scholarly journals Wireless phone use by young New Zealanders: Health and policy implications

2021 ◽  
Author(s):  
◽  
Mary Redmayne

<p>Over the last decade the use of cellphones has increased dramatically among the young adolescent population. In New Zealand, most children of this age also use a cordless phone. With the rapid proliferation in children‘s use of these devices, there has been increasing concern about whether children are more vulnerable than adults to possible adverse outcomes if such effects do result from wireless phone radiofrequency exposure.  This is the first study of young New Zealanders‘ wireless phone habits, focusing particularly on the extent of use, and the relationship of that use with well-being. Two studies were undertaken: a census of schools with Year 7 and 8 classes in the Wellington Region of New Zealand to ascertain what rules were in place regarding cellphones at school, and a cross-sectional survey of students from the same region, using a representative sample of 373 students aged 10.3-13.7years. Both studies were conducted by the author independently from any research group.  The primary research appears in Part II. Chapter 5 presents wireless phone user-habits. The large majority of young adolescents were already using cellphones and cordless phones regularly in 2009, although use was generally light or moderate. A small group (5%) was using both phone types extensively (≥ 30 minutes cordless daily plus ≥ 10 cellphone calls weekly); almost a quarter used a cordless phone ≥ 30 minutes daily, and 6% reported, on average, 1¼ hours or more use daily. This extent of use over 4 or more years has been associated in several major studies with an increased risk of glioma. Both the MoRPhEUS data and this study‘s data (Appendix 1 and Chapter 5) showed that use of the two phone types is positively correlated, increasing the comparative and actual radiofrequency exposure in heavy users. Cellphone use during school was compared with school expectations, discussed in chapter 6, showing there was a considerably greater level of illicit use than that of which principals were aware. This use was adjacent to the lower abdomen, and a brief review of relevant fertility literature suggested that cellphone use, or even carriage, in that position may impair sperm quality and duration of use like this appeared consistent with reduced fertility.  A novel observation is explored in chapter 7. The mental process in recalling the extent of cellphone use was not linear. It parallels that found in many types of magnitude estimation, using a logarithmic mental number line. This carried implications for epidemiology methods that use recall data, particularly the need to record the geometric rather than arithmetic mean when a range of estimated use is provided. Not doing so put almost 5% of participants in an incorrect category when estimated use was split into tertiles.  Recall estimation has a large variance. Chapter 8 presents a Bayesian method of reducing estimation bias in recall data. It should be applicable for use by studies that conform to the method‘s requirements. Chapter 9 presents the results of logistic regression analysis of the participants‘ reported well-being with respect to their wireless phone use. A dose-response relationship with frequent headaches confirmed findings elsewhere. Tinnitus and tiredness results suggested that responses were different depending upon phone type. This is the first study to explore and demonstrate different well-being responses according to cordless phone frequency or modulation. There was a strong association between being woken by the cellphone in the night and being tired at school.  This research carries implications for young people‘s wireless phone use, including the advisability of limiting daily use to no more than 15 minutes daily. The relevance of researchers considering cellphone exposures, compared to that of cordless phones, is questioned. Further research on bio-sensitive frequencies, modulations and exposures is needed.  An important recommendation is for the inclusion of education about wireless technology in schools and school communities and for child-health practitioners.</p>

