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Kaupapa Māori research project reveals structural racism in prostate cancer care

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The Oranga Tū prostate cancer project has mapped the “cancer path” for Māori men, highlighting significant gaps in service delivery and health barriers that lead whānau to seek help through emergency rooms.

Associate Professor Jacquie Kidd (Ngāpuhi), who co-led the Movember-funded project, said whānau was without the guidance they needed to feel safe and sure they had the right tools to diagnose and treat, left with their own research.

“Health services need to involve Māori in making decisions about service delivery.

“They need to be aware of the barriers posed by colonization and racism, and actively address those barriers for Māori within their organizations and in relation to their communities,” says Kidd.

Associate Professor Jacquie Kidd says new research shows the health funding system is creating barriers for Māori men with prostate cancer.

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Associate Professor Jacquie Kidd says new research shows the health funding system is creating barriers for Māori men with prostate cancer.

CONTINUE READING:
* Dr. Matire Harwood wants racism to be addressed in the healthcare system
* Face a Fatal Diagnosis: The Men Who Have Prostate Cancer
* Kaupapa Māori solutions are key to better outcomes in Māori cancer, said hui

Nearly 4,000 men in Aotearoa are diagnosed with prostate cancer each year and 600 men will die from it, the report said. Within this group, Māori men are later diagnosed, have poorer health, and die 50 percent more often than non-Māori men.

The Kaupapa Māori Project used Te Whare Tapa Whā, a world-renowned Māori health philosophy developed by Tā Mason Durie, to provide its framework. It used a Māori lens to analyze the Māori-specific data and examine the cancer journeys of 15 men, their whānau and 30 Māori and non-Māori service providers.

Physical, focused on the physical dimensions of men’s experiences. Mental health issues such as stress, anxiety, and control. The family side included the views of family members and the spiritual side looked at spiritual elements such as religion.

First, Kidd said, the researchers reached out to participants to track their progress in the health system. What they found was that it was not the men or their families that were responsible for the lack of care, but the lack of cohesion between the different types of service that caused problems for the men.

It became clear to Kidd and her team that the system needed an overhaul to help patients navigate the cancer path.

A breakdown in communication between health services has created inequality for Māori with prostate cancer, says one researcher.

DANIEL STONE / UNSPLASH

A breakdown in communication between health services has created inequality for Māori with prostate cancer, says one researcher.

Some participants told the researchers that they were concerned about the process and had not received the information they needed to make decisions about their treatments.

One man said, “I never felt that I was given all of the information about the different treatment options, especially radiation. It wasn’t until much later, when I was with the Prostate Cancer Foundation, that I heard about all the possibilities. “

Another said the separation between his GP and the specialist made him wait for his biopsy results.

“My diagnosis was only confirmed when I went back to the family doctor and got the results of the biopsy and he had to ask the specialist who finally diagnosed him with prostate cancer.”

Kidd said this interruption caused unnecessary anxiety in whānau.

Kidd said current health system funding has been tampered with to put smaller health care providers, often Māori health providers, in competition with larger primary health care organizations. This prevented referrals from going to websites that would help whānau deal with the stress of diagnosis with a multi-dimensional hauora focus, not just clinical.

“The lack of wanaungatanga (kinship) between services actually creates this gap. The Pākehā services would know how to achieve this [Māori] Services but don’t know who works there.

“That is structural racism, it is built into the financing structures.”

But the gaps between whānau and health services could be closed if primary health organizations, working with each other, with other services and the communities where whānau live, operate wanaungatanga with a trusted guide to help them provide the right services to their families find, said Kidd.

MÄ ?? ori men need a multidimensional Hauora approach to get the best results after diagnosing prostate cancer, the researcher says.

Lawrence Smith / stuff

MÄ ?? ori men need a multidimensional Hauora approach to get the best results after diagnosing prostate cancer, the researcher says.

“Our vision is a health card for whānau, on which all services are connected and whānau can see everything that is available to them. This includes whānau knowing how to get outside of all services and services that support whānau, ”says Kidd.

