Pacific Islands families study: risk and protective factors associated with delinquent behaviour in Pacific 11-year-olds

This paper examines risk and protective factors associated with delinquent behaviour among Pacific youth living in New Zealand (NZ). As part of the longitudinal Pacific Islands Families study, 11-year-olds Pacific youth participated in multidisciplinary interviews which included questions about involvement in delinquent behaviours. Peer pressure was the strongest risk factor for delinquency, and protective factors were higher self-perception, teacher evaluation scores, and perceived support from friends. Pacific boys reported significantly more delinquent behaviours than Pacific girls. Maternal acculturation was significantly associated with the delinquent behaviour of youth. Youth of mothers categorized as integrators (high Pacific/high NZ) having lower odds for delinquency than youth of mothers categorized as assimilators (low Pacific/high NZ). Youth from the largest Pacific Island groups (Samoa, Tonga and Cook Islands) were also significantly more likely to engage in delinquent behaviour than those from smaller island groups. Implications of these findings for prevention and further research are discussed

Healthy Pacific Grandparents: A Participatory Action Research Project Exploring Ageing Well Amongst Pacific People in New Zealand

The New Zealand older adult population (aged 65+ years) is growing at a faster rate than the younger population, with many of those in the later years living much longer. The proportion of older Pacific people is forecast to reach 4.1% of the country’s total population within the next two decades, highlighting the importance of research focused on ageing Pacific populations. This article sets out the research protocol and methods for the Pacific Islands Families: Healthy Pacific Grandparents’ Study, which aims to investigate older Pacific people’s viewpoints on ageing to identify specific cultural values, perspectives and understandings as the Pacific population in New Zealand ages. The study will recruit and utilize participants from a grandparent cohort that is nested within the families of the longitudinal Pacific Islands Families Study. This study uses a Participatory Action Research approach to position the participants in a leadership role where they are co-researchers involved in both the research and the implementation of recommendations. Utilizing a transformative research process will bring older Pacific people together to define for themselves their needs and their experiences, identify any areas of shortcoming, and support the implementation of solutions through strategic and informed actions

Understanding suicidality in Pacific adolescents in New Zealand using network analysis

Introduction: Pacific adolescents in New Zealand (NZ) are three to four times more likely than NZ European adolescents to report suicide attempts and have higher rates of suicidal plans. Suicidal thoughts, plans, and attempts, termed suicidality in this study, result from a complex dynamic interplay of factors, which emerging methodologies like network analysis aim to capture. Methods: This study used cross-sectional network analysis to model the relationships between suicidality, self-harm, and individual depression symptoms, whilst conditioning on a multi-dimensional set of variables relevant to suicidality. A series of network models were fitted to data from a community sample of New Zealand-born Pacific adolescents (n = 550; 51% male; Mean age (SD) = 17 (0.35)). Results: Self-harm and the depression symptom measuring pessimism had the strongest associations with suicidality, followed by symptoms related to having a negative self-image about looks and sadness. Nonsymptom risk factors for self-harm and suicidality differed markedly. Conclusions: Depression symptoms varied widely in terms of their contribution to suicidality, highlighting the valuable information gained from analysing depression at the symptom-item level. Reducing the sources of pessimism and building self-esteem presented as potential targets for alleviating suicidality amongst Pacific adolescents in New Zealand. Suicide prevention strategies need to include risk factors for self-harm

Gambling Behaviours and Associated Risk Factors for 17 Year Old Pacific Youth

Summary This study is a component of the Pacific Islands Families Study, which is a longitudinal cohort study of a birth cohort of 1,398 Pacific infants who were recruited into the study from a South Auckland hospital in 2000. In 2017, the cohort children were 17 years old and an extensive set of gambling-related questions was included in their survey. Six hundred and thirty-two youth were surveyed. Research has shown that Pacific adults are less likely to participate in gambling activities than European adults but that those who do gamble have a higher risk of developing levels of harmful gambling. The reasons for the increased risk are not well understood and the gambling behaviours of Pacific youth, which could lead to adult gambling behaviours, are even less researched. This research report begins to address this gap in knowledge.Ministry of Healt

Pacific Islands Families Study: Intimate Partner Stressors and Psychological Distress among Pacific Adults