2021 ◽  
Author(s):  
◽  
Mary Redmayne

<p>Over the last decade the use of cellphones has increased dramatically among the young adolescent population. In New Zealand, most children of this age also use a cordless phone. With the rapid proliferation in children‘s use of these devices, there has been increasing concern about whether children are more vulnerable than adults to possible adverse outcomes if such effects do result from wireless phone radiofrequency exposure.  This is the first study of young New Zealanders‘ wireless phone habits, focusing particularly on the extent of use, and the relationship of that use with well-being. Two studies were undertaken: a census of schools with Year 7 and 8 classes in the Wellington Region of New Zealand to ascertain what rules were in place regarding cellphones at school, and a cross-sectional survey of students from the same region, using a representative sample of 373 students aged 10.3-13.7years. Both studies were conducted by the author independently from any research group.  The primary research appears in Part II. Chapter 5 presents wireless phone user-habits. The large majority of young adolescents were already using cellphones and cordless phones regularly in 2009, although use was generally light or moderate. A small group (5%) was using both phone types extensively (≥ 30 minutes cordless daily plus ≥ 10 cellphone calls weekly); almost a quarter used a cordless phone ≥ 30 minutes daily, and 6% reported, on average, 1¼ hours or more use daily. This extent of use over 4 or more years has been associated in several major studies with an increased risk of glioma. Both the MoRPhEUS data and this study‘s data (Appendix 1 and Chapter 5) showed that use of the two phone types is positively correlated, increasing the comparative and actual radiofrequency exposure in heavy users. Cellphone use during school was compared with school expectations, discussed in chapter 6, showing there was a considerably greater level of illicit use than that of which principals were aware. This use was adjacent to the lower abdomen, and a brief review of relevant fertility literature suggested that cellphone use, or even carriage, in that position may impair sperm quality and duration of use like this appeared consistent with reduced fertility.  A novel observation is explored in chapter 7. The mental process in recalling the extent of cellphone use was not linear. It parallels that found in many types of magnitude estimation, using a logarithmic mental number line. This carried implications for epidemiology methods that use recall data, particularly the need to record the geometric rather than arithmetic mean when a range of estimated use is provided. Not doing so put almost 5% of participants in an incorrect category when estimated use was split into tertiles.  Recall estimation has a large variance. Chapter 8 presents a Bayesian method of reducing estimation bias in recall data. It should be applicable for use by studies that conform to the method‘s requirements. Chapter 9 presents the results of logistic regression analysis of the participants‘ reported well-being with respect to their wireless phone use. A dose-response relationship with frequent headaches confirmed findings elsewhere. Tinnitus and tiredness results suggested that responses were different depending upon phone type. This is the first study to explore and demonstrate different well-being responses according to cordless phone frequency or modulation. There was a strong association between being woken by the cellphone in the night and being tired at school.  This research carries implications for young people‘s wireless phone use, including the advisability of limiting daily use to no more than 15 minutes daily. The relevance of researchers considering cellphone exposures, compared to that of cordless phones, is questioned. Further research on bio-sensitive frequencies, modulations and exposures is needed.  An important recommendation is for the inclusion of education about wireless technology in schools and school communities and for child-health practitioners.</p>


2021 ◽  
pp. 000486742110343
Author(s):  
Caroline Bell ◽  
Jonathan Williman ◽  
Ben Beaglehole ◽  
James Stanley ◽  
Matthew Jenkins ◽  
...  

Introduction: People with pre-existing mental health conditions may have been disproportionally impacted by the COVID-19 pandemic and associated public health restrictions. In this study, we compared psychological outcomes, experiences and sources of stress over the pandemic lockdown in New Zealanders with and without a previous diagnosis of mental illness. Methods: Two online surveys were conducted in New Zealand over the level 4 lockdown in April 2020 measuring psychological distress, anxiety, well-being, suicidality, alcohol use and subjective experiences. They included 3389 participants, of whom 18.4% reported having been previously diagnosed with a mental illness. Results: During the lockdown, people previously diagnosed with a mental illness had about twice the risk of reporting moderate-high levels of psychological distress (K10 ⩾ 12), at least moderate levels of anxiety (GAD-7 ⩾ 10) and poor well-being (WHO-5 ⩽ 12). They reported increased alcohol use and were about four times as likely to have experienced suicidal thoughts with 3% reporting having made a suicide attempt over the lockdown period. They reported less satisfaction with, and poorer relationships with people in their ‘bubble’, reduced social contacts and greater loneliness. They also reported higher levels of health and financial concerns. Conclusion: During the COVID-19 lockdown in New Zealand, people with a previous diagnosis of a mental illness were at increased risk of detrimental psychological outcomes. This highlights the importance of recognising this and the challenges people face in pandemics.


2021 ◽  
Vol 4 ◽  
pp. 93
Author(s):  
Mary McCarron ◽  
Darren McCausland ◽  
Retha Luus ◽  
Andrew Allen ◽  
Fintan Sheerin ◽  
...  

