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Subject: search.filters.subject.451003 Ngā tokoingoa ahurea o te hauora o te Māori (Māori cultural determinants of health)

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    An investigation of the relationship between cultural identity and loneliness in older Māori : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology at Massey University, Palmerston North, New Zealand
    (Massey University, 2023) Parata, Makayla
    New Zealand, along with many other countries around the world, is experiencing an ageing population. This has led to research with a focus on the well-being of older adults. A large part of this research is centred around loneliness. In New Zealand-based research, it has been shown Māori are disproportionately affected by negative health outcomes. Despite this, there is a current lack of research with a direct focus on loneliness in older Māori. Internationally, cultural identity (CI) in indigenous and minority populations has been shown to be related to loneliness however there is no current research on the relationship between CI and loneliness in older Māori. This study aimed to investigate this relationship. A secondary analysis of data from the 2020 survey wave of the Health, Work, and Retirement (HWR) study was completed. Participants (N=653) were included in this study if they were aged 65 and over, and indicated their prioritised ethnicity as Māori. Loneliness was measured using the 6-item De Jong Gierveld Loneliness Scale and Māori CI was measured using the Multidimensional Model of Māori Identity and Cultural Engagement (third revised version). The hypothesised negative relationships between Māori CI and loneliness, and Māori CI and emotional loneliness was not supported however a significant negative correlation was found between Māori CI and social loneliness. Māori CI moderated the relationships between depression and anxiety and outcome (overall and social loneliness). Multiple regression analyses revealed overall and social loneliness were significantly associated with the whanau efficacy CI dimension. None of the other dimensions of the CI measure were related to any type of loneliness. This study recommends further exploration into the relationships revealed. The moderating role of CI should be considered when analysing relationships between antecedents and loneliness. A culturally-sensitive definition of age and new measures of Māori CI should be considered in future research.
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    Theorising Māori health and wellbeing in a whakapapa paradigm : voices from the margins : a thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy in Communication and Journalism at Massey University, Te Kunenga ki Pūrehuroa, Center for Culture-Centered Approach to Research and Evaluation (CARE)
    (Massey University, 2022) Elers, Christine
    This thesis explores communication infrastructures at the margins of Indigeneity to understand Māori health and wellbeing meanings, challenges, strategies and solutions, articulated by whānau whose voices have been ignored, or not sought. Māori health and wellbeing understandings, forged amidst ongoing colonial processes of socioeconomic and health inequities, are best articulated by Māori with these lived experiences. The communication platforms established by the settler colonial state are infused with power dynamics that determine the communication rules including who can speak, what can be said and how that should be delivered. The privileging of communicative spaces to experts, leaders, and community champions, shaped by the underlying ideology of whiteness that organises the settler colonial state, forecloses the space to those not fitting these categories. Māori health and wellbeing meanings emphasise the totality of Whakapapa as a basis for communicating health and wellbeing. Kaupapa Māori theory, and Whakapapa as a super-connector of relationships both in the spiritual and physical domains, anchored the research. Rooted in Māori epistemology, the enduring intergenerational relationship between health and land formed the basis for the participants’ understandings of health and wellbeing. Positioned also in dialogue with the Culture-Centered Approach (CCA), we foreground whānau voices through the co-creation of voice infrastructures at the margins of Indigeneity, with whānau members candidly sharing lived experiences navigating health and wellbeing through the establishment of the Feilding advisory group. The interplay of land, rivers and health is a dominant theme. Strategies for improving health and wellbeing include co-creating communicative infrastructures, such as platforms for voices to emerge at the margins of Indigeneity. The campaigns documented buttress the importance of regaining stolen land, (re)connecting to land through the collective establishment of māra kai with the advisory group. Indigenous communication infrastructures disrupt hegemonic, top-down configurations of health and wellbeing campaigns, providing the impetus for localised strategies to emerge into mainstream communicative spaces. Voice and the right for the “margins of the margins” to be listened to by the Crown are also included as taonga in article two, Te Tiriti o Waitangi. The co-creation, resource sharing and decision-making about communicative infrastructures can be harnessed to drive health equity.