Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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Author: search.filters.author.Stephens C

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    How (In)Visibility Shapes Women's Experience of Inequity in Prison Work: A Cooperative Inquiry With Women Working in Australian Men's Prisons
    (John Wiley and Sons Ltd, 2025-10-11) Walker C; Riley S; Stephens C; Beban A
    Research shows that women working in men's prisons face both scrutiny and exclusion within a high-risk, masculinized occupational culture. Addressing a gap in theorizing the processes involved, this article explores the interplay of gender, visibility, and power through a poststructuralist-informed thematic analysis of data from 16 women participating in four cooperative inquiry groups in Australian men's prisons. Theorized through Lewis and Simpson's (in)visibility vortex, we demonstrate how gendered norms function to marginalize women. First, sexualization produces “abject exposure,” making women visible against the male norm, undermining their workplace legitimacy. Second, “disappearance” renders women invisible to the norm by positioning them as incapable and forms self-disappearance to protect oneself from exposure. Third, “revelation” occurs when women make gendered norms visible, which participants did through their existence as professionally competent prison workers and, at times, explicit challenges. Our analysis demonstrates the importance of (in)visibility in maintaining gender inequities in male-dominated organizational cultures, such as prison work, and offers a complex theorization of how sexualization, risk and fear, and professional competence operate within the (in)visibility vortex. We also evidence how cooperative inquiry can develop collective strategies for resistance, offering insights for transforming the gendered conditions of such environments.
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    Neighborhood Qualities Are Related to Better Mental Health, Quality of Life, and Loneliness Over 6 Years: Pathways Through Social Engagement and Social Support to Aging Well
    (Oxford University Press on behalf of the Gerontological Society of America, 2025-06) Stephens C; Bakhshandeh Bavarsad M; Castle NG
    BACKGROUND AND OBJECTIVES: Growing research evidence supports the importance of neighbourhoods for the wellbeing of older people. The aim of this study was to investigate key pathways (social engagement and social support) through which neighbourhood qualities (accessibility, safety, and social cohesion) may affect older people's mental wellbeing (mental health, quality of life, and loneliness) over 6 years. RESEARCH DESIGN AND METHODS: A structural equation model was used to test the model while controlling for individual limitations such as physical health and SES. The population sample included 2750 New Zealanders over the age of 55 (M = 65.64 ± 6.30) years who responded to Health, Work and Retirement (HWR) longitudinal surveys in 2016 and 2022. RESULTS: The results showed that greater neighbourhood accessibility to important facilities in 2016 predicted better mental health and quality of life and less loneliness in 2022 through provision of social support. Neighbourhood social cohesion predicted social engagement, which was related to higher social support predicting better mental health and quality of life and less loneliness in 2022. DISCUSSION AND IMPLICATIONS: These findings confirm a body of research highlighting the importance of neighbourhood qualities and show the socially oriented pathways through which neighbourhoods support ageing well. These findings have direct implications for the development of social policy that focuses on the development of housing situations to support healthy ageing.
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    Social networks and social support of older immigrants in Aotearoa New Zealand
    (Cambridge University Press, 2024-10-01) Szabó Á; Stephens C; Alpass F
    Immigrants commonly report difficulties with developing social connections post-transition, which can lead to social isolation as they age. Understanding what factors promote/hinder the social integration of immigrants is an important public health objective. We tested the public health model of social integration of Berkman et al. in a sample of older immigrants. This model calls for considering both the social conditions in which social networks are embedded (upstream influences) and the levels of social support offered by different types of networks (downstream influences). First, we derived an empirical typology of social networks of older immigrants. Next, we tested associations of social networks with upstream and downstream influences. Data came from the New Zealand Health, Work and Retirement Study. The sample included 568 older adults (54% male) who immigrated as adults (mean length of stay = 28.5 years, standard deviation = 12.5). Latent profile analysis was employed on responses to the Practitioner Assessment of Network Type to identify social networks. Associations with upstream and downstream correlates were tested using logistic and multiple regression. Four network configurations emerged: ‘private-restricted’ (43.4%), ‘family-dependent’ (35.8%), ‘locally integrated’ (10.9%) and ‘wider community-based’ (9%). Having shorter length of residence and individualistic cultural background was predictive of being in a restricted network (private-restricted, family-dependent). Being in a restricted network was associated with lower levels of social support. Network type interacted with partner status: having a partner buffered the negative impact of having a restricted network on social support. Although restricted networks are common among older immigrants, they do not necessarily result in compromised social support. While we may see differences across countries regarding the impact of specific upstream and downstream influences, our findings highlight that both contextual and individual-level resources need to be considered alongside network structure to promote social integration of immigrants as they age.
