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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Stakeholder views on factors influencing the wellbeing and health sector engagement of young Asian New Zealanders

Roshini Peiris-John 1 2 , Agnes Wong 1 , Amritha Sobrun-Maharaj 1 , Shanthi Ameratunga 1
+ Author Affiliations
- Author Affiliations

1 School of Population Health, Faculty of Medical and Health Sciences, University of Auckland

2 Correspondence to: Roshini Peiris-John Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand. Email: r.peiris-john@auckland.ac.nz

Journal of Primary Health Care 8(1) 35-43 https://doi.org/10.1071/HC15011
Published: 31 March 2016

Journal Compilation © Royal New Zealand College of General Practitioners 2016.
This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Abstract

INTRODUCTION: In New Zealand, while the term ‘Asians’ in popular discourse means East and South-east Asian peoples, Statistics New Zealand’s definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where ‘Asian’ youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research.

METHODS: Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data.

FINDINGS: Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy.

CONCLUSION: With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting.

KEYWORDS: Asian youth; New Zealand; health research; minority health; Community and social participation


References

[1]  Parackal S, Ameratunga S, Tin Tin S, Wong S, Denny S. Youth’07: The health and wellbeing of secondary school students in New Zealand: Results for Chinese, Indian and other Asian students. Auckland: The University of Auckland, 2011.

[2]  Statistics New Zealand. New Zealand Census 2013. Wellington, 2013.

[3]  Medical Council of New Zealand. Good Medical Practice. Wellington, 2013.

[4]  The Royal New Zealand College of General Practitioners. Aiming for excellence: RNZCGP standard for New Zealand general practice. Wellington, 2011.

[5]  Tse S, Tong K, Wong GH, Hong C, Rasalingham N. Asian people in New Zealand. In: St George IM, editor. Cole’s medical practice in New Zealand. Wellington: Medical Council of New Zealand; 2013.

[6]  Adolescent Health Research Group. Youth’07: The health and wellbeing of secondary school students in New Zealand. Auckland: The University of Auckland, 2008.

[7]  Ameratunga S, Horner J. ‘Asian’ and immigrant minority youth in Aotearoa/New Zealand. Auckland: Office of the Prime Minister’s Science Advisory Committee, 2011.

[8]  Ameratunga S, Tin Tin S, Rasanathan K, Robinson E, Watson P. Use of health care by young Asian New Zealanders: Findings from a national youth health survey. J Paediatr Child Health 2008; 44 636–41.
| 18717771PubMed |

[9]  Crengle S, Robinson E, Ameratunga S, Clark T, Raphael D. Ethnic discrimination prevalence and associations with health outcomes: data from a nationally representative cross-sectional survey of secondary school students in New Zealand. BMC Public Health 2012; 12 45–56.
Ethnic discrimination prevalence and associations with health outcomes: data from a nationally representative cross-sectional survey of secondary school students in New Zealand.Crossref | GoogleScholarGoogle Scholar | 22257643PubMed |

[10]  Rasanathan K, Ameratunga S, Chen J. et al. A health profile of young Asian New Zealanders who attend secondary school: findings from Youth2000. Auckland: The University of Auckland, 2006.

[11]  Wong G, Ameratunga SN, Garrett NKG, Robinson E, Watson PD. Family influences, acculturation, and the prevalence of tobacco smoking among Asian youth in New Zealand: findings from a national survey. J Adolesc Health 2008; 43 412–6.
Family influences, acculturation, and the prevalence of tobacco smoking among Asian youth in New Zealand: findings from a national survey.Crossref | GoogleScholarGoogle Scholar | 18809141PubMed |

[12]  Lim S, Mortensen A. Inovative resources for diverse health workforce working with culturally and linguistically diverse (CALD) patients. The fifth International Asian and Ethnic Minority Health and Wellbeing Conference. Auckland, New Zealand: University of Auckland; 2012.

[13]  Mortensen A, Latimer S. Mental health and disability destigmatisation programmes for culturally and linguistically diverse (CALD) groups: literature review. Auckland: Northern DHB Support Agency Limited, 2009.

[14]  Mehta S. Health needs assessment of Asian people living in the Auckland region. Auckland: Northern DHB Support Agency, 2012.

[15]  Waitemata Distric Health Board. eCALD. 2015. http://www.ecald.com/ (accessed August 20 2015).

[16]  Gray B. The use of interpreters. In: St George IM, ed. Cole’s medical practice in New Zealand. 12th edition ed. Wellington: Medical Council of New Zealand; 2013.

[17]  Gray B, Hilder J, Stubbe M. How to use interpreters in general practice: the development of a New Zealand toolkit. J Prim Health Care 2012; 4 52–61, A1–8.
| 22377550PubMed |

[18]  Seers K, Cook L, Abel G, Schluter P, Bridgford P. Is it time to talk? Interpreter services use in general practice within Canterbury. J Prim Health Care 2013; 5 129–37.
| 23748394PubMed |

[19]  Office of the Health and Disability Commissioner. Statement of Intent 2014/2018. Wellington: Office of the Health and Disability Commissioner; 2014.

[20]  Jensen V, Kaiwai H, McCreanor T, Barnes HM. ‘Back off Ma this is our project’: Youth Photovoice research in Clendon and Mangere. Auckland: Massey University, 2006.