Although there has been increased research about the nature and predictors of sexual problems, relatively little is known about sexual health and well-being among minority ethnic groups across the world. This study explored stressful intimate relationship events that made a significant impact on psychological distress among Pacific adults living in New Zealand. The Pacific Islands Families (PIF) study is a longitudinal investigation of Pacific children born in New Zealand, and their parents. The 12-item General Health Questionnaire (GHQ12) and intimate partner stress items were used to assess the relationship between these stressful events and psychological distress among Pacific mothers and fathers (n D 3963 interviews with 2114 individuals). For both men and women, the most significant partner stress associated with psychological distress was problems with sex. These findings show how stressful events around sexuality and intimate relationships affect Pacific psychological well-being. These intimate issues need to be considered when designing intervention and treatment programmes that are adaptive for long-term family stability and sexual well-being. The relationship between culture, sexuality, and psychological distress needs further investigation. Using a qualitative methodology would provide a more intensive exploration of the role that cultural context plays in intimate relationships and sexuality in Pacific adults

The Importance of Pedestrian Network Connectivity for Adolescent Health: A Cross-sectional Examination of Associations Between Neighbourhood Built Environments and Metabolic Health in the Pacific Islands Families Birth Cohort Study

The research aim was to investigate associations between objectively-assessed built environment attributes and metabolic risk in adolescents of Pacific Islands ethnicity, and to consider the possible mediating effect of physical activity and sedentary time. Youth (n = 204) undertook a suite of physical assessments including body composition, blood sampling, and blood pressure measurements, and seven day accelerometry. Objective measures of the neighbourhood built environment were generated around individual addresses. Logistic regression and linear modelling were used to assess associations between environment measures and metabolic health, accounting for physical activity behaviours. Higher pedestrian connectivity was associated with an increase in the chance of having any International Diabetes Federation metabolic risk factors for males only. Pedestrian connectivity was related to fat free mass in males in unadjusted analyses only. This study provides evidence for the importance of pedestrian network connectivity for health in adolescent males. Future research is required to expand the limited evidence in neighbourhood environments and adolescent metabolic health

Risk factors for depression in Pacific adolescents in New Zealand: a network analysis

Background: Network analysis provides opportunities to gain a greater understanding of the complex interplay of risk factors for depression and heterogeneous symptom presentations. This study used network analysis to discover risk factors associated with both depression severity and depression symptoms amongst Pacific adolescents in New Zealand. Methods: Mixed graphical models with regularization were fitted to data from a community sample of New Zealand born, Pacific adolescents, (n=561; 51% male; Mean age (SD) = 17 (0.35)) and associations between a wide range of potentially explanatory variables and depression severity and depression symptoms investigated. The associations identified were then tested for reliability, using resampling techniques and sensitivity analysis. Results: In the networks, the explanatory variables associated with both depression severity and depression symptoms were those related to quality of the relationships with mother or friends, school connectedness, and self-assessed weight, but the symptoms they were associated with varied substantially. In the depression severity networks, impulsivity appeared to be a bridging node connecting depression severity with delinquency and negative peer influence. Limitations: The data were analysed cross-sectionally, so causal inferences about the directions of relationships could not be inferred and most of the data were self-reported. Conclusions: The results illustrate the varied way that adolescent depression can manifest itself in terms of symptoms and suggest specific items on the depression inventory that might be suitable targets for prevention strategies and interventions, based on the risk factor - depression symptom profiles of individuals or groups

Accelerometer Data Treatment for Adolescents: Fitting a Piece of the Puzzle

This study aimed to assess the differences in participant retention and associations between physical activity and key variables when a range of accelerometer data inclusion criteria are employed. Data were drawn from 204 adolescents of Pacific Island heritage (survey, body composition, 7-day accelerometry) and their parents (date of birth, socioeconomic status) between October 2014 and February 2016 in Auckland, New Zealand. Data wear time criteria for inclusion were as follows: A) > = 10 h/weekday or > = 8 h weekend day, > = 5 days (at least one weekend day); B) > = 10 h/weekday or > = 8 h weekend day, > = 4 days; C) > = 7 h/day, > = 3 days; D) > = 10 h/day, > = 1 day. Overall, 49%, 62%, 88%, and 96% of participants met the criteria, respectively. Adjusted odds of meeting each criterion were examined using a multivariable logistic regression model. Almost 50% of participants were excluded by the most stringent inclusion criteria. Increased body fat percentage and proportion of time in moderate-to-vigorous activity were associated with decreased odds of meeting Criterions A and B. This research contributes to a growing understanding of the impact of differing accelerometer reduction approaches to sample retention and bias in adolescent physical activity research