Exploring the Hierarchical Structure of Pacific Identity and Wellbeing

To understand outcomes for Pacific peoples in New Zealand we need to further our psychological knowledge of the relationship between Pacific identity and wellbeing. We map the hierarchical organization of Pacific identity and wellbeing using a novel top-down factor analytic approach applied to the Pacific Identity and Wellbeing Scale (PIWBS; N = 586). Analyses indicated that Pacific identity experiences were organized within two broad dimensions reflecting Identity Engagement and Cultural Wellbeing. Critically, our analysis showed that Religious Centrality and Embeddedness emerged jointly from these dual broad domains. Religious identification provides a bridging link between identity and wellbeing for Pacific peoples. Identifying the relationships of Pacific identity and wellbeing factors, and how religious identification emerges jointly from these two broad domains, provides valuable information in how the Pacific self may be cognitively organized and may assist in future research directions in this area. We assert that this general statistical model provides broad conceptual insights into how Pacific peoples experience their identity and culture, and how this relates to various social indicators of health and wellbeing at a broad, theoretical level. In particular, we offer a conceptual analysis of possible insights from our hierarchical model of identity and wellbeing for understanding Pacific suicide in New Zealand.     

Burnout and Wellbeing: Testing the Copenhagen Burnout Inventory in New Zealand Teachers

The Copenhagen Burnout Inventory (CBI) is a public domain questionnaire measuring the degree of physical and psychological fatigue experienced in three sub-dimensions of burnout: personal, work-related, and client-related burnout. This study first examines the reliability and validity of the CBI in measuring burnout in New Zealand secondary school teachers, and then the relationship between burnout and wellbeing among this population. The CBI had acceptable reliability (internal consistency and homogeneity) as well as factorial and criterion-related validity. As expected, burnout was negatively related to wellbeing measures (wellbeing index, school connection, and perceived general health). The findings indicate that this burnout questionnaire is a valid instrument to use with New Zealand secondary teachers, and also highlight the potential impact of burnout on the health and wellbeing of teachers.

Unraveling Health Disparities Among Sexual and Gender Minorities: A Commentary on the Persistent Impact of Stigma

ABSTRACT

LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the disparate rates of mental health problems reported among LGBT populations are the consequences of pursuing a particular life trajectory, rather than resulting from the corrosive and persistent impact of stigma. Suggesting that mental health disparities among LGBT populations arise internally, de novo, when individuals express non-heterosexual and non-conforming gender identities ignores the vast body of evidence documenting the destructive impact of socially mediated stigma and systemic discrimination on health outcomes for a number of minorities, including sexual and gender minorities. Furthermore, such thinking is antithetical to widely accepted standards of health and wellbeing because it implies that LGBT persons should adopt and live out identities that contradict or deny their innermost feelings of self.     

Resilient or Resigned? Criminal Victimisation and Quality of Life in South Africa

A victimisation study conducted among 3300 householders in South Africa’s Nelson Mandela Metropolitan Municipality (NMMM) in the Eastern Cape Province aimed to inform a crime prevention strategy for the metropolitan area. The study found that the variables ‘fear of crime’ – measured in terms of perceived likelihood of victimisation – and concern about ‘personal safety’ had greater negative influence on life satisfaction than actual victimisation. Individual crimes against the person had greater negative influence on subjective wellbeing and feelings of personal safety than property and other household crimes. Individuals who perceived themselves to be at risk of becoming a victim of crime also perceived greater risk of other misfortunes. However, materially better-off victims reported higher levels of life satisfaction than non-victims in spite of their crime experience. South Africa has high crime rates by international standards and fighting crime presents the country with one of its major challenges in the second decade of democracy. Nevertheless, findings suggest that the negative impact of crime issues on achieving the good life are overshadowed by issues of racial inequalities and poverty. The conclusion is drawn that residents of Nelson Mandela Metropole are hardy when it comes to living with crime but nonetheless suffer stress in doing so. From a methodological perspective, the discussion considers whether subjective crime issues such as fear of crime and personal safety should be regarded as personal or neighbourhood quality-of-life issues. Based on survey findings, the conclusion is drawn that concern for personal safety is both. However, a crime-as-neighbourhood-issue is more likely to attract remedial action on the part␣of␣local authorities to better protect citizens and allay their fears of crime.     

