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Introducing the new generation of “kiwi kids” The early years of the Growing Up in New Zealand cohort Associate Professor Susan Morton Director Centre for Longitudinal Research and Growing Up in New Zealand October 2016 www.growingup.co.nz

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  • Introducing the new generation of kiwi kids

    The early years of the Growing Up in New Zealand cohort

    Associate Professor Susan Morton

    Director

    Centre for Longitudinal Research and

    Growing Up in New Zealand

    October 2016

    www.growingup.co.nz

  • Overview of talk

    Brief overview of the Growing Up in New Zealand longitudinal study

    Focus on key findings from the preschool years

    Snapshot of fathers (co-parents) of the cohort children

    Next steps and looking ahead

  • Overarching Aim of Growing Up in New Zealand

    To provide contemporary population relevant

    evidence about the determinants of developmental

    trajectories for 21st century New Zealand children

    in the context of their families.

    The Ministry of Social Development and the Health

    Research Council of New Zealand, in association

    with the Families Commission, the Ministries of

    Health and Education and the Treasury, wish to

    establish a new longitudinal study of New Zealand

    children and families, . to gain a better

    understanding of the causal pathways that lead to

    particular child outcomes (across the life course)

    introduction to RFP in 2004.

  • Why a contemporary longitudinal study?

  • The Growing Up in New Zealand cohort

    Recruited 6853 children before their birth -

    via pregnant mothers (6823)

    Partners recruited and interviewed

    independently from pregnancy (4401)

    Cohort has adequate explanatory power to

    consider trajectories for Maori (1in 4),

    Pacific (1 in 5) and Asian (1 in 6) children,

    and to consider multiple ethnic identities

    (approx. 40%)

    Cohort broadly generalisable to current NZ

    births (diversity of ethnicity and family SES)

    Retention rates to 4.5 year DCW have been very

    high (over 90% with minimal attrition bias)

  • Longitudinal Information available to date

    Child age Ante-

    natal

    Peri-

    natal

    6 wk 35

    wk

    9

    mth

    12

    mth

    16

    mth

    23

    mth

    2

    yr

    31

    mth

    45

    mth

    54

    mth

    Mother

    CAPI*

    Father CAPI*

    Mother

    CATI

    Child

    Data

    linkage**

    * CAPI computer assisted personal interview

    CATI computer assisted telephone interview

    Child measurement

    ** Linkage to health and education records (eg National Minimum Dataset, National

    Immunisation Register, ECE participation)

  • Moving beyond risk factorology

  • Seeking answers to why?

    Mind the gap

  • Capturing the first 1000 days from pregnancy

  • Partnerships to facilitate translation

    Study design

    Data collection

    Data analyses

    Dissemination of results

    Policy interaction

    Policy interaction

    Policy interaction

    Policy interaction

  • First 1000 Day Reports for Policy Stakeholders

    Bridge the gap?

  • The children at 2 years

  • Snapshot and longitudinal information

  • Now we are Two

  • Health and wellbeing (in first 1000 days)

  • Family and Household structure

  • Home environment

  • Screen time at 9 months

    64

    9 10 11 6

    50

    9 11

    19

    11 7 3 14

    28

    48

    Seld

    om

    or

    nev

    er

    On

    ce a

    wee

    k

    Seve

    ral t

    imes

    a w

    eek

    On

    ce a

    day

    Seve

    ral t

    imes

    a d

    ay

    Seld

    om

    or

    nev

    er

    On

    ce a

    wee

    k

    Seve

    ral t

    imes

    a w

    eek

    On

    ce a

    day

    Seve

    ral t

    imes

    a d

    ay

    Seld

    om

    or

    nev

    er

    On

    ce a

    wee

    k

    Seve

    ral t

    imes

    a w

    eek

    On

    ce a

    day

    Seve

    ral t

    imes

    a d

    ay

    At nine months - baby watches videos or DVDs

    At nine months - Baby watches children's TV programmes

    At nine months - TV on in the same room as baby

  • Screen time at 9 months and SDQ at 2 years

    Univariate odds of abnormal SDQ at 2 years (compared to normal SDQ)

    0.0

    1.0

    2.0

    3.0

    4.0

    5.0

    6.0

    7.0

    8.0

    Seld

    om

    or

    never

    (ref)

    Once a

    week

    Severa

    l tim

    es a

    week

    Once a

    day

    Severa

    l tim

    es a

    da

    y

    Seld

    om

    or

    never

    (ref)

