Exploring success amongst Pacific families in New Zealand: Findings from the Pacific Islands Families Study

Tautolo, El‐Shadan; Faletau, Julienne; Iusitini, Leon; Paterson, Janis

doi:10.26635/phd.2020.627

Cited by 4 publications

(3 citation statements)

References 18 publications

(23 reference statements)

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“…Research examining Pacific health and wellbeing continues to highlight key protective factors such as cultural identity, spirituality, healthy relationships, family support, communication, and strong participation in social activity. 8,9,10,11 These factors are engrained within our Pacific communities and are valued across many of the Pacific health models mentioned. Yet as we have seen and continue to see, Pacific peoples have poorer health outcomes comparatively with the total Aotearoa NZ population.…”

Section: Pacific Values and How This Translates Across Healthmentioning

confidence: 99%

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A latent profile analysis of Pacific health values

Kapeli

2021

PacHealthDialog

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Introduction: Pacific health models that centre Pacific values, can serve as a tool to address Pacific disparities in healthcare. In this study, we broadly draw upon the health concepts of these models to determine how Pacific values are translate across Pacific health and wellbeing. Methods: Using data from the New Zealand Attitudes and Values Study, we identified proxy indicators of common Pacific values. With these proxy indicators we developed a LP Latent Profile Analysis A to uncover subgroups of Pacific peoples based on their orientation towards each proxy indicator and their association with psychological distress. Findings: We identified four subgroups of Pacific peoples: (1) 65% of Pacific peoples identified strongly with Pacific values with low associated psychological distress (2) 18% of Pacific peoples identified moderately with Pacific values with medium associated psychological distress (3) 5% of Pacific peoples identified less with Pacific values with low associated psychological distress (4) 12% of Pacific peoples identified ambivalent with Pacific values with high associated psychological distress. Conclusions: These results suggest that Pacific values and the utility of Pacific health models are an appropriate way of framing health and wellbeing for a vast majority of our Pacific population. However, we also need to recognise the incredible diversity among our Pacific community and be understanding and accommodating of the diverse ways that Pacific peoples can express what they consider valuable.

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Section: Pacific Values and How This Translates Across Healthmentioning

confidence: 99%

“…This echoes prior research whereby upholding strong Pacific values can offer a protective function and contribute to enhanced wellbeing. 33,8,10,11,34 This is also why we expect Pacific health models, that centre Pacific values, to be an extremely positive and helpful tool across our communities.…”

Section: Latent Subgroupsmentioning

confidence: 99%

A latent profile analysis of Pacific health values

Kapeli

2021

PacHealthDialog

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“…The notion of 'one size fits not quite all' reflects a diverse ethnic Pacific people coming from different cultural perspectives and practices. Whilst Pacific peoples have common cultural values and practices such as valuing their families for support, spiritual connection with God, cultural identity and effective communication that were proven to be successful strategies to improve Pacific families' health outcomes and education (Tautolo et al, 2020), each Pacific ethnic group is unique, for example having a unique language, traditional practices, and…”

Section: Perspective On Diverse Pacific Ethnic Groupsmentioning

confidence: 99%

Navigating Health Practices for I-Kiribati Immigrants in New Zealand

Schutz¹

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There is a rapidly growing number of I-Kiribati migrating to New Zealand and the New Zealand health care system must be prepared for this growth. There is a prospect of total migration of I-Kiribati to host countries like New Zealand due to climate change making the Kiribati islands uninhabitable. However, there are no studies examining the health beliefs and practices of I-Kiribati in New Zealand. This study sought to understand the health practices of I-Kiribati immigrants in New Zealand using a Kiribati cultural research framework that I developed, called te kora, modelled on the Kiribati cultural practice of making te kora: a Kiribati string made from two soft dried coconut husk fibres called binoka. I recruited thirty first generation I-Kiribati from the lower North Island and throughout the South Island of New Zealand through the anoiko maroro recruitment process, an approach suited to the Kiribati culture and etiquette that is similar to the concept of snowballing; in this case using a maroro (discussion) as the method and karaki (stories) as the data. The participants’ karaki were audio-recorded, translated into English, and a copy of the summary of the transcript was sent to each individual participant for verification. Subsequent maroro were organised as required. Thematic analysis was used to analyse the participants’ karaki but within that framework viewing one binoka as the Kiribati health practice and the other binoka as the western health approach. Six key organising ideas emerged from the participants’ karaki: 1) health and illness perceptions; 2) the value of traditional practices; 3) traditional health practices; 4) foods and their products; 5) beauty and wellness; and 6) the use of a western health approach. This study revealed that I-Kiribati traditionally maintained their health heritage, and persistently practise their traditional health practices of maintaining their mauri (health). However, at the same time participants accommodated a variety of different health practices including western, Māori, and ‘other Pacific’ health practices. From the study, Te kuan model of te mauri for I-Kiribati immigrants in New Zealand emerged. This is a model that transfers health beliefs and practices from Kiribati into a New Zealand context. Te kuan model of te Mauri explains how I-Kiribati navigate between health practices to establish the balance between empirical-cultural knowledge, lived experiences and available resources to meet their physical, mental, spiritual, social, environmental, and cultural needs, and how their health practices are implemented in the New Zealand context. Te Kuan Model of Te Mauri can also contribute to making sense of how I-Kiribati practise health in other host countries. This model acknowledges Kiribati traditional health beliefs and practices, improves Kiribati cultural understanding, cultural sensitivity, and cultural protection among health professionals, and at the same time may contribute to improving access to western health care services for I-Kiribati in New Zealand. Future interventions to benefit the health systems of New Zealand, other host countries and other immigrant populations must take into consideration Te Kuan Model of Te Mauri.

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Clinical Sociology and the Sociology of Intersections Between Policy, Identity, Categories, and Labelling

Didham

2023

Clinical Sociology: Research and Practice

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Exploring success amongst Pacific families in New Zealand: Findings from the Pacific Islands Families Study

Cited by 4 publications

References 18 publications

A latent profile analysis of Pacific health values

A latent profile analysis of Pacific health values

Navigating Health Practices for I-Kiribati Immigrants in New Zealand

Clinical Sociology and the Sociology of Intersections Between Policy, Identity, Categories, and Labelling

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