Journal Articles
Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915
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Item Ready to respond: Preparing firefighters for non-fire incidents(Australian Institute for Disaster Resilience, 2023-07) Lin E-Y; McManus V-M; Adams JIn Aotearoa-New Zealand and perhaps in other countries, firefighters are increasingly required to attend highly demanding and stressful non-fire incidents. This study used a qualitative descriptive research design to examine the gaps in preparation experienced by firefighters in Aotearoa-New Zealand when responding to non-fire incidents, particularly medical calls. Forty-four firefighters and 12 selected informants were interviewed. Ten Māori firefighters took part in a face-to-face focus group. Results indicate that firefighters equated preparation with training for their role. Training was considered by some to be limited to a specific range of first aid skills and it was felt a higher level of medical training would be beneficial. A need for more training in relation to working cross-culturally was also identified, particularly in relation to Māori and the application of cultural processes and protocols when death occurs. Training to improve firefighters’ abilities to console and communicate with families at incidents was also noted. Besides training, participants identified the need to prepare for unfavourable outcomes, this included reframing what ‘success’ looks like, enhancing psychological wellbeing and encouraging help-seeking behaviours.Item The alcohol industry-A commercial determinant of poor health for Rainbow communities(John Wiley and Sons Australia, Ltd on behalf of Australian Health Promotion Association, 2022-09-14) Adams J; Asiasiga L; Neville S; Wright CBACKGROUND: Alcohol use is an area of challenge for health promotion internationally. The alcohol industry operates as a key commercial determinant of health in that its actions contribute to alcohol misuse, resulting in a range of health and social harms to individuals, families and communities. Rainbow people (including those who identify as lesbian, gay, bisexual, transgender or gender diverse) are one group experiencing considerable harm from alcohol use. METHODS: Data from 24 focus groups involving 131 people held in six cities in New Zealand during 2018, were used to explore local understandings of the ways in which the alcohol industry operates as a commercial determinant of health for Rainbow communities. The focus group discussions were analysed thematically. RESULTS: Three key themes were identified. First, the alcohol industry was identified as present in the 'everyday', through targeted alcohol promotion to Rainbow people, and due to the centrality of bars to their social and cultural landscapes. Second, participants recognised the benefits of alcohol industry support for Rainbow communities. Last, an opposing view was articulated, with the alcohol industry and its commercial activities viewed negatively. CONCLUSIONS: These findings highlight that alcohol as a commodity and the alcohol industry are successfully and firmly embedded within Rainbow communities. Overall, given alcohol is widely regarded in a positive way, this is likely to create difficulties for health promotion efforts to reduce alcohol related harm in these communities.Item Justifications for heavy alcohol use among gender and sexually diverse people(Taylor and Francis Group, 2022-08-24) Adams J; Asiasiga L; Neville SA range of research reports that many gender and sexually diverse people drink alcohol at heavy levels. This study used 24 focus groups to explore shared understandings of alcohol use among gender and sexually diverse people living in New Zealand. An inductive, data-driven thematic analysis was employed to identify explanations for heavy drinking among gender and sexually diverse people. Three key explanations were articulated: alcohol is needed for socialising; drinking helps coping with stress; alcohol and drug treatment services are inadequate. These results demonstrate justifications for heavy drinking in certain contexts. This behaviour runs counter to public health approaches and messages that highlight low-risk levels of drinking or not drinking as desirable. Public health interventions should continue to address alcohol use at a whole population level but should be supplemented by policy and interventions that take into account the sociocultural contexts and structural conditions that encourage drinking among gender and sexually diverse people.Item Exploring Understandings of Sexuality Among “Gay” Migrant Filipinos Living in New Zealand(SAGE Publications Inc, 19/05/2022) Adams J; Manalastas EJ; Coquilla R; Montayre J; Neville SEthnicity, sexuality, and health are inextricably linked. This study reports on individual interviews carried out with 21 “gay” migrant Filipinos living in New Zealand to understand sexual identity and identify how they manage the disclosure of their identity. The participants provided both simple and complex accounts of sexuality. For many, these aligned with Western notions of how gay and bisexual are understood as categories; but for others, their understandings and use of such terms was influenced by Filipino cultural and contextual meanings. This included the use of “gay” as a catch-all category, including for those who identify as transgender. Active and careful management of their diverse identities was reported by participants. While disclosure to family was reasonably common, this was couched in terms of sexuality being tolerated rather than fully accepted. Disclosing identity was comparatively easier in New Zealand, but nonetheless there was active control over disclosure in some work and medical situations. Such findings add a degree of complexity within health promotion and public health, as identity cannot be regarded as static and common understandings do not exist. However, the strong community orientation and relative openness of “gay” Filipinos in relation to sexuality and gender afford opportunities for targeted interventions among this group.Item Asian Drinking Cultures in New Zealand: A Scoping Review(SAGE Publications Inc, 19/05/2022) Adams J; Wong G; Zhao IY; Saravanakumar P; Holroyd E; Neville SAlcohol use causes harm across most populations. However, comparatively little research and policy attention has been paid to drinking cultures among Asian people. A scoping review was undertaken to identify drinking patterns, alcohol-related harm, drinking culture among Asian youth, young adults, and adults living in New Zealand. A search of literature identified 39 relevant outputs. The findings indicated that Asian people enjoy a comparative health advantage when compared with non-Asian population groups through lower rates of alcohol consumption, less risky drinking, and experiencing less harm from drinking. Despite these advantages, the results identified areas where improvements with Asian people’s relationships and experiences with alcohol may be warranted. It is important to develop targeted approaches to Asian drinking that can build on the current whole population-level alcohol initiatives. Further research is warranted to identify specific and additional strategies to address problematic alcohol use in this cohort.Item Beginning on an age-friendly journey: Barriers to implementing age-friendly initiatives(John Wiley & Sons Australia, Ltd on behalf of AJA Inc, 2021-12) Neville S; Napier S; Shannon K; Adams JOBJECTIVE: To explore the barriers to communities in New Zealand developing age-friendly initiatives. METHODS: A qualitative participatory approach underpinned this study. Semi-structured digitally recorded individual interviews were undertaken with 24 government officials, local government steering group members and community representatives from an urban city, provincial city and a rural district. A general inductive data analytic process was undertaken. The consolidated criteria for reporting qualitative research (COREQ) guidelines were followed to ensure rigour in this study. RESULTS: (a) Being at the beginning, (b) Minimal diversity and (c) Problems getting started were three key issues identified. CONCLUSIONS: New Zealand is in the early stages of becoming age-friendly. Findings from this study provide a place-based New Zealand perspective and have influenced central government social policy and practice development, culminating in resources supporting local government and communities to successfully implement age-friendly initiatives.