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    Understanding older Māori informal caregivers’ experiences during the COVID-19 pandemic through Te Whare Tapa Whā
    (Taylor and Francis Group, 2024-12-04) Barnard T; Uekusa S; Phibbs S; Matthewman S; Stephens C; Alpass F; Tamaira M
    Drawing upon Tā Mason Durie’s Te Whare Tapa Whā model, this research explores the impact of the COVID-19 pandemic on the health and wellbeing of older Māori informal caregivers in Aotearoa New Zealand. Utilising information from 35 in-depth interviews conducted with Māori informal/whānau caregivers, this study identifies that the pandemic impacted the physical and mental health of Māori informal caregivers, facing challenges due to lockdown measures, limited access to support services and increased care responsibilities. However, the study predominantly highlights a range of positive aspects of informal caregiving during the pandemic, such as a sense of purpose and fulfilment in their role, enhanced appreciation for loved ones, and increased hononga and whanaungatanga. The study underscores the importance of cultural values and practices in maintaining the wellbeing of Māori informal caregivers and suggests the need for larger social changes to address structural injustices as well as inequalities. Overall, the study provides insights into the experiences of Māori informal caregivers and highlights the significance of recognising and addressing their health and wellbeing during times of crisis.
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    How did the depression and anxiety levels of older New Zealanders change during the COVID-19 pandemic?
    (Informa UK Limited, trading as Taylor & Francis Group, 2024-10-10) McLean T; Williams M; Stephens C
    There has been widespread concern about the mental health impact of the global COVID-19 outbreak. Fears have been raised that depression and anxiety among older people may have increased in the pandemic, and that adverse health behaviours, such as increased alcohol use and decreased physical activity, may have contributed to the mental health decline. This study aimed to examine changes in depression, anxiety, alcohol use and physical activity scores of people aged 55 and older in New Zealand over the initial months of the pandemic. The sample included 3,171 people who responded to wave 7 (August-November 2018) and wave 8 (June-September 2020) of the Health, Work and Retirement Study. Analyses were carried out using paired t tests and multilevel mediation modelling. There was no evidence of significant changes in depression or anxiety. Alcohol use and physical activity were shown to decrease significantly, albeit to a small degree, and there was evidence of an indirect effect of time on depression via physical activity. These findings suggest a general resilience among older people 3 to 6 months into the pandemic. However, increased attention should be paid to promoting physical exercise among older people, as a means of decreasing depression risk.
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    The life course effects of socioeconomic status on later life loneliness: The role of gender and ethnicity
    (Elsevier Inc., 2024-09-07) Szabó Á; Stephens C; Breheny M
    Precursors of loneliness include individual risk factors and experiences of social exclusion. Using the New Zealand Health Work and Retirement Life Course History Study, we investigated the impact of unequal access to material resources across the life course (from age 10 to present) on late life emotional and social loneliness and the moderating effects of gender and Māori ethnicity (indigenous population of Aotearoa/New Zealand) in 613 adults aged 65 to 81 years. Childhood and adult life socioeconomic status (SES) negatively predicted late life emotional and social loneliness, but their effects disappeared after controlling for late life SES, suggesting a mediation effect. Education was also a significant predictor; however, it exerted different effects on social (positive) and emotional (negative) loneliness. Education's effect was moderated by gender, indicating a protective effect for emotional and an exacerbating effect for social loneliness in men. These findings suggest that lifelong exclusion from material resources is a risk factor for late life loneliness.
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    Lifestyle for brain health and cognitive functioning in midlife to early late-life New Zealanders: Utility of the LIBRA index.
    (John Wiley and Sons, Inc., 2024-05-01) Röhr S; Stephens C; Alpass F
    OBJECTIVES: There is enormous potential to improve brain health and reduce the risk of cognitive decline and dementia based on modifiable risk factors. The Lifestyle for Brain Health (LIBRA) index was developed to quantify modifiable dementia risk or room for brain health improvement. The objective of the study was to investigate the utility of the LIBRA index in relation to cognitive functioning in a midlife to early late-life sample of New Zealanders. METHODS: A subsample (n = 1001) of the longitudinal New Zealand Health, Work and Retirement (NZHWR) study completed face-to-face cognitive assessments using the 'Kiwi' Addenbrooke's Cognitive Examination-Revised (ACE-R) in 2010 and again in 2012, in addition to completing biennial NZHWR surveys on socioeconomic, health and wellbeing aspects. The LIBRA index was calculated incorporating information on 8 out of 12 modifiable health and lifestyle factors for dementia. Unadjusted and adjusted regression models and mixed effects models were used to inspect associations of LIBRA with cognitive functioning, cognitive impairment, and cognitive decline. RESULTS: The analytical sample (n = 881 [88.0%], after considering exclusion criteria and missing data) had a mean age of 63.1 (SD = 6.5) years, 53.3% were female, 26.2% were Māori, and 61.7% were highly educated. Higher LIBRA scores (indicating higher modifiable dementia risk) were associated with lower cognitive functioning (B = -0.33, 95% CI = -0.52;-0.15, p < 0.001) and a higher likelihood of cognitive impairment (OR = 1.22, 95% CI = 1.04; 1.42, p = 0.013), but did not predict cognitive decline over 2 years (B = -0.03, 95% CI = -0.22; 0.16, p = 0.766), adjusted for age, age2, gender, education, and ethnicity. CONCLUSIONS: The LIBRA index indicated promising utility for quantifying modifiable dementia risk in midlife and early late-life New Zealanders. For local use, refinement of the LIBRA index should consider cultural differences in health and lifestyle risk factors, and further investigate its utility with a wider range of modifiable factors over a longer observation period.
