1. Public health issues of Asian New Zealanders Challenges and triumphs Ch ll dti h NZ Diversity Forum 2010y

2. Definition of Asian in NZ The term Asian encompasses p people from a vast area- Japanin the east to Afghanistan in the west and of the354,549 Asians in NZ, 248,364 wereborn in Asia. 3. Who is Asian in New Zealand? 0% 2% 1%0%0%0%1%1% 1% 1%1%2%2% 2% 2% 2% 3% 39% 5% 9%27%Chinese nfdIndian nfdKoreanFilipinoJapaneseSri Lankan nfd Cambodian ThaiFijian Indian j TaiwaneseVietnamese Malay IndonesianAfghani Asian nfdPakistaniEurasianBangladeshi Malaysian Chinese LaotianOther Asian 4. Asian population p pAsians now 9.2% of the population(2006)354,549354 549 peoplel 169.2% f9 2% of NZpopulation (Statistics of New14Zealand, 2006) 12 108 Asian NZ population size6420 1991 2001 2006 2020 5. Demographics continued Demographics-continued 2006 Census:Auckland 98,391 Chinese, 74,442 Indians, region g 21,351 Korean, 9,819 Filipino, 9 819 Fili i 5,289 Japanese and 5,049 Sri LankansWellington14,895 Chinese, 11,073 Indians, region2,367 Filipino Canterbury13,410 Chinese, 4,746 Koreans, region3,429 Indians, 1,287Filipino Waikato Region 7,122 Chinese, 5,637 Indians, 1,383 Koreans. 6. Health status of Asians living outside AsiaOverseas studies [ in UK] have showndeteriorating health amongst Asians over aperiod of time Generally Asians, who are largelyimmigrants, come to NZ healthy because ofimmigration medical screening-butbecause of various reasons [ genetic,b f itilifestyle..] over a period of time developdiseases 7. Asian health issues - sourcesAsian Health inAotearoa in 20062006-2007Trends since 2002-2003 July2010Asian Health ChartBook- 2006 8. Asian health issues SociodemographyLifestyle issuesChronic diseasesHealth service utilisation (accessto health services) 9. Sociodemography Asian people, along with Mori and Pacific, were distributed more towards the younger age-groups than Europeans 50% of adults aged 15-34 years compared with 29% of the PakehaThe time lived in New Zealand increased in all three Asian ethnic groups 10. Sociodemography contd..The Asian community is highly educated,e s a co u ty s g y with all three Asian ethnicities being more likely to have a University bachelor or post-graduate degree (with 35% of adults in 2006- 07 having a university degree, compared to only 18% of Europeans)Asian people, along with Polynesian, were distributed more towards low household income categories than European 11. Lifestyle Chinese and Other Asian children, along with M i and P ifi llith Morid Pacific, less lik llikely to have been breast-fed than European and South Asian childrenAmong all Asians, lowerAsians proportions of people eating the recommended daily number of serves of fruit and vegetables 12. Lifestyle contd...Physical activity - Asian people, along ys ca act ty s a peop e, a o g with Pacific, were less likely to be physically active than European and Mori This trend has not changed since 2002- 2003 13. Lifestyle contd... Tobacco - There was no change in the frequency ofg qy tobacco smoking by Asian men or women between the two surveys Alcohol - The frequency of alcohol consumption increased in Chinese and Other Asians between the two surveys, but remained unchanged in South Asians 14. Lifestyle contd...Ga b g Gambling - Asian people were less likely s a peop e e e ess e y to gamble than other New ZealandersThe proportion of Asian people who gamble remained unchanged between the two surveysLotto was the most common type of gambling by Asian people 15. Lifestyle contd...Acculturation - A longer period ofccu tu at o o ge pe od o residence in New Zealand by Asian people was associated with increased likelihood of being an alcohol drinker and of being overweight and obese 16. Chronic diseasesAdults: Ca d o ascu a disease anddu ts Cardiovascular d sease a d diabetes - South Asian, Pacific and Mori people had increased prevalences of being on treatment for hypertension compared to EuropeanSouth Asian people had double the risk of being on t b itreatment for high cholesterolt t f hi h h l t l than European 17. Chronic diseases contd...The prevalence of being on treatment fore p e a e ce o be g o t eat e t o diabetes was increased four-fold in South Asian and Pacific, and two-fold in Other Asian and Mori, compared with EuropeanThe prevalence of obesity has significantly increased among Asian adults in New Zealand from 2002-03 to 2006-07 Z l df 2002 03 t 2006 07 18. Health service utilisation Asian adults and children were generally less likely to have seen in the last 12 months a range of health professionals including medicalprofessionals, specialists, pharmacists, and social workers, than EuropeansChinese people were more likely to have seen an acupuncturist or Chinese medical practitioner in the last 12 monthsAsian adults were more likely to see their GP for short-term illnesses and less likely for mental or emotional health reasons or contraceptive reasons, advice, than Europeans 19. Health service utilisation contd... Overall parents and care-givers of Asian children were less likely to have used telephone helplines in the last 12 months than EuropeanSouth Asian children, Chinese children and overall Asian adults were less likely to have used a public hospital in the last 12 months compared to EuropeanSimilar for oral health 20. Are you bored??? 21. Asian health issues from Asian Health Chartbook H lth Ch tb k 2006LBW: Indian newborns are at significantlyhiger risk of low birth weight than theggeneral populationp pAsthma: Indian boys are 1.5 times morelikely to be hospitalised for Asthma than thewhole populationCancer: StCStomach cancer rates are hi hhthigherfor Chinese females and other Asian malesthan the rest of the population 22. Asian health issues [cont..]