@article{daniel-atutolu_assessment_2025,
	title = {Assessment of mental health in {Cook} {Island} adolescents: a baseline survey},
	issn = {0303-6758},
	url = {https://doi.org/10.1080/03036758.2025.2486046},
	doi = {10.1080/03036758.2025.2486046},
	journal = {Journal of the Royal Society of New Zealand},
	author = {Daniel-Atutolu, Metua and Daniela-Wong, Evangelene and Bay, Jacquie L. and Tamarua-Herman, Neti and Porio, Christine and Vickers, Mark H.},
	year = {2025},
	note = {Publisher: Taylor \& Francis},
	pages = {1--13},
}

@article{oloughlin_consequences_2025,
	title = {Consequences of {COVID}-19 protection measures on children's respiratory health in {Aotearoa} {New} {Zealand}},
	volume = {138},
	issn = {1175-8716},
	number = {1610},
	journal = {The New Zealand Medical Journal (Online)},
	author = {O'Loughlin, Claire and Uia, Tali and Grant, Cameron and Smiler, Kirsten and Churchward, Marianna and Tu'akalau, Catherine and Lupena, Rochelle and Jeffreys, Mona},
	year = {2025},
	note = {Publisher: Pasifika Medical Association Group (PMAG)},
	pages = {74--92},
}

@article{wheeler_assessing_2025,
	title = {Assessing the gaps in cardiovascular disease risk assessment and management in primary care for {Māori} and {Pacific} peoples in {Aotearoa} {New} {Zealand}—a systematic review},
	volume = {56},
	issn = {2666-6065},
	journal = {The Lancet Regional Health–Western Pacific},
	author = {Wheeler, Annaliese and Rahiri, Jamie-Lee and Ellison-Lupena, Rochelle and Hanchard, Sandra and Brewer, Karen Marie and Paynter, Janine and Winter-Smith, Julie and Selak, Vanessa and Ameratunga, Shanthi and Grey, Corina},
	year = {2025},
	note = {Publisher: Elsevier},
}

@article{becken_negotiating_2025,
	title = {Negotiating {Wellbeing} and {Tourism}: {A} {Reorientation} {Process} in the {Cook} {Islands}},
	volume = {17},
	issn = {2071-1050},
	shorttitle = {Negotiating {Wellbeing} and {Tourism}},
	doi = {10.3390/su17031123},
	abstract = {Tourism growth in the Cook Islands is broadly supported by residents, but evidence of social and environmental harm is mounting. This study examines the role that tourism plays in the dynamic processes of disorientation and reorientation related to tourism development in three islands: Rarotonga, Aitutaki, and Mitiaro. A total of 102 interviews were conducted at a critical juncture where Cook Islanders reflected on the pre-COVID-19 tourism boom and the subsequent shock of border closures. The findings highlight the undeniable economic dominance of tourism and opportunities for individual livelihoods. However, residents expressed that these must not come at the cost of other types of wellbeing, especially in tourism-heavy Rarotonga. A reorientation towards greater connectedness with culture, each other, and local environments was seen as essential. Cook Islanders expressed a need to take control of tourism in ways that are community-driven, balanced across economic/financial, physical, social, spiritual, and mental wellbeing, and in harmony with local carrying capacities.},
	language = {eng},
	number = {3},
	journal = {Sustainability},
	author = {Becken, Susanne and Tiraa, Sieni and Vada, Sera},
	year = {2025},
	note = {Place: Basel
Publisher: MDPI AG},
	keywords = {COVID-19, Community, Islands, Pandemics, Sustainable development, Tourism},
	pages = {1123--},
}

Tourism growth in the Cook Islands is broadly supported by residents, but evidence of social and environmental harm is mounting. This study examines the role that tourism plays in the dynamic processes of disorientation and reorientation related to tourism development in three islands: Rarotonga, Aitutaki, and Mitiaro. A total of 102 interviews were conducted at a critical juncture where Cook Islanders reflected on the pre-COVID-19 tourism boom and the subsequent shock of border closures. The findings highlight the undeniable economic dominance of tourism and opportunities for individual livelihoods. However, residents expressed that these must not come at the cost of other types of wellbeing, especially in tourism-heavy Rarotonga. A reorientation towards greater connectedness with culture, each other, and local environments was seen as essential. Cook Islanders expressed a need to take control of tourism in ways that are community-driven, balanced across economic/financial, physical, social, spiritual, and mental wellbeing, and in harmony with local carrying capacities.

