A5080734797- Mental Health Treatment and Access
- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Schizophrenia research and treatment
- Health disparities and outcomes
- Emergency and Acute Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- Obesity and Health Practices
- Homelessness and Social Issues
- Chronic Disease Management Strategies
- Bipolar Disorder and Treatment
- Mental Health and Psychiatry
- Cardiac Health and Mental Health
- Genetic factors in colorectal cancer
- Eating Disorders and Behaviors
- Racial and Ethnic Identity Research
- Child Abuse and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Mental Health and Patient Involvement
- Employment and Welfare Studies
- Colorectal Cancer Surgical Treatments
- Primary Care and Health Outcomes
- Cancer survivorship and care
- Healthcare Decision-Making and Restraints
- Health, psychology, and well-being
University of Otago
2016-2025
Regional Health
2007
<h3>Background</h3> Ethnic disparities in cancer survival have been documented many populations and types. The causes of these inequalities are not well understood but may include disease patient characteristics, treatment differences health service factors. Survival was compared a cohort Maori (Indigenous) non-Maori New Zealanders with colon cancer, the contribution demographics, comorbidity, healthcare factors to assessed. <h3>Methods</h3> patients diagnosed as having between 1996 2003...
To explore the reasons for worse cancer survival in people with experience of mental illness, including differences by type and psychiatric diagnosis.New Zealand breast colorectal registrations (2006-2010) were linked to hospitalization records adults (18-64 years). Cancer-specific was compared recent service users nonusers using Cox regression. The contributions deprivation, comorbidity stage at diagnosis assessed those schizophrenia or bipolar affective disorder (Group A) others health...
Breast and cancer screening uptake has been found to be lower among women with serious mental illness (SMI). This study aims corroborate these findings in the UK identify variation by illness/treatment factors, primary care consultation frequency. Linked population-based secondary data from London borough of Lambeth (UK) were used compare breast cervical receipt linked eligible SMI patients (n = 625 n 1393), those without known only 106,554 25,385) using logistic regression models adjusted...
Objective To determine whether contemporary sex-specific cardiovascular disease (CVD) risk prediction equations underestimate CVD in people with severe mental illness from the cohort which were derived. Methods We identified using information on prior specialist health treatment. This group PREDICT study, a prospective study of 495,388 primary care patients aged 30 to 74 years without that was recently used derive new equations. calculated participants and predicted compared observed two...
Abstract Background Health, illness, and the body are conceptualized within cultural context of a society. The values belief systems society, including media portrayals, shape how health illness present. Traditionally, Western portrayals eating disorders have been prioritized over above Indigenous realities. This paper explores lived experiences Māori with their whānau (family/support system) to identify enablers barriers accessing specialist services for in New Zealand. Method Kaupapa...
aim: To examine common mental disorders and psychological distress in Pacific adults between ethnic groups. methods: Data were pooled from multiple New Zealand Health Survey waves 2014/2015 to 2018/2019. Estimated period prevalence of (depression and/or anxiety) calculated for aged 15 years over, analysed by socio-demographic factors (age, sex socio-economic deprivation), specific groups (Samoan, Tongan, Cook Islands Other Pacific) Realm country status. Log-binomial regression methods used...
Abstract Purpose To describe a cohort of people transferred from prison to psychiatric hospital care and their mortality outcomes. Methods Retrospective nationwide (n = 1320) in New Zealand 2009 2022. Follow up commenced at the first transfer ended on 30 June 2023 or death if earlier. Ministry Health records were used service utilization profile. Records linked official data, ratios calculated using publicly available life tables. Results The was 85% male 55% Māori, with median age 31.2...
Introduction Quality of health care contributes to poor physical outcomes for people with mental and substance use conditions (MHSUC). AIM This study investigated experiences MHSUC who sought help a condition in primary healthcare services, examining quality attributes. Methods An online survey adults currently or recently accessing services was fielded 2022. Respondents were recruited nationally through health, addiction lived experience networks social media. The attributes service...
Abstract Purpose Previous research indicates that social support is protective for the mental health outcomes of exposure to childhood adversity. However, impact as a factor following cumulative adversity understudied with prospective longitudinal data. The aim this present study was examine how mediates on internalising disorder in adulthood. Methods Christchurch Health and Development Study (CHDS) general population birth cohort, born 1977 representative Christchurch, New Zealand at time...
In March 2019, a mass shooting at two Christchurch mosques, livestreamed to Facebook, resulted in the deaths of 51 people. Psychologically, this served as focusing event with high threat salience, shocking country unused gun violence despite its comparatively lax firearm legislation. The unprecedented reluctance by New Zealand media feature shooter protagonist or even publish his name, concentrating instead on victims and societal issues, helped promote sense collective responsibility for...
Abstract Objective Lifetime prevalence rates in Te Rau Hinengaro (The New Zealand Mental Health Survey) suggest eating disorders are at least as common the Māori population non‐Māori population, yet little is known a level about those accessing specialist mental health treatment for Zealand. The aim of this study was to describe undergoing and compare clinical characteristics service use. Method This uses Programme Integration Data data set, managed by Ministry people with their use services...
Introduction Clinician bias contributes to lower quality healthcare and poorer health outcomes in people with mental substance use conditions (MHSUC). Discrimination can lead physical being overlooked (diagnostic overshadowing) or substandard treatment offered MHSUC. This research aimed utilise experiences of MHSUC identify discrimination by clinicians, including the role clinician’s beliefs assumptions service provision. Methods We surveyed who accessed services. Of 354 eligible...
Breast cancer incidence varies between social groups, but differences have not been thoroughly examined in New Zealand. The objectives of this study are to determine whether trends breast varied by ethnicity and socioeconomic position 1981 2004 Zealand, assess possible risk factor explanations. Five cohorts the entire Zealand population for 1981-86, 1986-1991, 1991-1996, 1996-2001, 2001-2004 were created, probabilistically linked registry records, allowing direct determination ethnic...
There is evidence of Indigenous and ethnic minority inequities in the incidence outcomes early psychosis. racism has an important role. This study aimed to use experiences develop a more detailed understanding how operates impact Critical Race Theory informed methods used. Twenty-three participants participated 4 family focus group interviews 13 individual interviews, comprising 9 youth, 10 members mental health professionals. An analysis data was undertaken using deductive structural coding...
Cancer survival and mortality outcomes for people with mental health substance use conditions (MHSUC) are worse than without MHSUC, which may be partly explained by poorer access to timely appropriate healthcare, from screening diagnosis through treatment follow-up. Access quality of healthcare can evaluated comparing the proportion who receive a cancer following an acute or emergency hospital admission (emergency presentation) across different population groups: those diagnosed presentation...
People experiencing psychosis are at greater risk of physical health conditions and premature mortality. It is likely that Indigenous Māori youth, who experience additional systemic inequities caused by settler-colonisation, face even mortality risks following a diagnosis first-episode psychosis.