Background: People with intellectual disability have increased risk of exposure to and adverse outcomes from coronavirus disease 2019 (COVID-19).They also face challenges to mental health and well-being from COVID-19-related social restrictions and service closures. Methods: Data from a supplemental COVID-19 survey from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) (n=710) was used to assess outcomes from the first infection wave of COVID-19 among adults with intellectual disability aged 40+ years in Ireland. Data was gathered on testing, for symptoms and outcomes; procedures to manage COVID-19; and both stress/anxiety and positive experiences during the pandemic. Demographic and health-related data from the main IDS-TILDA dataset was included in analyses. Results: High rates were identified of health conditions associated with poorer COVID-19 outcomes, including overweight/obesity (66.6%, n=365), high cholesterol (38.6%, n=274) and cardiovascular disease (33.7%, n=239). Over half (53.5%, n=380) reported emotional, nervous or psychiatric disorders. Almost two-thirds (62.4%, n=443) were tested for COVID-19, with 10% (n=71) reporting symptoms and 2.5% (n=11) testing positive. There were no instances of COVID-19 related mortality. Common symptoms included fatigue, fever, and cough. Some participants (7.8%, n=55) moved from their usual home, most often to isolate (n=31) or relocate to a family home (n=11). Three-quarters (78.7%) of those who were symptomatic or who tested positive had plans to manage self-isolation and two-thirds were able to comply with guidelines. Over half (55%, n=383) reported some COVID-19 related stress/anxiety; and a similar proportion reported positive aspects during this period (58%, n=381). Conclusions: Our data suggests that people with intellectual disability avoided the worst impacts of COVID-19 during the first infection wave in Ireland. Nevertheless, participants’ health profiles suggest that this population remains at high risk for adverse infection outcomes. Repeated measures are needed to track health and well-being outcomes across multiple infection waves.


2008 ◽  
Vol 23 (2) ◽  
pp. 185-194 ◽  
Author(s):  
Andrew C. Miller ◽  
Bonnie Arquilla

AbstractBackground:Inadequately controlled chronic diseases may present a threat to life and well-being during the emergency response phase of disasters. Chronic disease exacerbations (CDE) account for one of the largest patient populations during disasters, and patients are at increased risk for adverse outcomes.Objective:The objective of this study was to assess the burden of chronic renal failure, diabetes, and cardiovascular disease during disasters due to natural hazards, identify impediments to care, and propose solutions to improve the disaster preparation and management of CDE.Methods:A thorough search of the PubMed, Ovid, and Medline databases was performed. Dr. Miller's personal international experiences treating CDE after disasters due to natural hazards, such as the 2005 Kashmir earthquake, are included.Discussion:Chronic disease exacerbations comprise a sizable disease burden during disasters related to natural hazards. Surveys estimate that 25–40% of those living in the regions affected by hurricanes Katrina and Rita lived with at least one chronic disease. Chronic illness accounted for 33% of visits, peaking 10 days after hurricane landfall. The international nephrology community has responded to dialysis needs by forming a well-organized and effective organization called the Renal Disaster Relief Task Force (RDRTF). The response to the needs of diabetic and cardiac patients has been less vigorous.Patients must be familiar with emergency diet and renal fluid restriction plans, possible modification of dialysis schedules and methods, and rescue treatments such as the administration of kayexalate. Facilities may consider investing in water-independent extracorporeal dialysis techniques as a rescue treatment. In addition to patient databases and medical alert identification, diabetics should maintain an emergency medical kit. Diabetic patients must be taught and practice the carbohydrate counting technique. In addition to improved planning, responding agencies and organizations must bring adequate supplies and medications to care for diabetic, cardiac, and renal patients during relief efforts.Conclusions:By recognizing and addressing impediments to the care of chronic disease exacerbations after natural disasters, the quality, delivery, and effectiveness of the care provided to diabetic patients during relief efforts can be improved.


2020 ◽  
Vol 16 (2) ◽  
pp. 153-160
Author(s):  
Molly George ◽  
Reremoana Theodore ◽  
Rosalina Richards ◽  
Barbara Galland ◽  
Rachael Taylor ◽  
...  

Insufficient sleep is a strong risk factor for unhealthy weight gain in children. Māori (the indigenous population of Aotearoa (New Zealand)) children have an increased risk of unhealthy weight gain compared to New Zealand European children. Interventions around sleep could provide an avenue for improving health and limiting excessive weight gain with other meaningful benefits for whānau (extended family) well-being. However, current messages promoting good sleep may not be realistic for many Māori whānau. Using qualitative methods, the Moe Kitenga project explored the diverse realities of sleep in 14 Māori whānau. We conclude that for infant sleep interventions to prevent obesity and improve health outcomes for Māori children, they must take into account the often pressing social circumstances of many Māori whānau that are a barrier to adopting infant sleep recommendations, otherwise sleep interventions could create yet another oppressive standard that whānau fail to live up to.


