Increasing the use of alcohol screening and brief intervention in New Zealand

New Zealand has high rates of acute alcohol-related harm relative to chronic harm, and when compared with other countries. Acute harm is typically caused by binge drinking. New Zealand alcohol use surveys consistently find that about 20–25% of adult drinkers binge drink. There is substantial overseas evidence that alcohol screening and brief intervention (SBI) in primary health care is effective and cost-effective for reducing alcohol harm among binge drinkers. However, while there is also growing evidence that alcohol SBI can successfully be implemented in New Zealand, the approach has been significantly under-utilised. This article provides a brief overview of New Zealand research that supports a case for increasing the use of alcohol SBI in primary health care. It also highlights that when looking to successfully implement alcohol SBI in other settings, it is important to ensure that the intervention is simple and purpose-built for both the setting and recipient.     

The challenges of safety improvement in New Zealand public hospitals

Patient Safety is central to the New Zealand (NZ) health strategy. However international experience shows that safety improvement work frequently fails to meet its objectives. This article provides a qualitative account of the challenges of safety improvement from the perspective of nurses, doctors, and managers in three departments in two NZ public hospitals. These staff described significant tensions in relation to engagement and organisational capacity. An analysis of their perspectives through the Organising for Quality model [Bate et al. 2008, Organising for quality: The improvement journeys of leading hospitals in Europe and the United States, Oxford & New York, Radcliffe Publishing] highlights the significance of failures at the level of structure, culture, politics, motivation and infrastructure.     

Towards a critical discourse analysis of New Zealand security policy in Afghanistan

ABSTRACT

Rather than ask why New Zealand supported the intervention, this paper focuses on how representations of New Zealand and the international terrorist threat resulted in public acquiescence to a pre-emptive strike by the world's sole superpower against one of the poorest, most war-torn countries in the world. The paper concludes that legitimacy was achieved through the blending of themes of terrorism and war, national interest and democracy, rule of law and human rights, to produce an ambiguous ‘international campaign against terrorism’ that allowed for picking and choosing of the most convenient position on different matters. The alternative—to refuse moral and material support for the United States-led ‘war on terror’—was to risk New Zealand's membership of the United States-led international community and a ‘seat at the table’ in future international trade and security negotiations. As such, any campaign benefits appear to have accrued to New Zealand rather than Afghanistan or the Afghan people, especially given the parlous state of that country in 2018. A wide-ranging debate within New Zealand on the purpose of such interventions is needed before similar commitments are made in the future.     

Comparative study of attitudes to religious groups in New Zealand reveals Muslim-specific prejudice

ABSTRACT

The March 15th terrorist attack started a national dialogue about prejudice in New Zealand. Previous research has investigated attitudes towards Muslims in comparison to ethnic minorities. However, presently, there are no nationally representative studies in New Zealand systematically comparing attitudes to Muslims with attitudes to other religious groups. Here, we present evidence from the New Zealand edition of the International Social Survey Programme module on religion, a national postal survey (N?=?1335) collected between September 2018 and February 2019. We assess perceived threat and negativity towards Christians, Muslims, Hindus, Buddhists, Jews, and Atheists. We find substantially greater perceived threat and negativity towards Muslims compared with other groups. In particular, older people, New Zealand Europeans, men, and those with more right-wing attitudes report greater threat and negativity towards Muslims. In line with previous studies, higher religious identification and higher education predict greater acceptance. Taken collectively, these results reveal that the Muslim Acceptance Gap in this country is substantial, and greater challenges for acceptance are evident among lower-educated, right-wing, older, secular, and male populations. The magnitude of this gap reveals a substantial challenge to the future of New Zealand where religious and secular people can live without evoking prejudice.     

Remarriage Among Divorced Persons in New Zealand

Trends in the remarriage of divorced persons in New Zealand since World War Two are examined with special attention to the period since 1968 during which the divorce rate has risen rapidly. While remarrying divorcees have formed increasing proportions of marriage cohorts since the late 1960s the remarriage rate, especially for females, has risen only because the divorced population has become more youthful. Comparison of the remarriage experience of synthetic divorce cohorts for 1961 and 1976 suggests that the likelihood of remarriage has fallen for both sexes where divorce occurs at ages below forty, but in particular for females divorced in their thirties.     

Rising food security concerns among New Zealand adolescents and association with health and wellbeing

The current paper explores recent changes in food insecurity among adolescents and determine if food security concerns are associated with poorer wellbeing. Data were collected as part of two nationally representative surveys of the health and wellbeing of high-school students in New Zealand in 2007 and 2012. In 2012, 11% of young people reported food security concerns often or always, with 33% reporting food security concerns occasionally/sometimes. The prevalence of food security concerns at both frequencies increased significantly from 2007 (8% and 28%, respectively). Young people with food security concerns were more likely to report poor indicators of health and wellbeing, including truancy, poor general health, mental health concerns and obesity. Our findings highlight the growing concerns of food insecurity reported by adolescents in New Zealand. Interventions that address food security for families may provide a tangible means of promoting the healthy development of children and young people.     