    Once a

    week

    Severa

    l tim

    es a

    week

    Once a

    day

    Severa

    l tim

    es a

    da

    y

    Seld

    om

    or

    never

    (ref)

    Once a

    week

    Severa

    l tim

    es a

    week

    Once a

    day

    Se

    ve

    ral tim

    es a

    da

    y

    At nine months - baby watches videos or DVDs (p

  • Screen time rules at 2 years

    75

    18

    7

    58

    35

    7

    61

    32

    7

    Yes No n.a Yes No n.a Yes No n.a

    At 2 years - there are rules about what TV programmes child can

    watch

    At 2 years - there are rules about how many hours of TV, videos,

    and DVDs child can watch

    At 2 years - there are rules about when your

    child watches TV

  • Screen time rules at 2 years and SDQ at 2 years

    Univariate odds of abnormal SDQ at 2 years (compared to normal SDQ)

    0.0

    0.5

    1.0

    1.5

    2.0

    2.5

    3.0

    3.5

    4.0 Ye

    s (r

    ef)

    No

    Yes

    (ref

    )

    No

    Yes

    (ref

    )

    No

    At 2 years - there are rules about what TV programmes child can watch

    (p

  • Place of birth of cohort parents

    1 in 3 of all cohort children have at least one parent born outside NZ

  • Languages understood by children at 2 years

  • Policy Briefs & Fast-track requests

  • Policy Brief #5 - Why focus on Te Reo Mori?

    Te Reo Mori was a flourishing and living language in the early post-colonization period in NZ, but it rapidly declined thereafter

    Retention of Te Reo Mori is important for Aoteoroa/ NZ society:

    to strengthen Mori culture and identity

    as an integral component of Mori succeeding as Mori

    as part of the nations identity (Mori language week this week)

    Revitalisation of Te Reo is a national priority (2014 National Strategy released by Te Puni Kokiri)

    Growing Up in NZ cohort is ideal to explore acquisition and use of Te Reo in the new generation of NZ children, and to

  • Intergenerational Te Reo Mori use

  • Intergenerational Te Reo Mori (Mori and non-Mori)

    Mori identity and

    understanding te reo Mori at two years of age

    Neither Mori nor

    understand te reo Mori

    Identified as Mori but

    do not understand te reo Mori

    Identified as Mori and

    understand te reo Mori

    Understand te reo Mori

    but not identified as Mori

    NB: By 2 years 40% of children identified as Mori (by a parent) are reported to be able to speak te reo Mori well or very well

  • Te reo utilisation at 2 and Next steps

    We are seeing an increasing utilization of Te Reo Mori in this new generation of NZ children

    The children who identify as Maori are most likely to be using te reo in everyday activities

    The future of te reo relies on the home environment as well as its use and fostering in other settings (e.g. education)

    The Growing Up in New Zealand cohort provides an excellent opportunity to follow the transmission and retention of te Reo in the contemporary NZ context

    Proficiency in te reo Mori was assessed at 54 months and will be formally measured at 8 years for the

  • The children at 4 years of age

  • Retention

    Parental antenatalinterview

    6 weeks

    9 month interview

    2 year interview

    45 month ca ll

    54 month interview

    Pregnant mothers N = 6822 *

    Partners N = 4401

    Chi ld counts (N = 6853)

    Completed = 6843 Skipped = 10

    Chi ld counts (N = 6795)

    Completed = 6476 (94%) Skipped = 310

    Lost to follow up = 9

    Opt out =54Deceased =4

    Chi ld counts (N = 6706) Completed = 6327 (92%)

    Skipped = 366Lost to follow up = 13

    Chi ld counts (N = 6670)

    Completed = 6207 (91%) Skipped = 442

    Lost to follow up = 21

    Chi ld counts (N = 6639)

    Completed = 6156 (90%)

    Skipped = 462Lost to follow up = 21

    Opt out = 88

    Deceased = 1

    Opt out = 36

    Opt out = 29Deceased = 2

  • Child Ethnicity (Maternal report at 54 months)

    All ethnicity Frequency Percent

    European 4106 66.74

    Maori 1522 24.74

    Pacific 1241 20.17

    Asian 939 15.26

    MELAA 136 2.21

    Others 395 6.42

    New Zealander 976 15.86

    NB: 48% of children identified as having 2 or more ethnic identities.

  • Languages children use by 4 years (top 10)

    Frequency Language(s) spoken

    ALL Hello?

