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Issue

Vol 129 No 1434: 6 May 2016

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Issue Summary

SUMMARY

Understanding Pasifika youth and the obesogenic environment, Auckland and Wellington, New Zealand

Ridvan Tupai-Firestone, Hana Tuisano, Moana Manukia, Keawe aimoku Kaholokula, Sunia Foliaki, Te Kani Kingi, Rozanne Kruger, Bernhard Breier, Angelique O Connell, Barry Borman, Lis Ellison-Loschmann

Chewing the facts on fat is a study that aimed to develop an overall understanding of the factors that may drive the obesogenic environment among Pasifika youth from the Auckland and Wellington regions. This pilot work explores familial, cross-generational and social-cultural meanings of diet, weekly food-spending habits, body size, and cultural heritage. Such knowledge could offer indepth cultural insights of obesity and health, and be used to develop creative and innovative ways to promote health and wellbeing strategies among young Pasifika.

SUMMARY

What do African new settlers in New Zealand ˜know about HIV?

Mark Henrickson, Meaghan Fisher, Adrian Ludlam, Fungai Mhlanga

A two-phase study of Black African new settlers to New Zealand was conducted to assess knowledge, attitudes, behaviours and beliefs about HIV. The first phase of the study (AfricaNZ Count) estimated that there were 12,500 Black African new settlers in New Zealand, living in four major urban areas. The second phase (AfricaNZ Care) consisted of 705 survey participants, and 131 participants in 23 different focus groups around New Zealand. Survey participants indicated high levels of basic knowledge about HIV in older people, but much less basic knowledge in young people brought up in New Zealand. However, focus groups showed that this assessment of basic knowledge was insufficient, and that there were other kinds of social and cultural knowledge that shaped participants understandings and attitudes about HIV and people living with HIV. The study found that assessment of basic knowledge is not sufficient. Instead, a contextual approach to understanding what people know is essential, not only for HIV, but for the delivery of all health care education and interventions to Black African new settlers. More routine HIV education and testing, together with staff education, may increase acceptance of these interventions in Black African communities.

SUMMARY

Predictors of psychological resilience amongst medical students following major earthquakes

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice M McKenzie, Joseph M Boden, Timothy J Wilkinson

This study aimed to identify predictors of psychological resilience among medical students, surveyed 7 months following the February 2011 Canterbury earthquake. Resilience could be predicted to a moderate extent. However, the factors that were the best predictors of resilience were mostly not easily amenable to change, once the adversity had occurred.

SUMMARY

Supervision for superheroes: the case for reflective professional supervision for senior doctors

Helen Austin

The practice of medicine is inherently stressful, with regular exposure to trauma and the distress of others. There is a culture in medicine that doctors should not be affected by such things, although it is well recognised that doctors have higher rates of depression, anxiety, suicide and substance abuse than the general public. Reflective professional supervision is a forum where the complexities of the interpersonal interactions that underpin the provision of healthcare can be explored in a supportive and confidential setting. It is argued that this is a process that should continue for the duration of a doctor s career, with potential benefits including enhanced job satisfaction and resilience, better workplace communication and improved interpersonal skills.

ALL ARTICLES
SUMMARY

Artificial intelligence in medicine: humans need not apply?

William Diprose, Nicholas Buist

Understanding Pasifika youth and the obesogenic environment, Auckland and Wellington, New Zealand

Ridvan Tupai-Firestone, Hana Tuisano, Moana Manukia, Keawe aimoku Kaholokula, Sunia Foliaki, Te Kani Kingi, Rozanne Kruger, Bernhard Breier, Angelique O Connell, Barry Borman, Lis Ellison-Loschmann

A case of tumour of the labium majus

What do African new settlers in New Zealand ˜know about HIV?

Mark Henrickson, Meaghan Fisher, Adrian Ludlam, Fungai Mhlanga

Predictors of psychological resilience amongst medical students following major earthquakes

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice M McKenzie, Joseph M Boden, Timothy J Wilkinson

Nature and nurture: shaping New Zealand's medical workforce

Phillippa Poole

Supervision for superheroes: the case for reflective professional supervision for senior doctors

Helen Austin

Management of postmenopausal bleeding by general practitioners in a community setting: an observational study

Monique Stravens, John Short, Karyn Johnson, Bryony Simcock, Brett Shand, Graham McGeoch, Peter Sykes

James Patrick Beaumont Fitzgerald

Norman Fitzgerald

Liposuction for problematic stomas: a case report and review

Jessica Papalii-Curtin, Will McMillan, Jon Potter, Maree OConnor

Weight loss and health status 3 years after bariatric surgery in adolescents

SUMMARY

Understanding Pasifika youth and the obesogenic environment, Auckland and Wellington, New Zealand

Ridvan Tupai-Firestone, Hana Tuisano, Moana Manukia, Keawe aimoku Kaholokula, Sunia Foliaki, Te Kani Kingi, Rozanne Kruger, Bernhard Breier, Angelique O Connell, Barry Borman, Lis Ellison-Loschmann

Chewing the facts on fat is a study that aimed to develop an overall understanding of the factors that may drive the obesogenic environment among Pasifika youth from the Auckland and Wellington regions. This pilot work explores familial, cross-generational and social-cultural meanings of diet, weekly food-spending habits, body size, and cultural heritage. Such knowledge could offer indepth cultural insights of obesity and health, and be used to develop creative and innovative ways to promote health and wellbeing strategies among young Pasifika.

SUMMARY

What do African new settlers in New Zealand ˜know about HIV?

Mark Henrickson, Meaghan Fisher, Adrian Ludlam, Fungai Mhlanga

A two-phase study of Black African new settlers to New Zealand was conducted to assess knowledge, attitudes, behaviours and beliefs about HIV. The first phase of the study (AfricaNZ Count) estimated that there were 12,500 Black African new settlers in New Zealand, living in four major urban areas. The second phase (AfricaNZ Care) consisted of 705 survey participants, and 131 participants in 23 different focus groups around New Zealand. Survey participants indicated high levels of basic knowledge about HIV in older people, but much less basic knowledge in young people brought up in New Zealand. However, focus groups showed that this assessment of basic knowledge was insufficient, and that there were other kinds of social and cultural knowledge that shaped participants understandings and attitudes about HIV and people living with HIV. The study found that assessment of basic knowledge is not sufficient. Instead, a contextual approach to understanding what people know is essential, not only for HIV, but for the delivery of all health care education and interventions to Black African new settlers. More routine HIV education and testing, together with staff education, may increase acceptance of these interventions in Black African communities.

SUMMARY

Predictors of psychological resilience amongst medical students following major earthquakes

Frances A Carter, Caroline J Bell, Anthony N Ali, Janice M McKenzie, Joseph M Boden, Timothy J Wilkinson

This study aimed to identify predictors of psychological resilience among medical students, surveyed 7 months following the February 2011 Canterbury earthquake. Resilience could be predicted to a moderate extent. However, the factors that were the best predictors of resilience were mostly not easily amenable to change, once the adversity had occurred.

SUMMARY

Supervision for superheroes: the case for reflective professional supervision for senior doctors

Helen Austin

The practice of medicine is inherently stressful, with regular exposure to trauma and the distress of others. There is a culture in medicine that doctors should not be affected by such things, although it is well recognised that doctors have higher rates of depression, anxiety, suicide and substance abuse than the general public. Reflective professional supervision is a forum where the complexities of the interpersonal interactions that underpin the provision of healthcare can be explored in a supportive and confidential setting. It is argued that this is a process that should continue for the duration of a doctor s career, with potential benefits including enhanced job satisfaction and resilience, better workplace communication and improved interpersonal skills.

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