Understanding Parental education and health of Pacific families: Background and study protocol Parental Education and Pacific Health, study protocol

Main Article Content

Jesse Kokaua
Seini Jensen
Reremoana Theodore
Debbie Sorensen
Wilmason Jensen
Rick Audas
Rosalina Richards

Keywords

Pacific Health, Child health, Parental Education, Population data

Abstract

Nakiro'anga ite au meitaki o tei '?pi'i ia no te ora'anga pu'apinga no t?tou te Vakevake a Te Moana Nui o Kiva e no'o nei i Aotearoa (Meitaki o te ‘Api'i) is a programme of research examining the benefits of education to health outcomes for Pacific families in Aotearoa using the Integrated Data Infrastructure (IDI) and it is an Health Research Council Pacific post-doctoral project. As a part of Meitaki o te ‘Api'i, the present study plans to investigate the relationship between parental education and child health outcomes in Pacific families.


Using linked health, income, and Census data, the present study will model the influence of parental education levels on child health outcomes adjusted for other key factors. In this methodological paper, we provide details about this project that is in a relatively new data space for Pacific research and we describe our participants.


Most children in the study were born in New Zealand and nearly all could speak English. Pacific children were slightly younger, more likely to be able to speak a Pacific or other languages, and most likely to live in areas of socio-ecenomic deprivation compared to non-Pacific children. Pacific children who identified with solely Pacific and Pacific with other ethnicities. Parents of children with solely Pacific ethnicity, more than a third of whom were born in New Zealand, over 60% spoke a Pacific language and four out of five held christian beliefs. By comparison, parents of children with Pacific with other ethnicities were; younger, New Zealand born, less likely to speak another language and half held christian beliefs. Compared with parents of children from Other ethnicities, parents of Pacific children had lower median incomes, were less likely to own their home and had fewer total years of education.


It is important to note that the overall purpose of this study is not to highlight the differences between Pacific and other non Pacific families, but to look at the relationship between parental education and the health of children.

Abstract 358 | PDF Downloads 45

References

[1] Statistics New Zealand, & Ministry of Pacific Islands Affairs. (2010). Education and Pacific peoples in New Zealand. Wellington, New Zealand.
[2] Ministry of Education. (2013). Pasifika Education Plan 2013–2017. Wellington, New Zealand.
[3] Cochrane S.H., Leslie J., Ohara D. (1982). PARENTAL EDUCATION AND CHILD HEALTH: INTRACOUNTRY EVIDENCE. Health Policy and Education, 2:213 -250
[4] Desai, S. & Alva, S., (1998). Maternal Education and Child Health: Is There a Strong Causal Relationship? Demography. 35(1):71-81. 139.80.135.255
[5] Dowd, J. B., Zajacova A., & Aiello A., (2009). Early origins of health disparities: burden of infection, health, and socioeconomic status in U.S. children. Soc Sci Med 68(4): 699-707. doi:10.1016/j.socscimed.2008.12.010.
[6] Hatt L. E., & Waters H. R., (2006). Determinants of child morbidity in Latin America: a pooled analysis of interactions between parental education and economic status. Soc Sci Med 62(2): 375-386.
[7] Rammohan A., Awofeso N., & Fernandez R.C., (2012). Paternal education status significantly influences infants' measles vaccination uptake, independent of maternal education status. BMC Public Health 12: 336. http://www.biomedcentral.com/1471-2458/12/336
[8] Chen Y., & Li H., (2009). Mother’s education and child health: Is there a nurturing effect? Journal of Health Economics. 28:413–426. doi:10.1016/j.jhealeco.2008.10.005
[9] Parikka S., Mäki P., Levälahti E., Lehtinen-Jacks S., Martelin T., and Laatikainen T., (2015). Associations between parental BMI, socioeconomic factors, family structure and overweight in Finnish children: a path model approach. BMC Public Health 15: 271. DOI 10.1186/s12889-015-1548-1
[10] Teranishi K., Hayes D.K., Iwaishi L.K., &. Fuddy L.J., (2011). Poorer general health status in children is associated with being overweight or obese in Hawai'i: findings from the 2007 National Survey of Children's Health. Hawaii Med J 70(7 Suppl 1): 16-20.
[11] Flores G., Bauchner H., Feinstein A.R., Nguyen U.D.T., (1999). The Impact of Ethnicity, Family Income, and Parental Education on Children's Health and Use of Health Services. American Journal of Public Health. 89(7):1066-1071.
[12] Carter A. S., Wagmiller R.J., Gray S.O.A., McCarthy K.J., Horwitz S.M., & Briggs-Gowan M.J., (2010). Prevalence of DSM-IV disorder in a representative, healthy birth cohort at school entry: sociodemographic risks and social adaptation. J Am Acad Child Adolesc Psychiatry 49(7): 686-698. doi:10.1016/j.jaac.2010.03.018.
[13] McLaughlin K. A., Breslau J., Green J. G., Lakoma M. D., Sampson N. A., Zaslavsky A. M., Kessler R. C., (2011). Childhood socio-economic status and the onset, persistence, and severity of DSM-IV mental disorders in a US national sample. Social Science & Medicine 73 1088e1096
[14] Perna L., Bolte G., Mayrhofer H., Spies G., Mielck A., (2010). Impact of the social environment on children's mental health in a prosperous city: an analysis with data from the city of Munich. BMC Public Health, 10:199. http://www.biomedcentral.com/1471-2458/10/199
[15] von Rueden U., Gosch A., Rajmil L., Bisegger C., Ravens-Sieberer U., (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study, Journal of Epidemiology and Community Health. 60(2):130-135. DOI: 10.1136\jech.2005.039792
[16] Sonego M., Llacer A., Galan I., & Simon F., (2013). The influence of parental education on child mental health in Spain. Qual Life Res 22(1): 203-211. DOI 10.1007/sl 1136-012-0130-x
[17] Gao W., Paterson J., Carter S., & Percival T., (2006). Risk factors for preterm and small-for-gestational-age babies: A cohort from the Pacific Islands Families Study. Journal of Paediatrics and Child Health 42: 785-792. doi:10.1111/j.1440-1754.2006.00978.x
[18] Health Research Council. (2014). Pacific Health Research Guidelines. Health Research Council. Auckland. http://www.hrc.govt.nz/sites/default/files/Pacific%20Health%20Research%20Guidelines%202014.pdf (accessed 11 June 2018).
[19] Kokaua J., Jensen S., Jensen W., Sorensen D., and Richards R., (2019). How New Zealand’s Integrated Data Infrastructure be useful for Pacific health and wellbeing research? A draft submitted for publication in 2019.
[20] Kokaua J., Jensen S., Camp J., Jensen W., Sorensen D., Ruhe T., Lucas A., Audas R., and Richards R., (2019). A framework for using the New Zealand Integrated Data Infrastructure for Pacific health research. A draft submitted for publication in 2019.
[21] Stats NZ (2018) Revised Jensen Scale and Jensen Equivalised Annual Household Income downloaded from:
http://archive.stats.govt.nz/browse_for_stats/people_and_communities/Households/energy-hardship-report/appendix-4.aspx on 13/12/2018
[22] Perry B., (2017) Household incomes in New Zealand: Trends in indicators of inequality and hardship 1982 to 2016, Ministry of Social Development, Wellington. ISBN 978-0-947513-92-4 (Online)