Exposure to Violence,Coping Strategies,and Diagnosed Mental Health Problems Among Adults in a Migrant-Sending Community in Central Mexico

Deadly violence has spread throughout Mexico, affecting the well-being of citizens. What is the impact of this violence on the daily lives of Mexican adults? Building upon the stress process model, we used a mixed-methods approach to examine relationships between multiple indicators of exposure to and fear of violence and four diagnosed mental health outcomes, as well as self-rated mental health, in a Mexican community using the Survey of Health and Mexican Migration (456 surveys; 49 interviews). The multivariate models provide evidence that perceptions of insecurity are associated with diagnosed depressive episode, agoraphobia, alcohol abuse, a total count of mental health conditions, and poor self-rated mental health. Past victimization is associated with anxiety. Stress and coping behaviors did not formally mediate these violence–mental illness associations. The qualitative results confirm that residents fear violence and cope by adjusting their personal behaviors. These results foreshadow the emergence of mental health conditions as a critical public health concern for Mexicans living under the threat of violence.     

The EPDS and Australian Indigenous women: A systematic review of the literature

ProblemThe Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in perinatal mental health screening and the Australian Clinical Practice Guidelines recommend universal use. However, screening rates are four times lower with Indigenous Australian women compared to non-Indigenous women. Difficulties have been reported using the EPDS in this context.BackgroundEvidence demonstrates the link between perinatal mental health and maternal and child outcomes. Indigenous Australian maternal and child health and wellbeing outcomes remain unacceptably poor across all measured parameters and reported psychological distress and child removal rates are increasing.MethodsA systematic literature review was conducted to assess the effectiveness, validity, reliability, and cultural safety of the EPDS in the Indigenous Australian context and identify the availability and suitability of any adaptations.FindingsThe EPDS has not been validated for use with Indigenous Australian women.DiscussionThe findings and limitations identified in this review are consistent with concerns in other countries about the cross-cultural use of the EPDS and its sensitivity in predicting risk for postnatal depression amongst Indigenous women. Where adaptations of the EPDS have been used there has been no psychometric and cultural validation beyond the remote communities in which they were developed.ConclusionsThere is no evidence to demonstrate that the EPDS in its current form and application is suitable for screening with Indigenous Australian women. Urgent work is required to evaluate and/or develop culturally meaningful screening tools that are predictive of risk for social and emotional wellbeing and perinatal mental distress in this context.     

Mental Health Consequences of International Migration for Vietnamese Americans and the Mediating Effects of Physical Health and Social Networks: Results From a Natural Experiment Approach

Although the existing literature on immigrant mental health is extensive, major substantive and methodological gaps remain. Substantively, there is little population-based research that focuses on the mental health consequences of migration for Vietnamese Americans. More generally, although a wide range of mental health problems among immigrants has been identified, the potential causal or mediating mechanisms underlying these problems remain elusive. This latter substantive shortcoming is related to a key methodological challenge involving the potentially confounding effects of selection on migration-related outcomes. This article addresses these challenges by employing a “natural experiment” design, involving comparisons among three population-based samples of Vietnamese immigrants, never-leavers, and returnees (N  =  709). Data were collected in Ho Chi Minh City and in New Orleans between 2003 and 2005. The study investigates the long-term impact of international migration on Vietnamese mental health, and the potential mediating effects of social networks and physical health on these migration-related outcomes. The results reveal both mental health advantages and disadvantages among Vietnamese immigrants relative to the two groups of Vietnamese nationals. Selection can be ruled out for some of these differences, and both social networks and physical health are found to play important explanatory roles.     