    6098 English Hello

    596 Mori Kia ora

    299 Samoan Talofa

    227 Tongan Ml e lelei

    211 Mandarin

    192 Hindi 83 Spanish Hola

    63 Cantonese

    55 Punjabi 53 Cook Island Mori Kia orana

  • Health and Wellbeing - changes over time

    [VALUE]%

    [VALUE]%

    [VALUE]% [VALUE]%

    [VALUE]%

    [VALUE]%

    [VALUE]%

    [VALUE]% [VALUE]% 0.5%

    [VALUE]%

    [VALUE]%

    [VALUE]% 2% [VALUE]%

    Excellent Very Good Good Fair Poor

    9 month

    2 year

    4 1/2 year

  • Focus on Childhood Obesity in NZ

    1 in 3 NZ children are now classified as overweight or obese Risk is not equally distributed, nor differences fully understood.

  • Anthropometry BMI (WHO cut-offs)

    0.1 0.1 0.2 1.3 0.3

    88.9

    81.6

    69.9

    90.7 85.9

    8.2 12.4

    18.7

    5.0 9.4

    2.8 6.0

    11.2

    3.0 4.4

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    European Maori Pacific Asian Overall

    Percent (%)

    Underweight Normal Overweight Obese

  • Activity information at 4 years

    7.6

    4.3

    0.5

    10.4

    3.4

    7.8

    58.6

    69.1

    36.4

    65.5

    36.0

    67.8

    33.8

    26.7

    63.1

    24.1

    60.7

    24.4

    Climbs on trees, climbing frame, wall bars etc

    Plays with a ball

    Plays chasing or running games

    Rides a bike, tricycle, skateboard or scooter

    Dances around the house

    Takes part in physical exercise or activities that you all do together as a family

    Never or less than a week At least once a week Everyday

  • Household structure at 54 months

    Household

    structure

    (54 months)

    Parent alone

    Two parents

    only

    Parent(s)

    with extended

    family

    Parent(s)

    with non-kin

    Frequency 500

    4384

    1079 233

    Percent 8.1 70.8 17.4 3.7

    2 year family structure

  • Media exposure at 45 months and 54 months

    [VALUE]

    (Mean = 98 min)

    (Median =

    90 min)

    [VALUE]

    (Mean = 89 min)

    (Median =

    60 min)

    [VALUE]

    (Mean = 163 min)

    (Median = 120 min)

    [VALUE]

    (Mean = 129 min)

    (Median = 120 min)

    [VALUE]

    (Mean = 42 min)

    (Median =

    30 min)

    [VALUE]

    (Mean = 37 min)

    (Median =

    30 min)

    At 45m At 54m At 45m At 54m At 45m At 54m

    Child watching television programming, including free-to-air, online, and pay TV,

    or DVDs either on TV or other media

    Child with the TV on in the same room, whether or not child was watching it

    Child uing electronic media e.g. computer or laptop,

    including childrens computer systems such as Leapfrog, ipads, tablets,

    smart phones

  • 0

    5

    10

    15

    20

    25

    30

    Antenatal interview Nine month interview Two year interview Fifty-four month interview

    $150,001

    Household income - changes over first 5 years

  • Early life residential mobility

    Overall, between birth and two years of age, 45.3% (n = 2796) of the Growing Up in New Zealand cohort had moved at least once

  • Characteristics associated with residential mobility

  • Mobility between birth and nine months: Multivariate model

    0

    1

    2

    3

    4

    5

    Euro

    pean

    Mori

    Pa

    cific

    Pe

    op

    les

    Asia

    n

    Pa

    ren

    t a

    lon

    e

    Tw

    o p

    are

    nts

    alo

    ne

    Pa

    ren

    t(s)

    with

    exte

    nd

    ed

    fa

    mily

    Pa

    ren

    t(s)

    with

    no

    n-k

    in

    Fa

    mily

    ow

    ne

    rsh

    ip

    Priva

    te r

    en

    tal

    Pu

    blic

    /Oth

    er

    ren

    tal

    Lo

    w

    Me

    diu

    m

    Hig

    h

    Maternal ethnicity Household Structure Household tenure Crowding

  • 0

    1

    2

    3

    4

    5

    No change Newly Partnered Newly partner-less

    Same income group

    Increase Decrease

    Change in partner status Change in household income group

    Value of the longitudinal data: change variables

    Birth to nine months

  • Residential Mobility (between 2 and 4.5 years)

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    1 2 3 4 5

    Perc

    ent

    (%)

    Number of Moves

    No of times Frequency Percent

    0 3046 49.5

    1 1757 28.6

    2 791 12.9

    3 355 5.8

    4 or more 197 3.2

  • Household tenure changing over time?

