title: Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealand

authors: Tan, Kyle K. H.

subjects: gender-affirming care

abstract: BACKGROUND: Past studies have demonstrated better mental health and well-being among transgender youth who had accessed gender-affirming care. However, few existing studies have assessed unmet need for gender-affirming care as a social determinant of mental health inequities.
 METHODS: Data on unmet need for gender-affirming care, distress and suicidality were analysed from the 2018 Counting Ourselves nationwide community-based survey of transgender people in Aotearoa/New Zealand. Associations between unmet need for gender-affirming care and mental health indicators were tested for transgender youth within the sample (aged 14-26 years; n = 608; Mage = 20.5). 
RESULTS: Transgender youth reported unmet needs ranging from 42% for gender-affirming hormone to 100% for feminizing surgeries and voice surgeries. Overall unmet need for gender-affirming care was associated with worse mental health. Trans men with an unmet need for chest reconstruction (84%) scored an average of 7.13 points higher on the K10 Psychological Distress Scale relative to those whose need had been met. Participants reporting unmet need for hormones (42%) had twice the odds (adjusted odds ratios = 2.01; CI = 1.02-3.98) of having attempted suicide in the last 12 months. 
CONCLUSIONS: Dismantling barriers to accessing gender-affirming care could play a crucial role in reducing mental health inequities faced by transgender youth.

text: Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealand BACKGROUND: Past studies have demonstrated better mental health and well-being among transgender youth who had accessed gender-affirming care. However, few existing studies have assessed unmet need for gender-affirming care as a social determinant of mental health inequities.
 METHODS: Data on unmet need for gender-affirming care, distress and suicidality were analysed from the 2018 Counting Ourselves nationwide community-based survey of transgender people in Aotearoa/New Zealand. Associations between unmet need for gender-affirming care and mental health indicators were tested for transgender youth within the sample (aged 14-26 years; n = 608; Mage = 20.5). 
RESULTS: Transgender youth reported unmet needs ranging from 42% for gender-affirming hormone to 100% for feminizing surgeries and voice surgeries. Overall unmet need for gender-affirming care was associated with worse mental health. Trans men with an unmet need for chest reconstruction (84%) scored an average of 7.13 points higher on the K10 Psychological Distress Scale relative to those whose need had been met. Participants reporting unmet need for hormones (42%) had twice the odds (adjusted odds ratios = 2.01; CI = 1.02-3.98) of having attempted suicide in the last 12 months. 
CONCLUSIONS: Dismantling barriers to accessing gender-affirming care could play a crucial role in reducing mental health inequities faced by transgender youth.

year: 2022-12-03

title: Olive and Otto: Placing dance outside the theatre-within the body

authors: Cheesman, Sue

subjects: Olive Bieringa

abstract: Olive Bieringa, a first generation New Zealander, and Otto Ramstad, a third generation American, travel the globe by desire and necessity in order to connect with land, family, explore new cultural contexts and sustain their work practices in dance. These two co-directors, dance performers and video artists regularly return to New Zealand, this time primarily, to run a weeklong BodyCartography project, and to teach the first Body-Mind Centering© (BMC) workshop in NZ.

text: Olive and Otto: Placing dance outside the theatre-within the body Olive Bieringa, a first generation New Zealander, and Otto Ramstad, a third generation American, travel the globe by desire and necessity in order to connect with land, family, explore new cultural contexts and sustain their work practices in dance. These two co-directors, dance performers and video artists regularly return to New Zealand, this time primarily, to run a weeklong BodyCartography project, and to teach the first Body-Mind Centering© (BMC) workshop in NZ.

year: 2007

title: Hangarau me te Māori: Māori and technology

authors: Keegan, Te Taka Adrian Gregory

subjects: Māori

abstract: A sign of a vibrant, healthy developing nation is the adaptation and uptake of new technologies. Māori have a long, but mostly unrecognised, history of ingenious innovation and adaption of new technologies. This chapter will reveal Māori ingenuity through discussion of historic examples and modern media usages by Māori, and the future implications these have for Māori.
Technology can be defined as tools, devices and machines that have been developed by the application of scientific knowledge. Māori technology, then, is Māori tools, devices and machines that have been developed by the application of Māori scientific knowledge. This chapter discusses some examples of innovative Māori technology and their adoption in both historic and modern times. It includes sections on historic Māori technology, Māori media innovation and Māori adoption of Internet technology. Two sections are further expanded on: Māori in social networking sites and te reo Māori in technology. The chapter concludes with the authors' thoughts on how the adoption of new technologies will shape tikanga Māori and te reo Māori into the future.

text: Hangarau me te Māori: Māori and technology A sign of a vibrant, healthy developing nation is the adaptation and uptake of new technologies. Māori have a long, but mostly unrecognised, history of ingenious innovation and adaption of new technologies. This chapter will reveal Māori ingenuity through discussion of historic examples and modern media usages by Māori, and the future implications these have for Māori.
Technology can be defined as tools, devices and machines that have been developed by the application of scientific knowledge. Māori technology, then, is Māori tools, devices and machines that have been developed by the application of Māori scientific knowledge. This chapter discusses some examples of innovative Māori technology and their adoption in both historic and modern times. It includes sections on historic Māori technology, Māori media innovation and Māori adoption of Internet technology. Two sections are further expanded on: Māori in social networking sites and te reo Māori in technology. The chapter concludes with the authors' thoughts on how the adoption of new technologies will shape tikanga Māori and te reo Māori into the future.

year: 2018