Mckenzie
Biographic Data
| ID | 36227 |
|---|---|
| NAME | Mckenzie |
| FAMILY NAME | Mckenzie |
| SIGNATURE | MCKENZIE |
| AFFILIATIONS | University of Otago |
| ORCID | 0000-0002-1811-0211 |
| VERIFIED | Yes |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 24 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Pacific contributions to global and regional climate change frameworks
Climate change presents an urgent and complex issue in the Pacific region, where global and regional frameworks provide strategic direction but lack practical guidance for implementation. This gap underscores the critical role of civil society organizations (CSOs), which often act as intermediaries translating high-level ambitions into locally grounded action. This research takes a qualitative approach, collaborating with five CSOs working across…
‘It Puts You at Odds With Society’
The profound consequences of experiencing mental illness stigma are widely acknowledged. However, the gendered nature of stigma among men living with mood and anxiety disorders remains poorly understood. Despite dying by suicide at more than twice the rate of women, men are significantly less likely to be diagnosed and treated for depression and anxiety, a disparity often attributed to stigma. Drawing on concepts of structural, social, and self-s…
“Everything that you do tears away a little piece of you”
whereby repeated exposure and desensitization appeared to reduce acute distress but also seemed to contribute to emotional numbing and reduced empathy among participants. Within what was perceived as a policing culture that discouraged negative emotional expression and vulnerability, participants described a tendency to conceal their distress, seemingly linked to fears of negative judgment
Men’s Experiences with Fatherhood in Heterosexual Relationships
The restructuring of gender identities and shifting social expectations of fathers have resulted in increased interest in understanding contemporary discourses about involved fathering. This article contributes to that scholarship by providing a narrative analysis about men’s experiences with fatherhood in heterosexual relationships. Drawing from a photovoice study with 16 fathers, we report three discrete but interrelated narratives. The first n…
Picture this
Objectives: The quality of intimate partner relationships strongly influences men’s mental health, yet little research attention has been given to these relationships from a strengths-based critical masculinities perspective. Addressing this knowledge gap, this photovoice study provides insights into young men’s experiences of, and perspectives about, building intimate partner relationships. Design: Photovoice methodology. Setting: This study was…
Canadian Men's Intimate Partner Relationship Break-Ups During Covid-19
COVID-19 impacted many men's intimate partner relationships, with distressed and disrupted partnerships consistently featured in commentaries with linkages to mental health challenges. The current study draws from interviews with 23 Canadian-based men, 19-50 years old, who experienced a break-up during COVID-19. Addressing the research question, "What are the connections between masculinities, men's mental health, and intimate partner relationshi…
Home as a Place of Refuge, Despair, and Self-Care for Men Living With Mental Health Challenges
Men's poor mental health outcomes and heightened risk for suicide have been linked to their maladaptive responses to life stressors. In this photovoice study of 21 New Zealand-based men who experienced depression, anxiety, and suicidality, participants' home emerged as an important place and resource for dealing with their mental health challenges. Utilizing the therapeutic landscapes "enabling places" framework combined with masculinities theory…
Men’s peer support for mental health challenges
Peer support has a long history of helping people navigate mental health challenges and is increasingly utilized within men’s mental health promotion initiatives. Despite considerable research conceptualizing and evaluating peer support in various contexts, little is known about the gendered dimensions of men’s peer support and mutual help for mental health. This article provides an empirically informed commentary on men’s peer support and inform…
Understanding Men’s Lived Experience of Mental Distress Through Metaphors
The use of tailored language, which involves a clinician’s ability to adapt communication styles and employ accessible terms and concepts, has long been touted as key to engaging men with mental health services. Metaphors are one communication device that can provide men with ways through which to meaningfully express themselves and communicate their mental distress experiences. Using qualitative photovoice research, the current study examined ho…
Participatory Action Research and Knowledge Dissemination in Virtual Photovoice
Despite the methodological spread of virtual photovoice, alignments to and potential advances for the participatory action research (PAR) and knowledge dissemination (KD) components of in-person photovoice are poorly understood. Detailing the PAR and KD processes, practices, and products drawn from a virtual photovoice study examining men's experiences of and perspectives about equitable intimate partner relationships, the current article offers …
Men's accounts of anxiety