Exploring health-related quality of life determinants of New Zealand sole mothers

International research has repeatedly linked sole motherhood to diminished levels of psychological and physical health. The purpose of the present study was to add to the limited amount of research on the health-related quality of life determinants in sole mothers, particularly in New Zealand. A sample of 263 New Zealand sole mothers recruited through a number of parent or women's networking groups completed a questionnaire on health-related quality of life, perceived stress and social support. Social support was positively associated with health-related quality of life irrespective of level of perceived stress, thus finding no evidence for a stress-buffering effect. The strongest protective factors against lowered health-related quality of life were social support and adult family members living at the same home, highlighting possible strategies to overcome inequalities in health-related quality of life.     

One size does not fit all: organisational diversity in New Zealand tertiary sector ethics committees

New Zealand tertiary ethics committees may work from similar ethical principles but this article demonstrates that the way in which they operate is idiosyncratic. The paper builds on commentaries offered by current or former members of five New Zealand ethics committees on the organisation and practices of their committees. It examines differences among the committees with the aim of initiating an ongoing conversation about the work of ethics committees in the New Zealand context. It argues for the merits of diversity, transparency and openness as core principles for the work of ethics committees and as a platform for dealing with critique.     

The Racial Divide in Response to the Aftermath of Katrina: A Boundary Condition for Common Ingroup Identity Model

The disastrous aftermath of Katrina brought to light a great rift between Blacks and Whites in the United States. Polls taken shortly after the disaster gave clear indication that many Blacks felt that the response to Katrina was slowed by racism. At the same time, many Whites felt that the residents of New Orleans were to blame for their predicament. To understand the causal role ethnic identity plays in shaping individuals' perceptions, the present study experimentally manipulated Whites' social identification and measured their perceptions of the Katrina disaster's aftermath. Our results indicate that White Americans exhibited greater prejudice when thinking of themselves as "American" (an identity seemingly inclusive of Blacks) than when identifying as "White American" or "European American" (an identity that seemingly excludes Blacks). This finding demonstrates a boundary condition to the Common Ingroup Identity Model, such that a dual identity is more conducive to positive intergroup relations when strong racial assumptions exist about the overarching identity.     

Propagating the New Zealand ideal

From 1829 to the 1860s, Edward Gibbon Wakefield applied domestic ideas of reform to the British Empire and successfully mobilized public opinion in favor of continued British imperial endeavors. Through a widespread dissemination of literature, Wakefield and his New Zealand Company reshaped British imperial ideas. The success of the Company's organized public and political campaign encouraged settlers to travel to New Zealand and mobilized public opinion in favor of the colonization of New Zealand. The Company's renewed propaganda in the mid-1840s saved their own efforts, and also changed the public and political discourse of imperialism. By the late 1840s, newspapers, journals, and Parliamentary Debates were no longer discussing if colonization should occur, but rather what British colonial practice should include.     

The relationship between ethnicity and fertility in New Zealand

While there is a global shift towards smaller families, some groups maintain relatively high fertility rates. The 2013 New Zealand census data were used to investigate the nature of fertility between ethnicities in New Zealand. The NZ Deprivation Index 2013 was used as a measure of socioeconomic status to determine the relationships with fertility. The results mirror research outside of New Zealand in that socioeconomic status is inversely correlated to fertility. Using crude average fertility rates, sole-ethnicity Pasifika and Māori ethnic groups still have substantially higher fertility than sole-ethnicity Europeans and Asians ethnic groups, even when simultaneously accounting for age, socioeconomic status, education, and religious affiliation. Christians have more children than individuals reportedly without any religion, and fertility rates drop on average for mothers who have higher formal qualifications. Our findings suggest that cultural, or other ethnic-specific factors differentially affect fertility for Māori, Pasifika, New Zealand European, and Asians as aggregated ethnic categories, respectively.     

Perceived media bias and third person effect: Comparisons of Americans,Korean Americans,and Koreans in the United States

The current study examined the third person effect (TPE) in relation to media coverage of the shooting incident at Virginia Polytechnic Institute and State University (i.e., Virginia Tech.) in April of 2007. TPE refers to tendency to perceive that media coverage influences others (i.e., the third persons) to a greater extent than self (i.e., the first person). Three groups (non-Korean Americans, Korean Americans, and Koreans living in the United States) were compared with one another for their perceptions of media coverage. Specifically, this study investigated how much individuals perceived media to influence themselves versus the American public and the Korean American public. Additionally, the current study examined the extent to which individuals’ focus on the shooter and their perceptions of media bias were related to TPE. The results showed support for TPE in terms of media coverage resulting in negative feelings toward Korean Americans and Koreans. As individuals focused more on the shooter and also perceived greater media bias against Korean Americans, they thought that the media coverage of the incident would be more likely to influence the American public to have negative feelings about Koreans and Korean Americans.     

