{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T01:15:06Z","timestamp":1778721306401,"version":"3.51.4"},"reference-count":59,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Wh\u0101nau-centredness is core to M\u0101ori wellbeing. Western models of health, in contrast, tend to be deficit-framed and individualistic, although a more collective model can be seen in the concept of syndemics: conditions that cluster in populations and are amplified by health inequities. Through the voices of wh\u0101nau and key informants, we investigated how a wh\u0101nau-ora approach can inform the management of syndemics of long-term conditions and infectious diseases within primary health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study team was gifted the M\u0101ori name P\u016briri [a medicinal tree] by a community leader, enabling the concept of syndemics to be considered in a Te Ao M\u0101ori context. We undertook a qualitative kaupapa M\u0101ori study, conducting focus groups and interviews with purposively selected participants. We utilised descriptive and inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified several themes to guide appropriate management of syndemic conditions in primary care. Participants stressed the importance of whakawhanaungatanga and strengths-based practices when working with wh\u0101nau; culturally appropriate services that are grounded in M\u0101ori worldviews; wh\u0101nau engagement in care; and whakawhanaungatanga, which is also vital at the Provider level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This paper reports findings from a M\u0101ori-led study, building on existing research focused on wh\u0101nau-centred care and established approaches to M\u0101ori health. Building trusting, respectful connections through whakawhanaungatanga was seen as a central practice for engaging with M\u0101ori. Grounded in the symbolism of the P\u016briri, these findings highlight pathways for primary health care to partner with wh\u0101nau and communities in a wh\u0101nau-ora approach to create enduring and equitable solutions to syndemics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py25241","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:57:17Z","timestamp":1778720237000},"source":"Crossref","is-referenced-by-count":0,"title":["Integrating a wh\u0101nau-ora approach in primary care to mitigate the impact of syndemics: wh\u0101nau and key informant views"],"prefix":"10.1071","volume":"32","author":[{"given":"Cheryl","family":"Davies","sequence":"first","affiliation":[{"name":"AT\u016b Kotahi M\u0101ori Asthma and Research Trust, Seaview, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Timu-Parata","sequence":"additional","affiliation":[{"name":"BDepartment of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Signal","sequence":"additional","affiliation":[{"name":"BDepartment of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Baker","sequence":"additional","affiliation":[{"name":"BDepartment of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ridvan","family":"Firestone","sequence":"additional","affiliation":[{"name":"CCentre for Public Health Research, Massey University, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Kvalsvig","sequence":"additional","affiliation":[{"name":"BDepartment of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Robson","sequence":"additional","affiliation":[{"name":"DTe R\u014dp\u016b Rangahau Hauora A Eru P\u014dmare, Department of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Waa","sequence":"additional","affiliation":[{"name":"DTe R\u014dp\u016b Rangahau Hauora A Eru P\u014dmare, Department of Public Health, University of Otago, Wellington, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"2026051320571183800_R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100589","article-title":"The future of M\u0101ori health is here - the 2022 Aotearoa New Zealand health reforms.","volume":"28","author":"Ahuriri-Driscoll","year":"2022","journal-title":"The Lancet Regional Health-Western Pacific"},{"issue":"6","key":"2026051320571183800_R2","doi-asserted-by":"publisher","first-page":"125","DOI":"10.14745\/ccdr.v43i06a02","article-title":"Outbreaks in the age of syndemics: new insights for improving Indigenous health.","volume":"43","author":"Andermann","year":"2017","journal-title":"Canada Communicable Disease Report"},{"issue":"10040","key":"2026051320571183800_R3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/S0140-6736(16)00345-7","article-title":"Indigenous and tribal peoples\u2019 health (The Lancet\u2013Lowitja Institute Global Collaboration): a population study.","volume":"388","author":"Anderson","year":"2016","journal-title":"The Lancet"},{"key":"2026051320571183800_R4","unstructured":"Baker M (2021) Symbiotic: launch of new public health research programme led by Professor Michael Baker. 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