Honesty and comfort levels in mothers when screened for perinatal depression and anxiety

PurposeTo evaluate the degree of honesty and level of comfort reported by women when questioned about their emotional wellbeing during the perinatal period; to investigate if honesty and comfort are associated with perinatal depression or perinatal anxiety; and to examine the reasons why women may not always respond honestly.MethodsQualitative and quantitative data from 1597 women from the cross-sectional perinatal mental health substudy (part of the Australian Longitudinal Study on Women’s Health) were analysed using a mixed methods approach.ResultsWhen questioned by their health practitioner about their emotional wellbeing in the perinatal period, 20.7% of women indicated they had not always responded honestly. Reasons for not being honest reflected four main themes: normalizing of symptoms/coping; negative perceptions (self-and others); fear of adverse repercussions; and fear of involvement of health services (trust and confidentiality). The 38.9% of women who did not feel comfortable when questioned by their health practitioner about their emotional wellbeing were four times more likely to report perinatal depression (odds ratio = 4.09; 95% confidence interval = 2.55, 6.57) and nearly twice as likely to report perinatal anxiety (odds ratio = 1.90; 95% confidence interval = 1.24, 2.94) than other women.ConclusionsWomen who are most likely to need mental health care during the perinatal period are also those least likely to be honest about their mental health. A non-judgemental, open and reassuring approach by clinicians may help to reduce the stigma and fears contributing to lack of honest responses, and improve early diagnosis and treatment of mental health problems.     

Models of the Joint Structure of Domain-Related and Global Distress: Implications for the Reconciliation of Quality of Life and Mental Health Perspectives

Research on subjective wellbeing includes studies of both domain-related and global distress. The mental health literature, though, focuses almost exclusively on global distress. This seems to be partly due to a common belief that psychological distress, and the moods that comprise distress, necessarily lack referential content. However, if that were the case it would make little sense for any study to ever focus on domain-related distress. The research presented in this report clarifies the relation between global and domain-related distress. We compare confirmatory factor analytic models of the joint relationship among symptoms of global distress with affective symptoms of distress about work, home, and physical appearance. Data are from a general population telephone survey. In the best-fitting models domain-related distress and global psychological distress are related but distinct latent variables. We discuss the theoretical and methodological implications of the models, and model choice.     

Work–Family Conflict,Job Insecurity,and Health Outcomes Among US Workers

Previous scholarship has highlighted how work–family conflict (work-to-family conflict and family-to-work conflict) and job insecurity interfere with health outcomes. Little work, however, considers how these stressors jointly influence health among workers. Informed by the stress process model, the current study examines whether job insecurity moderates the relationships between work-to-family conflict and family-to-work conflict and two health outcomes: self-reported physical health and poor mental health. The analyses also consider whether a greater moderating role is played by work-to-family conflict or family-to-work conflict. Using data from the 2008 National Study of the Changing Workforce, we also examine if patterns diverge by gender. Our results show that work-to-family conflict and family-to-work conflict have direct effects on poor mental and physical health. Additionally, we find that the negative effect of work-to-family conflict on poor mental and physical health is stronger for those with job insecurity, while no such relationship was found for family-to-work conflict. We found no evidence of significant gender differences in how these relationships operate. Overall, we contribute to the literature by testing the combined effects of both forms of work–family conflict and job insecurity on poor mental and physical health. We also deepen the understanding of the stress process model by highlighting the salience of the anticipatory stressor of job insecurity.     

Aversion to Local Wellbeing Inequality is Moderated by Social Engagement and Sense of Community

Our subjective wellbeing is a mix of our personal and community wellbeing. One indication of their close relationship is the strong negative correlation between our own subjective wellbeing and the degree of subjective wellbeing inequality within our community. This negative relationship reflects our innate and socialized inequality aversion and holds regardless of whether the group is large as in the case of countries or small in the case of local neighbourhoods. While the country case has been well documented in the subjective wellbeing literature, the relationship between the local community distribution of subjective wellbeing and individual subjective wellbeing has received little attention. In this paper we demonstrate the sensitivity of individual life satisfaction to the distribution of life satisfaction within electoral wards in urban New Zealand and explore several possible behavioural drivers. We find that having social support and feeling a sense of community both reduce the negative effects of local subjective wellbeing inequality, while being less socially engaged exaggerates them. Our results highlight the potential that programmes aimed at reducing wellbeing inequalities within local communities might play in raising individual as well as average wellbeing.