@article{shiu_pacific_2024,
	title = {Pacific human security: {Health}, wellbeing, and resilience},
	author = {Shiu, Roannie Ng and Newport, Christina and Underhill-Sem, Yvonne},
	year = {2024},
}

@article{lai_daily_2024,
	title = {Daily temperatures and child hospital admissions in {Aotearoa} {New} {Zealand}: case time series analysis},
	volume = {21},
	issn = {1660-4601},
	number = {9},
	journal = {International journal of environmental research and public health},
	author = {Lai, Hakkan and Lee, Jeong Eun and Harrington, Luke J and Ahuriri-Driscoll, Annabel and Newport, Christina and Bolton, Annette and Salter, Claire and Morton, Susan and Woodward, Alistair and Hales, Simon},
	year = {2024},
	note = {Publisher: MDPI},
	pages = {1236},
}

@article{newport_anchored_2024,
	title = {Anchored in pacific protocols–climate change, mental health and wellbeing},
	volume = {16},
	issn = {1756-5529},
	number = {6},
	journal = {Climate and Development},
	author = {Newport, Christina and Tiatia-Siau, Jemaima and Aimiti Ma'ia'i, KDee and Underhill-Sem, Yvonne and Woodward, Alistair},
	year = {2024},
	note = {Publisher: Taylor \& Francis},
	pages = {540--550},
}

@article{burry_experience_2024,
	title = {The experience of abortion for {Cook} {Islands} women: exploring the socio-cultural dimensions of abortion safety},
	volume = {26},
	issn = {1369-1058},
	shorttitle = {The experience of abortion for {Cook} {Islands} women},
	url = {https://www.tandfonline.com/doi/abs/10.1080/13691058.2024.2305814},
	doi = {10.1080/13691058.2024.2305814},
	abstract = {Abortion is significantly restricted by law in most Pacific Island countries, impacting the rights, health and autonomy of people who experience pregnancy. We undertook qualitative research between February and August 2022 on Rarotonga, Cook Islands, where abortion is illegal under most circumstances. We conducted interviews with women who had accessed or tried to access abortion services; people who had supported women to access abortion services; health workers; and advocates to understand their experiences regarding abortion. We conducted focus groups to explore broader social perceptions and experiences of sexual and reproductive health and rights, including abortion. Participants described their abortion decisions and methods, and their negotiation of the personal context of their sexual behaviours, pregnancies, and abortions relative to their socio-cultural context and values. As defined by the World Health Organization, safe abortion relates to the methods and equipment used and the skills of the abortion provider. We argue for an expansion of this definition to consider inclusion of reference to individuals' 'abortion safety nets' as the sum of their access to financial, political, health care and socio-cultural resources. These safety nets are shaped by discourses related to abortion and socio-cultural support and values, impacting physical, emotional, psychological, social and spiritual health.},
	language = {eng},
	number = {9},
	urldate = {2025-03-26},
	journal = {Culture, health \& sexuality},
	author = {Burry, Kate and Beek, Kristen and Vallely, Lisa and Worth, Heather and Haire, Bridget},
	year = {2024},
	note = {Place: England
Publisher: Taylor \& Francis},
	keywords = {Abortion, Access, Autonomy, Cook Islands, Cultural differences, Cultural resources, Discourses, Health care, Health services, Illegal abortion, Islands, Mental health, Negotiation, Pacific islands, Pregnancy, Qualitative research, Reproductive health, Rights, Safety, Sexual behavior, Social perception, Sociocultural factors, Spiritual well being, Women, Womens health, abortion stigma, akama, safe abortion},
	pages = {1185--1200},
}

Abortion is significantly restricted by law in most Pacific Island countries, impacting the rights, health and autonomy of people who experience pregnancy. We undertook qualitative research between February and August 2022 on Rarotonga, Cook Islands, where abortion is illegal under most circumstances. We conducted interviews with women who had accessed or tried to access abortion services; people who had supported women to access abortion services; health workers; and advocates to understand their experiences regarding abortion. We conducted focus groups to explore broader social perceptions and experiences of sexual and reproductive health and rights, including abortion. Participants described their abortion decisions and methods, and their negotiation of the personal context of their sexual behaviours, pregnancies, and abortions relative to their socio-cultural context and values. As defined by the World Health Organization, safe abortion relates to the methods and equipment used and the skills of the abortion provider. We argue for an expansion of this definition to consider inclusion of reference to individuals' 'abortion safety nets' as the sum of their access to financial, political, health care and socio-cultural resources. These safety nets are shaped by discourses related to abortion and socio-cultural support and values, impacting physical, emotional, psychological, social and spiritual health.