Kidd said the project was one more file to add to the stack that showed the system had been building barriers for Māori to seek equitable health care.

“This is just another piece of research that says what the Māori already know.

“To some extent, there is real hope that the Māori Health Authority will change the culture.”

Robert Dunne, Movember NZ’s country manager, said the organization funded Oranga Tū because it recognized the importance of improving Māori health outcomes.

“Education, innovation and an open discussion about prostate cancer are needed to prevent Māori men from dying prematurely,” said Dunne.

“The importance of spirituality and connection with people, land and history has often been overlooked in this area.

“We hope that this innovative approach from the Māori communities in Waikato and Dunedin can be applied across Aotearoa.”

As part of the project, a cinematic short film was produced that captures the life experience of Māori men with prostate cancer in Aotearoa, including some of those who participated in this research.

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Men’s Health

5 Reasons Why You Need the New November Issue of Men’s Health

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How do you feel when you look in the mirror? We asked this question to more than 4,000 of you earlier this year. For two thirds the answer was: dissatisfied. Some of you were deeply unhappy; others simply saw room for improvement.

But the shapes that we strive for – “tall and wide”, “light and slim”, “what keeps me healthy” – differ just as much as our motivations for the will to change, from peer pressure and insensitive comments to improved athletic performance or the Desire for a longer life. In short, it’s complicated.

As the contributing editor of Men’s Health, Jamie Millar, puts it: “The question of male body image is complex, sometimes paradoxical. It is by definition a superficial topic that goes deep – right to the core of who we are, who we want to be, who we would like not to be. We manifest outward values ​​that we have internalized at some point. “

At the same time as we did our survey, Jamie asked five men about their relationships, what they see in the mirror, and his own experiences. You can find his investigative contribution in our November issue, which is available now.

We also conduct an extensive interview with actor Dave Bautista – a man who has made a name for himself with his imposing stature, but who wants to be known for much more than just muscles. Plus, we have all of the recipes, readings, kit reviews, and life hacks you need for a more powerful month. Here you can see what’s inside:

How men really think about their bodies

The male body image is an underestimated and overlooked topic. A combination of cultural influences, competitive instincts, and a conspiracy of remaining silent can often result in the pressure to look good or to look better being felt but seldom discussed. It’s time to reflect on yourself.

Dave Bautista: Unleashed

You might think you might know him as Deacon Batista or Drax the Destroyer. But this stocky 52-year-old – who calls himself a “dream hunter” and starred in the new science fiction film Dune, is only just beginning to come into its own.

Keeping up with Travis Barker

He was a headliner of rock stars until a tragic accident changed everything. Now the Blink-182 drummer is busy building his own wellness business, prioritizing his health, and showing how the long road to recovery can take some unexpected twists and turns.

The best ways to reduce stress (without hitting the bottle)

Whether you want to extend your sober October or just want to make strategic compromises, these tips will put a cork under stress and keep your spirits up at the end of a (very) long day.

7 minutes to a stronger you

No space in your diary for a trip to the gym today? No problem. These four “microdose” body explosions can be made anywhere. You better move in, well, no time.

This content is created and maintained by a third party and imported onto this page to help users provide their email addresses. You may find more information on this and similar content at piano.io

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Men’s Health

Jeremy Ethier’s No-Equipment 6-Pack Abs Core Training Workout

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If your goal is six pack abs, you have to work hard and eat a disciplined diet – but according to Jeremy Ethier, fitness trainer and founder of Built with Science, you can effectively work your abs without adding a weight. In his latest YouTube video, Ethier shares his four-move abdominal circuit workout without equipment, which he says is tough enough to get real results at home.

First, it addresses three important issues that play an important role in training with your own body weight. Ethier says the key is to hit all four sections of your abs to avoid imbalance in your body and avoid a routine that favors certain regions over the others. He adds that most bodyweight workouts don’t make the exercises harder over time in order to continually stimulate the growth of your abs. In other words, there is no possibility of progressive overload. After all, he says that way too many bodyweight abs exercises will strain your hip flexors and lower back more than your abs – so his workout addresses that issue too.