[21]  Wong A, Peiris-John R, Sobrun-Maharaj A, Ameratunga S. Priorities and approaches to investigating Asian youth health: Perspectives of young Asian New Zealanders. J Prim Health Care 2015;
Priorities and approaches to investigating Asian youth health: Perspectives of young Asian New Zealanders.Crossref | GoogleScholarGoogle Scholar | 26668833PubMed |

[22]  Thomas DR. A general inductive approach for analyzing qualitative evaluation data. Am J Eval 2006; 27 237–46.
A general inductive approach for analyzing qualitative evaluation data.Crossref | GoogleScholarGoogle Scholar |

[23]  Scragg R. Asian Health in Aotearoa in 2006–2007: Trends since 2002–2003. Auckland: Northern DHB Support Agency, 2010.

[24]  Ho E. Asian health service development in Aotearoa: progress and challenges. In: Zander A, Came H, editors. Public Health Association Conference; 2013 17 - 19 September New Plymouth: Public Health Association; 2013.

[25]  Simon-Kumar R. The ‘problem’ of Asian women’s sexuality: public discourses in Aotearoa/New Zealand. Cult Health Sex 2009; 11 1–16.
The ‘problem’ of Asian women’s sexuality: public discourses in Aotearoa/New Zealand.Crossref | GoogleScholarGoogle Scholar | 19234947PubMed |

[26]  Goodyear-Smith FA, Arroll B. Contraception before and after termination of pregnancy: can we do it better? N Z Med J 2003; 116 U683
| 14657966PubMed |

[27]  Rose SB, Wei Z, Cooper AJ, Lawton BA. Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records. PLoS One 2012; 7 e40103
Peri-Abortion Contraceptive Choices of Migrant Chinese Women: A Retrospective Review of Medical Records.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XpvVaitrw%3D&md5=b89486d3e007dfc7debc35a95da51da4CAS | 22768231PubMed |

[28]  Adams J, Neville S. Asian MSM TALK: Views on life in Auckland. Auckland: Massey University, 2014.

[29]  Lachowsky NJ, Saxton PJW, Dickson NP, Hughes AJ, Summerlee AJS, Dewey CE. Factors associated with recent HIV testing among younger gay and bisexual men in New Zealand, 2006–2011. BMC Public Health 2014; 14 294
Factors associated with recent HIV testing among younger gay and bisexual men in New Zealand, 2006–2011.Crossref | GoogleScholarGoogle Scholar | 24684728PubMed |

[30]  Sawyer SM, Afifi RA, Bearinger LH, et al. Adolescence: a foundation for future health. Lancet 2012; 379 1630–40.
Adolescence: a foundation for future health.Crossref | GoogleScholarGoogle Scholar | 22538178PubMed |

[31]  Dentith A, Measor L, O’Malley MP. The Research Imagination Amid Dilemmas of Engaging Young People in Critical Participatory Work Forum Qualitative Sozialforschung / Forum: Qualitative Soc Res (New York) 2012; 13

[32]  Ginsburg KR, Alexander PM, Hunt J, Sullivan M, Zhao HQ, Cnaan A. Enhancing their likelihood for a positive future: The perspective of inner-city youth. Pediatrics 2002; 109 1136–42.
Enhancing their likelihood for a positive future: The perspective of inner-city youth.Crossref | GoogleScholarGoogle Scholar | 12042555PubMed |

[33]  Sobrun-Maharaj A, Rossen F, Wong ASK. Negative impacts of gambling on Asian families and communities in New Zealand. Asian Journal of Gambling Issues and Public Health 2013; 3 1–16.

[34]  Sobrun-Maharaj A, Tse S, Hoque E, Rossen F. The settlement and social inclusion of immigrant youth in New Zealand. Int J Interdiscipl Soc Sci 2009; 4 97–111.

[35]  Johnstone M-J, Kanitsaki O. The neglect of racism as an ethical issue in health care. J Immigr Minor Health 2010; 12 489–95.
The neglect of racism as an ethical issue in health care.Crossref | GoogleScholarGoogle Scholar | 19015986PubMed |

[36]  McKenzie K, Bhui K. Institutional racism in mental health care. BMJ 2007; 334 649–50.
Institutional racism in mental health care.Crossref | GoogleScholarGoogle Scholar | 17395908PubMed |

[37]  Vydelingum V. Nurses’ experiences of caring for South Asian minority ethnic patients in a general hospital in England. Nurs Inq 2006; 13 23–32.
Nurses’ experiences of caring for South Asian minority ethnic patients in a general hospital in England.Crossref | GoogleScholarGoogle Scholar | 16494664PubMed |

[38]  Harris R, Cormack D, Tobias M, Yeh L, Talamaivao N, Minster J, Timutimu R. The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains. Soc Sci Med 2012; 74 408–15.
The pervasive effects of racism: Experiences of racial discrimination in New Zealand over time and associations with multiple health domains.Crossref | GoogleScholarGoogle Scholar | 22204840PubMed |

[39]  Di Cosmo C, Milfont TL, Robinson E, et al. Immigrant status and acculturation influence substance use among New Zealand youth. Aust N Z J Public Health 2011; 35 434–41.
Immigrant status and acculturation influence substance use among New Zealand youth.Crossref | GoogleScholarGoogle Scholar | 21973250PubMed |

[40]  Clark TC, Fleming T, Bullen P. et al. Youth’12 Overview: The health and wellbeing of New Zealand secondary school students in 2012. Auckland, New Zealand: The University of Auckland 2013.

[41]  Bidwell S. Improving access to primary health care for children and youth: a review of the literature for the Canterbury Clinical network Child and Youth Workstream. Christchurch: Canterbury District Health Board 2013.

[42]  Craig E, Adams J, Oben G, Reddington A, Wickens A, Simpson J. The health status of children and young people in New Zealand Dunedin: New Zealand Child and Youth Epidemiology Service, 2013.