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Objectives. To document and explore the experience of migrant care workers providing health and social care to the elderly in institutional care settings and in the homes of the elderly in the community in New Zealand with a particular focus on the affective components of care work. Design. This qualitative study involved conducting face-to-face, open-ended, semi-structured interviews with 29 migrant care workers in the eldercare sector in the cities of Auckland and Wellington, New Zealand. Participants were recruited through various agencies focusing on aged care and engaged with migrant eldercare workers and snowballing through participant referral. Sample size was determined when saturation was reached. The interviews were audio recorded, transcribed verbatim, themes were identified and then analysed drawing on a body of theoretical work in the fields of emotional anthropology and moral geography and the international empirical literature addressing migrant eldercare workers. Results. As with the international research in this field we found that these workers were vulnerable to exploitation, the workforce is largely feminised and stereotypical understandings of racial groups and national characteristics informed recruitment and the workplace experience. Here attributing gradients of affect to particular migrant groups in the workforce was the main mechanism employed to establish worker worth and difference. Identifying with these gradients of affect enabled these eldercare workers to demonstrate that they met the moral and ethical requirements of permanent residency and ultimately citizenship. Eldercare workers in the home were vulnerable to ‘blurred emotional boundaries’ and care recipient demand for greater emotional commitment. The migrant eldercare workers in this study all shared vulnerable residential status and many feared they would never obtain permanent residency or citizenship. All had family who remained in the Philippines and towards whom they had an obligation to substitute care support. Conclusion. Central to understanding how this labour force issue is experienced by both caregivers and the elderly is the notion ofsubjective proximityand how emotional and moral trajectories serve to mediate the connection between the eldercare worker and workplace, the Filipino migrant eldercare relationship with employers, agencies and institutions; and, the transnational nature of this mobility and social and actual citizenship. [ABSTRACT FROM AUTHOR]

This study addresses recreational behaviours of immigrants and ethnic minorities, with a focus on nature-based recreation in national and regional parks. The study comprised a survey questionnaire that compared immigrants with New Zealand-born citizens. The study was motivated in part by research undertaken internationally that demonstrates different recreational behaviours for ethnic minorities and for those of recent migrant status. This paper reports on five aspects: frequency of use; nature of the recreation party; constraints to participation; important features of natural areas; and benefits of visiting natural areas. The data revealed statistically significant differences based on migrant status and ethnicity for a range of recreation-related variables. The migrant and ethnic minority cohort in this study had lower incomes than New Zealand-born respondents. This may suggest that marginality and ethnicity need to be considered together as explanatory variables for recreational behaviour. [ABSTRACT FROM PUBLISHER]

Outdoor nature-based recreation practices provide a window on human/non-human relationships in New Zealand society and for some new immigrants these relationships metaphorically parallel their settlement experiences. This paper draws on the qualitative component of a mixed method study conducted in New Zealand, which focused on participation in outdoor nature-based recreation in national and regional parks. Recent immigrants in New Zealand bring with them environmental values and expectations of what recreational participation in outdoor nature-based settings should and might entail. Recent migrant perceptions of these natural habitats throw into relief assumed givens about the role of national parks and the social and cultural function that these institutions have fulfilled since their inception in New Zealand society. Our research demonstrates that being able to locate one’s self in nature-based settings is central to migrant integration, yet for a significant group of immigrants this is not always possible in New Zealand. This research raises a number of important questions about the nature of leisure and the politics of the environment in New Zealand. In multicultural New Zealand outdoor nature-based recreation, those who participate and those who do not, what they see and what it means to them provides a window on contemporary societal, environmental and cultural politics. [ABSTRACT FROM PUBLISHER]

Objectives Although antibiotic use in the community is a significant contributor to resistance, little is known about social patterns of use. This study aimed to explore the use of antibiotics by age, gender, ethnicity, socio-economic status and rurality. Methods Data were obtained on all medicines dispensed to ambulatory patients in one isolated town for a year, and data on antibiotics are presented in this paper. Demographic details were obtained from pharmacy records or by matching to a national patient dataset. Results During the study year, 51% of the population received a prescription for one or more antibiotics, and on average people in the region received 10.15 defined daily doses (DDDs). Prevalence of use was higher for females (ratio, 1.18), and for young people (under 25) and the elderly (75 and over), and the amount in DDDs/person/year broadly followed this pattern. Māori (indigenous New Zealanders) were less likely to receive a prescription (48% of the population) than non-Māori (55%) and received smaller quantities on average. Rural Māori, including rural Māori children, received few prescriptions and low quantities of antibiotics compared with other population groups. Conclusions The level of antibiotic use in the general population is high, despite campaigns to try to reduce unnecessary use. The prevalence of acute rheumatic fever is high amongst rural Māori, and consequently treatment guidelines recommend prophylactic use of antibiotics for sore throat in this population. This makes the comparatively very low level of use of antibiotics amongst rural Māori children very concerning. [ABSTRACT FROM PUBLISHER]

The increased use of information technology in health care allows researchers to generate data on rates of medication use among population groups, raising questions as to whether these rates are too high or too low. This paper presents findings from a study of records of all prescription medication dispensed in one New Zealand region (Te Tāirawhiti) over a one year period. The study examined patterns of psychotropic medication use amongst older people, by age, gender, ethnicity and socio-economic position. It concludes that the chances of being defined as needing psychotropic medication, that is, of being 'medicalised', are not evenly spread through the elderly population. Gender, age and ethnicity impacted significantly on whether prescriptions were received. Our results suggest the need for a nuanced understanding of the medicalisation of unhappiness and deviant behaviour amongst the elderly which takes into account barriers to treatment for some social groups. [ABSTRACT FROM AUTHOR]

This paper focuses on technologies for assisting conception and considers how normative notions of conception and family formation have informed the rejection, incorporation and adaptation of technologies and their regulation in New Zealand. Drawing on a textual analysis of primary written materials and secondary sources generated between 1965 and 2004, the paper reveals how these technologies help various groups in New Zealand society make explicit their understandings of relatedness, identity and social and cultural belonging. Whilst biological/genetic connection and social connections inform understandings of kinship, reproduction, parenthood and social structure for many New Zealanders, the boundaries between the biological and social are often blurred and precedence of one over the other is very much context dependent. The incorporation of the new reproductive technologies has been an inherently politicised process, with barriers to access to these technologies emerging in relation to ethnic identity and race, sexuality, socioeconomic status, gender, and marital status. [ABSTRACT FROM AUTHOR]