     

Migration and Pacific Mortality: Estimating Migration Effects on Pacific Mortality Rates Using Bayesian Models

Pacific people living in New Zealand have higher mortality rates than New Zealand residents of European/Other ethnicity. The aim of this paper is to see whether Pacific mortality rates vary by natality and duration of residence. We used linked census-mortality information for 25- to 74-year-olds in the 2001 census followed for up to three years. Hierarchical Bayesian modeling provided a means of handling sparse data. Posterior mortality rates were directly age-standardized. We found little evidence of mortality differences between the overseas-born and the New Zealand–born for all-cause, cancer, and cardiovascular disease (CVD) mortality. However, we found evidence for lower all-cause (and possibly cancer and CVD) mortality rates for Pacific migrants resident in New Zealand for less than 25 years relative to those resident for more than 25 years. This result may arise from a combination of processes operating over time, including health selection effects from variations in New Zealand’s immigration policy, the location of Pacific migrants within the social, political, and cultural environment of the host community, and health impacts of the host culture. We could not determine the relative importance of these processes, but identifying the (modifiable) drivers of the inferred long-term decline in health of the overseas-born Pacific population relative to more-recent Pacific migrants is important to Pacific communities and from a national health and policy perspective.     

An Indigenous Model of Career Satisfaction: Exploring the Role of Workplace Cultural Wellbeing

Despite career satisfaction models being well established, little is understood about the career satisfaction of indigenous employees. Using a sample of 172 Maori employees, the indigenous people of New Zealand, we tested a career satisfaction model with a cultural wellbeing factor over and above established factors of human capital, sociodemographic, individual differences and organizational sponsorship. This new measure workplace cultural wellbeing was found to significantly relate to career satisfaction, accounting for twenty-three percent of the variance over and above the established factors which highlights its importance for indigenous workers. Furthermore, due to collectivistic orientations amongst Maori, collectivism was tested as a potential moderator and found to significantly interact with workplace cultural wellbeing, showing that Maori respondents reported the greatest career satisfaction when workplace cultural wellbeing was high, irrespective of collectivism orientation. This paper offers an extended model for exploring career satisfaction of indigenous workers.     

Volatile Places,Volatile Times: Predicting Revolutionary Situations with Nations’ Governance and Fragility Indicators

In the last decade, Mexico, the second largest economy in Latin America, has seen high poverty, inequality, and increasing homicide rates, which has led to widespread fear of crime. Two important challenges to understand the elevated levels of fear of crime are the lack of agreement on how to measure it and the debate on whether it responds to actual crime or to a general feeling of vulnerability associated with poverty. Moreover there is little research in Mexico examining the complex influence of social context at the municipality level, on the relationship between person-level characteristics and fear of crime. Using Mexico’s 2015 National Survey of Victimization the goal of the study is to estimate a two-level hierarchical regression analysis combining the effects of person-level predictors and municipality level context variables to explain fear of crime in Mexico´s urban population. Our results show that some person level attributes—victimization, incivilities, trust, police effectiveness, and collective organization—are consistently associated with the three domains of fear of crime: feelings of insecurity, perceptions of risk, and avoidance behaviors. The study shows that homicide rates at the municipality level are directly associated with feelings of insecurity and avoidance behaviors. In addition, high multidimensional poverty and inequality at the municipality level amplified the rate by which incivilities affect perceptions of risk. Unexpectedly, collective efficacy at the municipality level and collective organization to solve crime at the individual level were positive and significant predictors for fear of crime in Mexico.     

A Changing Nexus Between Unemployment and Suicide in Taiwan: Before and After Labor Welfare Improvement in the Late 1990s

The 2009 economic crisis in Greece had harsh implications on the Greek society. The crisis led to high and increasing unemployment rates, which previously found to relate to increases in suicide rates, health risking behaviors and increased risk of mental health problems. The public’s perceptions regarding the consequences of the crisis are crucial to their recovery. In order to get a comprehensive and thorough view of the public’s perceptions, which will allow to draw conclusions and recommendations for a possible effective intervention program, the current study assessed the perceptions of a representative sample of the Greek adult population (N = 3002) in three sampling waves: December 2011, March 2011 and November 2012. These assessments included questionnaires designed to evaluate perceptions of current quality of life, economic decline, coping with economic and occupational commitments, physical and psychological health, wellbeing, health related behaviors, attitudes towards emigration, sources of support and political and social trust. Findings showed significantly higher perceptions of financial uncertainty and difficulties coping with economic commitments. Participants generally rated their psychological health lower than their physical health. Trust ratings were also found to be generally low, especially for younger populations. Younger populations also showed a more willing attitude towards emigrating out of Greece, compared to older populations. Coping measurements revealed a strong possible tendency to go back to the traditional ties of confidence and trust in family and friends as sources of support. In light of the results, we recommend to build programs that see the family and the local community as a resources of resilience and coping.     