    Tenure type Antenatal 9 months 2 years 54 months

    Family Home 55.2 56.2 56.2 57.8

    Private rental 38.3 37.8 38.1 35.8

    Public rental 6.5 6.0 5.7 6.4

  • Partners/dads of children after 2 year DCW

    Child age Ante-

    natal

    Peri-

    natal

    6 wk 35

    wk

    9

    mth

    12

    mth

    16

    mth

    23

    mth

    2

    yr

    31

    mth

    45

    mth

    54

    mth

    Mother

    CAPI*

    Father CAPI*

    Mother

    CATI

    Child

    Data

    linkage**

    * CAPI computer assisted personal interview

    CATI computer assisted telephone interview

    Child measurement

    ** Linkage to health and education records (eg National Minimum Dataset, National

    Immunisation Register, ECE participation)

  • Add on study to follow dads when children started school

    called Who are todays dads?

    Key aims

    - To explore the diversity of individuals who are father

    figures to six-year old children growing up in New

    Zealand today

    - To determine how policy can support the role that modern

    fathers can contribute to their childrens early

    development

    Focus on work, family, parenting and father involvement

    Online data collection (August 2015 - March 2016)

    4121 participants

    Focus on the dads

  • Who are the dads?

    97% report being the biological father

    93% Lives with the child all the time

  • The Dads/Fathers/Co-parents

    [CATEGORY NAME]

    [PERCENTAGE]

    [CATEGORY NAME]

    [CATEGORY NAME]

    [PERCENTAGE]

    [CATEGORY NAME]

    [PERCENTAGE]

    [CATEGORY NAME]

    [PERCENTAGE]

    Education

    Low 37%

    Medium 38%

    High 25%

    Area level deprivation (NZdep2013)

    0

    10

    20

    30

    40

    5

    5

    %

    Age

  • Socio-demographics

    2

    8 12 12 14

    70

    0

    10

    20

    30

    40

    50

    60

    70

    80

    MELAA & other

    New Zealander

    Asian

    Pacific

    Maori

    European

    %

    Ethnicity (all, not prioritised)

  • Migrant parents diverse backgrounds

  • Involvement with children at 6

  • Parenting confidence and involvement

  • Fathers work 94%

    are in paid employment

    6% have more than one paid job

    47 work hours per week on average

    32% work on weekends

    47% are able to

    work flexible hours

  • Work satisfaction

  • Work-life balance

    Poorer work-life balance was associated with

    - More work hours per week

    - Less involvement with child

    - Lower levels of being a confident parent

    - Wanting more involvement in the childs live

  • Fathers not in paid employment

  • Fathers who dont live with their children

    1 in 3 live less than 5 km from their child 1 in 4 live between 5 and 19 km from their child

    14% live over 100 km from their child 5% live in a different country then their child 20% say child is always or often sad when leaving them 73% say child is relaxed and comfortable at start contact time

    7% of participants do not live with the child all the

    time

    Of these:

    64% said reaching a contact arrangement was difficult

    24% had a formal (court ordered/legal) contact

    arrangement

  • Fathers health and wellbeing

    88% say their health is good to excellent

    4.4% have a disability, of which 53% say their disability has

    a somewhat negative or very negative effect on their

    parenting

    16% report symptoms of psychological distress

    71% eat at least one serve of fruit or vegetables per day

    12% smoke daily; on average 10 cigarettes per day

  • More to come on the dads.

  • More to come on the children and mothers

    72 month electronic DCW completed school transition focus

    Data linkage to routine health and education records continues

    8 year DCW planned to go to field (Leading Light 2016)

    UoA Centre for Longitudinal Research eResearch platform,

    research collaborations, PhD opportunities, bespoke reports

    (www.growingup.co.nz)

  • Acknowledgements

    Participants and their families

    Growing Up team

    University of Auckland/UniServices

    C4LongR Advisory Board

    Superu and Families Commission

    Ministry of Social Development

    Multiple other government agencies

    Collaborative partners

    Policy Forum members

    Advisory and Stakeholder groups

    (DAC, ESAG, PF)

    GUiNZ Executive Board