Archives: Publications

  • Is breastfeeding in infancy predictive of child mental well-being and protective against obesity at 9 years of age?

    Background
    Preventing child mental health problems and child obesity have been recognized as public health priorities. The aim of the present study was to examine whether being breastfed (at all or exclusively) in infancy was a predictor of mental well-being and protective against risk of obesity at age 9.

    Methods
    Cross-sectional data from a large, nationally representative cohort study in the Republic of Ireland was used (n = 8357). Data on breastfeeding were retrospectively recalled. Child mental well-being was assessed using a parent-completed Strengths and Difficulties Questionnaire (SDQ). Child’s height and weight were measured using scientifically calibrated instruments.

    Results
    Logistic regression analyses indicated that, after controlling for a wide range of potential confounding variables, being breastfed in infancy was associated with a 26% (P < 0.05) reduction in the risk of an abnormal SDQ score at 9 years. Being breastfed remained a significant predictor of child mental well-being when child obesity was controlled for, indicating that being breastfed, independent of child obesity, is a predictor of child mental well-being. The results of a second logistic regression indicated that, after controlling for a wide range of potential confounding variables, being breastfed for between 11 and 25 weeks was associated with a 36% (P < 0.05) reduction in the risk of obesity at 9 years, while being breastfed for 26 weeks or longer was associated with a 48% (P < 0.01) reduction in the risk of obesity at 9 years.

    Conclusions
    Breastfeeding in infancy may protect against both poor mental well-being and obesity in childhood.

  • Association of parental identification of child overweight and mental health problems during childhood

    Background
    Public health policies attempt to increase parental identification of child overweight and obesity. The objective of the present research was to determine the cross-sectional, prospective and longitudinal associations between parental identification of child overweight and child mental health problems.

    Methods
    We made use of two cohort studies of Australian (Longitudinal Study of Australian Children, LSAC) and Irish children (Growing up in Ireland Study, GUI) that measured parental identification of child overweight and child mental health problems. Participant included 6502 (LSAC) and 7503 (GUI) children (49% female) and their parents. Child mental health problems were measured using child, parent and teacher-reported Strengths and Difficulties Questionnaires (SDQ) at ages 9/10 years old to 12/13 years old. In all analyses we controlled for child Z-BMI.

    Results
    In LSAC children whose parents identified them as being overweight at age 10 experienced worse mental health at age 10 (β = 0.21, SE = 0.04) and age 12 (β = 0.13, SE = 0.04) than children whose parents failed to identify them as overweight. In GUI children whose parents identified them as being overweight at age 9 experienced worse mental health at age 9 (β = 0.20, SE = 0.04) and age 13 (β = 0.22, SE = 0.04). In LSAC parental identification of child overweight at age 10 did not significantly predict changes in mental health problems from age 10 to 12 (β = −0.02, SE = 0.03). In GUI parental identification of child overweight was predictive of increases in mental health problems from age 9 to 13 (β = 0.08, SE = 0.03).

    Conclusions
    Parental identification of child overweight and obesity is associated with worse child mental health, independent of child body weight. Parents should be aware of the potential stigma and mental health difficulties associated with labelling a child as overweight.

  • Income and conversion handicaps: estimating the impact of child chronic illness/disability on family income and the extra cost of child chronic illness/child disability in Ireland using a standard of living approach

    Child chronic illness/ disability can present significant challenges for children, families and society that require appropriate policy responses; yet little is known about the demands placed on families resources from an economics perspective in terms of its impact on household income and the extra income required to achieve the same standard of living as families who do not have a child with a chronic illness/disability. The paper uses data from the Growing Up in Ireland National survey dataset for nine year olds. It is the first study to empirically investigate the impact of child chronic illness/disability on earnings, standard of living and the extra cost of disability together. It is also the first study to explicitly address endogeneity in the standard of living model by using a two-stage process where residuals were harvested to provide efficient estimates. The findings show that families experience significant disadvantage and economic hardship due to reduced household income and a lower standard of living due to the extra cost of disability that would require considerable income to compensate. Policy implications of these findings suggest that a tiered approach to disability support payments which encompass broader criteria for inclusion based on varying severity levels be introduced to alleviate the financial hardship and compromised economic wellbeing of families affected. In addition, more innovative policies are required to implement appropriate timely access to health and social care services and flexi parental employment, which in turn requires the provision of adequate access to high quality educational and care facilities.

  • Childcare, Early Education and Socio-Emotional Outcomes at Age 5: Evidence from the Growing up in Ireland Study

    This report investigates the effects of childcare in early life on children’s socio-emotional development at age five using a large representative sample of children (circa 9,000) from the Growing Up in Ireland study. At age three, prior to the Free Preschool Year, around half the children in the study were in non-parental childcare. There were three categories of non-parental childcare:

    • Relative care, usually by a grandparent
    • Non-relative care, typically a childminder
    • Centre-based care, e.g. crèche
  • Partnership Dissolution after Childbirth in Ireland: On the Importance of Pregnancy Intentions.

