People aged 65 years and older are the fastest growing age group in New Zealand. By the mid-2070s, there are predictions that this age group is likely to comprise approximately one third of the population. Older people are encouraged to stay in their own homes within their community for as long as possible with support to encourage the extension of ageing in place. Currently around 14% of those aged 75 years or older, make the move into retirement villages. This is expected to increase. Little is known by retirement villages about the wellbeing and health of those who decide to live independently in these facilities. Predicting the need for a continuum of care is challenging. This research measured the wellbeing and health of older adults. It was situated in a critical realist paradigm, overlaid with an empathetic axiology. A focused literature review considered the impact on wellbeing from the aspects of living place, age, gender, health status and the 2010/2011 Canterbury earthquakes. Longitudinal studies used the Enlightenment Scale and the interRAI Community Health Assessment (CHA) to measure the wellbeing and health of one group of residents (n=120) living independently in one retirement village in Canterbury, New Zealand. The research was extended to incorporate two cross-section studies when initial results for wellbeing were found to be higher than anticipated. These additional studies included participants living independently from other retirement villages (n=115) and those living independently within the community (n=354). A total of 589 participants, aged 65 – 97 years old, completed the Enlightenment Scale across the four studies. Across the living places, wellbeing continued to significantly improve with age. The Enlightenment Scale was a useful measure of wellbeing with older adults. Participants in the longitudinal studies largely maintained a relatively good health status, showing little change over the study period of 15 months. Predictions for the need for a move to supportive care were not able to be made using the CHA. The health status of participants did not influence their level of wellbeing. The key finding of note is that the wellbeing score of older adults increases by 1.27 points per year, using the Enlightenment Scale, irrespective of where they live.
INTRODUCTION: Connections between environmental factors and mental health issues have been postulated in many different countries around the world. Previously undertaken research has shown many possible connections between these fields, especially in relation to air quality and extreme weather events. However, research on this subject is lacking in New Zealand, which is difficult to analyse as an overall nation due to its many micro-climates and regional differences.OBJECTIVES: The aim of this study and subsequent analysis is to explore the associations between environmental factors and poor mental health outcomes in New Zealand by region and predict the number of people with mental health-related illnesses corresponding to the environmental influence.METHODS: Data are collected from various public-available sources, e.g., Stats NZ and Coronial services of New Zealand, which comprised four environmental factors of our interest and two mental health indicators data ranging from 2016 up until 2020. The four environmental factors are air pollution, earthquakes, rainfall and temperature. Two mental health indicators include the number of people seen by District Health Boards (DHBs) for mental health reasons and the statistics on suicide deaths. The initial analysis is carried out on which regions were most affected by the chosen environmental factors. Further analysis using Auto-Regressive Integrated Moving Average(ARIMA) creates a model based on time series of environmental data to generate estimation for the next two years and mental health projected from the ridge regression.RESULTS: In our initial analysis, the environmental data was graphed along with mental health outcomes in regional charts to identify possible associations. Different regions of New Zealand demonstrate quite different relationships between the environmental data and mental health outcomes. The result of later analysis predicts that the suicide rate and DHB mental health visits may increase in Wellington, drop-in Hawke's Bay and slightly increase in Canterbury for the year 2021 and 2022 with different environmental factors considered.CONCLUSION: It is evident that the relationship between environmental and mental health factors is regional and not national due to the many micro-climates that exist around the nation. However, it was observed that not all factors displayed a good relationship between the regions. We conclude that our hypotheses were partially correct, in that increased air pollution was found to correlate to increased mental health-related DHB visits. Rainfall was also highly correlated to some mental health outcomes. Higher levels of rainfall reduced DHB visits and suicide rates in some areas of the country.
