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Te Tiriti o Waitangi, a treaty negotiated between Māori (the Indigenous peoples of Aotearoa) and the British Crown, affirmed Māori sovereignty and guaranteed the protection of hauora (health). The Waitangi Tribunal, established in 1975 to investigate alleged breaches of the agreement, released a major report in 2019 (registered as WAI 2575) about breaches of te Tiriti within the health sector in relation to primary care, legislation, and health policy. This article explores the implications of this report for the New Zealand health sector and the decolonial transformation of health systems. The tribunal found that the Crown has systematically contravened obligations under te Tiriti across the health sector. We complement the tribunal’s findings, through critical analysis, to make five substantive recommendations: (1) the adoption of Tiriti-compliant legislation and policy; (2) recognition of extant Māori political authority (tino rangatiratanga); (3) strengthening of accountability mechanisms; (4) investment in Māori health; and (5) embedding equity and anti-racism within the health sector. These recommendations are critical for upholding te Tiriti obligations. We see these requirements as making significant contributions to decolonizing health systems and policy in Aotearoa and thereby contributing to aspirations for health equity as a transformative concept.

Young people are often accused of being foolhardy for posting photos on Facebook that depict drinking and intoxication. However, in this article, we argue young people’s predilection for posting Facebook drinking photos must be understood in relation to Facebook’s specific architecture and affordances, and is symptomatic of new forms of online sociality and “required” aspects of identity work which are tied to imperatives for self-promotion in the current conjuncture. Focusing on young people’s own accounts of Facebook drinking displays derived from 24 focus groups in Aotearoa New Zealand, we develop an interpretative thematic analysis which suggests drinking photos facilitate valued forms of “amplified,” “authentic” sociality, visibility, and popularity. Our analysis highlights young people as negotiating forms of social connection and precarious popularity online in an active effort to navigate the risks and opportunities associated with drinking as a site of pleasure, leisure, and self-display. However, their experiences remain differentiated and entail the uneven distribution of risks and opportunities due to elided structural power relations. Moreover, while individuating imperatives for self-promotion are in one sense unavoidable, they are also contested through forms of evasion, resistance, and broader struggles for value linked to articulations of alternate senses of selfhood.

Addresses the detrimental effects of digital marketing through social media such as YouTube and Facebook on the intended use and actual consumption of unhealthy food and beverage products in New Zealand. Refers to recent research in this regard. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.

aims: Little is known about the exposure of young people in Aotearoa New Zealand to marketing of vape products on social media. This study investigated vaping behaviour and the extent of vape marketing exposure and engagement that young people (14–20 years) report on social media and examined differences across socio-demographic groups. methods: An online survey was conducted with 3,698 participants aged between 14–20 years (M=17.1; SD=1.8). A range of genders (55.7% females, 38.3% males and 6% another gender), ethnicities (25.6% Māori, 46.7% Pākehā or NZ European, 6.5% Pasifika and 21.2% another ethnicity) and social classes took part. results: Half (50.8%; n=1,110) of the respondents (N=2,185) reported that they had vaped at least once; vaping history was positively related to exposure to and engagement with digital vape marketing. Half (50.3%; n=1,119) of the respondents (N=2,224) reported seeing vape marketing on at least one social media platform. Binary logistic regressions showed that younger respondents were more likely to report seeing vape marketing than older respondents, and Māori and Pasifika more likely than other ethnicities. Over a quarter (26%; n=563) of respondents (N=2,148) reported engaging with vape marketing online, with Māori and Pasifika respondents more likely to engage than other ethnicity groups, and similarly for respondents of lower compared to higher socio-economic status. No interaction effects were found. conclusions: Many young people, including a subset under the legal age for purchase, reported seeing vape product marketing on social media platforms. Patterns of exposure to vape product marketing on social media mirror the inequitable marketing exposure of harmful commodities in physical environments. Improved transparency and regulation of social media marketing is required.

To broaden public health approaches to alcohol use, this study provides an initial exploration of the social context of alcohol use among Māori in Aotearoa/New Zealand, from the perspectives of older Māori. Utilising a Māori-centred research approach, face-to-face interviews were conducted with 13 older Māori people to explore their personal experiences of alcohol use across their lifetime. Thematic analysis was used to identify common themes that contextualised stories of alcohol use within a Māori cultural framework. Four themes were identified: alcohol use within (1) a sporting culture, (2) a working culture, (3) the context of family, and (4) Māori culture. These themes highlight the influence of social factors such as the desire to socialise and seek companionship; the physical location of alcohol use; the importance of social networks, particularly whānau (family); and the role of cultural identity among Māori. In regard to cultural identity, the role of the marae (traditional meeting place/s of Māori), tikanga (the right way of doing things), and the relationship of kaumātua (respected elder) status to personal and whānau alcohol use are highlighted as important focuses for further research among Māori in Aotearoa/New Zealand.

Investigates how Tauiwi, or non-Maori, GPs talk about Maori health. Subjects the transcripts of interviews with 25 general practitioners from urban Auckland, on the topic of Maori health, to detailed discourse analysis. Describes interpretive repertoires (patterns of language use on particular topics) that participants drew upon in their interviews. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.

This paper reports findings from a qualitative research project investigating how Tauiwi general practitioners talk about Maori health. Tauiwi is a Maori term for non-Maori New Zealanders. The transcripts of interviews with 25 general practitioners from urban Auckland on the topic of Maori health, were subjected to detailed discourse analysis. Through these readings, interpretative repertoires (patterns of language use on particular topics) that participants drew upon in their interviews, were described. We outline the main interpretative repertoires utilised by participants in their talk about Maori health. These include key explanatory forms relating to prevalence and causality of Maori health problems, and rationales for specialised practices when working with Maori. The repertoires, which are considered to be generalised discursive resources for the construction and elaboration of specific arguments, are oriented to constructions of Maori health that either blame Maori for their plight or justify existing service provision. As such, they are antithetical to arguments for changes to policy and practice that might bring about population-level health gains for Maori.