An in‑depth analysis of perinatal related mortality among women of South Asian ethnicity in Aotearoa New Zealand

Summary

This study highlights how women of South Asian ethnicity in Aotearoa NZ were at increased risk of stillbirth and neonatal death compared with NZ European women, although only at extremely preterm (< 24 weeks) and post-term (≥ 41 weeks) gestations. While there were no major differences in established risk factors for stillbirth and neonatal death by ethnicity, metabolic-related factors were more common among South Asian women, which may contribute to adverse pregnancy outcomes in this ethnic group.
The study used clinical data from perinatal deaths between 2008 and 2017 provided by the NZ Perinatal and Maternal Mortality Review Committee, and linked national maternity and neonatal data, and singleton birth records from the same decade, from the Statistics NZ Integrated Data Infrastructure for all births.

Comparing and contrasting Tongan youth and service users’ interpretations of mental distress

Abstract

Background: In Aotearoa New Zealand (NZ), Pacific people have a higher prevalence of mental illness compared with the general population. Tongan people have high rates of mental illness and tend to not use mental health services. The risk for mental illnesses also differs between those born in Tonga and those born in NZ.
Aim: This study presented the views of New Zealand-dwelling Tongan youth and mental health service users regarding the meaning of mental distress.

Chinese late-life immigrants’ loneliness and social isolation in host countries: An integrative review

Abstract

Aims and objective:
To synthesise current international empirical evidence on loneliness and social isolation in Chinese late-life immigrants.
Background:
Loneliness causes adverse health consequences in Chinese late-life immigrants leading to increased utilisation of often increasingly limited healthcare resources. However, little is known about how Chinese late-life immigrants perceive and experience loneliness and social isolation in their host countries.

An intersectional approach to exploring lived realities and harnessing the creativity of ethnic minority youth for health gains: protocol for a multiphase mixed method study

Summary

This paper is targeted for researchers and describes the protocol for a multi-year study that examines, using an intersectional approach, how multiple marginalised identities impact mental and emotional wellbeing of Ethnic minority youth (EMY) in NZ. The study explores the implications of public discourse, racism and multiple forms of marginalisation on the wellbeing of EMYi. It is expected to provide evidence on the impacts of marginalisation on their mental health.

Challenges and adjustments in maintaining health and well-being of older Asian immigrants in New Zealand-An integrative review – PubMed

Abstract

Objective
There is a paucity of health-related research on older Asian immigrants in New Zealand.The aim of this review was to critically examine literature on the health and well-being of this population group.
Methods:
An integrative literature review was conducted from December 2017 to February 2018.Online databases searched were Scopus, MEDLINE, CINAHL and the Australia/New Zealand Reference Centre.
Results:
Two themes were identified: Firstly, the “challenges stemming from an unfamiliar environment” faced by older Asian immigrants, and secondly, their “strategies for adjusting to a new home.” These themes suggested how participation in community and leisure activities, as well as adapting their outlook on life, contributed to these older migrants’ health and well-being within a New Zealand context.
Conclusion:
A multitude of challenges in maintaining health and well-being confronted these older Asian immigrants; nevertheless, they created strategies to respond and positively influence their health following later-life migration.

Flexible resources and experiences of racism among a multiethnic adolescent population in Aotearoa, New Zealand: an intersectional analysis of health and socioeconomic inequities using survey data

Summary

Background As societies become increasingly diverse, understanding the complex nature of racism for multiple ethnic, social, and economic identities of minority youth is required. Here we explore the experience of racism between and among privileged majority adolescent groups and targeted minority (Indigenous and ethnic) adolescents in New Zealand. Using the concept of structural and embodiment flexible resources, which act as risk and protective factors, we examine the social and health effects on minority youth.

Methods In this intersectional analysis, we use self-reported data from the Youth2000 survey series administered in 2001, 2007, 2012, and 2019 to large, representative samples of students from mainstream state and private schools in the Auckland, Tai Tokerau, and Waikato regions of New Zealand. Students were in school years 9–13 and mostly aged 13–17 years. Ethnic or migrant group, income level of country of origin, and migrant generation were used as measures of structural resources and perceived ethnicity as a measure of embodiment resource. Racism and its effects were measured as socioeconomic inequities (household, neighbourhood, and school-level deprivation); interpersonal discrimination (unfair treatment, bullying, and safety); and health inequities (forgone health care, symptoms of depression, and attempted suicide). We used generalised linear models to explore variations in economic, interpersonal, and health outcomes for Indigenous and migrant youth, adjusting for mediating effects of household deprivation and measures of flexible resources (migration generation, income level of country of origin, and perceived ethnicity).

