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Pacific Island Countries and Territories are facing a health crisis with non communicable diseases (NCDs) currently accounting for more than 80% of deaths. In the 21st century, advances in health intervention and policy render this figure unacceptable. Multiple risk factors contribute to the NCD crisis; a leading driver being obesity due to changing dietary practices arising from the global food system. A system which is dominated by processed foods high in starch and sugars. This situation is compounded by changes in the natural and built environments relating to climate change. Tackling this issue is beyond the sole domain of public health and is, therefore, more suited to a planetary health approach. This paper applies a sustainable food systems approach to analysing NCD policy developments in the Pacific region. In particular, three domains of policy which impact diets in the Pacific are examined: food production, climate change and sustainability, and trade. It is argued that countering the NCD crisis demands a global multisectoral approach, with governments leading the way, to develop integrated policy and interventions that will secure the future wellbeing and protection of our people, our food, our planet.

© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group New Zealand's political, civic, health and social institutions have been criticised as being ill-prepared to serve the health and social needs of the country's increasingly diverse ageing population. This grounded theory study examined how late-life Asian immigrants participate in community to influence their subjective health. Bilingual Chinese, Indian, and Korean local intermediaries and research assistants were engaged as collaborative research partners. Purposive recruitment, and later theoretical sampling, were used to identify the 24 Chinese, 27 Indian, and 25 Korean participants, aged 60-83, who were 1-19 years post-immigration. Data were gathered through nine focus groups, and 15 individual interviews in the participants' language of choice. All data were recorded, transcribed verbatim, and translated to English for analysis. Data analysis was done using open coding, constant comparative analysis and dimensional analysis. Strengthening community was the core social process in the substantive theory developed. The participants actively advanced cultural connectedness and gave service with, and for, each other. Over time, they extended their focus toward doing so for the wider community. They purposely used long-standing, occupation-related skills to resource how they and their co-ethnic groups contributed to community health. Additionally, they sought novel opportunities to diversify their contributions. These late-life immigrants intentionally strove to stay healthy through doing. Achieving collective, as well as personal, health through community participation was for the sake of minimising potential burdens on the country's health system. The results indicate good health promotion policies would aim to advance co-ethnic, socially embedded networks for late-life Asian immigrants.

New Zealand's political, civic, health and social institutions have been criticised as being ill-prepared to serve the health and social needs of the country's increasingly diverse ageing population. This grounded theory study examined how late-life Asian immigrants participate in community to influence their subjective health. Bilingual Chinese, Indian, and Korean local intermediaries and research assistants were engaged as collaborative research partners. Purposive recruitment, and later theoretical sampling, were used to identify the 24 Chinese, 27 Indian, and 25 Korean participants, aged 60-83, who were 1-19 years post-immigration. Data were gathered through nine focus groups, and 15 individual interviews in the participants' language of choice. All data were recorded, transcribed verbatim, and translated to English for analysis. Data analysis was done using open coding, constant comparative analysis and dimensional analysis. Strengthening community was the core social process in the substantive theory developed. The participants actively advanced cultural connectedness and gave service with, and for, each other. Over time, they extended their focus toward doing so for the wider community. They purposely used long-standing, occupation-related skills to resource how they and their co-ethnic groups contributed to community health. Additionally, they sought novel opportunities to diversify their contributions. These late-life immigrants intentionally strove to stay healthy through doing. Achieving collective, as well as personal, health through community participation was for the sake of minimising potential burdens on the country's health system. The results indicate good health promotion policies would aim to advance co-ethnic, socially embedded networks for late-life Asian immigrants. ; false