Development and Governance in the Ex-Soviet Union: An Empirical Inquiry

The widespread adoption of the concept of wellbeing in the social sciences literature has allowed researchers to move beyond a narrow economic focus on income and consumption as the primary measure of inequality and poverty. Although statistical measurement and analyses of wellbeing have become increasingly feasible due to the availability of rich datasets, the empirical literature on wellbeing remains deficient in a number of ways. In this paper we argue that it is necessary that empirical studies of wellbeing encompass multiple. Applying Sen’s capability approach as our theoretical model we subsequently develop a modelling framework that applies the polychoric principal component analysis (PCA) method for the calculation of objective wellbeing and wellbeing inequality using household asset, education, health and housing dimensions. Findings from our case study of Vietnam challenge previous single dimensional analyses and reveal a number of layers to our understanding of wellbeing inequality in Vietnam. We argue that our use of polychoric PCA is especially suited to the analysis of wellbeing by explicitly incorporating the analysis of both cardinal and ordinal variables and overcoming deficiencies established in the literature relating to the use of standard PCA.

     

Methods Used and Topics Addressed in Quantitative Health Research on Gay,Bisexual and Other Men Who Have Sex With Men: A Systematic Review of the Literature

Research on sexual minority men (gay, bisexual, and other men who have sex with men) was examined with regard to the measures of sexual orientation used, the methods of research, and the main health outcomes under study. A systematic review of English-language quantitative studies was conducted focused on the health of sexual minority men published in 2010 (n = 250). The results provide a snapshot of the literature and revealed that research on sexual minority men overwhelmingly focused on HIV, STIs, and sexual health for which sexual orientation was most commonly defined behaviorally. For topics of mental health or body/fitness outcomes, sexual orientation was most commonly defined by identity. Most study samples were venue-based, and only 8.8% of published papers drew data from population-based samples. The findings suggest that there exists a need for research on sexual minority men’s health beyond STIs and HIV that will examine mental and physical health outcomes beyond sexual risk, uses probability-based samples, and addresses intersectional concerns related to race/ethnicity and age.     

Transgender Identities,Pressures, and Social Policy: A Study Carried Out in Spain

ABSTRACT

This article draws on a qualitative research project concerning the relationship between trans people’s mental health and wellbeing, pressures, social policy, and heteronormative gender norms in Spain. Drawing on interviews carried out with trans people from all regions and generations, we use an ecological framework to illustrate how a socially entrenched heteronormativity pressures trans people to comply with gender norms that impact negatively their mental health and wellbeing. The article argues that the legal changes in Spain are not enough in themselves to bring about social change, but, rather, Spanish social policy makers also need to challenge gender categorization and work toward transforming public discourses on gender issues if trans people are to gain full social recognition and equal social rights.     

Playground Accessibility and Neighbourhood Social Interaction Among Parents

While the positive association between social interaction and access to green space is well accepted, little research has sought to understand the role of children??s playgrounds in facilitating social interaction within a community. Playgrounds are spaces designed to facilitate play and the interaction of children, but may also be important places of interaction between parents. In this paper we examine how access to playground spaces is related to social interaction between parents. We use two measures of accessibility (1) walking distance to the closest playground and (2) playground service area, a measure of the number of potential users of a playground based on population density. We use generalized estimating equations, an extension of generalized linear models, to control for the confounding effects of socio-economic status (income, education), neighbourhood dynamics (neighbourhood location, years in neighbourhood) and free time (daily outdoor activity, marital status, number of children) on the independent relationship between social interaction and access to playground spaces. Our results suggest that while accessibility to playgrounds is associated with social interaction among parents, the direction of the effect is opposite to existing literature on green space and social interaction; parents with low accessibility to playgrounds are more likely to interact socially with their neighbours than parents with high accessibility. Our results suggest a pattern of spatial behaviour in which the burden of poor access to some resources may actually encourage greater neighbourhood engagement. Future research studying the relationship between health and green space may benefit from studying the specific role of playground spaces.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.