@article{tiatia_climate_2023,
	title = {Climate change, mental health and wellbeing: privileging {Pacific} peoples’ perspectives–phase one},
	volume = {15},
	issn = {1756-5529},
	number = {8},
	journal = {Climate and Development},
	author = {Tiatia, Jemaima and Langridge, Fiona and Newport, Christina and Underhill-Sem, Yvonne and Woodward, Alistair},
	year = {2023},
	note = {Publisher: Taylor \& Francis},
	pages = {655--666},
}

@article{tupou_is_2023,
	title = {Is the concept of solastalgia meaningful to pacific communities experiencing mental health distress due to climate change? {An} initial exploration},
	volume = {20},
	issn = {1660-4601},
	number = {22},
	journal = {International Journal of Environmental Research and Public Health},
	author = {Tupou, Trish and Tiatia-Siau, Jemaima and Newport, Christina and Langridge, Fiona and Tiatia, Suelaki},
	year = {2023},
	note = {Publisher: MDPI},
	pages = {7041},
}

@article{futter-puati_e_2023,
	title = {E {Vaine} {Toa}, {E} {Rangatira}: {Marjorie} {Tuainekore} {Crocombe} ({D}. {Litt}), 1930–2022},
	volume = {58},
	issn = {0022-3344},
	number = {2},
	journal = {The Journal of Pacific History},
	author = {Futter-Puati, Debi},
	year = {2023},
	note = {Publisher: Taylor \& Francis},
	pages = {195--200},
}

@incollection{futter-puati_inangaro_2023,
	title = {Inangaro{\textbar} {Desire}: {The} ‘writing in’of māpū{\textbar} young {Cook} {Islanders}’ sexual and relationship desires into resources for sexuality and relationships education},
	booktitle = {Sex and {Gender} in the {Pacific}},
	publisher = {Routledge},
	author = {Futter-Puati, Debi},
	year = {2023},
	pages = {40--52},
}

@incollection{puati_tivaevae_2021,
	edition = {R. E. Rinehart, J. Kidd, \& K. N. Barbour},
	title = {Tivaevae {Episto}-{Methodology}: {Use} of {Cultural} {Metaphor} in {Indigenous} {Communities}},
	url = {https://www.researchgate.net/publication/359270307_Tivaevae_Episto-Methodology_Use_of_Cultural_Metaphor_in_Indigenous_Communities_In_R_E_Rinehart_J_Kidd_K_N_Barbour_Eds_Ethnographic_borders_and_boundaries_Permeability_plasticity_and_possibilities_pp_9},
	urldate = {2025-04-09},
	booktitle = {Ethnographic borders and boundaries: {Permeability}, plasticity, and possibilities},
	publisher = {Peter Lang},
	author = {Puati, D},
	editor = {Rinehart, R and Kidd, J and Barbour, K},
	year = {2021},
	pages = {91--118},
}

@article{ava_how_2020,
	title = {How the {Tivaevae} {Model} can be {Used} as an {Indigenous} {Methodology} in {Cook} {Islands} {Education} {Settings}},
	volume = {49},
	copyright = {Copyright (c) 2018 The Author(s)},
	issn = {2049-7784},
	url = {https://ajie.atsis.uq.edu.au/ajie/article/view/258},
	doi = {10.1017/jie.2018.9},
	abstract = {This paper explores an Indigenous research methodology, the tivaevae model, and its application within the Cook Islands education system. The article will argue that the cultural values embedded within its framework allow for the successful implementation of this Indigenous methodology. The model draws from tivaevae, or artistic quilting, and is both an applique process and a product of the Cook Islands. It is unique to the Cook Islands and plays an important part in the lives of Cook Islanders. The tivaevae model will be explained in detail, describing how patchwork creative pieces come together to create a story and can be used as a metaphor of the past, present and future integration of social, historical, spiritual, religious, economic and political representations of Cook Island culture. Further, the paper will then make links with the model to teaching and learning, by exploring secondary schools’ health and physical education policy and practices. Finally, the efficacy of the model in this context and its research implications will then be discussed.},
	language = {en},
	number = {1},
	urldate = {2025-04-09},
	journal = {The Australian Journal of Indigenous Education},
	author = {Ava, Aue Te and Page, Angela},
	month = aug,
	year = {2020},
	note = {Number: 1},
	keywords = {education},
	pages = {70--76},
}

This paper explores an Indigenous research methodology, the tivaevae model, and its application within the Cook Islands education system. The article will argue that the cultural values embedded within its framework allow for the successful implementation of this Indigenous methodology. The model draws from tivaevae, or artistic quilting, and is both an applique process and a product of the Cook Islands. It is unique to the Cook Islands and plays an important part in the lives of Cook Islanders. The tivaevae model will be explained in detail, describing how patchwork creative pieces come together to create a story and can be used as a metaphor of the past, present and future integration of social, historical, spiritual, religious, economic and political representations of Cook Island culture. Further, the paper will then make links with the model to teaching and learning, by exploring secondary schools’ health and physical education policy and practices. Finally, the efficacy of the model in this context and its research implications will then be discussed.

