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Partnership Health Canterbury
Te Kei o Te Waka
Christchurch
Christchurch
Total Population: 398,801
Asian: 27,438Maori: 27,735Pacific: 9,756
Others: 52,434(Middle Eastern/African: 3,036)
European: 281,385
Statistics NZ 2006
EthnicityTotal -
Canterbury% of
PopulationTotal -
Christchurch% of
PopulationChinese 13,410 46.0% 12,807 46.7%Korean 4,746 16.3% 4,611 16.8%Indian 3,429 11.8% 3,171 11.6%
Japanese 2,580 8.8% 2,319 8.6%Filipino 1,287 4.4% 1,059 3.9%
Thai 822 2.8% 738 2.7%Sri Lankan 453 1.6% 435 1.6%Cambodian 258 0.9% 255 0.9%Other Asian
Groups2,463 8.4% 2,301 8.4%
Total 29,172 27,438
Oriental Ethnic Breakdown
Statistics NZ 2006
Partnership Health Canterbury – Capitated Age Bands
Ethnicity 0 - 4 5 - 14 15 - 24 25 - 44 45 - 64 65+
New Zealand European
6.2% 11.6% 11.8% 25.8% 28.2% 16.3%
European (Other) 5.3% 10.7% 8.9% 31.8% 26.9% 16.4%
Maori 12.2% 21.5% 18.5% 27.3% 16.8% 4.0%
Asian 8.6% 14.5% 13.2% 36.0% 22.0% 5.7%
Pacific Island 11.5% 21.1% 17.9% 28.2% 17.2% 4.0%
Middle Eastern 9.9% 18.5% 14.4% 30.9% 22.2% 4.1%
African 13.0% 20.2% 16.0% 36.2% 12.3% 2.4%
Other 3.5% 32.4% 3.3% 11.8% 7.3% 2.4%
Total 6.7% 12.8% 12.6% 26.6% 24.5% 14.2%
PHO: Dec 2009
Family Health Issues
Arthritis, Osteo
BackacheHeart
DiseaseStroke Gastro
Women's Disease
Young People's
Resp. Disease
Infectious Disease
Allergic Diseases
Hearing
14% 24% 5% 1% 11% 11% 2% 4% 3% 23% 6%
DiabetesPhys.
HarassAsthma
High Blood
pressure
Maternity Pregnancy
Acute chronic
pain
Skin Disease
Vision Accidents Dental
6% 3% 10% 13% 11% 3% 18% 14% 22% 36%
TBSexual Health
Stress DepressionMental Health
CancerAutism
Learning Probs
Elderly Illness
Disabilities OtherNo
Problems
0% 0% 14% 12% 2% 2% 2% 1% 1% 0% 8%
GPsPrivate
PsychiatristsHospital Inpatient
Hospital Outpatient
Women's Health
Child's Dental Clinic
AudiologistSchool Health
Services
Children's Rehab.
Services
Child Development
Older person's
home help
79% 5% 19% 27% 15% 35% 7% 16% 0% 3% 3%
Mental Health Service
Private Specialists
A&E Day Surgery or ward
Pregnancy Maternity
Child & Family
Adult Dental Optician Optometrist
2% 27% 32% 14% 13% 5% 37% 22%
Immunisation Service
Adult Rehab.Respite
Disabled Child
Home help discharged
patients
Drug/Alcohol Service
Disabled child needs
assessment
Older people needs
assessment
23% 2% 0% 1% 0% 2% 3%
Current Use of Medical Services
Health-Related Risk Factors
Health-Related Risk Factors
Health-Related Risk Factors
Health-Related Risk Factors
Total Numbers%
Change% of total patients
% of Total Under 21 Population
2008 2009 2008 2009 2008 2009New Zealand European
12,423 13,660 10.0% 77.3% 77.2% 19.0% 13.6%
European Other 616 762 23.7% 3.8% 4.3% 0.9% 0.8%New Zealand Maori
1,485 1,791 20.6% 9.2% 10.1% 2.3% 1.8%
Pacific Island 217 261 20.3% 1.4% 1.5% 0.3% 0.3%Asian 233 280 20.2% 1.5% 1.6% 0.4% 0.3%African 31 34 9.7% 0.2% 0.2% 0.0% 0.0%Middle Eastern 15 25 66.7% 0.1% 0.1% 0.0% 0.0%Other (Latin America etc)
1,045 879 15.9% 6.5% 5.0% 1.6% 0.9%
Total 16,065 17,692 10.1% 24.5% 17.6%
Youth Sexual Health
PHO Data; on file
Although the total under 21-year-old Asian group made up 5.9% (2008) and 6.7% (2009) of the total, it was only responsible for 1.5% and 1.6% of the total number of youth sexual health patient numbers. It was also responsible for only 1.3% and 1.4% of the total number of consultations.
