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  • 1
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    Online Resource
    Habitual Dietary Patterns, Nutrient Intakes, and Adherence to the Mediterranean Diet among New Zealand Adults: The NZ MED Cross-Sectional Study
    MDPI AG ; 2023
    In:  Nutrients Vol. 15, No. 12 ( 2023-06-07), p. 2663-
    Details
    In: Nutrients, MDPI AG, Vol. 15, No. 12 ( 2023-06-07), p. 2663-
    Abstract: There is increasing evidence that adherence to a Mediterranean dietary pattern reduces the incidence of diet-related diseases. To date, the habitual dietary intake of New Zealand (NZ) adults has not been examined in relation to its alignment with a Mediterranean-style dietary pattern. This study aimed to define the habitual dietary patterns, nutrient intakes, and adherence to the Mediterranean Diet in a sample of 1012 NZ adults (86% female, mean age 48 ± 16 years) who had their diabetes risk defined by the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK). Dietary intakes were collected using a validated semi-quantitative NZ food frequency questionnaire, and dietary patterns were identified using principal component analysis. Reported intakes from the FFQ were used in conjunction with the Mediterranean-Style Dietary Pattern Score (MSDPS) to determine adherence to a Mediterranean dietary pattern. Mixed linear models were used to analyze the association between dietary patterns and MSDPS with demographics, health factors, and nutrient intakes. Two distinct dietary patterns were identified: Discretionary (positive loadings on processed meat, meat/poultry, fast food, sweet drinks, and sugar, sweets, and baked good) and Guideline (positive loadings on vegetables, eggs/beans, and fruits). Adherence to dietary patterns and diet quality was associated with age and ethnicity. Dietary patterns were also associated with sex. Adherence to a Mediterranean dietary pattern defined by the MSDPS was low, indicating that a significant shift in food choices will be required if the Mediterranean Diet is to be adopted in the NZ population.
    Type of Medium: Online Resource
    ISSN: 2072-6643
    URL: Article
    DOI: 10.3390/nu15122663
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2518386-2
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  • 2
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    The antidotes atropine and pralidoxime distinctively recover cardiorespiratory components impaired by acute poisoning with chlorpyrifos in rats
    Elsevier BV ; 2020
    In:  Toxicology and Applied Pharmacology Vol. 389 ( 2020-01), p. 114879-
    Details
    In: Toxicology and Applied Pharmacology, Elsevier BV, Vol. 389 ( 2020-01), p. 114879-
    Type of Medium: Online Resource
    ISSN: 0041-008X
    URL: Article
    DOI: 10.1016/j.taap.2020.114879
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 1471923-X
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  • 3
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    Diverse values of surplus for a community economy of fish(eries)
    Wiley ; 2022
    In:  Asia Pacific Viewpoint Vol. 63, No. 1 ( 2022-04), p. 53-65
    Details
    In: Asia Pacific Viewpoint, Wiley, Vol. 63, No. 1 ( 2022-04), p. 53-65
    Abstract: This paper develops a diverse economies account of fish ‘waste’ that revalues it as ‘surplus’. We examine ‘ Kai Ika ’, a community marine conservation experiment in Tāmaki Makaurau (Auckland), Aotearoa New Zealand. Kai Ika rescues fish heads, frames and offal that were previously ‘going to waste’ and redistributes them to fish eaters who would otherwise struggle to access these foods. It involves fishers and community sector and Indigenous actors in an initiative that converts would‐be waste into surplus. We examine the case as a diverse economic project that nourishes humans, enhances respect for fish as living beings, and potentially conserves marine resources in the face of global‐to‐local fisheries depletion. The research is based on community‐gathered fish parts collection data, and virtual and email interview data. We analyse this data to produce an account of diverse ‘object values’ and fish‐related surpluses that derive from surplus labour and other socio‐cultural and environmental surplus. We argue that reframing fish economies in this way encourages new and diverse economic subjectivities and a more connected, relational and cooperative community economy of fish.