? CVD: Indian males and females have significantly higher cardiovascular disease hospitalisation and mortality rates than the total populationIHD: Ischaemic heart disease hospitalisation is significantly higher for Indians than the total populationDuration of Residence: There is a dose-response relationship between duration of residence in New Zealand and cardiovascular disease mortality for the Asian ethnicity groups. 23. Asian health issues [cont ]? [cont..]? ACCESS RATES: Mammography Screening: Women of all Asianethnic groups have lower mammographyscreening uptake than New Zealand Europeanwomen Cervical Screening:All of the Asian ethnic groupshave a lower rate of cervical screening than New gZealand European women 24. Other issues Mental Health issuesSexual Health issuesLanguage issuesg gFamily violenceyHealth disparities 25. The Journey begins.... 26. So, what is the solution? One size does not fit allt ll 27. TANI TANI stands for:TheAsianNetworkIncorporated 28. Formation of TANI? Outcome of Asian Forum organised by Auckland City Council in 2000Formally incorporated in December 2002TANIs council included members from a range of Asian ethnicities: Mainland ChineseBangladeshi IndianKorean Hongkong ChinesePhilpino Mori/Chinese Sri Lankan ThaiMalaysian Burmese 29. Vision of TANI Asian New Zealanders enjoy optimal quality of life and well being 30. Mission of TANI TANIs mission is to develop strong and healthy Asian communities in Aotearoa New Zealand by:Networking & Connecting Advocating for and Promoting the welfare Ensuring participation in policy making Liaising with other Organizations Li i i Identifying further opportunities of collaboration Responding to the changing needs Being a credible national voice 31. Structure 32. Team TANI 33. Activities of TANI 34. Activities of TANI Empowering Asian communities by: - Working collaboratively with them - Promoting their respective services - Exploring & developing networks - Organising professional development workshops - Advocating - Partnering with Several Govt and Non-Govt organisations Asian communities Educational institutes and research centres 35. Empowering Asian communities Expand and maintain network Build relationship 36. Empowering Asian communities Invite the community byRole sharing Co-working as a team Identify the issues and needs 37. Some models of working togetherKorean YouthSeminarin association with KoreanSociety of AucklandKorean Health andWellbeing ForumA role model of collaborationwith 3 parties :-Asian community A i it NGO Government agencies 38. Review : Positives and ChallengesSupporting the Asian communities to be more involved More confident fid t of accessing to thef i resources Need to manage the needs Takes time & Long commitment Lack of workforce Funding various issues for each Asian group Other issues 39. Activities of TANI 40. Networking and connecting up diverse Asian communities 41. Activities contd Increasing public health knowledge and awareness in Asian communities and among policy planners Seminars and Forums (8 Annual Asian forums, 39 General networks meetings and several workshops & collaborative seminars) Raising TB awareness project S b i i Submissions Public Consultations 42. Activities contd Increasing public health knowledge and awareness in Asian communities and among policy planners Mt Roskill HEHA project 43. Activities contd Facilitating research Asian Public Health Project (2002) Asian Health in Aotearoa (2005) Asian Health Chart Book (2006) Co-hosted two International Asian Health Conferences (2006 & 2008) Supported & participated in PHA Conferences Co-ordinated & participated in focus groups for families commission, AUT, UoA U A 44. What more TANI can do? Future prospects: Enhance networks with Asian Communities l Citi locally as well asll ll Nationally Work more closely with health service providers of the regions where Asian population is growing fasterSSupport & empower Asian tA i communities of these regions 45. Challenges for TANI Vast diversity of Asian communitiesLow visibility in public health planningLack of research and dataCommunity members burn-out (Lack ofburn out volunteers)Myth that Asians are healthy and wealthy healthy wealthyFunding support 46. SWOT Analysis with Wellington Asian communities - 2009 Strengths: - Motivated - Family centred - Interested in taking ownership - Bring new cultural, economic and technologicalcultural perspectives, skills, innovations and knowledges - Population growth -GGreater awareness of the need to address Asian f hddd A i health priorities & concerns - Maintain connections with their communities and with the countries of origin - Building credibility and visibility in the sector 47. SWOT Analysis contd.. Weaknesses: - Lang age & technological barriers Language ba ie s - Social isolation (for rest of the family members) - Cultural resistance - Gap between inclusive policy and practice - Un employment and underemployment - Lack of champions in government sector - Healthy immigrant effect - Institutionalised and bureaucratic exclusion 48. SWOT Analysis contd..Opportunities: - Develop and increase Asian workforce - To have a national pan Asian collaboration - Partnership with OEAs initiatives - To support and fund multilingual DVD for new mig ants (Cante b ne migrants (Canterbury) ) - Put forward credible Asian candidates for local and central govt roles Threats: - Escalating health costs eg: oral health - Change of focus and budget cuts due to recession - Post migration stress 49. Only when all contribute their firewood can they build up a strong fire we all have a role to play 50. Acknowledgements A big thanks to all of you Past & current TANI council members Ministry of Health Auckland District Health Board (ADHB) Partner organisations g TANI network members 51. Our contact detailswww.asiannetwork.org.nzPh: 09-8152338 09 8152338