Journal Articles
Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915
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Item Is equity meaningfully incorporated into pandemic preparedness and response? A scoping review and critical analysis of Ebola andCOVID-19 outbreak responses in Uganda 2019-2023(Taylor and Francis Group, 2025-12-31) Redondo G; Murray L; Bromhead C; Makumbi ISocietal inequities produce vulnerabilities that infectious disease can exploit. Current approaches to pandemic prevention, detection and response are led by the International Health Regulations IHR and the Global Health Security Agenda. However, to contain the spread of infectious diseases, localised action to address systemic inequities must be considered. The purpose of this scoping review and equity analysis is to 1) Synthesise the available information on Uganda’s Ebola Virus Disease (EVD) and COVID-19 preparedness and outbreak responses between 2019 and 2023, and 2) Critique if and how Uganda’s Ministry of Health incorporated concepts of health equity in its EVD and COVID-19 interventions, while building national capacity to identify and prevent public health emergencies. This scoping review and critical analysis was conducted following the five-stage process defined by Levac et al. After identification and screening, the scoping review was based on six preparedness and response plans, three after-action reviews, and 20 grey literature and peer-reviewed articles. The findings revealed that the EVD and COVID-19 preparedness and response plans in Uganda show the country’s commitment and readiness for early detection and response to infectious disease outbreaks. However, further examination of the plans reveals missed opportunities to address systemic inequities. The ongoing mpox outbreak, declared a PHEIC by WHO on July 23, 2022, with significant impacts in African countries including Uganda, further underscores the need for a paradigm shift in managing infectious disease outbreaks. Such a shift may be similar to that experienced by the field of disaster risk reduction, which underwent a significant transformation at the Sendai Conference in 2015 towards a more holistic and proactive approach that addresses underlying systemic issues and focuses on building resilience. The exclusive focus on biomedical strategies to manage infectious diseases fails to address the social aspects of transmission, the local perceptions of illness, and community vulnerabilities often associated with social and historical perspectives. The social determinants of health disparities should be incorporated into pandemic planning and response. This will contribute to fostering equitable health outcomes and resilience in the face of the multifaceted challenges posed by future pandemics and environmental changes.Item Why public health practitioners and researchers must stop using the term ‘culturally and linguistically diverse (CALD)’(CSIRO Publishing, 2025-08-21) Pourmarzi D; Murray L; Zulfiqar T; Kaur G; Olsen AThe term ‘culturally and linguistically diverse’ (CALD) is used in Australia to describe some groups of migrants. Implicitly, the term defines ‘others’ who are ‘different’ to the dominant normative Australian. The use of the term as standard language in health literature and public discourse has increased dramatically over the past decade. Australians who are labelled as CALD have argued that the term affects their sense of belonging to the Australian community. As public health researchers and practitioners, we must minimise potential risks of harm, maximise health benefits and ensure the rigour of our data collection, analysis and reporting methods. We argue that we must refrain from continuing to use this concept and that there is no need for a new label to categorise some members of our diverse Australian population as ‘others’.Item Health equity in a climate-altered world(y Elsevier B V on behalf of Public Health Association of Australia, 2025-08-01) Murray L; Vyas A; Reweti A; Humphrey K; Murray L; Vyas A; Reweti A; Humphrey KItem Representations of Youth Climate Anxiety: A Framing Analysis of Emotional Responses to the Climate Crisis in International News Media(Taylor and Francis Group, 2025-06-02) Murray L; Breheny M; Cumming R; Doig T; Erueti B; Mooney M; Severinsen C; Shanly JReports of children feeling distressed, anxious, or angry about the impacts of climate change have appeared in the international news media with increasing frequency since 2019. There is international evidence that young people are increasingly worried about climate change, and such distress negatively affects their daily lives. The ways that such distress is framed in public discourse vary widely. We conducted a framing analysis of 274 articles from the international news media (published between 2019 and 2021) to explore how the media frames young peoples' emotional reactions to the climate crisis. Our findings revealed three key frames: (1) Climate distress as inevitable “teen angst” fueled by activists and the media. (2) Climate distress as an appropriate response to a genuine threat, and (3) Climate distress as embodied social suffering caused by societal inaction on climate change. These framings of negative emotional responses to climate change have implications for public health responses to youth mental health