2021 ◽  
Author(s):  
◽  
Jake Goodger

<p>Housing is an important precondition for people to live healthy and prosperous lives. Access to suitable housing is an essential factor in the overall well-being of individuals, families, and communities. Housing suitability and quality has ramifications for physical and mental health, education, employment, social cohesion and intergenerational mobility. These outcomes directly impact the functioning of communities, broader society, and the economy (Ministry of Business Innovation & Employment).  Per capita, New Zealand has one of the highest rates of homelessness in the world. At 1% of the total population, it is estimated that approximately 42,000 New Zealanders are experiencing some form of homelessness. These individuals are either in temporary or insecure accommodation (OECD). Our capital’s housing supply is evidentially not meeting demand. Wellington is currently 9312 dwellings short of what is required, resulting in multiple tenants residing in singular rooms, and an increase in homelessness (Ministry of Business, Innovation & Employment). This issue arises when there is an intermediate population deemed ‘too rich’ for social housing by the Ministry of Social Development screening process. However, due to low current median incomes this group are not able to afford Wellington’s rental prices, leaving them with little to no options in securing healthy and stable accommodation. Those fortunate enough to secure tenancy find themselves marginalised by society as they are not in permanent ‘homes’ but transitional residences on the city fringes.  This thesis explores a novel approach to our capital’s housing crisis, with the specific intention of provoking conversation about alternative approaches to the re-housing of New Zealanders most at need. Giving individuals the opportunity to up-skill, combined with the ability to craft their own permanent home will provide the helping hand needed to get them back on their feet and re-introduced into productive society. Interviews with Wellington’s housing providers and those working directly with the homeless have informed the key considerations for providing housing for the transitionally homeless. The literature review highlights the importance of creating and enhancing a sense of belonging through architectural design strategies. Precedent studies are analysed to understand the importance of location, planning, appearance and the materiality of housing units as well as assessing the validity of self-build housing for New Zealand. This research develops a universal design response to affordable housing in Wellington. A non-exclusive approach facilitates residents as a whole rather than focusing on site specifics, thus achieving a more holistic design concept. This model can be implemented in a broader context to ultimately support the provision of quality and affordable housing to those in most need.  The outcomes of this thesis include; a set of design guidelines for those involved in the provision of housing for the transitionally homeless, and a detailed design proposal for a conceptual housing intervention in urban Wellington.</p>


Lupus ◽  
2017 ◽  
Vol 26 (8) ◽  
pp. 893-897 ◽  
Author(s):  
E Ly ◽  
H Thein ◽  
Michael Lam Po Tang

Increased lupus nephritis has been reported in Pacific Island and Maori populations. Previous studies suggest ethnic variation in response to immunosuppression treatment; however this has not been assessed in Pacific Island and Maori cohorts. This retrospective study reviewed class 3, 4 and 5 lupus nephritis outcomes and response to induction immunosuppression over a 10-year period in a New Zealand multi-ethnic cohort with high Pacific Island representation. This included 49 renal biopsies in 41 patients; by ethnicity Pacific Island 53.7%, Asian 31.7%, Caucasian 12.2%, and New Zealand Maori 2.4%. There were 11 class 3, 24 class 4 and 17 class 5 either alone or in combination with class 3/4. There were no statistically significant differences in renal function or proteinuria between ethnic groups at baseline. Pacific Island class 3/4 showed similar rates of renal remission with intravenous cyclophosphamide (6/8) and mycophenolate (4/7) induction treatment; results were comparable to the overall study group. There were no deaths or permanent dialysis requirements in the first six months of treatment, and no increased risk of adverse outcomes when stratified by ethnicity. Five lupus nephritis relapses occurred during maintenance treatment and there was no apparent ethnicity bias. Conclusion: Pacific Island people disproportionately present with increased lupus nephritis; and had comparable renal remission rates with intravenous cyclophosphamide and oral mycophenolate which were similar to the whole study cohort.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048107
Author(s):  
Caroline Bell ◽  
Jonathan Williman ◽  
Ben Beaglehole ◽  
James Stanley ◽  
Matthew Jenkins ◽  
...  