    Type of Medium: Online Resource
    ISSN: 1360-7456 , 1467-8373
    URL: Issue
    URL: Article
    DOI: 10.1111/apv.v63.1
    DOI: 10.1111/apv.12327
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2006516-4
    SSG: 14
    SSG: 6,32
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  • 4
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    Quantifying the greenhouse gas emissions of New Zealand households’ food purchases: An analysis by demographic variables
    Elsevier BV ; 2023
    In:  Journal of Cleaner Production Vol. 430 ( 2023-12), p. 139699-
    Details
    In: Journal of Cleaner Production, Elsevier BV, Vol. 430 ( 2023-12), p. 139699-
    Type of Medium: Online Resource
    ISSN: 0959-6526
    URL: Article
    DOI: 10.1016/j.jclepro.2023.139699
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 1179393-4
    detail.hit.zdb_id: 2029338-0
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  • 5
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    Adherence, Sexual Behavior and Sexually Transmitted Infections in a New Zealand Prospective PrEP Cohort: 12 Months Follow-up and Ethnic Disparities
    Springer Science and Business Media LLC ; 2022
    In:  AIDS and Behavior Vol. 26, No. 8 ( 2022-08), p. 2723-2737
    Details
    In: AIDS and Behavior, Springer Science and Business Media LLC, Vol. 26, No. 8 ( 2022-08), p. 2723-2737
    Abstract: Inequities in pre-exposure prophylaxis (PrEP) experiences will impede HIV epidemic elimination among gay and bisexual men (GBM). Ethnicity is a strong marker of inequity in the United States, but evidence from other countries is lacking. We investigated experiences on-PrEP to 12 months follow-up in a prospective cohort of 150 GBM in Auckland, New Zealand with an equity quota of 50% non-Europeans. Retention at 12 months was 85.9%, lower among Māori/Pacific (75.6%) than non-Māori/Pacific participants (90.1%). Missed pills increased over time and were higher among Māori/Pacific. PrEP breaks increased, by 12 months 35.7% of Māori/Pacific and 15.7% of non-Māori/Pacific participants had done so. Condomless receptive anal intercourse partners were stable over time. STIs were common but chlamydia declined; 12-month incidence was 8.7% for syphilis, 36.0% gonorrhoea, 46.0% chlamydia, 44.7% rectal STI, 64.0% any STI. Structural interventions and delivery innovations are needed to ensure ethnic minority GBM gain equal benefit from PrEP. Clinical trial number ACTRN12616001387415.
    Type of Medium: Online Resource
    ISSN: 1090-7165 , 1573-3254
    URL: Article
    DOI: 10.1007/s10461-022-03617-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2014832-X
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  • 6
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    Coping Skills Mobile App to Support the Emotional Well-Being of Young People During the COVID-19 Pandemic: Protocol for a Mixed Methods Study
    JMIR Publications Inc. ; 2020
    In:  JMIR Research Protocols Vol. 9, No. 10 ( 2020-10-8), p. e23716-
    Details
    In: JMIR Research Protocols, JMIR Publications Inc., Vol. 9, No. 10 ( 2020-10-8), p. e23716-
    Abstract: The COVID-19 pandemic is likely to increase anxiety and distress in young people worldwide. It is important to prioritize mental health during crisis events to mitigate the negative and often long-term effects of the crises on young people, families, and society. Mental health and well-being apps represent a scalable approach for improving psychological outcomes in young people and have potential to improve the equity of service access. Objective The Whitu: 7 Ways in 7 Days well-being app was recently developed by our group to address the urgent need for innovative approaches to reach young New Zealanders who are struggling to cope with the COVID-19 pandemic. The aim of this study is twofold: to evaluate the acceptability of the prototype app and to examine the effectiveness of the refined app at improving mental and emotional well-being and reducing depression, anxiety, and stress in young people in New Zealand. Methods A two-phase mixed methods study will be undertaken to achieve these aims. During the first phase, 20 young people aged 16-30 years (including those of Māori and Pacific ethnicity) will participate in a qualitative study to help refine the prototype app. During the second phase, 90 young people aged 16-30 years will participate in a randomized waitlist-controlled trial (RCT) to evaluate the efficacy of the refined Whitu app at 4 weeks and 3 months after baseline. Outcomes will be evaluated using validated web-based questionnaires at baseline, 4 weeks, and 3 months. Results The study received ethics approval in May 2020, and recruitment for the focus groups commenced in June 2020. Recruitment for the RCT is expected to commence in October 2020. Participants for both study phases will be recruited via social media and web-based communities. Data collection for the RCT is expected to be completed by January 2021, and analyses are expected to be completed by March 2021. Linear mixed modelling will be used to determine between-group differences in psychological outcomes. Conclusions There is an urgent need to develop culturally appropriate, scalable mental health interventions to address the psychological consequences of the COVID-19 pandemic. In this study, we will develop and test an evidence-based well-being app that, if effective, can be made available to all young people in New Zealand and internationally. Trial Registration Australian New Zealand Clinical Trials Registry (ACTRN12620000516987); https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379597. International Registered Report Identifier (IRRID) PRR1-10.2196/23716