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    Social Connections and Future Horizons: Socioemotional Selectivity Among Midlife and Older Adults in Aotearoa/New Zealand During COVID-19
    (Springer Nature, 2024-01-20) Newton NJ; Breheny M; Stephens C
    The current study uses socioemotional selectivity theory (SST; Carstensen in Psychology and Aging. 7(3):331–338,1992,10.1037/0882-7974.7.3.331) as a framework to examine the experiences of older adults during COVID-19 in Aotearoa/New Zealand. SST posits that when time horizons are perceived as limited—such as with increasing age, or during times of medical uncertainty—people selectively focus on spending time with emotionally close others and in personally fulfilling activities. This may be the case particularly when uncertainty is experienced by older people. Aotearoa/New Zealand instigated an elimination strategy early in the pandemic (prior to widespread vaccine availability), employing a series of lockdowns that further challenged older adults’ perceptions of future horizons, their ability to maintain social connections with loved ones, and engagement in pleasurable activities. This study used thematic analysis to analyze existing qualitative COVID-19-related data drawn from the experiences of 510 older adults who participated in the 2021 Health, Work, and Retirement study (HWR). Participants ranged in age from 56 to 87 (Mage = 69.73); 15.9% identified as Māori, and 76.2% identified as female. Two broad themes were revealed: Social Connection and Anticipating the Future. Although most participants expressed comparatively more positive than negative experiences, some also expressed frustration and anxiety about health directive-related divisions in relationships, and the inability to share in important life events (such as weddings, births, and funerals). Findings highlight the complex impact of COVID-19 on older adults’ perceptions of time horizons, and the opportunities presented by the pandemic for reassessment of social relationships and activities.
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    Social network type contributes to purpose in life among older people, mediated by social support.
    (Springer Nature, 2024-01-17) Bakhshandeh Bavarsad M; Stephens C; Glaser K
    A sense of Purpose in Life is an important aspect of ageing well which is related to older adult's social relationships. Social network types and the different sources of support they provide are theorized here as a pathway to maintaining a sense of purpose as we age. The study utilized a population sample from the 2016 and 2020 NZ Health, Work, and Retirement (NZHWR) longitudinal survey waves; N = 2869 (mean age of 65.82 years (SD = 6.40). A structural equation model investigated the relationship between Social Network Type and Purpose in Life and the mediating role of Social Support. The final model had a good fit to the data and explained 33.7% of the variance in Purpose in Life. Private, Self-Contained and Family Dependent network types (2016) were negatively related to Purpose in Life 4 years later (2020). Support from sense of Attachment, Reassurance of Worth, Reliable Alliance and Social Integration played a mediating role between Social Network type and Purpose in Life. These findings highlight the importance of social networks in maintaining a sense of purpose among older adults and highlight pathways for the types of networks, and kinds of social support they offer, which contribute to a sense of purpose in life. They underscore the importance of social support for the well-being of older adults and highlight the need to consider the quality and type of social networks and support they provide, when designing interventions to enhance well-being.
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    Older adult's experiences during the second year of the COVID-19 pandemic in Aotearoa New Zealand: Diversity and change in long term disaster situations
    (Elsevier B.V., 2024-01-01) Stephens C; Uekusa S; Breheny M
    The COVID-19 global pandemic has highlighted the morbidity and mortality risks of older adults as well as their heterogeneity and resilience. The immediate need to address psychosocial and health issues among this age group is driven by global concerns about the growing number of disaster occurrences, the growing ageing population, and widening inequalities. Using an inductive analysis of written comments about their experiences by 1,400 older people in the second year of the pandemic in Aotearoa New Zealand, we found that responses to the pandemic and government actions had fractured as different groups of older adults felt neglected or wronged by the centralised response. Negative themes of anxiety and fear describe aspects of vulnerability in older adult's lives and point to issues for repair and protection in pandemic situations. Positive themes describe the resources that people drew on to maintain their wellbeing in a lengthy disaster. Drawing on theorising around conservation of resources and disaster communitas, our analysis shows that across a long-term disaster situation, resilience may be best sustained by drawing on local support systems and enabling community volunteers. Institutional responses and planning must include and empower grass roots groups who are better placed to recognise and respond to the resource needs of their own communities.