Anxiety disorders are one of the most commonly diagnosed mental illnesses amongst men. Despite this, research exploring men's lived experiences of anxiety is sparse. The current photovoice study offers key insights to the understandings of nineteen New Zealand based men aged 24-62 who live with anxiety disorders. Using reflexive thematic analysis to analyse individual in-depth photo-elicitation interviews, two overarching themes were inductively …
Men’s Experiences of Mental Illness Stigma Across the Lifespan
The stigma of men’s mental illness has been described as having wide-reaching and profound consequences beyond the condition[s] itself. Stigma negatively impacts men’s mental health help-seeking and the use of services amid impeding disclosures, diminishing social connection and amplifying economic hardship. Although men often face barriers to discussing their struggles with, and help-seeking for mental illness challenges, research focused on men…
Gender and intersecting vulnerabilities on the mental health unit
While findings emphasize the need for safe places for vulnerable people, trauma-informed care, access to staff who "understand," and recreation that is meaningful to the individual, we question if the dilemma of gender-separation vs. gender-mixing is an outmoded design consideration. Instead, we argue that a flexible, person-centered approach to provision of care, which values autonomy, privacy, and safety as defined by each service user, and tha…
We have to band together’
Peer support has been proposed as a way to enhance the provision of mental health care; however, research has predominantly centred around formalised peer support programmes, with a dearth of studies exploring the anecdotally described phenomenon of naturally occurring peer support. This paper reports how naturally occurring peer support took place among service users in adult acute mental health unit settings, drawing on a thematic analysis of q…
Masculinity, Social Connectedness, and Mental Health
Men’s mental health has remained undertheorized, particularly in terms of the gendered nature of men’s social relations. While the importance of social connections and strong supportive networks for improving mental health and well-being is well documented, we know little about men’s social support networks or how men go about seeking or mobilizing social support. An in-depth understanding of the gendered nature of men’s social connections and th…
Preventing suicidal behaviours with a multilevel intervention
This trial was retrospectively registered on 11 April 2013. ACTRN12613000399796
Do changes in social and economic factors lead to changes in drinking behavior in young adults? Findings from three waves of a population based panel study
This analysis suggests that changes in living arrangement and individual deprivation are associated with changes in young adult's drinking behaviors. Alcohol harm-minimization interventions therefore need to take into account the social and economic context of young people's lives to be effective
Do changes in socioeconomic factors lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: There has been little investigation of changes in socioeconomic measures and mental health (MH)/illness over time within individuals using methods that control for time-invariant unobserved confounders. We investigate whether changes in multiple socioeconomic measures are associated with self-reported MH using fixed effects methods to control for unobserved time-invariant confounding. METHODS: Data from three waves of a panel study wi…
Does transition into parenthood lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: Longitudinal studies specifically looking at the transition into parenthood and changes in mental health in the general population are scarce. This study aimed to investigate the impact of transition into parenthood on mental health and psychological distress using longitudinal survey data. METHODS: The analysis used three waves from the longitudinal Survey of Family, Income and Employment. Parenthood was classified as first time pare…
Misclassification of the mediator matters when estimating indirect effects
BACKGROUND: Confounding of mediator-outcome associations resulting in collider biases causes systematic error when estimating direct and indirect effects. However, until recently little attention has been given to the impact of misclassification bias. OBJECTIVE: To quantify the impact of non-differential and independent misclassification of a dichotomous exposure and a dichotomous mediator on three target parameters: the total effect of exposure …
Effects of childhood socioeconomic position on subjective health and health behaviours in adulthood
This study suggests that the association between childhood SEP and self-rated health, psychological distress and current smoking in adulthood is largely explained through an indirect socioeconomic pathway involving education. However, household income, area deprivation and labour market activity are still likely to be important as they are intermediaries in turn, in the socioeconomic pathway between education and health
P1-409 Differential loss of participants does not necessarily cause selection bias
Background Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure-outcome association differs for participants compared to non-participants. We empirically demonstrate that selection bias does not necessarily occur when there is varying participation in a stu…
Do effects of price discounts and nutrition education on food purchases vary by ethnicity, income and education? Results from a randomised, controlled trial
