Understanding Pacific Peoples Health and Wellbeing Challenges in Aotearoa New Zealand.

Format:

Book

Author/Creator:

Tukuitonga, Sir Collin.

Series:

Pacific Islander Studies

Language:

English

Physical Description:

1 online resource (415 pages)

Edition:

1st ed.

Place of Publication:

2026.

New York : Lived Places Publishing, 2026.

Summary:

Identity and lived experience are central to Pacific health and wellbeing. In this landmark edited volume, Pacific health experts from across Aotearoa-New Zealand, examine in depth public health issues for Pacific peoples and communities through their own words and research. From understanding Pacific children, maternal, disability health, to Pacific psychology perspectives on wellbeing, as well as intersectional analyses on ways to address Pacific health from diverse Pacific perspectives; this first-of-its-kind edited volume is essential reading for all students of health and intersectionality.

Contents:

FrontCover

Half Title

Title Page

Copyright Information

Dedication

Table of Contents

Foreword

Contributors

Book Editors

Chapter Authors

Setting the scene: Pacific health research in Aotearoa- New Zealand

Introduction

Population trends and patterns

Socioeconomic trends

Health trends

Research and data needs for a healthy and informed future

References

Pacific identity and wellbeing

Clarity between ethnicity and ethnic identity

Psychological perspectives on ethnic identity and wellbeing

Ethnic identity

Wellbeing

Pacific identities and wellbeing

Components of Pacific identities

Conclusion

The health of children and young people

Determinants of children and young people's health

Pacific child and adolescent deaths

Neonates: Preparing for life

Pacific adolescents and young people

Illness and disease

Respiratory conditions

Infectious diseases

Optimising development and potential

Development and behaviour

Family violence and child abuse

The health of women and reproductive health

Pacific women in gynaecology

Impact of obesity

Fertility

Cancers

Endometrial cancer

Other cancers

Contraception

Pacific women in obstetrics

Antenatal

Women booking with lead maternity carer

Place of birth

Risk factors

Obesity

Maternal complications of obesity

Obesity and increased risk of gestational diabetes

Obesity and increased risks of hypertensive disorders in pregnancy

Complications of obesity in pregnancy for the baby

Other birth outcomes of note

Maternity clinical indicators trends

Pacific women have reported higher rates of complications

Perinatal and maternal mortality review committee report 2018.

Conclusions

Appendix

Others (list is not exhaustive)

Complex criticalities: An introduction to Pacific Rainbow+ communities health and wellbeing in Aotearoa-New Zealand and the Pacific

The ABCs of labels and Rainbow+ health and wellbeing

Heterosexism and heteronormativity

LGBT and the QIA+

MVPFAFF+

Intersectionality

The role of discrimination in the health and wellbeing of Pacific Rainbow+ communities in Aotearoa-New Zealand

Rainbow health and wellbeing research in Pacific contexts

Snapshot: Fiji

Snapshot: Papua New Guinea

Further Reading

Tagata Sa'ili Malo: The story of the Pacific disability community

Background: Whakawhanaungatanga

Mainstream disability community

Pacific people and disability

Te Ao Aotearoa

Shift one: New Zealand disability strategy, 2001

Shift two: New Zealand disability strategy 2016-2022

The opportunity

Shaping a Pacific model of disability support

Activation life-giving vision

Vision: Tagata Sa'ilimalo - The pursuit of success, the celebration of achievement, of individual, and collective vitality.

Vision in action: Soalaupule - self-determination, shared decision making, shared accountabilities, and shared outcomes

Post-script

Manato'a: The health of Pacific males

Gender and indigenous masculinities in relation to men's health

Health statistics

Talanoa-vā an integrated approach

Case study 1: Masculine behaviours and social activities in the Pacific and abroad

Case study 2: Resilience and wellbeing in the Pacific region

Suggested further readings

Mental health

Intergenerational trauma

Environmental determinants

Antenatal period

Postnatal.