in a changing climate. Framing distress in terms of social suffering brings about productive possibilities for social change. This framing avoids pathologizing widely felt experiences, builds empathy between generations, and situates young people's mental distress in the context of their present and unfolding social milieu.Item "Plaster Solutions" - Providing support for children residing in emergency housing in Hamilton, New Zealand(Elsevier B.V., 2024-07-23) Williams B; Murray L; Erueti BSince the COVID-19 pandemic, motels have become increasingly used as sites for emergency accommodation in Aotearoa New Zealand. Consequently, children now reside in motel rooms intended for seven day emergency stays for much longer periods of time. Ten key-informant interviews were conducted with service providers supporting children residing in motels in the Waikato region. Thematic analysis generated five themes relating to child wellbeing: 1.) Living conditions, 2.) Physical and psychological safety, 3.) Inappropriateness of existing service models, 4.) Disjointed collaboration between service providers, and 5.) Imagining emergency motels as a “site to build strengths”. The findings suggest the motel environment restricted children’s access to nutrition, safe physical activity and health care. In addition, proximity to adult residents could increase exposure to adverse experiences. Participants suggested creative ways to collaborate and use motel facilities to build family strengths. However ultimately, long stays in emergency housing motels create an environment where systemic barriers to child health, development and education are likely to be entrenched rather than alleviated. Initiatives that significantly reduce the time children spend in motels, and appropriate support for children in these contexts are urgently required to prevent widening health inequities for the “motel generation”.Item How does learning about the future of the ocean impact children's emotional wellbeing? Insights from ocean literacy educators in Aotearoa New Zealand(John Wiley & Sons Ltd on behalf of British Ecological Society, 2023-09-04) Murray L; Breheny M; Cumming R; Erueti B; Mooney M; Nash KL; Severinsen C; Shanly J; Roy H1. Four decades of research on the health effects of ‘connection to nature’ identifiesmany wellbeing advantages for young people. Yet this literature has developedlargely without reference to biophysical evidence about mass biodiversity loss,the degradation of marine environments and climate change. 2. As these interlocking planetary crises progress, children will be more likely to witnessthe marine environments they learn about degrade or disappear as they grow up. 3. Improving ocean literacy is important to protect marine environments into thefuture. However little is known about how learning about ocean degradation af-fects young people's emotional wellbeing. 4. We undertook qualitative research to investigate how ocean literacy educators inAotearoa New Zealand view the content they deliver in relation to the emotionalwellbeing of young people. 5. Semi-structured interviews were conducted with 21 key informants from non-government organisations (NGOs), Ministry of Education funded programmes,university-community partnerships, youth-led initiatives and local and nationalmuseums and aquariums. Transcripts were analysed using the six steps of Braunand Clarke's (2022) reflexive thematic analysis. 6. Ocean literacy education was described as positively affecting young people'semotional wellbeing through interactive experiences in coastal environments.These provided opportunities for experiencing wonder, curiosity and a sharedsense of connection and belonging. 7. Educators reported witnessing distress and overwhelm in young people whensome information was delivered. This resulted in educators ‘not focusing on thenegative’ and moving straight to solutions young people could take part in. 8. Our findings provide opportunities for re-imagining ocean literacy education asa space for promoting mental wellbeing, especially when young people have theopportunity to be part of collective experiences that promote joy and wonder. 9. Intergenerational solutions where young people can be supported to take actionwith adults who work in solidarity with them are also recommended. 10. Further research into how educators can be resourced to acknowledge and fa-cilitate support around young people's negative emotional responses (such asgrief, overwhelm and anxiety) is required.Item Working with interpreters in the family violence sector in Australia: “It's very hard to be in between”(Elsevier B.V., 2023-08-14) Sullivan C; Block K; Murray L; Warr D; Chen J; Davis E; Murdolo A; Vaughan CThis study explores the role of interpreters and experiences of interpreting within family violence service provision in Australia. Data were drawn from the ASPIRE Project, a community-based participatory research project involving in-depth interviews with service providers (n = 57) and refugee and migrant women who had experienced family violence (n = 46), and a focus group discussion with interpreters (n = 4). The findings show that interpreting services are often inadequate and can create additional safety risks through breaches of confidentiality and other practices that undermine women experiencing family