Voices of the Pacific: Pacific Peoples' Conceptualisations of Anxiety in Aotearoa New Zealand-Findings from a Cross-Sectional Survey.

Pacific peoples in Aotearoa New Zealand (Aotearoa is the Indigenous Te Reo Māori name of New Zealand) experience disproportionately higher rates of anxiety than the general population. However, while informal relational support is strongly utilised, formal or professional help-seeking remains comparatively low. Understanding how Pacific peoples conceptualise anxiety is critical for addressing this disparity. This study provides a snapshot of Pacific peoples' understandings of anxiety in Aotearoa NZ. A total of 548 Pacific peoples aged 16 to 83 years who resided in Aotearoa NZ completed the Pasifika Mental Health in Aotearoa (PMHA) survey between 2018 and 2019, which included questions about anxiety. Inductive Content Analysis (CA) grounded by Pacific epistemologies was used to categorise open-ended responses, and participants' response frequencies were analysed. The findings suggest that anxiety was understood as a transient, everyday experience, rather than a prolonged mental health condition. Informal relational support networks were strongly preferred in addressing or managing anxiety, followed by professional support. Perceived causes of anxiety were complex and evenly attributed to experiential, contextual, and health-related risk factors, highlighting the centrality of holism in Pacific worldviews. These findings suggest a nuanced understanding of anxiety that challenges deficit-based assumptions about Pacific peoples' Mental Health Literacy (MHL), and emphasises the ongoing need for more culturally responsive, community-based, relational, and holistic mental health support.