European 0.8%Maori 1.5%Pacific 1.7%Asian 1.6%MELAA 1.2%
Statistics New Zealand (December 2008)
Pregnancy Termination
Asian women have not previously been identified as an at-risk group in New Zealand—rates of chlamydia for Asian women were 14 times higher in this audit thanin the audit of completed pregnancies. [Done 12 months earlier]. NZMJ; March 2005
Ethnicity Numbers %
Male
New Zealand European 573 43.1%European Other 45 3.4%New Zealand Maori 21 1.6%Pacific Island 3 0.2%Asian 13 1.0%African 0 0.0%Middle Eastern 0 0.0%Other (Latin America etc) 18 1.4%
Female
New Zealand European 565 42.5%European Other 42 3.2%New Zealand Maori 20 1.5%Pacific Island 5 0.4%Asian 12 0.9%African 0 0.0%Middle Eastern 0 0.0%Other (Latin America etc) 11 0.8%
Total 1328
End-of-Life Palliative Care
The Art of Questioning
Current smoking, by ethnic group • Asian 11.2 (8.9−13.4) 31,200
Source: A Portrait of Health; New Zealand Health Survey: 2008
Source: Healthcare Needs of Asian People in the Wider Christchurch Area: 2008
Smoking
0% 20% 40% 60% 80% 100% 120%
10% 19% 71%
Most Concern Some Concern No Problem
Do you smoke?
Are you concerned about smoking?
DiabetesPrevalence of Diabetes among Men and Women in China
Wenying Yang, M.D., Juming Lu, M.D., Jianping Weng, M.D., Weiping Jia, M.D., Linong Ji, M.D., Jianzhong Xiao, M.D., Ph.D., Zhongyan Shan, M.D., Jie Liu, M.D., Haoming Tian, M.D., Qiuhe Ji, M.D., Dalong Zhu, M.D., Jiapu Ge, M.D., Lixiang Lin, M.D., Li Chen, M.D., Xiaohui Guo, M.D., Zhigang Zhao, M.D., Qiang Li, M.D., Zhiguang Zhou, M.D., Guangliang Shan, M.D., Ph.D., Jiang
He, M.D., Ph.D., for the China National Diabetes and Metabolic Disorders Study Group
The New England Journal of Medicine; March 25, 2010
9.7% ---- 92,400,000
15.5% ---- 148, 200,000
2008
Total Checks 6,852
Total PHC Population 1.9%
Total Asian 400
% of total Asian Consults 5.6%
% of Total Asian Population 1.9%
2009
Total Checks 5,192
Total PHC Population 1.4%
Total Asian 263
% of total Asian Consults 5.1%
% of Total Asian Population 1.2%
ANNUAL DIABETES CHECKS
PHO Data; on file
New Z
ealan
d Eur
opea
n
Europ
ean
Other
New Z
ealan
d M
aori
Pacific
Islan
dAsia
n
Africa
n
Midd
le Eas
tern
Other
(Lat
in Am
erica
etc
)0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
12.7% BMI < 25
BMI 25-30
BMI > 30
New Z
ealand
Eur
opea
n
Euro
pean
Oth
er
New Z
ealand
Mao
ri
Pacific
Island
Asian
Afric
an
Mid
dle
East
ern
Other
(Lat
in A
mer
ica
etc)
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
50.3%
BMI < 25
BMI > 25
BMI > 30
BMI
In the 2006/07 New Zealand Health
Survey, Asia
n males and females
had almost 2
.5 (males) a
nd over 1.5 (fe
males) tim
es the prevalence of
diagnosed diabetes than males a
nd females in th
e total population. T
his
placed the Asia
n adult group with
the second highest i
ncidence of
diagnosed diabetes behind th
at of Pacific
Islanders.