Findings We collected data from a total of 20 410 adolescents from the four survey waves between 2001 and 2019. Participants had a median age of 15 years (IQR 14–16). Socioeconomic, interpersonal, and health inequities varied with access to flexible resources among Māori and racialised migrant youth. Māori and racialised migrants from lowincome and middle-income countries in particular experienced high levels of socioeconomic inequities. Racialised migrant youth experienced persistent socioeconomic inequities extending over three generations, especially Pasifika migrant adolescents. Minorities perceived as White experienced less discrimination and had more advantages than visibly racialised groups. Regression models showed that embodiment resources, and to a lesser extent structural resources, mediated, but did not eliminate ethnic disparities in socioeconomic status and interpersonal discrimination; these resources did not strongly mediate ethnic disparities in health. Trend analyses indicate consistency in these patterns with ethnicity-based inequities persisting or increasing over time.

Interpretation Indigenous and ethnic minority experiences of racism are heterogeneous. Structural flexible resources (wealth) and, more substantially, embodiment flexible resources (perceived Whiteness) mitigate individual experiences of racism. In multi-ethnic western societies, anti-racist interventions and policies must address both structural deprivation and associated intergenerational mobility and colourism (ie, implicit and explicit bias against non-White youth).

Funding Health Research Council of New Zealand.

Copyright © 2022 Published by Elsevier Ltd. All rights reserved.

Sex ratios and ‘missing women’ among Asian minority and migrant populations in Aotearoa/New Zealand: a retrospective cohort analysis

Recent research from the UK, USA, Australia and Canada point to male-favouring sex ratios at birth (SRB) among their Asian minority populations, attributed to son preference and sex-selective abortion within these cultural groups. The present study conducts a similar investigation of SRBs among New Zealand’s Asian minority and migrant populations, who comprise 15% of the population.

Grouping women of South Asian ethnicity for pregnancy research in New Zealand

This study was performed to identify appropriate groupings of women of SAsian ethnicity for perinatal research. Materials and Methods: National maternity and neonatal data, and singleton birth records between 2008 and 2017 were linked using the Statistics NZ Integrated Data Infrastructure. Socio-demographic risk profiles and pregnancy outcomes were compared between 15 ethnic groups. Recommendations were made based on statistical analyses and cultural evaluation with members of the SAsian research community.

Improving health equity among the African ethnic minority through health system strengthening: a narrative review of the New Zealand healthcare system

Abstract
Background

In New Zealand, health equity is a pressing concern and reaching disadvantaged populations has become the goal to close the inequity gap. Building and strengthening health systems is one way to secure better outcomes. However, the discourse to date has predominately focussed on inequities in health outcomes for Māori. This study has interest in the African ethnic minority community in New Zealand. It undertakes a narrative review of the New Zealand health system which aims to identify literature around the attainment of health equity of African minority by: (i) providing a critical overview of the healthcare delivery system using World Health Organization’s six inter-related building blocks of health system strengthening; (ii)developing a summary and discussions of the research results and; (iii) identifying priorities and recommendations for future research.

A decade of Asian and ethnic minority health research in New Zealand: findings from a scoping review

ABSTRACT

BACKGROUND: Despite the increasing proportion of Asian and MELAA (Middle Eastern, Latin American and African) population groups in Aotearoa New Zealand (collectively referred here as A/EM), research on their health and wellbeing is still nascent. To improve our understanding of health and wellbeing of A/EM groups,
including future research needs, a review and synthesis of existing A/EM research in New Zealand is timely.

AIM: To undertake a scoping review of existing research on A/EM health in New Zealand with a view to highlighting key health concerns for this group and identifying the areas where there is a concentration of A/EM research and, concomitantly, where there are gaps.

METHODS: Medline and PubMed databases were searched for quantitative and qualitative studies published between 2010 and 2019 that report on A/EM health and wellbeing.

RESULTS: The scoping review identified 115 (63 quantitative and 52 qualitative) studies. Three thematic areas were identified in the published literature: health conditions, health determinants and health services. The review also highlighted several gaps in the body of published A/EM research.

CONCLUSION: Overall, the evidence base on A/EM health in New Zealand is weak as there is limited information on health conditions and its determinants of minority groups, including their patterns of health service use. The nature and content of A/EM health research requires further substantive development in terms of understanding the health and its determinants of this ever increasing and heterogenous population group.