Week Three Flashcards

1
Q

Pasifika Population Stats in NZ

A
  • Median age of 23.4 years
  • 66.4% NZ Born
  • 59.4% Identify with one ethnicity
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2
Q

Southwick et al. 2012 On Pasifika People Statistics

A
  • Lower life expectancy
  • Higher rates of non-communicable disease
  • Lower mean income
  • Live in the most deprived areas
  • Highest unemployment rates
  • Lowest homeownership rates
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3
Q

Pacific Health and Wellbeing Action Plan 2020-2025

A

Current Aspirations
- Pacific families have effective interactions with the health and disability system
- Pacific families have safe and comfortable social and physical environments.
- Pacific families are ‘ola manuia’ mentally, spiritually, culturally and
socially.
-

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4
Q

What is Spirituality Like for Pacific People

A
  • Central
  • Christian
  • Governs
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5
Q

Fonofale Model of Wellbeing (1995)

A
  • Family
  • Culture
  • Physical
  • Mental
  • Spiritual
  • Other
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6
Q

Te Vaka Atafaga Model 2000

A
  • Environment
  • Spirituality
  • Physical Body
  • Family
  • Social
  • Mind
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7
Q

Uloa - Supernatural and Spiritual Demenison of health
- What does it do?

A
  • Emphasises the nature of the relationship between supernatural and spiritual dimensions of health.
  • Requires community participation and signifies unity
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8
Q

Tufunga (Construction) Assessment Model
- Examples of Spiritual, Culture and Physical Mental

A
  • Themes
  • Spiritual: Possession by Spirits, Curse,
  • Culture: Migration, Resources and services, social networks and Christian faith
  • Physical/ Mental: Stress, drugs alcohol, Mental disorders biomedical terms, and language
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9
Q

Tufa Essential Skills
- Traditional Healers
- Priorities
- Services

A
  • Traditional healer ?
  • TH then doctor
  • Doctor then traditional healer
  • Hospital and mental health services
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10
Q

Tofu Essential Skills Defining Roles

A
  • Traditional Healers
  • Roles determined by resource and outcome
  • Doctors, Nurses, Mental Health Workers
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11
Q

Six Key Aspects of Identity and
Wellbeing Study
- List Key Aspects

A
  1. Percived family wellbeing
  2. Perceived societal wellbeing
  3. Pacific connectedness and belonging
  4. Religious Centrality
  5. Group membership evaluation
  6. Cultural efficacy
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12
Q

Six Key Aspects of Identity and
Wellbeing Study
- Key Findings

A
  • First validated tool for the Assessment of both Wellbeing and Identity.
    -The measure indicates the strength of one’s ethnic identity as a Pacific person.
    -That connectedness and belonging improved a sense of well-being.
    Identity engagement and cultural Well-being were linked through religious practices.
  • Supports existing literature on the concept that positive attitudes towards one’s group indicate that an individual has an investment in their ethnic identity from which they derive
    positive affect.
    Highlights the importance that religion and spirituality have as important aspects in the formation and maintenance of individuals’ Pacific identities.
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13
Q

Maori and Pasifika Language and Identity and Wellbeing in New Zealand
- Higher levels of cultural identity in what group?
- Same level of well-being in what two groups?
- What moderates the relationship between ethnic identity centrality and self-esteem?

A
  • Higher levels of cultural identity
    in Maori and Pasifika than only English-speaking groups
  • Pasifika who only speaks English report similar levels of wellbeing
  • Bilingualism moderated the relationship between ethnic identity centrality and self-esteem
  • Bilingualism Stergthens the relationship between ethnic inde
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14
Q

Land Loss and Wellbeing for Maori Study
1. Land retention leads to what?
2. Greater access to what leads to better what

A
  1. Better wellbeing
  2. To land and culture including visiting a marae and connecting with whenua can support wellbeing
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15
Q

Key Colinisation Health Outcomes
1. In 2013 what group was more advantaged than Moari in all what indicators
2. 1769 what group life expectancy was better
3. Presently what group has a greater life expectancy of 7 years and is three times less likely to die from what?

A
  1. Non- Maori and socio-economic factors
  2. Maori life expectancy was better than European settlers
  3. Non- Maori do. Preventable disease
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16
Q

Wellbeing and Health Privilege
- Non-Maori receive what because of what?
- How do we create equitable outcomes
- What do we need to earn a greater understanding of to address inequalities ?

A
  • Privilege in health in NZ due to greater access to the social health determinants of health including the health system.
  • Address determinants of well-being like access to resources housing food etc.
  • Social and cultural determinants of health and applying holistic indigenous views
17
Q

What are the aspects of the Hauora Concept?
- Does it always focus on physical health?
- What aspects of wellbeing?
- Traditional views argue that illness is a breach of individual what?

A
  • Does not necessarily just focus on physical wellness
  • Incorporates many different aspects of well-being including spiritual wellbeing
  • Tapu
18
Q

Wairua (Spiritual)
- Most important aspects of what?
- What does Wairua reflect?
- Connections to what?

A
  • Wellbeing
  • The capacity for faith spiritual awareness and unseen and unspoken energies
  • The natural environment
19
Q

Whanau (Family)
- Define this type of wellbeing
- The capacity to …
- An individual is understood within the context of

A
  • The well-being of family and relationships
  • Belong and share
  • of the family and the connectedness of relationships
20
Q

Tinana (Physical)
- The capacity for
- The body is seen as (spiritual)
- Sleeping, eating, drinking and cleaning are seen as …

A
  • Physical growth and development
  • Tapu
  • Rituals to take care of your physical well-being
21
Q

Hinengaro (Thinking & Feeling)
- The capacity to …
- According to Maori culture the mind and body are …
- Communication includes…

A
  • Think feel and communicate
  • Inseparable
  • Unspoken signals and showing how one feels
22
Q

Measuring Maori Wellbeing
- Tangata Whairoa - Indiviual
- Whanau - Family groups
- Populations -
- Give context on measures from a non-Maori and Maori perspective

A
  • NM: Measure relevant to all people like life expectancy and mortality data, M: Specific to the individual
  • NM: Measures that can be applied to diverse groups, M: Measures relevant to Maori collectives
  • NM: Measures that apply to all populations and nations e.g. global burden of diseases, M: Measures relevant to all Maori
23
Q

Hua Oranga (Wellbeing Questionnaire)
- What can it do?

A
  • Can guide treatment measures outcomes of health and not just the reduction of symptoms
24
Q

Indigenous Specific Determinants of Health
- Indigeneity and colonization are …
- Measures of health for indigenous people must be sensitive to…

A
  • overarching determinants of health for Indigenous people
  • Indigenous-specific determinants
25
Q

What is Matauranga Maori

A

An indigenous knowledge system that builds on iwi and hapu knowledge collated over generations which can influence scientific practices

26
Q
A