽  
Supportive Role ◽  
Self Transcendence ◽  
Positive Health Outcomes

Value-affirming activities have been linked to positive health outcomes and improved ability to cope. For cancer survivors who regularly play video games, might the games have potential to affirm values? We surveyed gameplaying survivors and included an open-ended question asking about values and the extent to which they perceived gameplaying as supporting values. A content analysis of responses ( N = 533) using Schwartz’s value typology revealed that a majority perceived gameplaying as supporting values or offering other benefits. Self-transcendence followed by openness to change were the most frequently coded higher-order categories. The results contribute to a richer understanding of survivors who gameplay.

scholarly journals Accessing community health services: challenges faced by poor people with disabilities in a rural community in South Africa

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Lisbet Grut ◽  
Gubela Mji ◽  
Stine H. Braathen ◽  
Benedicte Ingstad
Keyword(s):  
Health Services ◽  
Family Members ◽  
People With Disabilities ◽  
Community Health Services ◽  
Poor People ◽  
Social Forces ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Her Family ◽  
Access To Health

Poor people with disabilities who live in poor rural societies experience unique problems in accessing health services. Their situation is influenced by multiple factors which unfold and interplay throughout the person’s life course. The difficulties do not only affect the person with a disability and his or her family, but also impact on the relevant care unit. The barriers are rooted in a life in poverty, upheld and maintained by poverty-reinforcing social forces of the past and the present, and reinforced by the lack of the person’s perspective of the health services. This article explores how difficulties may interact and influence access to and utilisation of health services, and how this may render health services out of reach even when they are available. The study reveals that non-compliance is not necessarily about neglect but could as well be a matter of lived poverty. The study was based on in-depth interviews with people with disabilities and family members, and semi-structured interviews with health personnel. The data analysis is contextual and interpretive. When offering health services to people with disabilities living in resource-poor settings, services should take into consideration the person’s history, the needs, and the resources and abilities of the family group. Rethinking access to health services should transcend a narrow medical institutionalization of health professional’s training, and include a patient’s perspective and a social vision in understanding and practice. Such rethinking requires health service models that integrate the skills of health professionals with the skills of disabled people and their family members. Such skills lie dormant at community level, and need to be recognized and utilized.

Māori experiences of bariatric surgery in South Auckland, New Zealand

2020 ◽  
Vol 16 (4) ◽  
pp. 300-308
Author(s):  
Jamie-Lee Rahiri (Ngāti Porou, Te Atihaunui-a-Pāpārangi, Ngāti Whātua ◽  
Ashlea Gillon (Ngāti Awa) ◽  
Jason Tuhoe (Ngāti Maru, Ngāti Pūkenga, Ngā Puhi) ◽  
Andrew D MacCormick ◽  
Andrew Hill ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
Gold Standard ◽  
Institutional Racism ◽  
Publicly Funded ◽  
Structured Interviews ◽  
Positive Health ◽  
Medical Interventions ◽  
Health Experiences ◽  
Kaupapa Māori

Access to publicly funded bariatric surgery in New Zealand is limited, but privileges patients who identify as New Zealand European or Other European. This example of institutional racism in the New Zealand health system further reiterates that Māori face inequitable access to gold standard medical interventions. This article analyses semi-structured interviews undertaken with Māori who had bariatric surgery at Counties Manukau Health which houses the largest public bariatric service. Thirty-one interviews were conducted, from which six themes were identified in relation to the stages of the bariatric journey. A thematic analysis of transcripts using an inductive approach was undertaken. Using Kaupapa Māori Research–aligned methodology, sites of racism, compassion, clinical barriers to positive health experiences and life-changing experiences were identified along the bariatric journey for Māori patients.

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