Children and adolescents

Adulthood

Substance abuse and addictions

Old age

Use of mental health services

Worthwhile questions in the context of COVID-19

Key readings

Addiction: Alcohol, tobacco, and other drug use in Pacific communities across Aotearoa-New Zealand and the Pacific region

Alcohol

Homebrew

Kava

Tobacco

Illicit drugs

Betel nut

Strategies targeting alcohol and substance use in the Pacific region

Alcohol, tobacco, and other drugs, use for Pacific people in New Zealand

Gambling

Pacific alcohol and other drug services in New Zealand

Fonua Ola: Re-imagining Pacific health promotion for the wellbeing of humanity and the planet

As a poet, let me conclude this chapter with a poem that was inspired during the Covid-19 pandemic

Dawn, deep, devotional, beach reflections

Pacific health data in Aotearoa New Zealand: Users, sources, and important considerations

Uses of Pacific health data

Ethnicity data: Definitions and methods of output

Definition of ethnicity

Ethnicity classification

Ethnicity data outputs

1. Prioritised output

2. Total response output

3. Single/combination output

Data sources

Census

Integrated data infrastructure

Pacific data sovereignty

Healthcare horizons: Scanning the data to navigate the barriers and enablers for Pacific communities

Long-term conditions

Access to healthcare

Ambulatory sensitive hospitalisations

Medicine access equity and polypharmacy

COVID-19: Pacific health service delivery leadership and opportunities

Stigma and discrimination

Cultural competence

Language and communication.

Pacific health services

Pacific workforce

Longitudinal and life course research: Pacific birth cohort study

Background context

The PIF Study: A Pacific birth cohort study

Study design

Participants

Theoretical framework

Data collection

Case study: Physical growth, metabolic risk, and potential lifecourse outcomes

Case study: Role of cultural alignment and identity in maintaining wellbeing

Knowledge translation and impact

Current and future research with the PIF Study

Prosperous Pacific families through Wha- nau Ora

Background to Whānau Ora

The concept of whānau ora and origins of the Whānau Ora Initiative

Pasifika Futures

Vision and purpose

Leadership and governance

Pasifika Futures strategy and outcomes framework

Pasifika Futures outcomes framework

Commissioning programmes

The family journey

Pasifika Futures results

Pasifika Futures limited commissioning case study series

Core navigation case study

Navigating towards financial stability: The Fonua family's success story with Pasifika Futures' Whānau Ora partner Aotearoa Tongan health workers association

Family challenges

Family goals

Whānau Ora intervention and impact

Commissioning for innovation case study

Navigating academic success: Josefa's Whānau Ora educational journey at Otahuhu College

Student challenges

Whānau Ora support

Impact of Whānau Ora

Commissioning for communities case study

Empowering cultural connection: Maria's journey with Pasifika Futures' Whānau Ora partner Tupumaiaga A Niue Trust

Need for community connectedness

Commissioning for community resilience case study.

Overcoming overcrowded living conditions and financial strain during COVID-19: Pasifika Futures' Whānau Ora and community responsiveness and resilience partner: K'aute Pasifika

Whānau Ora Support

Mana-mai-le-lagi: Storying the importance of lived experience and community connection in health research with Pacific Rainbow+ communities

Genesis: Lived experience

Connections: The foundation of the project

Conceptualising: In search of a research project and name

Process: Community consultations, protocol, and the power of inclusive collaboration

Decentring the main centres in community consultations

Reciprocity in process

Inclusive collaborations and dissemination to serve community practitioners

Reflections of a research assistant on the Manalagi project consultation process

Taualuga

Loimata Suamalie and Tapasa- Mo Aiga: Wayfinding sexual violence within a Samoan diaspora aiga

Wayfinding Vā ethics and critical collaborative autoethnography

Tapasā Mo Aiga model

Our purpose: The triadic intentions

To make healing accessible

To make the impossible possible

To make healthy structures for our families

Wayfinding, vā, purpose, and sexual violence

Wayfinding the quadrants through my siblings

Seven sails: Equitable space and process

Wayfinding the seen/scene and unseen

Wayfinding the shame, silence, and hope for our Aiga

Continuum

Notes

Complex criticalities

Fonua Ola

Healthcare horizons

Index.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

1-918026-28-9

1-918026-29-7

9781918026283

OCLC:

1579273507