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This Issue in the Journal
Prevalence of victims of torture in the health
screening of quota refugees in New Zealand during 2007–2008 and
implications for follow-up care
G E Poole, Grant Galpin New Zealand annually accepts approximately 750 quota
refugees from overseas for resettlement in New Zealand. The humanitarian nature
of the quota composition consists of those who are determined by the United
Nations refugee agency to be in high need of immediate protection, a large
proportion of medical and disability cases, and women and children at risk.
Quota refugees arrive in six intakes each year and participate in assessment and
orientation for the first 6 weeks at the national Mangere Refugee Resettlement
Centre. This paper describes the findings of screening for refugees with a
history of torture during 2007–2008. There were 144 arriving refugees or
19.2% of the total found to have histories of torture during this period. The
implications for future research, and follow-up care of people who have survived
torture are discussed.
The use of the ‘rollie’ in New Zealand:
preference for loose tobacco among an ethnically diverse low socioeconomic urban
population
Vili Nosa, Marewa Glover, Sandar Min, Robert Scragg, Chris Bullen, Judith McCool, Anette Kira Smoking parents of students from four South Auckland
Intermediate Schools were asked if they smoke roll-your-own (RYO) cigarettes and
why. Nearly half smoked only factory-made cigarettes. 38% smoked only RYO
cigarettes. The most common reasons for smoking RYOs instead of factory-mades
was the perceived lower cost of RYOs and that RYOs lasted longer (42%).
Increasing the tax on RYOs to make sure they cost the same as factory-made
cigarettes should lessen the potential use of RYOs as an alternative to
quitting.
A cross-sectional study of opinions related to the
tobacco industry and their association with smoking status amongst 14–15
year old teenagers in New Zealand
Judith McCool, Janine Paynter, Robert Scragg We surveyed 31,459 Year 10 students’ attitudes towards
the tobacco industry in New Zealand to determine if there was an association
with smoking behaviour or susceptibility to smoking. We found that students who
expressed tolerant attitudes towards the tobacco industry had a higher risk of
being smoker or starting to smoke. Given the results of this survey there is
clearly a need to reach teenagers at risk of taking up smoking and continuing to
smoke with an effective counter-industry campaign.
Comparison of two modes of delivery of an exercise
prescription scheme
Louise Foley, Ralph Maddison, Zanta Jones, Paul Brown, Anne Davys Green Prescription (GRx) is a referral from a health
professional for a patient to become more physically active. In Auckland, GRx is
delivered either on the telephone or face-to-face. A comparison of the two modes
of delivery (telephone vs. face-to-face) was conducted. This evaluation involved
staff interviews, patient interviews and analysis of GRx records for the 2007
calendar year. Results indicated that the modes of delivery were similar in
terms of costs as well as outcomes. However, the face-to-face mode of delivery
was more popular with Maori and Pacific peoples. Providing a choice of GRx mode
of delivery allows participants to choose based on their personal and cultural
needs.
Voices of students in competition: Health Science
First Year at the University of Otago, Dunedin
Madgerie Jameson, Jeffrey Smith This article examines the experiences of students enrolled
in Health Sciences First Year. Past and present students were interviewed to
determine the similarities and differences in their experience. Students
perceived the programme as stressful and demanding. The competitive nature of
the programme limited students’ involvement in other university
activities. Students learned the benefits of work/life balance.
An investigation into the health benefits of
mindfulness-based stress reduction (MBSR) for people living with a range of
chronic physical illnesses in New Zealand
Jillian Simpson, Tim Mapel Mindfulness-based Stress Reduction is a programme developed
in the US by neurobiologist Jon-Kabat Zinn, originally to help people with
difficult to manage health problems. It is taught as 8 weekly classes and a full
day retreat in which people to learn more about stress and how best to manage
this. It involves various exercises to develop mindfulness (living in the moment
without judgement) including a lying down relaxation/meditation, meditation
sitting in a chair and simple stretching exercises. This research, one of the
first studies in New Zealand, aimed to find out how effective this approach is
for New Zealanders. The study demonstrated that MBSR helps people not only cope
with their chronic health problems but also improves their wellbeing.
Comorbidity among patients with colon cancer in New
Zealand
Diana Sarfati, Lavinia Tan, Tony Blakely, Neil Pearce This study aimed to investigate how common comorbidity was
in a cohort of patients with bowel cancer in NZ; to identify factors associated
with high levels of comorbidity in this group and to assess the extent to which
comorbidity affects outcomes from bowel cancer. We used data from the NZ Cancer
Registry to identify those with cancer and from hospitalisations to identify
comorbid conditions. We found that nearly a third of bowel cancer patients had a
least one comorbid condition. Comorbidity increased with increasing age as
expected, and was more common among Maori and Pacific people, and those living
in more deprived areas of NZ. We also found that comorbidity had a strongly
negative effect on survival, and increased length of hospital stay.
What do specialists and GPs think about the
introduction of colorectal cancer screening? A qualitative
study
Gillian M Abel, Lee Thompson GPs and specialists, whilst supportive of screening, are not
convinced that there is the capacity in New Zealand to introduce a colorectal
screening programme. A shortage of colonoscopists in New Zealand means that
there is already a long waiting-list for people accessing colonoscopies in the
public service. GPs are often in the position of advocating screening to
patients and they are unconvinced about the value of the test which is likely to
be used for screening (faecal occult blood test) feeling that there will be a
number of false positives These will then require colonoscopic follow-up which
will mean unnecessary anxiety will be engendered amongst their patients.
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