BACKGROUND: Reducing health inequalities requires interventions that work as well, if not better, among disadvantaged populations. The aim of this study was to determine if the effects of price discounts and tailored nutrition education on supermarket food purchases (percentage energy from saturated fat and healthy foods purchased) vary by ethnicity, household income and education. METHOD: A 2×2 factorial trial of 1104 New Zealand shoppers random…
P1-206 Effects of childhood socioeconomic position on subjective health and health behaviours in adulthood
Introduction We examine the potential mediating role of multiple individual indicators of adult socioeconomic position (SEP) in the associations of childhood SEP with self-reported health measures and health behaviours. Methods Data came from Wave 3 of the Survey of Family, Income and Employment. Childhood SEP was measured using parental occupation. Adult SEP was measured using education, household income, labour market activity and area deprivat…
O1-2.5 Fallibility in estimating indirect effects
Introduction Smoking is the largest single cause of preventable mortality and morbidity in Australia and many countries globally. The limited existing evidence suggests that smokers user fewer general practitioner (GP) services, but more hospital services, than non-smokers, and may not be benefitting from secondary prevention. We investigated use of GP services by Australians aged 45 years and over according to smoking status. Methods Analysis of…
Do effects of price discounts and nutrition education on food purchases vary by ethnicity, income and education? Results from a randomised, controlled trial
BACKGROUND: Reducing health inequalities requires interventions that work as well, if not better, among disadvantaged populations. The aim of this study was to determine if the effects of price discounts and tailored nutrition education on supermarket food purchases (percentage energy from saturated fat and healthy foods purchased) vary by ethnicity, household income and education. METHOD: A 2×2 factorial trial of 1104 New Zealand shoppers random…
Do changes in socioeconomic factors lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: There has been little investigation of changes in socioeconomic measures and mental health (MH)/illness over time within individuals using methods that control for time-invariant unobserved confounders. We investigate whether changes in multiple socioeconomic measures are associated with self-reported MH using fixed effects methods to control for unobserved time-invariant confounding. METHODS: Data from three waves of a panel study wi…
Misclassification of the mediator matters when estimating indirect effects
BACKGROUND: Confounding of mediator-outcome associations resulting in collider biases causes systematic error when estimating direct and indirect effects. However, until recently little attention has been given to the impact of misclassification bias. OBJECTIVE: To quantify the impact of non-differential and independent misclassification of a dichotomous exposure and a dichotomous mediator on three target parameters: the total effect of exposure …
Does transition into parenthood lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: Longitudinal studies specifically looking at the transition into parenthood and changes in mental health in the general population are scarce. This study aimed to investigate the impact of transition into parenthood on mental health and psychological distress using longitudinal survey data. METHODS: The analysis used three waves from the longitudinal Survey of Family, Income and Employment. Parenthood was classified as first time pare…
Effects of childhood socioeconomic position on subjective health and health behaviours in adulthood
This study suggests that the association between childhood SEP and self-rated health, psychological distress and current smoking in adulthood is largely explained through an indirect socioeconomic pathway involving education. However, household income, area deprivation and labour market activity are still likely to be important as they are intermediaries in turn, in the socioeconomic pathway between education and health
P1-409 Differential loss of participants does not necessarily cause selection bias
Background Most research is affected by differential participation, where individuals who do not participate have different characteristics to those who do. This is often assumed to induce selection bias. However, selection bias only occurs if the exposure-outcome association differs for participants compared to non-participants. We empirically demonstrate that selection bias does not necessarily occur when there is varying participation in a stu…
Do effects of price discounts and nutrition education on food purchases vary by ethnicity, income and education? Results from a randomised, controlled trial
BACKGROUND: Reducing health inequalities requires interventions that work as well, if not better, among disadvantaged populations. The aim of this study was to determine if the effects of price discounts and tailored nutrition education on supermarket food purchases (percentage energy from saturated fat and healthy foods purchased) vary by ethnicity, household income and education. METHOD: A 2×2 factorial trial of 1104 New Zealand shoppers random…
P1-206 Effects of childhood socioeconomic position on subjective health and health behaviours in adulthood
