Robertson Oliver, Nathan Kim, Howden-Chapman Philippa, Baker Michael George, Atatoa Carr Polly, Pierse Nevil
Department of Public Health, University of Otago, Wellington, New Zealand
Department of Public Health, University of Otago, Wellington, New Zealand.
BMJ Open. 2021 Jan 8;11(1):e039706. doi: 10.1136/bmjopen-2020-039706.
The aims of this study are to describe area deprivation levels and changes that occur during residential moves involving New Zealand children from birth to their fourth birthday, and to assess whether these changes vary by ethnicity.
Longitudinal administrative data.
Children born in New Zealand from 2004 to 2018.
All (565 689) children born in New Zealand with at least one recorded residential move.
A longitudinal data set was created containing lifetime address histories for our cohort. This was linked to the New Zealand Deprivation Index, a measure of small area deprivation. Counts of moves from each deprivation level to each other deprivation level were used to construct transition matrices.
Children most commonly moved to an area with the same level of deprivation. This was especially pronounced in the most and least deprived areas. The number of moves observed also increased with deprivation. Māori and Pasifika children were less likely to move to, or remain in low-deprivation areas, and more likely to move to high-deprivation areas. They also had disproportionately high numbers of moves.
While there was evidence of mobility between deprivation levels, the most common outcome of a move was no change in area deprivation. The most deprived areas had the highest number of moves. Māori and Pasifika children were over-represented in high-deprivation areas and under-represented in low-deprivation areas. They also moved more frequently than the overall population of 0 to 3 year olds.
本研究旨在描述新西兰儿童从出生到四岁期间居住地变动时所处地区的贫困水平及变化情况,并评估这些变化是否因种族而异。
纵向管理数据。
2004年至2018年在新西兰出生的儿童。
所有(565689名)在新西兰出生且至少有一次记录在案的居住地变动的儿童。
创建了一个纵向数据集,其中包含我们队列的终生住址历史记录。该数据集与新西兰贫困指数相关联,后者是衡量小区域贫困程度的指标。从每个贫困水平到其他贫困水平的变动次数用于构建转移矩阵。
儿童最常搬到贫困水平相同的地区。这在最贫困和最不贫困的地区尤为明显。观察到的变动次数也随着贫困程度的增加而增加。毛利族和太平洋岛民儿童搬到或留在低贫困地区的可能性较小,而搬到高贫困地区的可能性较大。他们的变动次数也 disproportionately 地多。
虽然有证据表明贫困水平之间存在流动性,但搬家最常见的结果是地区贫困状况没有变化。最贫困地区的搬家次数最多。毛利族和太平洋岛民儿童在高贫困地区的占比过高,在低贫困地区的占比过低。他们的搬家频率也高于0至3岁儿童的总体人口。