    Several approaches frame childbirth as an event that can reduce partnership quality, generate work-family conflicts, intensify financial pressures, and increase separation risk. The present study discusses theories of separation in relation to pregnancy intentions leading to a birth and analyses data from Growing Up in Ireland. Transition rate models of parental separation nine months to five years after childbirth show higher risks of separation after pregnancies described as “somewhat too early”, “much too early” and after “unwanted” pregnancies. These differences are due partly to sociodemographic factors that influence unplanned pregnancies and subsequent separation. Increases in workfamily conflicts after birth do not increase separation risk.

  • The Role of Grandparents in Childcare in Ireland: Towards a Research Agenda

    This paper discusses the role of grandparents in informal childcare in Ireland. It considers how recent demographic change and government policy on childcare have the potential to place greater pressures on the provision of grandparent childcare. It illustrates research literature that has examined the prevalence and intensity of grandparent care, factors influencing such care, and the role and needs of grandparents in childcare. We argue that there are significant gaps in Irish research evidence about the extent of, role and needs of grandparents as childcarers and outline a data and research agenda that builds on previous research in this area.

    Keywords
    Childcare, Policy, Grandparents, Intergenerational

  • The association between weight perception and BMI: Report and measurement data from the growing up in Ireland cohort study of 9 year olds

    Background
    The gold standard for categorisation of weight status is clinically measured body mass index (BMI), but this is often not practical in large epidemiological studies.

    Objectives
    To determine if a child’s weight perception or a mother’s perception of a child’s weight status is a viable alternative to measured height and weight in determining BMI classification. Secondary outcomes are to determine the influence of a mother’s BMI on her ability to categorise the child’s BMI and a child’s ability to recognise his/her own BMI.

    Methods
    Cross-sectional analysis of the growing up in Ireland cohort study, a nationally representative cohort of 8568 9-year-old children. The variables considered for this analysis are the child’s gender, BMI (International Obesity Taskforce grade derived from measured height and weight) and self-perceived weight status, and the mother’s weight perception of the child, BMI (derived from measured height and weight) and self-perceived weight status. Cohen’s weighted-kappa was used to evaluate the strength of the agreement between pairwise combinations of the BMI variables. Cumulative and adjacent categories logistic regression were used to predict how likely a person rates themselves as under, normal or overweight, based on explanatory variables.

    Results
    Mothers are more accurate at correctly classifying their child’s BMI (κ=0.5; confidence intervals (CI) 0.38–0.51) than the children themselves (κ=0.25; CI 0.23–0.26). Overweight mothers are better raters of their child’s BMI (κ=0.51; CI 0.49–0.54), compared with normal (κ=0.44; CI 0.41–0.47) or underweight mothers (κ=0.4; CI 0.22–0.58), regardless of whether the mother’s BMI is derived from measured height and weight or self-perceived. The mother’s perception of the child’s weight status is not an influencing factor on the child’s ability to correctly classify him/herself, but the child’s self-perceived weight status influences the mother’s ability to correctly classify the child.

    Conclusions
    A mother’s BMI classification of her child is a viable alternative to BMI measurement in large epidemiological studies.

  • Shaping educational expectations: the perspectives of 13-year-olds and their parents

    Educational expectations and the way in which they shape actual outcomes act as an important vehicle for the intergenerational reproduction of social inequality. This article draws on rich information from the Growing Up in Ireland longitudinal study to explore the factors influencing the educational expectations of 13-year-old young people and their parents. The findings point to high levels of expectations among parents but one-third of young people are found to hold lower expectations than their parents. Both sets of expectations are shaped by parental education, social class and household income, though parental expectations are more strongly structured by social background than those of young people. The article seeks to contribute to the literature on educational expectations in three interrelated ways. Firstly, it focuses on a phase of schooling, the transition to secondary education, which represents a time of significant change in young people’s learning experiences, and transition difficulties are found to dampen their expectations. Secondly, the analyses unpack the extent to which signals from the school influence parental perspectives, with academic achievement, child attitudes to maths, ability group assignment and teacher reprimands emerging as significant drivers of parental views of their children’s potential. Thirdly, the analyses take account of both the primary and secondary school attended and indicate significant between-school differences in young people’s intentions to go on to higher education.

    Keywords
    Educational expectations, social class differences, parent influence, school effects

  • The transition to primary education: Insights from the Growing Up in Ireland Study

    This study uses Growing Up in Ireland data to examine how 9,000 children adjusted to primary school. It finds that the vast majority of five year olds are positive about school, look forward to going to school and say good things about school. The study showed that children start school with different skills and capacities and some children face greater challenges. The study suggests a number of ways to help all children experience a positive transition to primary school.

  • Arts and Cultural Participation among Children and Young People: Insights from the Growing Up in Ireland Study

    This major study, conducted by the ESRI on behalf of the Arts Council, draws on Growing Up in Ireland data to assess arts and cultural participation specifically among 3, 5, 9 and 13-year-olds