ObjectivesTo compare psychological outcomes, experiences and sources of stress over the COVID-19 lockdown in New Zealand in essential workers (healthcare and ‘other’ essential workers) with that of workers in nonessential work roles.DesignOnline cross-sectional survey.SettingConducted in New Zealand over level 4 lockdown in April/May 2020.ParticipantsFindings from employed participants (2495) are included in this report; 381 healthcare workers, 649 ‘other’ essential workers and 1465 nonessential workers.Primary and secondary outcome measuresMeasures included psychological distress (Kessler Psychological Distress Scale (K10)), anxiety (Generalised Anxiety Disorder (GAD-7)), well-being (WHO-5), alcohol use, subjective experiences and sources of stress. Differences between work categories were quantified as risk ratios or χ2 tests.ResultsAfter controlling for confounders that differed between groups of essential and nonessential workers, those in healthcare and those in ‘other’ essential work were at 71% (95% CI 1.29 to 2.27) and 59% (95% CI 1.25 to 2.02) greater risk respectively, of moderate levels of anxiety (GAD-7 ≥10), than those in nonessential work. Those in healthcare were at 19% (95% CI 1.02 to 1.39) greater risk of poor well-being (WHO-5 <13). There was no evidence of differences across work roles in risk for psychological distress (K10 ≥12) or increased alcohol use. Healthcare and ‘other’ essential workers reported increased workload (p<0.001) and less uncertainty about finances and employment than those in nonessential work (p<0.001). Healthcare and nonessential workers reported decreased social contact. No difference by work category in health concerns was reported; 15% had concerns about participants’ own health and 33% about other people’s health.ConclusionsDuring the pandemic lockdown, essential workers (those in healthcare and those providing ‘other’ essential work) were at increased risk of anxiety compared with those in nonessential work, with those in healthcare also being at increased risk of poor well-being. This highlights the need to recognise the challenges this vital workforce face in pandemics.


2021 ◽  
Author(s):  
◽  
Jake Goodger

<p>Housing is an important precondition for people to live healthy and prosperous lives. Access to suitable housing is an essential factor in the overall well-being of individuals, families, and communities. Housing suitability and quality has ramifications for physical and mental health, education, employment, social cohesion and intergenerational mobility. These outcomes directly impact the functioning of communities, broader society, and the economy (Ministry of Business Innovation & Employment).  Per capita, New Zealand has one of the highest rates of homelessness in the world. At 1% of the total population, it is estimated that approximately 42,000 New Zealanders are experiencing some form of homelessness. These individuals are either in temporary or insecure accommodation (OECD). Our capital’s housing supply is evidentially not meeting demand. Wellington is currently 9312 dwellings short of what is required, resulting in multiple tenants residing in singular rooms, and an increase in homelessness (Ministry of Business, Innovation & Employment). This issue arises when there is an intermediate population deemed ‘too rich’ for social housing by the Ministry of Social Development screening process. However, due to low current median incomes this group are not able to afford Wellington’s rental prices, leaving them with little to no options in securing healthy and stable accommodation. Those fortunate enough to secure tenancy find themselves marginalised by society as they are not in permanent ‘homes’ but transitional residences on the city fringes.  This thesis explores a novel approach to our capital’s housing crisis, with the specific intention of provoking conversation about alternative approaches to the re-housing of New Zealanders most at need. Giving individuals the opportunity to up-skill, combined with the ability to craft their own permanent home will provide the helping hand needed to get them back on their feet and re-introduced into productive society. Interviews with Wellington’s housing providers and those working directly with the homeless have informed the key considerations for providing housing for the transitionally homeless. The literature review highlights the importance of creating and enhancing a sense of belonging through architectural design strategies. Precedent studies are analysed to understand the importance of location, planning, appearance and the materiality of housing units as well as assessing the validity of self-build housing for New Zealand. This research develops a universal design response to affordable housing in Wellington. A non-exclusive approach facilitates residents as a whole rather than focusing on site specifics, thus achieving a more holistic design concept. This model can be implemented in a broader context to ultimately support the provision of quality and affordable housing to those in most need.  The outcomes of this thesis include; a set of design guidelines for those involved in the provision of housing for the transitionally homeless, and a detailed design proposal for a conceptual housing intervention in urban Wellington.</p>


2014 ◽  
Vol 10 (3) ◽  
Author(s):  
Peggy Koopman-Boyden ◽  
Sheena Moosa

In many societies adults of various ages are adopting a new lifestyle of living alone which is often characterised by independence, self-sufficiency, freedom and alternative living, yet is also seen as hedonistic, selfish and individualistic. No previous societies have supported so many people living alone, for living alone may not be a desired survival goal at societal level (Roseneil, 2006). In many modern societies a significant number of middleaged and older people are living alone as a result of smaller families, relationship break-ups or the death of a spouse or partner. This article examines the development of this phenomenon, including the possibility of it becoming a more dominant lifestyle for older people, while exploring the motivations of older New Zealanders (aged 65 and over) who live alone, and the strategies they adopt to make their solo lifestyle meaningful. 


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