Journal of the Royal Society of New Zealand最新文献

For Pacific children in Aotearoa New Zealand under 20 years of age, this study investigates whether parental education is protective in terms of hospitalisations. For 139,686 Pacific and 659,055 other (non-Māori/non-Pacific) children, a population data extract for them and their parents was used from linked 2013 Census, health and demographic data. Binary indicators of incidence of hospitalisations between 1 March 2013 and 28 February 2018 were analysed using modified Poisson regression models with robust standard errors. The highest parental educational level of either parent ranged from 0 indicating no qualification and increased incrementally to 10 signifying a PhD. Over the study period, 1% of Pacific children were hospitalised in private hospitals and 24% with a potentially avoidable hospitalisation. Highest parental education level was protective for Pacific children, with a single level in parental qualification associated with a small but significantly lower risk of potentially avoidable hospitalisation (RR = 0.97, p < 0.0001), but a higher risk of private hospitalisation (RR = 1.25, p < 0.0001). This finding remained significant, independent from the contribution of increased socioeconomic benefits that accompanied improved education. These findings support ongoing Pacific focused initiatives for promoting continuing education as an investment for the future health of Pacific families.

New Zealand research on inequities in children's developmental health outcomes is sparse. We aimed to describe the prevalence, clustering, and socio-environmental associations of developmental health in preschool-aged children. A latent profile analysis was performed using data from child participants of Growing Up in New Zealand at age 4.5-years to identify profiles of developmental health status. Seven measures were included in the latent profile analysis, representing four domains of developmental health: 'physical', 'motor', 'socioemotional and behavioural', and 'communication and learning'. Multinominal logistic regression was used to investigate socio-environmental associations of latent profile membership. Six latent profiles were identified (N = 6109), including three healthy/flourishing profiles: 'healthy' (52.6% of the sample), 'early social skills flourishing' (14.5%), and 'early learning skills flourishing' (4.0%); and three suboptimal profiles: 'early learning skills difficulties' (19.5%), 'physical health difficulties' (5.6%), and 'developmental difficulties cluster' (3.7%). Children experiencing socioeconomic disadvantage, of Māori or Pacific ethnicity, and with unmet healthcare needs had increased odds of being classified to suboptimal developmental health profiles. In this large, diverse cohort, one-in-four children were classified as having suboptimal developmental health. Addressing inequities in developmental health is crucial to improving health over the life course.

Thirty years ago, DNA sequences were obtained from an extinct Aotearoa New Zealand animal for the first time. Since then, ancient DNA research has provided many - often unexpected - insights into the origins of New Zealand's terrestrial and marine vertebrate fauna. Because recent human activities in New Zealand have caused the decline or extinction of many endemic plant, bird, reptile, and marine mammal species, ancient DNA has been instrumental in reconstructing their identities and origins. However, most ancient DNA studies focusing on New Zealand species have been restricted to vertebrates, with small sample sizes, and/or relatively few genetic markers. This has limited their power to infer fine-scale biogeographic patterns, including (pre)historic distributions and range-shifts driven by past climate and environmental change. Recently, 'next-generation' methodological and technological advances have broadened the range of hypotheses that can feasibly be tested with ancient DNA. These advances represent an exciting opportunity for further exploring New Zealand biogeography using ancient DNA, but their promise has not yet been fully realised. In this review, we summarise the last 30 years of ancient DNA research into New Zealand faunal biogeography and highlight key objectives, challenges, and possibilities for the next 30 years and beyond.

This paper explores the government service interactions for a cohort of formerly homeless youth in Aotearoa New Zealand, using linked administrative data. We report the rates of service interactions pre- and post-housing for a cohort of 69 youth, aged 18-25 years old, who received housing and support from a Housing First provider. 60.9% were women, and 69.6% were Māori. Very high rates of service interactions were seen both before and after they were housed. The evidence shows promising potential improvements in young people's lives when housed. The most significant changes we saw in the one and two years post-housing were in incomes from both wages/salaries and social welfare benefits; there was a significant increase in total income for our cohort. There was also a promising reduction in hospitalisations and emergency deparment admissions. Overall, Housing First shows promising outcomes for youth.

Food insecurity, defined as uncertainty in reliably accessing adequate quantities of nutritious food, is an issue for many families and children, including in New Zealand. Drawing on the experiences of mothers, this study explored the nature, causes and impact of food insecurity for their families. Semi-structured face-to-face interviews conducted with six female sole-parents were complemented with food insecurity data from the NZ Health Survey and Youth2000 surveys. Interviews were audio-recorded, transcribed and emergent themes analysed. The major driver of food insecurity was low income relative to essential household outgoings. Coping strategies employed invariably involved reducing the quantity and quality of food consumed. Negative impacts of food insecurity included significant stress, neglect of personal needs and missing meals in favour of children. Concerns expressed for children included reduced provision of nutritious food and constrained social and recreational opportunities. Participants described the daily struggle of feeding their household despite personal sacrifices, a range of coping strategies and community support. Quantitative data showed persistent high prevalence of household food insecurity with inequity by ethnicity and disability status. Findings highlight food insecurity as an ongoing public health issue for which urgent action is required to reduce its damaging impacts on families and children.