Influence of positive development opportunities on student well-being,depression and suicide risk: the New Zealand Youth Health and Well-being Survey 2012

This study explores the association between neighbourhood opportunities for Positive Youth Development (PYD) and adolescent depressive symptoms, well-being and suicide risk. A 2-stage random sample of 8500 students(years 9–13) from 91 high schools from throughout New Zealand was collected in 2012. Analyses were restricted to neighbourhoods with more than 10 students resulting in a final sample of 5191 adolescents within 266 neighbourhoods. Multilevel models linked data from neighbourhoods to individual student data to explore the association between neighbourhood opportunities for PYD and student depressive symptoms, well-being and suicide risk. Neighbourhoods with a high proportion of students involved in activities that help others, attend church groups, or participate in sports teams were associated with significantly increased well-being among students living in these neighbourhoods. No neighbourhood-level measures were found to significantly alter rates of depressive symptoms or suicide risk. Findings suggest that providing neighbourhood opportunities for PYD may enhance adolescent well-being.     

Extraditing Kim Dotcom: a case for reforming New Zealand's intelligence community?

Recent disclosures of information concerning the internal workings of New Zealand intelligence agencies offer fertile ground for scholarship reassessing New Zealand's security arrangements. Building upon only a few of these disclosures, this article argues that when the Government Communications Security Bureau decided to assist the New Zealand police with its extradition of Kim Dotcom to the United States it stimulated a flurry of media interest which not only signalled the widespread confusion among the intelligence community over the meaning of national security but also revealed systemic deformities within the intelligence community itself. The article concludes that this confusion over national security and those systemic deformities constitute a prima facie case for reforming New Zealand's intelligence community, though the prospects for an immediate transformation remain dim.     

Maori and the New Zealand values survey: The importance of research relationships

Abstract

Requirements for non‐Maori researchers to consult with Maori compete with “by Maori for Maori” research agendas. Nevertheless, Maori provide varying forms of consultation, with Maori perspectives rarely being entered into the literature. Following an invitation from the Centre for Social Health Outcomes Research and Evaluation (SHORE), members of the Whariki Research Group agreed to take a consultative role, providing Maori input into the New Zealand Values Survey 2004. After initial examination of the survey instrument and follow‐up on previous consultation with Maori, Whariki's main role focused on questions relevant to the Treaty of Waitangi (signed in 1840 between the United Kingdom and Maori) and to Maori. The questions and related findings were of particular salience in the context of ongoing controversy and challenges to the status of the Treaty in New Zealand and to the position of Maori. Here we describe research processes and relationships and present the findings with reference to their social and political implications.     

The Right of Young People to be Heard

In 1993 the New Zealand Government ratified the United Nations Convention on the Rights of the Child. It placed a reservation against Article 32 maintaining that legislation of a minimum age for entry into employment would not be in the best interests of children. The Government is reconsidering this reservation. Article 12 of the Convention provides for states to involve children in legislation that affects them. In a survey funded by the Department of Labour to find out more about young workers (Gasson, Linsell, Gasson, & Mundy‐McPherson, 2003) we asked school students whether they thought the Government should legislate a minimum age for employment. Most did not. I argue that the Government should seriously consider children's views even when they conflict with the views of agencies whose intent is to promote the best interests of children.     

Aging and social welfare in transition: the case of the United States

In the United States at the end of the twentieth century, government policies regarding elderly people appear to be in transition. In part this reflects the traditional American ambivalence between radical individualism and collective assistance - especially in the form of tax-supported public welfare provided through government agencies - for those unable to earn or save for their own support. But in part this reflects new concerns about the growth of welfare "entitlements" for elderly people and the presumed "generational inequity" of public support for the aged at the expense of funds for children and young families. We review 1) the changing demography of the United States elderly population, 2) the complex and ambivalent history of welfare policy in the United States and 3) the evidence for tensions and conflicts between older and younger Americans in the context of politicized "generational inequity" debates, with special attention to changing government health care policies. We conclude that in American society, particularly in terms of federal assistance to the aged, there is considerable public support for current policy measures, and - contrary to the predictions of many - it is not likely that there will be dramatic policy changes in the near future.     

Renting in New Zealand: perspectives from tenant advocates

Currently, around a third of New Zealand’s households, and half its population live in rental accommodation. The proportion of tenant households is growing. Tenant advocates, who are a first port of call for tenants experiencing difficulties in their housing situation, can provide unique insight into the experience of renting in New Zealand. This article presents key themes generated from semi-structured interviews with tenant advocates. Tenants are confronted with issues of poor housing quality, insecure housing, high rents relative to income, lack of autonomy, and difficulty asserting their legislative rights. These aspects of renting in New Zealand are likely to have adverse effects on health. Tenant advocates play an important role in supporting tenants to better housing. Their knowledge of the relationship between a landlord and tenant, particularly in times of trouble, means they can provide unique perspectives on policy solutions.