Health and wellbeing of Māori secondary school students in New Zealand: Trends between 2001, 2007 and 2012

Clark, Terryann; Grice, Jade Le; Moselen, Emma; Fleming, Theresa; Crengle, Sue; Tiatia‐Seath, Jemaima; Lewycka, Sonia

doi:10.1111/1753-6405.12839

Cited by 47 publications

(77 citation statements)

References 22 publications

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“…A two-stage cluster design was used to obtain a nationally representative sample of New Zealand secondary school students. Sample size calculations for this survey aimed to give reasonable prevalence estimates of health indicators among the 4 main ethnic groups in New Zealand [ 17 ]. In 2012 there were 493 composite or secondary schools with year 9 students (average age 13 years) and above.…”

Section: Methodsmentioning

confidence: 99%

The association between socioeconomic deprivation and secondary school students’ health: findings from a latent class analysis of a national adolescent health survey

Denny

Lewycka

Utter

et al. 2016

Int J Equity Health

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BackgroundThe aims of this study were to examine indicators of socioeconomic deprivation among secondary school students and to determine associations between household poverty, neighbourhood deprivation and health indicators.MethodsData were from a nationally representative sample of 8500 secondary school students in New Zealand who participated in a health survey in 2012. Latent class analyses were used to group students by household poverty based on nine indicators of household socioeconomic deprivation: no car; no phone; no computer; their parent/s worry about not having enough money for food; more than two people sharing a bedroom; no holidays with their families; moving home more than twice that year; garages or living rooms used as bedrooms; and, no parent at home with employment. Multilevel generalized linear models were used to estimate the cross-level interaction between household poverty and neighbourhood deprivation with depressive symptoms, cigarette smoking and overweight/ obesity.ResultsThree groups of students were identified: 80 % of students had low levels of household poverty across all indicators; 15 % experienced moderate poverty; and 5 % experienced high levels of poverty. Depressive symptoms and cigarette smoking were 2–3 times higher in the poverty groups compared to student’s not experiencing poverty. There were also higher rates of overweight/ obesity among students in the poverty groups compared to students not experiencing poverty, but once covariates were accounted for the relationship was less clear. Of note, students experiencing poverty and living in affluent neighbourhoods reported higher levels of depressive symptoms and higher rates of cigarette smoking than students experiencing poverty and living in low socioeconomic neighbourhoods. This cross-level interaction was not seen for overweight/ obesity.ConclusionsMeasures of household socioeconomic deprivation among young people should not be combined with neighbourhood measures of socioeconomic deprivation due to non-linear relationships with health and behaviour indicators. Policies are needed that address household poverty alongside efforts to reduce socioeconomic inequalities in neighbourhoods.

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Section: Methodsmentioning

confidence: 99%

The association between socioeconomic deprivation and secondary school students’ health: findings from a latent class analysis of a national adolescent health survey

Denny

Lewycka

Utter

et al. 2016

Int J Equity Health

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“…The most significant causes of adolescent morbidity and mortality in developed nations are related to risk‐taking behaviours such as risky driving, substance use, unsafe sex, violence perpetration and injuries . We previously reported findings from a nationally representative secondary school self‐report survey carried out in New Zealand (NZ) in 2001, 2007 and 2012 . In brief, there were large improvements between 2001 and 2012 in overall population rates of major areas of risk taking, specifically: smoking, binge drinking, drug use, risky driving and violence perpetration.…”

Section: Trends In Risk‐taking Behaviours Among High School Students mentioning

confidence: 99%

Downwards trends in adolescent risk‐taking behaviours in New Zealand: Exploring driving forces for change

Lewycka

Clark

Peiris‐John

et al. 2018

J Paediatrics Child Health

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“…Identifying FHCs : students were asked: “Is there anyone in your family who is seriously affected by: (1) disability or long term illness, (2) depression or mental illness, or (3) using alcohol or other drugs?” Students could select any combination of the three conditions or “none of these.” This question was taken, slightly modified, from the New Zealand Youth 2000 Survey Series 39. In the New Zealand survey, respondents were asked whether anyone in their home had an FHC.…”

Section: Methodsmentioning

confidence: 99%

Is having a family member with chronic health concerns bad for young people's health? Cross-sectional evidence from a national survey of young Australians

Moffat

Redmond

2017

BMJ Open

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ObjectivesYoung people's perspectives on the association between having a family member with a chronic health concern (FHC) and their own health are under-researched. This study used young people's reports to assess the prevalence of FHCs and their association with negative health outcomes, with an aim of identifying potential inequalities between marginalised and non-marginalised young people. Family cohesion was examined as a moderating factor.DesignCross-sectional data from the Australian Child Wellbeing Project survey were used. Respondents were asked whether someone in their family experienced one or more FHCs (disability, mental illness or drug/alcohol addiction). In addition, their experience of different psychosomatic symptoms (headache, sleeplessness, irritability, etc), aspects of family relationships and social and economic characteristics (disability, materially disadvantaged and Indigenous) were documented.SettingNationally representative Australian sample.Participants1531 students in school years 4 and 6 and 3846 students in year 8.ResultsA quarter of students reported having an FHC (years 4 and 6: 23.96% (95% CI 19.30% to 28.62%); year 8: 25.35% (95% CI 22.77% to 27.94%)). Significantly, more students with FHCs than those without reported experiencing 2 or more negative health symptoms at least weekly (OR=1.78; 95% CI 1.19 to 2.65; p<0.01). However, an independent relationship between FHCs and symptom load was only found in the case of FHC-drug/alcohol addiction. Marginalised students and students reporting low family cohesion had an increased prevalence of FHCs and notably higher symptom loads where FHCs were present. Level of family cohesion did not impact the relationship between FHCs and symptom load.ConclusionsThe burden of FHCs is inequitably distributed between marginalised and non-marginalised groups, and between young people experiencing different levels of family cohesion. More work is required regarding appropriate targets for community and family-level interventions to support young people in the context of FHCs.

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Health and wellbeing of Māori secondary school students in New Zealand: Trends between 2001, 2007 and 2012

Abstract: Objective: To describe the health status over time of Māori secondary school students in New Zealand compared to European students.

Cited by 47 publications

References 22 publications

The association between socioeconomic deprivation and secondary school students’ health: findings from a latent class analysis of a national adolescent health survey

The association between socioeconomic deprivation and secondary school students’ health: findings from a latent class analysis of a national adolescent health survey

Downwards trends in adolescent risk‐taking behaviours in New Zealand: Exploring driving forces for change

Is having a family member with chronic health concerns bad for young people's health? Cross-sectional evidence from a national survey of young Australians

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