Female
New Zealand European 747
European Other 59
New Zealand Maori 69
Pacific Island 10
Asian 18
African 5
Middle Eastern 2Other (Latin America
etc)31
Male
New Zealand European 441
European Other 43
New Zealand Maori 48
Pacific Island 6
Asian 8
African 0
Middle Eastern 1Other (Latin America
etc)9
Total 1497
In the 15 months ending June 2009, 1,497 new contacts for the Brief Intervention Counselling service. Only 1.7% were for Asian peoples.
Brief Intervention Counselling
Total Asian
AgeNo.
eligible
Fully immunised for
age %
6 Months 89 76 85%12 Months 121 117 97%18 Months 127 111 87%24 Months 87 79 91%
% Vaccinated
4-year-olds 11-year-oldsNZ European 86% 81%European Other 78% 75%Maori 81% 73%Pacific Islander 72% 70%Asian 81% 69%Middle Eastern 63% 92%African 74% 95%Other 78% 72%Total 84% 79%
Immunisations
PHO Data; on file
B4 Schools Checks
At the end of December 2009, 508 4- and 5-year-old Asian children were enrolled with PHC. 17.5% of them had received a B4 School check.
PHO Data; on file
Total Checks
% Total 4/5 Population %
NZ European 1,875 78.9 6,689 28.0
European Other 81 3.4 717 11.3
Maori 137 5.8 1,079 12.7
Pacific Island 74 3.1 415 17.8
Asian 89 3.7 508 17.5
Middle East 13 0.5 40 32.5
African 12 0.5 63 19.0
Other 95 4.0 232 40.9
Language is an ability which is difficult to measure. It is the single biggest issue
facing migrants to Canterbury.
Language
LanguageLanguage
Language Line
Face-to-Face
Use of Interpreters
Culture
Culture plays an enormous – and often misunderstood – part in the ability to
communicate.
Discussion
“…pride of your parents, your immediate relatives, your extended relatives, and all your dead ancestors rolled up into this brand you will forever bear on your forehead for the rest of your life. Essentially, if you don’t excel …, then you will “lose face” and bring shame not just to yourself, but more importantly your parents, your relatives, your ancestors, and any being dead-or-alive that would bear the same last name as you.”
Dr Jane Chin
The most recent Health Needs Analysis (HNA) published by the Canterbury District Health Board (CDHB) was carried out in 2004 using data from the 2001 census. At that time the Asian population totalled 18,000. Since then, the Asian population has grown by over 10,000 people. The 2004 HNA is woefully out-of-date. That HNA highlighted several areas:
• Health-trained interpreters are essential• Increasing numbers of Chinese GPs and nurses in
Christchurch have helped ease worries for non-English speaking Chinese new immigrants.
• Instructions about taking medications are often not completely understood
• Cultural difficulties in accepting Western medicine• The lack of English language skills• Discrimination
Canterbury does not have an affordable, easily accessible interpreter service.
Worries for non-English speaking immigrants have not eased as stated
Miscommunication about medicine instructions is rife
The lack of understanding of our primary and secondary health care systems confuses most immigrants.
Discrimination continues to exist
The Brief Intervention Counselling Service is not culturally competent