Introduction We examine the potential mediating role of multiple individual indicators of adult socioeconomic position (SEP) in the associations of childhood SEP with self-reported health measures and health behaviours. Methods Data came from Wave 3 of the Survey of Family, Income and Employment. Childhood SEP was measured using parental occupation. Adult SEP was measured using education, household income, labour market activity and area deprivat…
O1-2.5 Fallibility in estimating indirect effects
Introduction Smoking is the largest single cause of preventable mortality and morbidity in Australia and many countries globally. The limited existing evidence suggests that smokers user fewer general practitioner (GP) services, but more hospital services, than non-smokers, and may not be benefitting from secondary prevention. We investigated use of GP services by Australians aged 45 years and over according to smoking status. Methods Analysis of…
Does transition into parenthood lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: Longitudinal studies specifically looking at the transition into parenthood and changes in mental health in the general population are scarce. This study aimed to investigate the impact of transition into parenthood on mental health and psychological distress using longitudinal survey data. METHODS: The analysis used three waves from the longitudinal Survey of Family, Income and Employment. Parenthood was classified as first time pare…
Misclassification of the mediator matters when estimating indirect effects
BACKGROUND: Confounding of mediator-outcome associations resulting in collider biases causes systematic error when estimating direct and indirect effects. However, until recently little attention has been given to the impact of misclassification bias. OBJECTIVE: To quantify the impact of non-differential and independent misclassification of a dichotomous exposure and a dichotomous mediator on three target parameters: the total effect of exposure …
Do changes in social and economic factors lead to changes in drinking behavior in young adults? Findings from three waves of a population based panel study
This analysis suggests that changes in living arrangement and individual deprivation are associated with changes in young adult's drinking behaviors. Alcohol harm-minimization interventions therefore need to take into account the social and economic context of young people's lives to be effective
Do changes in socioeconomic factors lead to changes in mental health? Findings from three waves of a population based panel study
BACKGROUND: There has been little investigation of changes in socioeconomic measures and mental health (MH)/illness over time within individuals using methods that control for time-invariant unobserved confounders. We investigate whether changes in multiple socioeconomic measures are associated with self-reported MH using fixed effects methods to control for unobserved time-invariant confounding. METHODS: Data from three waves of a panel study wi…
Masculinity, Social Connectedness, and Mental Health
Men’s mental health has remained undertheorized, particularly in terms of the gendered nature of men’s social relations. While the importance of social connections and strong supportive networks for improving mental health and well-being is well documented, we know little about men’s social support networks or how men go about seeking or mobilizing social support. An in-depth understanding of the gendered nature of men’s social connections and th…
Preventing suicidal behaviours with a multilevel intervention
This trial was retrospectively registered on 11 April 2013. ACTRN12613000399796
Men’s Experiences of Mental Illness Stigma Across the Lifespan
The stigma of men’s mental illness has been described as having wide-reaching and profound consequences beyond the condition[s] itself. Stigma negatively impacts men’s mental health help-seeking and the use of services amid impeding disclosures, diminishing social connection and amplifying economic hardship. Although men often face barriers to discussing their struggles with, and help-seeking for mental illness challenges, research focused on men…
Gender and intersecting vulnerabilities on the mental health unit
While findings emphasize the need for safe places for vulnerable people, trauma-informed care, access to staff who "understand," and recreation that is meaningful to the individual, we question if the dilemma of gender-separation vs. gender-mixing is an outmoded design consideration. Instead, we argue that a flexible, person-centered approach to provision of care, which values autonomy, privacy, and safety as defined by each service user, and tha…
We have to band together’
Peer support has been proposed as a way to enhance the provision of mental health care; however, research has predominantly centred around formalised peer support programmes, with a dearth of studies exploring the anecdotally described phenomenon of naturally occurring peer support. This paper reports how naturally occurring peer support took place among service users in adult acute mental health unit settings, drawing on a thematic analysis of q…
Men's accounts of anxiety
Anxiety disorders are one of the most commonly diagnosed mental illnesses amongst men. Despite this, research exploring men's lived experiences of anxiety is sparse. The current photovoice study offers key insights to the understandings of nineteen New Zealand based men aged 24-62 who live with anxiety disorders. Using reflexive thematic analysis to analyse individual in-depth photo-elicitation interviews, two overarching themes were inductively …