violence. Interpreters themselves are insufficiently supported to undertake the complex and sometimes traumatising task of working in family violence service provision. Cultural conceptions around gender that arise in family violence situations can complicate interpreted interactions, with each party to the triad bringing their own intersectional experiences. Expectations of the role of the interpreter in this context are at times expanded to the role of cultural and institutional broker by service providers. In contrast, migrant and refugee women interviewed prioritised a model based on directly interpreted interactions embedded in the norm of impartiality to promote trust in this high-risk practice area.Item Perinatal mental health and women's lived experience of the COVID-19 pandemic: A scoping review of the qualitative literature 2020-2021.(Elsevier B.V., 2023-05-09) Jin Y; Murray LBACKGROUND: The COVID-19 pandemic resulted in global physical distancing restrictions and lockdown orders. Despite the clear documentation of increased mental distress amongst adult populations during the pandemic, there is limited evidence about the mental health challenges of people in the perinatal period (pregnancy, birth and postpartum). The aim of this review is to summarise the qualitative research about women's lived experience and emotional wellbeing during the COVID-19 pandemic. METHODS: A comprehensive search strategy was developed. Twenty peer-reviewed qualitative research articles published in English from January 1, 2020, to December 15, 2021, were included. Data synthesis outlined the evidence from common themes in a narrative format. RESULTS: Themes during pregnancy included: (1) information seeking: anxiety and fear; (2) experiencing isolation and disruptions to my social support; (3) 'Going it alone' in pregnancy care; (4) anticipatory grieving and despair; (5) finding 'silver linings' in social restrictions. One key theme during birth was "birthing in a crisis". Themes during postpartum included: (1) isolating 'Early motherhood is much like lockdown'; (2) breastfeeding: triumphs and tribulations; (3) facing disruptions during postpartum care; (4) 'Affecting us for years to come' - COVID-19 was not the only trauma; (5) 'silver linings' during postpartum care. CONCLUSIONS: This review provides important insights into how experiences of isolation, decreased social support and adaptions to maternity services affect women's mental health. Maternity services should consider how perinatal mental health support may be integrated into the care of women who may still be required to isolate or have reduced visitors during their perinatal care. STATEMENT OF SIGNIFICANCE: The restrictions and disruptions to maternity care due to the COVID-19 pandemic were likely to impact the mental health of women in the perinatal period (pregnancy, birth and postpartum). What is already known is that public health measures due to COVID-19 increased the prevalence of common perinatal mental disorders (CPMDs) and exacerbated common risk factors for CPMDs (i.e., poor social support). WHAT THIS PAPER ADDS: The qualitative research with women in the perinatal period during the pandemic provides unique insights into how these events impacted perinatal mental and emotional health. In particular, the ways that global physical distancing measures and maternity care adaptations contributed to women's feelings of distress, isolation, and depression/despair. Silver linings such as more uninterrupted time with immediate family were also identified.Item Companion Animal Fostering as Health Promotion: A Literature Review.(MDPI (Basel, Switzerland), 2023-06-21) Roseveare C; Breheny M; Mansvelt J; Murray L; Wilkie M; Gates MC; Tchounwou PBThere is growing interest in the health-promoting potential of human-companion animal relationships from a broad public health perspective while acknowledging barriers to ownership, particularly for older adults. Companion animal fostering is an alternative to pet ownership that aligns with the Ottawa Charter health promotion principle that caring for others in everyday settings promotes health. This narrative review of the literature on companion animal fostering draws on Te Whare Tapa Whā (the four-sided house), an indigenous model of health that is influential in Aotearoa/New Zealand, and the Ottawa Charter. We found that companion animal fostering can be considered health-promoting for human and non-human animals, using a broad and multidimensional understanding of health. As well as improving the long-term outcomes for homeless animals, companion animal fostering has the potential to promote the health of the individuals, families, and communities who provide foster homes. Our review highlights the importance of health promoters considering the reciprocal relationship between human and animal health. Future research should explore different aspects of human and non-human health, perspectives of different types of fosterers in different settings and communities, barriers to fostering, and methods that explore the role of caring for a wider range of companion animals in creating and sustaining wellbeing.Item COVID‐19 and Indigenous knowledge and leadership: (Re)centring public health curricula to address inequities(Elsevier B.V, 2023-02-27) Severinsen C; Ware F; Came H; Murray L