By solving these three problems, Ethier says you can use this workout for even more effective body weight ab training.

The 6-pack training without equipment

Repeat for 3 rounds, resting 15 seconds between each exercise. Rest 2 minutes between each set.

Failures: 5 to 10 repetitions
Reverse crunches:
10 to 25 repetitions
Crunch:
10 to 25 repetitions
Russian twins:
1 minute continuously

Failures

This movement hits your TVA (transverse abs), which, according to Ethier, is the least talked about about abs. While using an abdominal roll is a great choice to accomplish this, this workout doesn’t use any equipment. Instead, you can achieve a similar effect with work stoppages.

To do this, take all fours with your hands under your shoulders and knees under your hips. Rotate your hips and contract your abs, pulling your belly button into your spine to activate your TVA. Slowly step out with your hands, going only as far out as you can maintain this shape without arching your back, and then step back with your hands.

Reverse crunches

This movement targets the lower abs – Ethier calls it a “bottom-up” exercise, one that lifts your lower body up, like a leg raise.

To do this, lie on your back with your arms straight at your sides and your knees bent at 90 degrees. To initiate your lower abs, squeeze your glutes and contract your abs to create that backward pelvic tilt and press your back against the floor. Instead of thinking about lifting your legs, roll your pelvis towards your belly button. Avoid arching your lower back on the way down and keep it flat on the floor when you hit the floor. You can make this easier or harder depending on how much you pull your legs in or out.

crunch

Crunches hit your upper abs and Ethier sees it as a top-down exercise that brings the top half of your body down.

But you shouldn’t just fall down and bend over like you might be used to. To perform crunches that don’t overwhelm your hip flexors, Ethier recommends using a tool: a rolled-up towel. Start by leaning back, knees bent, and hands folded behind your head. Place the towel under your lower back to increase the range of motion in your abs. Lift your shoulder blades off the floor by flexing your spine and come back down. Do not bring your torso to your knees and avoid tugging your neck to avoid using momentum. Make the reps harder by placing your hands over your head or (when you’re ready to stop the non-gait protocol) using a weight.

Russian twins

These hit the obliques, which Ethier says are best attacked by movements that twist the upper body.

Ethier also warns that most people get this exercise wrong. To make Russian twists more effective, tilt your back at a 45-degree angle. The goal is to touch both sides of the floor with your hands as you rotate your torso so your shoulders dictate the rotation. Focus on aligning your shoulder with your leg. (Your left shoulder lines up with your left leg as you twist to the right.)

To encourage this movement, lift your feet slightly off the floor and try to reach out with your arms further and further out to force your obliques to work harder to stabilize your body.

Ethier recommends doing the workout two to three times a week along with your other workouts. Most importantly, you shouldn’t just stick to the basic structure. When it gets easier, he says you should increase the repetitions and add the progressions he demonstrates for the movements. That way, you can actually take advantage of progressive overload to encourage growth without adding extra weight.


Emily Shiffer is a former men’s health and prevention digital web producer and currently a freelance writer specializing in health, weight loss, and fitness.

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Men’s Health

The No-Sweat Guide to Getting Your Fall Fitness Gear Locked Down

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Fall has always been known as the season of change, but this time it feels different. Beyond the sinking temperatures and dwindling hours of daylight, we are entering a season in which the world as we knew it has changed. It seems like every type of business and industry – restaurants, offices, gyms, cinemas, fashion brands, schools, to name a few – has rethought their approach to everything. And the advantage? Some of these things just make a lot more sense.

One advantage that I have come to appreciate is an optimized and more efficient shopping experience. Often seen as a chore, shopping has taken on a real shine thanks to the unexpected rise of the QR code, of all things. I rarely used them in early 2020 and now I pull out my phone every time I see one – especially in restaurants and shops – knowing it will make my life a lot easier. PayPal and Venmo rushed with a backup, making transactions seamless and secure. You can also continue to collect credit card points when you pay with your credit card through the PayPal app. Win win.