The Eastern Humps and Leader faults, situated in the Mount Stewart Range in North Canterbury, are two of the ≥17 faults which ruptured during the 2016 MW7.8 Kaikōura Earthquake. The earthquake produced complex, intersecting ground ruptures of these faults and the co-seismic uplift of the Mount Stewart Range. This thesis aims to determine how these two faults accommodated deformation during the 2016 earthquake and how they interact with each other and with pre-existing geological structures. In addition, it aims to establish the most likely subsurface geometry of the fault complex across the Mount Stewart Range, and to investigate the paleoseismic history of the Leader Fault. The Eastern Humps Fault strikes ~240° and dips 80° to 60° to the northwest and accommodated right- lateral – reverse-slip, with up to 4 m horizontal and 2 m vertical displacement in the 2016 earthquake. The strike of the Leader Fault varies from ~155 to ~300°, and dips ~30 to ~80° to the west/northwest, and mainly accommodated left-lateral – reverse-slip of up to 3.5 m horizontal and 3.5 m vertical slip in the 2016 earthquake. On both the Eastern Humps and Leader faults the slip is variable along strike, with areas of low total displacement and areas where horizontal and vertical displacement are negatively correlated. Fault traces with low total displacement reflect the presence of off-fault (distributed) displacement which is not being captured with field measurements. The negative correlation of horizontal and vertical displacement likely indicates a degree of slip partitioning during the 2016 earthquake on both the Eastern Humps and Leader faults. The Eastern Humps and Leader faults have a complex, interdependent relationship with the local bedrock geology. The Humps Fault appears to be a primary driver of ongoing folding and deformation of the local Mendip Syncline and folding of the Mount Stewart Range, which probably began prior to, or synchronous with, initial rupture of The Humps Fault. The Leader Fault appears to use existing lithological weaknesses in the Cretaceous-Cenozoic bedrock stratigraphy to rupture to the surface. This largely accounts for the strong variability on the strike and dip of the Leader Fault, as the geometry of the surface ruptures tend to reflect the strike and dip of the geological strata which it is rupturing through. The Leader Fault may also accommodate some degree of flexural slip in the Cenozoic cover sequence of the Mendip Syncline, contributing to the ongoing growth of the fold. The similarity between topography and uplift profiles from the 2016 earthquake suggest that growth of the Mount Stewart Range has been primarily driven by multiple (>500) discrete earthquakes that rupture The Humps and Leader faults. The spatial distribution of surface displacements across the Mount Stewart Range is more symmetrical than would be expected if uplift is driven primarily by The Humps and Leader faults alone. Elastic dislocation forward models were used to model potential sub-surface geometries and the resulting patterns of deformation compared to photogrammetry-derived surface displacements. Results show a slight preference for models with a steeply southeast-dipping blind fault, coincident with a zone of seismicity at depth, as a ‘backthrust’ to The Humps and Leader faults. This inferred Mount Stewart Fault accommodated contractional strain during the 2016 earthquake and contributes to the ongoing uplift of the Mount Stewart Range with a component of folding. Right-lateral and reverse shear stress change on the Hope Fault was also modelled using Coulomb 3.3 software to examine whether slip on The Humps and Leader faults could transfer enough stress onto the Hope Fault to trigger through-going rupture. Results indicate that during the 2016 earthquake right-lateral shear and reverse stress only increased on the Hope Fault in small areas to the west of the Leader Fault, and similar ruptures would be unlikely to trigger eastward propagating rupture unless the Hope Fault was close to failure prior to the earthquake. Paleoseismic trenches were excavated on the Leader Fault at four locations from 2018 to 2020, revealing near surface (< 4m depth) contractional deformation of Holocene stratigraphy. Three of the trench locations uncovered clear evidence for rupture of the Leader Fault prior to 2016, with fault displacement of near surface stratigraphy being greater than displacement recorded during the 2016 earthquake. Radiocarbon dating of in-situ organic material from two trenches indicate a date of the penultimate earthquake on the Leader Fault within the past 1000 years. This date is consistent with The Humps and Leader faults having ruptured simultaneously in the past, and with multi-fault ruptures involving The Humps, Leader, Hundalee and Stone Jug faults having occurred prior to the 2016 Kaikōura earthquake. Overall, the results contribute to an improved understanding of the Kaikōura earthquake and highlight the importance of detailed structural and paleoseismic investigations in determining controls on earthquake ‘complexity’.
