Post-Migration Food Habits of New Zealand South Asian Migrants: Implications for health promotion practice

Introduction

In this study the changes in foods habits of South Asian migrants’ post-migration are investigated and reported. Changes in food habits post-migration negatively impact on the health of NZ South Asians and is a key modifiable factor for maintaining their healthy migrant status.

Mental health of African asylum seekers and refugees in Hong Kong: using the social determinants of health framework

Background

Hong Kong is non-signatory to the 1951 Refugee Convention and its 1967 Protocol, and has no systematic domestic policies committed to the rights of asylum-seekers and refugees (ASRs). This creates a tenuous setting for African ASRs there. This study explored how mapped social determinates of health has impacted the mental health and wellbeing of African ASR’s in Hong Kong.

Stepwise tailoring and test–retest of reproducibility of an ethnic-specific FFQ to estimate nutrient intakes for South Asians in New Zealand

Introduction:

A Lottery Health Research grant enabled the development of an ethnic specific dietary assessment tool for NZ South Asians. This study describes the process and outcomes of this research.

Exploring Reasons for Ethnic Disparities in Diet and Lifestyle-related Chronic Disease for Asian Subgroups in New Zealand: a scoping exercise

Introduction:

This study used data from the 2003–04 and the 2006–07 NZ Health surveys for adults aged 25–70 to explore if the impact of various risk factors for chronic disease differed for people of Chinese, Indian and New Zealand European and Other (NZEO) ethnicities.

Structural and Cultural Competencies in Maternity Care for Ethnic Minority and Migrant Women: Practitioner Perspectives from Aotearoa New Zealand

Abstract

Purpose – With global migration, the number of ethnic minority and migrant women receiving maternity health care in dominantly Anglo-European societies has increased significantly but they consistently have among the worst pregnancy and maternal outcomes. This paper aims to analyse gaps in structural (migration-related inequalities) and cultural (responsiveness to ethno-cultural practices) competencies among maternal health practitioners in Aotearoa New Zealand (NZ).

Design/methodology/approach – Using a semi-structured interview guide, in-depth interviews were conducted with 13 maternal health practitioners in NZ. Data were analysed using a thematic analysis framework.

Findings – The results highlight significant barriers around language and communication, cultural stereotyping by professionals, ethnic women’s own constraints around family and cultural expectations and their lack of knowledge about reproductive health. In addition, practitioners’ own ethnic differences are inseparable from their approach to structural and cultural competencies; there were instances of ‘over-’ or ‘under-’ reading of culture, practitioner constructions of ideal pregnancies and anti-racism concerns that shaped maternal care practices that were sensitive to, but also marginalised, ethnic migrant women who attended maternity services.

Originality/value – To the best of the authors’ knowledge, this is the only study in NZ that examines the impact of complex dynamics of migration and culture on knowledge, beliefs and values of practitioners, in context of their own personal biographies. Identifying strategies to improve the way diversity is practiced in hospital settings can be transformational in improving maternal outcomes for ethnic migrant women in NZ.

Factors Predicting Forgone Healthcare Among Asian Adolescents in New Zealand: Unmasking Variations in Aggregate Data

ABSTRACT

AIM: To examine the relationship between social support, safety, healthcare experience and forgone healthcare for Asian secondary school students in New Zealand by unmasking variations in aggregate Asian data.

METHODS: The study population included 1,911 Asians (1,272 East Asians and 604 South Asians) from the Youth19 survey. The reference group included 3,053 Pākehā.

RESULTS: We found disparities in family socioeconomic status (SES), social support, safety in school and neighbourhood, healthcare experience and forgone healthcare between East Asians and South Asians compared to Pākehā. One in five Asians (20%) reported forgone healthcare. Compared to their Pākehā peers (18%), Asian students (AOR=1.18, CI=1.04–1.33) and East Asian students (AOR=1.24, CI=1.06–1.45) were more likely to experience forgone healthcare, but South Asian students were not (AOR=1.05, CI=0.86– 1.28). Important unique predictors of forgone healthcare for both East and South Asian students were: being discriminated against by health professionals due to ethnicity, not having a family member to talk about their worries with, and unfair treatment by teachers. Other unique predictors varied: lower community and family SES, not getting enough quality time with family, and being bullied at school were significant predictors for East Asian students; low perceived neighbourhood safety was a predictor for South Asian
students.

CONCLUSIONS: A complicated picture underlies the seemingly positive findings for the overall Asian group. We highlight the importance of disaggregating Asian youth data into East Asian and South Asian, to identify disparities in risk/protective factors and better inform targeted interventions.

A profile of New Zealand ‘Asian’ participants of the 2008/09 Adult National Nutrition Survey: focus on dietary habits, nutrient intakes and health outcomes

Introduction:

This study used the data from the National Nutrition Survey to portray for the very first time in Aotearoa, NZ, what people from various Asian subgroups “usually” ate, nutrient intakes and health outcomes.

Meeting Maternal and Reproductive Health Needs in a Post-Disaster Setting: A Qualitative Case Study From Indonesia

Abstract

Meeting and planning for maternal and reproductive health (MRH) needs during post-disaster scenarios is paramount, however, not without considerable challenges. This study was aimed at understanding the provision of MRH services in Siosar, a relocation site for a population displaced by the volcanic eruption in 2013 of Mount Sinabung, Indonesia. A qualitative case study approach was used, and data were collected through focus group discussions and individual interviews with women of reproductive age, community leaders, health personnel, and policymakers. The findings show that while considerable efforts were made to provide MRH services, these were described as “unfinished, “due to challenges such as changes to funding, inadequate provision of supplies and health personnel, and geographical location. Recommendations are that health and other sectors design a relocation site that counts physical, psychological, and social needs of a community and policymakers integrate humanitarian and development plans that include MRH services into World Health Organization’s Building Blocks of Health System.

Isolation and prayer as means of solace for Arab women with breast cancer: An in-depth interview study

Abstract

Objective: This study explored Arab women’s experiences following the diagnosis and treatment of breast cancer.

Methods: Face-to-face in-depth interviews were conducted with 20 Arab women attending a public hospital in Abu Dhabi, United Arab Emirates, following a recent diagnosis of breast cancer. All interviews were transcribed verbatim and analysed using the thematic method.

Results: Arab women’s experiences following their breast cancer diagnoses and treatments included the themes of (1) protecting one’s self from stigma, (2) facing uncertainties and prayers, and (3) getting on with life. Overall, the ways to find solace were through isolation and prayer, which are heavily influenced by religion and spiritual practices. They recommended that to help women with breast cancer, a campaign to raise awareness for early screening is needed as well the need to form apeer-led support group for women with breast cancer consisting of breast cancer survivors so that they can learn from each other’s experiences.

Setting the stage: reviewing current knowledge on the health of New Zealand immigrants-an integrative review

Abstract

The growth of migrant communities continues to rise globally, creating unique and complex health challenges. Literature on immigrant health in New Zealand (NZ) remains scant. This integrative literature review was conducted drawing on peer-reviewed research articles on immigrant health in NZ published between 2012 and 2018.