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Childhood socio-economic status and ethnic disparities in psychosocial outcomes in New Zealand

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Summary:

This study used data from the longitudinal Christchurch Health and Development Study to examine the extent to which childhood socioeconomic status (SES) could account for differences in adult psychosocial outcomes between Māori and non-Māori in a birth cohort of more than 1000 individuals studied to age 30. Data were gathered on three measures of childhood SES (family SES, family living standards, family income) and adult psychosocial outcomes including mental health, substance use, criminal offending, and education/welfare dependence outcomes. Māori ethnicity was associated with significantly (p<0.0001) poorer scores on the three measures of childhood SES, with estimates of Cohen’s d indicating a moderate effect size. Māori ethnicity was also linked to significantly (p<0.05) greater rates of adverse psychosocial outcomes in adulthood. Controlling for childhood SES reduced the magnitude of the ethnic differences in psychosocial outcomes, but did not fully explain the differences between Māori and non-Māori. Adjustment for childhood SES had the strongest effect on education/welfare dependence, but weaker effects on mental health, substance use, and criminal offending.

Comment:
Two papers here detailing the short- and long-term impacts of childhood poverty/ adversity. One paper studied communities in Sweden, the other of course looking at similar indicators for Māori. As the authors suggest, interventions may have greater impact when directed at the macrosystem – political, societal and macro-environmental changes are needed.
Reference: Aust N Z J Psychiatry 2014;48(7):672-80
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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