@article{futter-puati_stitching_2019,
	title = {Stitching tivaevae: a {Cook} {Islands} research method},
	volume = {15},
	issn = {1177-1801},
	number = {2},
	journal = {AlterNative: An International Journal of Indigenous Peoples},
	author = {Futter-Puati, Debi and Maua-Hodges, Teremoana},
	year = {2019},
	note = {Publisher: SAGE Publications Sage UK: London, England},
	pages = {140--149},
}

@article{futter-puati_apiianga_2017,
	title = {Api’ianga tupuanga kopapa: {Sexuality} education in the {Cook} {Islands}.},
	author = {Futter-Puati, D},
	year = {2017},
}

@article{futter-puati_promoting_2014,
	title = {Promoting health and wellbeing through relationship education},
	author = {Futter-Puati, Debi and Gillespie, Lorna and Tasker, Gillian},
	year = {2014},
}

@article{futter-puati_partnerships_2014,
	title = {Partnerships for health: {Decimating} tuberculosis in the {Cook} {Islands}, 1920–1975},
	volume = {25},
	issn = {1353-8292},
	shorttitle = {Partnerships for health},
	url = {https://www.sciencedirect.com/science/article/pii/S1353829213001391},
	doi = {10.1016/j.healthplace.2013.10.006},
	abstract = {How did the Cook Islands manage to achieve a significant reduction in tuberculosis from a high rate in the early 20th century to low rates by 1975? With the mid-century invention of effective drug therapy there was a widespread belief around the Western world that TB could be eradicated. The Cook Islands was one place which almost reached this goal. Based on primary and secondary historical and anthropological research, we argue that the geo-political emplacement of the Cook Islands and development of multi-scale partnerships were crucial to success. Our research indicates the value of understanding and engaging with local community networks and culturally appropriate partnerships in dealing with health issues.},
	urldate = {2025-04-09},
	journal = {Health \& Place},
	author = {Futter-Puati, Debbie and Bryder, Linda and Park, Julie and Littleton, Judith and Herda, Phyllis},
	month = jan,
	year = {2014},
	keywords = {Health promotion, History, Pacific–Cook Islands, Partnership, Tuberculosis},
	pages = {10--18},
}

How did the Cook Islands manage to achieve a significant reduction in tuberculosis from a high rate in the early 20th century to low rates by 1975? With the mid-century invention of effective drug therapy there was a widespread belief around the Western world that TB could be eradicated. The Cook Islands was one place which almost reached this goal. Based on primary and secondary historical and anthropological research, we argue that the geo-political emplacement of the Cook Islands and development of multi-scale partnerships were crucial to success. Our research indicates the value of understanding and engaging with local community networks and culturally appropriate partnerships in dealing with health issues.

@incollection{futter_cook_2009,
	address = {New York, NY},
	title = {Cook {Islands}},
	isbn = {978-0-387-92269-0},
	url = {https://doi.org/10.1007/978-0-387-92269-0_29},
	abstract = {The Cook Islands is made up of 15 islands and atolls lying in the South Pacific Ocean, south of Hawaii and west of Tahiti. Spread across a zone of nearly 2 million km2, they comprise a total land area of only 240 km2. The Cook Islands is a self-governing nation with a population of approximately 15,000 people. Tourism is the major income source for the Cook Islands, with no major export or other income potential.},
	language = {en},
	urldate = {2025-04-08},
	booktitle = {Case {Studies} in {Global} {School} {Health} {Promotion}: {From} {Research} to {Practice}},
	publisher = {Springer},
	author = {Futter, Debi},
	editor = {Aldinger, Carmen E. and Vince Whitman, Cheryl},
	year = {2009},
	doi = {10.1007/978-0-387-92269-0_29},
	keywords = {Cook Island, Curriculum Document, Physical Activity, Physical Education Lesson, South Pacific Ocean},
	pages = {387--393},
}

The Cook Islands is made up of 15 islands and atolls lying in the South Pacific Ocean, south of Hawaii and west of Tahiti. Spread across a zone of nearly 2 million km2, they comprise a total land area of only 240 km2. The Cook Islands is a self-governing nation with a population of approximately 15,000 people. Tourism is the major income source for the Cook Islands, with no major export or other income potential.