Lecture 7 - Pacific health (not full at all)

Question 1

What were the two key reasons for migration to NZ?

Answer 1

1. Employment

2. Education (better opportunities)

Question 2

Compared to NZ Eu and Asians, Maori and Pacific have a diff age structure - what is it?

Answer 2

• Maori are more young
• Important in epi - if you are comparing the two groups/communities you need to adjust the age distribution for the two diff populations

Question 3

A Pacific model of health: Fonofale model

Describe its purpose and its 10 aspects

Answer 3

This model can help us understand and treat our Pacific people in a more holistic, safe and effective manner

1. Family = so when treating Pacific people or prescribing info to them in context that requires their WW; it’s important to think about the context of family
2. Physical = determining what the priorities are in terms of physical health have to be seen in the context of the wider model of Health
3. Spiritual = about being mindful that people have very strong views about what it means for them being well and spiritual is a very important component of that.
4. Mental = if born in islands and then moved here - you;re apparently yo have better mental health than if you were born here
5. Other = SES
6. Time = this dimension dresses the relationships and uniqueness of Pacific people on their physical environ - could be rural or urban setting (e.g. 1pm means 1:30pm to Pacific people lol)
7. Context = where/how/what and the meaning it has for that particular person or people
8. Environment
9. Includes -sexuality, gender, age, SES
10. Culture = the roof represents values and beliefs that’s the shelter for life. These include beliefs in traditional methods of healing as well as western methods (regardless of culture, you need to know who you are)

Question 4

Pacific people’s health

What is one contributing factor?

Answer 4

Weight

Two things - choice and affordability. Hard to when all that’s affordable there is turkey tails or mutton flaps (which get shipped there)

Question 5

What are socioeconomic determinants of health

Answer 5

1. Income (most important)
2. Education (determines kind of employment and housing etc)
3. Employment
4. Housing
5. Poverty

Question 6

What’re some challenges?

Answer 6

More convenient to get fish and chips but promotions etc are being done about this

Question 7

What’s the way forward?

Answer 7

Multi-level complex solutions

Question 8

Why is it important to consider Pacific health?

Answer 8

Pacific peoples make up 7 % of New Zealand’s total population and they suffer disproportionately from poor health outcomes as presented using selected health indicators. Those working within the health sector have a responsibility towards improving outcomes for all New Zealanders.

Question 9

Describe the relationship between socio-economic status and Pacific health

Answer 9

The evidence suggests that socio-economic status influences health outcomes. Those who live in the most deprived areas of New Zealand (Decile 8-10) have poorer health outcomes compared to those in the least deprived areas (Decile 1-3). Pacific people are over-represented in the most deprived areas of New Zealand.

Question 10

What are the approaches required to improve the health of Pacific peoples in New Zealand?

Answer 10

A collective approach is required to improve outcomes for Pacific peoples. Efforts are required at the government level, health organisations and providers, Pacific communities, families and the individual level.