INTRODUCTION:The proportion of young people in New Zealand identifying with Asian ethnicities has increased considerably. Despite some prevalent health concerns, Asian youth are less likely than non-Asian peers to seek help. As preparatory research towards a more nuanced approach to service delivery and public policy, this qualitative study aimed to identify young Asian New Zealanders' perspectives on best approaches to investigate health issues of priority concern to them.

INTRODUCTION: The Accident Compensation Corporation (ACC) administers New Zealand’s (NZ) accident compensation scheme. Asians in NZ are apparently under-serviced by ACC and may be experiencing barriers to accessing services. This study identifies barriers that Asians in NZ face in accessing ACC’s injury-related services and compensations. METHODS: By utilising a qualitative research design, 113 Chinese, Korean, Indian, and South East Asian participants residing in Auckland, NZ were recruited through maximum variation and purposive snowball sampling. Data were gathered during 2006 through 22 individual in-depth interviews and 14 focus group discussions based on semi-structured interview schedules. Interviewees included Asian general practitioners, traditional health providers, users and non-users of injury-related services, case managers and Asian community leaders. Data were analysed using a general inductive approach. FINDINGS: Results show that personal/cultural characteristics such as age, gender, English language competence, injury-related language competence, differing Asian worldviews, and consequent helpseeking behaviours act as barriers to accessing services and entitlements. This is exacerbated by logistical and environmental factors such as cost, transport, time, inadequate interpretation and translation services, as well as institutional barriers such as lack of information about services, culturally inappropriate services, discriminatory attitudes and employment risks. CONCLUSION: It is evident that Asians living in NZ are experiencing several cultural, environmental and institutional barriers to accessing ACC services. There is clearly a need for more culturally relevant information and injury-related services if Asian immigrants’ use of such services and entitlements is to be increased. KEYWORDS: Barriers; access; Asians; injury-related services

INTRODUCTION In New Zealand, while the term ‘Asians’ in popular discourse means East and South-east Asian peoples, Statistics New Zealand’s definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where ‘Asian’ youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research. METHODS Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data. FINDINGS Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy. CONCLUSION With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting. KEYWORDS Asian youth; New Zealand; health research; minority health; Community and social participation

This paper outlines a project that investigated the impact of gambling and problem gambling on the health and wellbeing of Asian families and communities in New Zealand. This 2-year, multi-phase qualitative project included focus group discussions and individual face-to-face interviews with stakeholders and individuals who have experienced or been impacted by problem gambling across New Zealand's five major Asian ethnic subgroups of Chinese, Indian, Korean, Southeast Asian and Asian with Refugee background. This paper provides details on two major themes that emerged from the data: the role of settlement, the environment and coping behaviours in problem gambling amongst Asians; and, the impacts and consequences of gambling for Asian people and their families. Problem gamblers were found to employ dysfunctional coping strategies to deal with settlement adversities with adverse effects on the mental health and social and financial wellbeing of individuals, families and communities. Based on the data provided by participants, potential strategies have been developed for enhancing resilience through other variables that protect against problem gambling, and moderating those variables that may increase risk for problem gambling. These include: utilising cultural strengths, building trust, normalising help-seeking, educating Asian communities about the dangers of gambling, and creating a supportive social and institutional environment for Asian immigrants.

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