    Type of Medium: Online Resource
    ISSN: 1929-0748
    URL: Article
    DOI: 10.2196/23716
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2020
    detail.hit.zdb_id: 2719222-2
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  • 7
    Online Resource
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    Pilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic
    Elsevier BV ; 2021
    In:  Internet Interventions Vol. 26 ( 2021-12), p. 100464-
    Details
    In: Internet Interventions, Elsevier BV, Vol. 26 ( 2021-12), p. 100464-
    Type of Medium: Online Resource
    ISSN: 2214-7829
    URL: Article
    DOI: 10.1016/j.invent.2021.100464
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2764252-5
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  • 8
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    The Burden of Histologically Confirmed Uveal Melanoma in Aotearoa-New Zealand: A 21-year Review of the National Cancer Registry
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Asia-Pacific Journal of Ophthalmology Vol. 12, No. 4 ( 2023-07-12), p. 384-391
    Details
    In: Asia-Pacific Journal of Ophthalmology, Ovid Technologies (Wolters Kluwer Health), Vol. 12, No. 4 ( 2023-07-12), p. 384-391
    Abstract: The burden of uveal melanoma (UM) in Aotearoa-New Zealand (NZ), a country with the highest global burden of cutaneous melanoma, is unknown. This first, large-scale study of UM in NZ investigates survival and risks of mortality in histologically confirmed UM. Methods: Deidentified epidemiological data on histologically confirmed UM between January 1, 2000, and December 31, 2020, were extracted from the NZ Cancer Registry. The main outcome measures were patient demographics, tumor characteristics, all-cause versus disease-specific survival, and risks of mortality. Results: Histologically confirmed UM constituted 1.5% (n=703) of all-body site melanomas in NZ (n=47,997). UM predominantly affected Europeans (95%), followed by NZ indigenous Māori (4%), Asians ( 〈 1%), and Pacific Peoples ( 〈 1%), with no eye or sex predilection. Three hundred eighteen (45%) were deceased at follow-up. Of the deceased, 50% died from UM. The 1-, 5-, and 10-year survival from all-cause mortality was 94%, 68%, and 51%, and disease-specific survival was 97%, 79%, and 71%, respectively. Increasing age at UM diagnosis ( 〉 60 y), UM arising from nonspecified sites, and mixed cell UM were associated with an increased risk of disease-specific mortality. No difference in disease-specific mortality was found between sex and ethnicity on multivariate and competing risks analysis. Conclusions: Despite the government-funded public eye care and increasing research and awareness on UM globally, the burden of UM in the 21st century in NZ remains comparable to global studies. We continue to observe an earlier presentation of UM in non-European cohorts, particularly in our Māori population, and further studies on UM in NZ are warranted.
    Type of Medium: Online Resource
    ISSN: 2162-0989
    URL: Article
    DOI: 10.1097/APO.0000000000000625
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2756329-7
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  • 9
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    Conjunctival Melanoma in Aotearoa—New Zealand: A 21-Year Analysis of Incidence and Survival
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Asia-Pacific Journal of Ophthalmology Vol. 12, No. 3 ( 2023-04-3), p. 273-278
    Details
    In: Asia-Pacific Journal of Ophthalmology, Ovid Technologies (Wolters Kluwer Health), Vol. 12, No. 3 ( 2023-04-3), p. 273-278
    Abstract: Conjunctival melanoma (CM) is a rare and aggressive malignancy. Global studies demonstrate increased burden of disease in countries with high rates of cutaneous melanoma. There are currently no reports on CM incidence, trends, or survival within Aotearoa—New Zealand (NZ), a country with the highest global rates of cutaneous melanoma, which this study aims to address. Design: This was a retrospective review using the national cancer registry. Methods: Data on histologically confirmed CM diagnosed between January 1, 2000, and December 31, 2020, were obtained from the NZ Cancer Registry. Cases were identified using the International Classification of Disease, 10th edition (ICD-10) codes. Primary outcome measures were age-standardized incidence, trends, and survival. Results: A total of 68 CM cases were identified. There was a preponderance for females (n=40, 58.8%) and CM predominantly affected European patients (n=63, 92.6%). Median follow-up was 5.0 years [interquartile range (IQR)=2.4–9.9 y] and the median age at diagnosis was 68.5 years (IQR=57.0–79.0 y), with non-Europeans presenting at a significantly younger age [–17.3 y (95% CI: –31.3 to –3.2), P =0.019] than Europeans. The annual age-adjusted incidence(±SD) was 0.6±0.2 cases per million population per year with a stable incidence trend over 21 years. All-cause mortality was found in 28 cases (41.2%) and the median time to death was 3.76 years (IQR=2.1–5.7 y). Five-year all-cause survival and disease-specific survival was 69% and 90%, respectively. Conclusions: This is the first report on CM incidence, trends, and mortality in NZ. The CM burden is in line with European and North American data, despite NZ having the highest rate of cutaneous melanoma. The incidence remained stable over 2 decades.
