Posts in Academic Journal Articles
Distinct profiles of mental health need and high need overall among New Zealand adolescents – Cluster analysis of population survey data

Sutcliffe K, Wilson M, Clark TC, Crengle S, Fleming T.

 

We statistically allocated Youth19 participants to clusters based on self-reported wellbeing, depression symptoms, possible anxiety symptoms, and past-year self-harm, suicide ideation, and suicide attempt. Key findings:

  • We identified five distinct clusters

  • Only 40% of participants were classed as healthy with no significant symptoms on any included measures

  • Around 6% appeared severe, with 100% prevalence of suicide attempt and high overall levels of self-harm, depression symptoms, and possible anxiety symptoms

  • Three intermediate clusters were characterised by high anxiety symptoms with otherwise positive results (anxious, 28%); scores approaching cutoffs for depression and anxiety symptoms and some self-harm (stressed and hurting, 9%); and above-cutoff scores for depression and possible anxiety symptoms and high suicide ideation without attempt (distressed and ideating, 16%)

  • Female, Māori, Pacific, and rainbow students were overrepresented in higher severity clusters, with inequities at least partially explained by exposure to harms such as sexual abuse and discrimination.

 
Wellbeing and healthcare access for sexuality and gender minority secondary school students with long-term health conditions

Guntupalli, A. M., Lucassen, M. F. G., Fenaughty, J., Fleming, T., Peiris-John, R., Farrant, B., & Clark, T. C.

 

Highlights from this article:

  • Sexuality and gender minority youth (SGMY) are poorly served by healthcare services.

  • SGMY are more likely to have a long-term health condition.

  • Gender minority youth have especially high needs and difficulties accessing help.

 
Rapid and unequal decline in adolescent mental health and well-being 2012-2019: Findings from New Zealand cross-sectional surveys

KYLIE SUTCLIFFE, JUDE BALL, TERRYANN C CLARK, DAN ARCHER, ROSHINI PEIRIS-JOHN, SUE CRENGLE, TERRY (THERESA) FLEMING

 

This paper uses data from Youth19 and previous Youth2000 surveys to explore prevalence and trends of key mental health and well-being indicators. We found high mental health needs in 2019 and sharp increases between 2012 and 2019, particularly among female, Māori, Pacific and Asian students and those living in socioeconomically deprived neighbourhoods. Ethnic and socioeconomic disparities have widened.

 
Flexible resources and experiences of racism among a multi-ethnic adolescent population in Aotearoa, New Zealand: an intersectional analysis of health and socioeconomic inequities using survey data

RACHEL SIMON-KUMAR, SONIA LEWYCKA, TERRYANN C CLARK, THERESA (TERRY) FLEMING, ROSHINI PEIRIS-JOHN

 

This paper uses data from Youth19 and previous Youth2000 surveys to explore experiences of racism among Māori and minority youth in Aotearoa New Zealand. The study found that structural factors enabling wealth, but more substantially, perceived ethnicity, give differential protection against racism.

More information including links to media coverage will be available on our news page and @Youth19NZ Twitter account.

 
Forgone healthcare among Asian adolescents in New Zealand linked to racism from health providers
 

This paper uses Youth19 data to explore factors predicting forgone healthcare among Asian adolescents

The study found that some factors impacting students’ access to health services, such as discrimination by healthcare professionals, were consistent across Asian groups. Other factors varied between South and East Asian students, highlighting the importance of disaggregating Asian youth data.

More info including media releases can be found here.

 
Measuring whanaungatanga and identity for well-being in rangatahi Māori
 

There have been many attempts at measuring Māori identity and cultural engagement, yet there have been no scales created to specifically explore whanaungatanga.

Whanaungatanga can be operationalised as active participation in and a sense of belonging to social groups and collective, reciprocal caring relationships.

In this article, we document the development of a whanaungatanga scale alongside a measure of Māori identity.

 
Co-creating a large-scale adolescent health survey integrated with access to digital health interventions
 

The Youth19 survey provided participants with the option to receive links to digital health interventions. This article by lead author Roshini Peiris-John from The University of Auckland discusses how young people and health providers were engaged with to best understand the needs of users and shape the interventions website that survey participants were sent.