Section of Social and Community Health, School of Population Health, The University of Auckland, Auckland, New Zealand.
Section of Epidemiology and Biostatistics, School of Population Health, The University of Auckland, 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.
BMC Public Health. 2023 Jun 9;23(1):1110. doi: 10.1186/s12889-023-16011-0.
Understanding the diversity and multiplicity of identities experienced by youth in Aotearoa (Te reo Māori name of the country) New Zealand (NZ) is vital to promoting their wellbeing. Ethnic minority youth (EMY) in NZ (defined as those identifying with Asian, Middle Eastern, Latin American and African ethnic origins) have been historically under-studied and under-counted, despite reporting high levels of discrimination, a major determinant of mental health and wellbeing and potentially a proxy for other inequities. In this paper, we describe the protocol for a multi-year study that examines, using an intersectional approach, how multiple marginalised identities impact mental and emotional wellbeing of EMY.
This is a multiphase, multi-method study designed to capture the diversity of lived realities of EMY who self-identify with one or more additional marginalised intersecting identity (the population referred here as EMYi). Phase 1 (Descriptive study) will involve secondary analyses of national surveys to examine the prevalence and relationships between discrimination and wellbeing of EMYi. Phase 2 (Study on public discourse) will analyse data from media narratives, complemented by interviews with stakeholders to explore discourses around EMYi. Phase 3 (Study on lived experience) will examine lived experiences of EMYi to discuss challenges and sources of resilience, and how these are influenced by public discourse. Phase 4 (Co-design phase) will use a creative approach that is youth-centered and participatory, and will involve EMYi, creative mentors and health service, policy and community stakeholders as research partners and advisors. It will employ participatory generative creative methods to explore strengths-based solutions to discriminatory experiences.
This study will explore the implications of public discourse, racism and multiple forms of marginalisation on the wellbeing of EMYi. It is expected to provide evidence on the impacts of marginalisation on their mental and emotional wellbeing and inform responsive health practice and policy. Using established research tools and innovative creative means, it will enable EMYi to propose their own strength-based solutions. Further, population-based empirical research on intersectionality and health is still nascent, and even more scarce in relation to youth. This study will present the possibility of expanding its applicability in public health research focused on under-served communities.
了解在新西兰（Te reo Māori 国家名称）奥克兰的青年所经历的多样性和多重身份对于促进他们的幸福至关重要。新西兰的少数族裔青年（EMY）（定义为那些认同亚洲、中东、拉丁美洲和非洲族裔的人）历史上研究不足，统计数据不足，尽管他们报告说受到高度歧视，这是心理健康和幸福感的一个主要决定因素，也可能是其他不平等的代表。在本文中，我们描述了一项多年研究的方案，该研究使用交叉方法，研究多种边缘化身份如何影响 EMY 的心理和情感幸福感。
这是一项多阶段、多方法的研究，旨在捕捉自我认同一种或多种额外边缘化交叉身份（这里称为 EMYi 的人群）的 EMY 的生活现实多样性。第 1 阶段（描述性研究）将涉及对全国性调查的二次分析，以研究 EMYi 的歧视和幸福感之间的普遍性和关系。第 2 阶段（公共话语研究）将分析媒体叙述中的数据，并辅以对利益相关者的采访，以探讨围绕 EMYi 的话语。第 3 阶段（生活经历研究）将研究 EMYi 的生活经历，讨论挑战和弹性来源，以及这些如何受到公共话语的影响。第 4 阶段（共同设计阶段）将使用以青年为中心和参与式的创造性方法，让 EMYi、创意导师和卫生服务、政策和社区利益相关者作为研究伙伴和顾问。它将采用参与性生成性创意方法，探索针对歧视性经历的基于优势的解决方案。
这项研究将探讨公共话语、种族主义和多种形式的边缘化对 EMYi 幸福感的影响。预计将提供有关边缘化对其心理和情感幸福感的影响的证据，并为有针对性的卫生实践和政策提供信息。使用既定的研究工具和创新的创意手段，它将使 EMYi 能够提出自己的基于优势的解决方案。此外，基于人口的交叉性和健康研究仍处于起步阶段，与青年相关的研究更为稀缺。这项研究将展示在以服务不足的社区为重点的公共卫生研究中扩大其适用性的可能性。