    Type of Medium: Online Resource
    ISSN: 2162-0989
    URL: Article
    DOI: 10.1097/APO.0000000000000606
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2756329-7
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  • 10
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    Well-being app to support young people during the COVID-19 pandemic: randomised controlled trial
    BMJ ; 2022
    In:  BMJ Open Vol. 12, No. 5 ( 2022-05), p. e058144-
    Details
    In: BMJ Open, BMJ, Vol. 12, No. 5 ( 2022-05), p. e058144-
    Abstract: To evaluate the efficacy and acceptability of ‘Whitu: seven ways in seven days’, a well-being application (app) for young people. Design Prospective randomised controlled trial of Whitu against waitlist control, with 45 participants in each arm. Participants 90 New Zealand young people aged 16–30 recruited via a social media advertising campaign. Setting Participants’ homes. Interventions Developed during the COVID-19 pandemic, and refined from a prototype version that was evaluated during a smaller qualitative study, ‘Whitu: seven ways in seven days’ is a well-being app that, as its name suggests, contains seven modules to help young people (1) recognise and rate emotions, (2) learn relaxation and mindfulness, (3) practice self-compassion and (4) gratitude, (5) connect with others, (6) care for their physical health and (7) engage in goal-setting. It can be completed within a week or as desired. Main outcome measures Primary outcomes were changes in well-being on the WHO 5-item Well-Being Index and Short Warwick-Edinburgh Mental Well-Being Scale. Secondary outcomes were changes in depression on the Centre for Epidemiological Studies Depression Scale, anxiety on the Generalised Anxiety Disorder 7-item Scale, self-compassion on the Self Compassion Scale-Short Form, stress on the 10-item Perceived Stress Scale, sleep on the single-item Sleep Quality Scale and user engagement on the end-user version of the Mobile Application Rating Scale and via qualitative feedback during an online survey. Outcomes were evaluated at baseline, 4 weeks (primary study endpoint) and 3 months, and analysed using linear mixed models with group, time and a group–time interaction. Results At 4 weeks, participants in the Whitu group experienced significantly higher emotional (Mean difference (md) 13.19 (3.96 to 22.42); p=0.005) and mental (md 2.44 (0.27 to 4.61); p=0.027) well-being, self-compassion (md 0.56 (0.28 to 0.83); p 〈 0.001) and sleep (md 1.13 (0.24 to 2.02); p=0.018), and significantly lower stress (md −4.69 (−7.61 to –1.76); p=0.002) and depression (md −5.34 (−10.14 to –0.53); p=0.030), compared with the waitlist controls. Group differences remained statistically significant at 3 months for all outcomes. Symptoms of anxiety were also lower in the intervention group at 4 weeks (p=0.096), with statistically significant differences at 3 months (md −2.31 (−4.54 to –0.08); p=0.042). Usability of Whitu was high (subjective ratings of 4.45 (0.72) and 4.38 (0.79) out of 5 at 4 weeks and 3 months, respectively) and qualitative feedback indicated individual and cultural acceptability of the app. Conclusions Given the evolving psychological burden of the COVID-19 pandemic, Whitu could provide a clinically effective and scalable means of improving the well-being, mental health and resilience of young people. Replication of current findings with younger individuals and in other settings is planned. Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12620000516987).
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2021-058144
    Language: English
    Publisher: BMJ
    Publication Date: 2022
    detail.hit.zdb_id: 2599832-8
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