Now even the fitness industry is taking part in the QR code promotion, as brands like Foot Locker, Inc. are accepting PayPal and Venmos no-contact checkout in stores. When home exercise suddenly became the norm, the demand for fitness equipment skyrocketed and has not decreased since then. Brands had to find smart, new ways to get you the things they needed with no hassle. After all, what better way to motivate yourself to sweat it out among strangers (virtual or not) than channeling all of those seizures you had in the weight room?

When it comes to an unprecedented variety of products and brands designed specifically for performance, you will find no better place to shop than the Foot Locker family of stores – which includes Foot Locker, Champs Sports and Footaction. And when you’re getting your workout mojo back into shape, we highly recommend diving in for a hassle-free replenishment that doesn’t have to worry about the return. Here is what you can buy in store.

A sweat-free wardrobe

From sleek, minimalist sweatpants with sporty details to cozy (and trendy!) Sweatshirts, Foot Locker is jam-packed with stylish gear that will get you back to the gym and turn your head without breaking a sweat. For the comings and goings, there’s nothing like Nike’s retro lightweight outerwear, and stock up on these signature Adidas tees that will let everyone know you take style seriously. Getting back into a routine can be tricky, but shopping won’t be: you can just scan and pay with PayPal or Venmo while knowing your banking details are under lock and key.

Standard edition pants

Nike
footlocker.com

$ 75.00

Anorak waffle 2 jacket

Anorak waffle 2 jacket

Nike
footlocker.com

$ 150.00

Classic pullover hoodie

Classic pullover hoodie

champion
footlocker.com

$ 50.00

Originals Essential T-Shirt

Originals Essential T-Shirt

Adidas
footlocker.com

$ 25.00

Some workout kicks you can trust

Every good workout starts with a solid foundation. You have to feel the ground beneath your feet, whether you’re flying over the asphalt and barely touching down or have a good firm hold to lift a heavy weight. Heck, even sipping in the locker room requires proper footwear. While Vans iconic shoes may be one of the few that can be said to be timeless and really serious, a lot of people like them for lifting – their flat insoles provide maximum contact to be properly grounded. In the meantime, the Asics Gel-Cumulus 23 and the Brooks Ghost 14 are the go-to place for guys looking to cover some serious miles and take some time off their splits. And there is no better locker room shoe than an Adidas slide, another style that could be considered a modern classic. Checking out with any of these styles using PayPal and Venmo QR Codes can feel just as fast as your sprint record.

GEL-Cumulus 23

GEL-Cumulus 23

ASICS
footlocker.com

$ 120.00

Adilette slide

Adilette slide

Adidas
footlocker.com

$ 45.00

Spirit 14

Spirit 14

Brooks
footlocker.com

$ 130.00

EVDNT

EVDNT

Vans
footlocker.com

$ 100.00

A couple of fresh upgrades

Even after the session, you need to make sure that everything is right from head to toe. To get started, grab a fitted cap (with just the right amount of high-end designer co-sign) to keep the sun out of your eyes, like this one from cult LA-based brand Fear of God. Grab a sleek, versatile tote bag to carry all of your essentials – sneakers, a couple of protein bars, and a change of clothes – and one that adds value to your outfit, doesn’t distract you. Finally, add a touch of contrast to your outfit with a pair of eye-catching socks. You will need them to remind others that despite your impressive muscle gains, you are still a fun guy.

Adapted cap

Adapted cap

Fear of god
footlocker.com

$ 65.00

A travel bag

A travel bag

Nike
footlocker.com

$ 65.00

Tie-dye socks

Tie-dye socks

Nike
footlocker.com

$ 18.00

3-pack of briefs

While you might not find shopping fun, you at least know that technology has finally made it easy to get your hands on the best gear of the season. You can’t ask for more, can you?

Find out more about paying in person with PayPal or Venmo QR Codes in Foot Locker, Inc. stores here

This content is created and maintained by a third party and imported onto this page to help users provide their email addresses. You may find more information on this and similar content at piano.io

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