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University teachers' practices of resistance against dominant epistemological norms have been described in recent critical higher education literature, but comparatively little work has explored students' practices of intellectual resistance and negotiation within the university. As part of a larger study on students' experiences of study-life overlap in health professional education, this paper examines students' responses when their knowledge arising from life experience was marginalised. Students used five epistemological strategies to respond to this side-lining of lived knowledge, i.e. building the case that lived knowledge is 'academic', switching to institutionally recognisable language, considering epistemological framing when responding to discrimination or assumptions, sustaining friendships as epistemological work and seeking out settings where their lived experience was valued. This paper argues for the need to understand students as active epistemological agents within the university. It adds to existing critical scholarship on staff practices of intellectual resistance by considering students' practices as part of the academic community.

Significant effort is underway to address the housing crisis in Aotearoa New Zealand (Aotearoa), including rapid investment in public and community housing. As Māori (the Indigenous people of Aotearoa) face many systemic barriers and impediments to home ownership, delivery and development of housing options and make up a significant proportion of public housing tenants, developing and managing housing and associated neighbourhoods that enable and support Māori wellbeing is of critical importance. To support this, we introduce A Whakawhanaungatanga Māori Wellbeing Model for Housing and Urban Environments – for use by researchers, developers, designers, managers and regulators – that emphasises whakawhanaungatanga (relationship building and creating connectedness) as central to wellbeing outcomes for Māori. Here we outline seven key concepts from Te Ao Māori built into our model, and pose questions to help guide researchers and housing and urban development actors in their respective research and development activities. While the model is primarily intended to contribute to Māori wellbeing outcomes in Aotearoa, it may also be of broader international interest to those working toward wellbeing outcomes in relation to housing and urban environments, particularly for Indigenous peoples. [ABSTRACT FROM AUTHOR]

Objective: Maori women in New Zealand have higher incidence of and mortality from cervical cancer than non-Maori women, however limited research has examined differences in treatment and survival between these groups. This study aims to determine if ethnic disparities in treatment and survival exist among a cohort of Maori and non-Maori women with cervical cancer. Methods: A retrospective cohort study of 1911 women (344 Maori and 1567 non-Maori) identified from the New Zealand Cancer Register with cervical cancer (adenocarcinoma, adenosquamous or squamous cell carcinoma) between 1 January 1996 and 31 December 2006. Results: Maori women with cervical cancer had a higher receipt of total hysterectomies, and similar receipt of radical hysterectomies and brachytherapy as primary treatment, compared to non-Maori women (age and stage adjusted). Over the cohort period, Maori women had poorer cancer specific survival than non-Maori women (mortality hazard ratio (HR) 2.07, 95% confidence interval (CI): 1.63-2.62). From 1996 to 2005, the survival for Maori improved significantly relative to non-Maori. Conclusion: Maori continue to have higher incidence and mortality than non-Maori from cervical cancer although disparities are improving. Survival disparities are also improving. Treatment (as measured) by ethnicity is similar. Implications: Primary prevention and early detection remain key interventions for addressing Maori needs and reducing inequalities in cervical cancer in New Zealand. Key words: Cervix neoplasms, cervical cancer, survival, survival analyses, ethnicity, treatment. Aust NZ J Public Health. 2010; 34:193-99 doi: 10.1111/j.1753-6405.2010.00506.x

The aim of this paper is to determine the extent of undercounting of Maori and Pacific deaths in New Zealand during the 1980s and 1990s, and to calculate corrected ethnic mortality and life expectancy trends. We calculated adjustment ratios for undercounting of Maori and Pacific deaths (and over-counting of non-M/iori non-Pacific (nMnP) deaths) using the linked census-mortality data. These ratios were then used to calculate corrected mortality rates and life expectancies. Maori deaths were underestimated by a quarter, and Pacific deaths by a third, during the 1980s and early 1990s. Undercounting was minor in the late 1990s following alignment of ethnicity collection on mortality data to approximate the census. Corrected mortality rates demonstrated 30% (males) and 26% (females) decreases among nMnP from 1980-84 to 1996-99, smaller decreases among Maori (8% and 7%) and no clear change among Pacific people (9% decrease for males, 4% increase for females). The gap in life expectancy increased from an average of 7.7 years in 1980-84 to 10.8 years in 1996-99 for Maori, and from 3.3 to 7.7 years for Pacific people, in comparison to nMnP people. Deaths among 45-64 and 65 plus year olds, and cardiovascular disease and cancer deaths, were the main contributors to these disparities. The economic reforms in New Zealand during the 1980s and early 1990s impacted harder upon Maori and Pacific people in terms of unemployment and income, and are a likely explanation for the diverging mortality trends in this period. Both behavioural factors and health services probably also play a role, but in the absence of trend data by ethnicity, their contribution to diverging mortality trends is unknown. Internationally, our study demonstrates marked undercounting of Maori and Pacific deaths. We strongly encourage researchers and custodians of vital statistics in other countries to investigate the possibility of undercounting of deaths by ethnicity. Keywords: Mortality; New Zealand; Ethnic groups; Socio-economic factors; Health services; Risk factors; Numerator-denominator bias; Maori