Men’s peer support for mental health challenges
Peer support has a long history of helping people navigate mental health challenges and is increasingly utilized within men’s mental health promotion initiatives. Despite considerable research conceptualizing and evaluating peer support in various contexts, little is known about the gendered dimensions of men’s peer support and mutual help for mental health. This article provides an empirically informed commentary on men’s peer support and inform…
Understanding Men’s Lived Experience of Mental Distress Through Metaphors
The use of tailored language, which involves a clinician’s ability to adapt communication styles and employ accessible terms and concepts, has long been touted as key to engaging men with mental health services. Metaphors are one communication device that can provide men with ways through which to meaningfully express themselves and communicate their mental distress experiences. Using qualitative photovoice research, the current study examined ho…
Participatory Action Research and Knowledge Dissemination in Virtual Photovoice
Despite the methodological spread of virtual photovoice, alignments to and potential advances for the participatory action research (PAR) and knowledge dissemination (KD) components of in-person photovoice are poorly understood. Detailing the PAR and KD processes, practices, and products drawn from a virtual photovoice study examining men's experiences of and perspectives about equitable intimate partner relationships, the current article offers …
Men’s Experiences with Fatherhood in Heterosexual Relationships
The restructuring of gender identities and shifting social expectations of fathers have resulted in increased interest in understanding contemporary discourses about involved fathering. This article contributes to that scholarship by providing a narrative analysis about men’s experiences with fatherhood in heterosexual relationships. Drawing from a photovoice study with 16 fathers, we report three discrete but interrelated narratives. The first n…
Picture this
Objectives: The quality of intimate partner relationships strongly influences men’s mental health, yet little research attention has been given to these relationships from a strengths-based critical masculinities perspective. Addressing this knowledge gap, this photovoice study provides insights into young men’s experiences of, and perspectives about, building intimate partner relationships. Design: Photovoice methodology. Setting: This study was…
Canadian Men's Intimate Partner Relationship Break-Ups During Covid-19
COVID-19 impacted many men's intimate partner relationships, with distressed and disrupted partnerships consistently featured in commentaries with linkages to mental health challenges. The current study draws from interviews with 23 Canadian-based men, 19-50 years old, who experienced a break-up during COVID-19. Addressing the research question, "What are the connections between masculinities, men's mental health, and intimate partner relationshi…
Home as a Place of Refuge, Despair, and Self-Care for Men Living With Mental Health Challenges
Men's poor mental health outcomes and heightened risk for suicide have been linked to their maladaptive responses to life stressors. In this photovoice study of 21 New Zealand-based men who experienced depression, anxiety, and suicidality, participants' home emerged as an important place and resource for dealing with their mental health challenges. Utilizing the therapeutic landscapes "enabling places" framework combined with masculinities theory…
Pacific contributions to global and regional climate change frameworks
Climate change presents an urgent and complex issue in the Pacific region, where global and regional frameworks provide strategic direction but lack practical guidance for implementation. This gap underscores the critical role of civil society organizations (CSOs), which often act as intermediaries translating high-level ambitions into locally grounded action. This research takes a qualitative approach, collaborating with five CSOs working across…
‘It Puts You at Odds With Society’
The profound consequences of experiencing mental illness stigma are widely acknowledged. However, the gendered nature of stigma among men living with mood and anxiety disorders remains poorly understood. Despite dying by suicide at more than twice the rate of women, men are significantly less likely to be diagnosed and treated for depression and anxiety, a disparity often attributed to stigma. Drawing on concepts of structural, social, and self-s…
“Everything that you do tears away a little piece of you”
whereby repeated exposure and desensitization appeared to reduce acute distress but also seemed to contribute to emotional numbing and reduced empathy among participants. Within what was perceived as a policing culture that discouraged negative emotional expression and vulnerability, participants described a tendency to conceal their distress, seemingly linked to fears of negative judgment
Medicine (16 works) · Psychology (15 works) · Mental health (12 works) · Psychiatry (11 works) · Environmental health (9 works) · Gender Roles and Identity Studies (9 works) · Demography (7 works) · Population (7 works) · Sociology (7 works) · Gerontology (5 works)