Adolescence and young adulthood are critical periods in the development of healthy sexual health and relationships, as patterns of behaviour that develop during these life stages shape outcomes throughout the life course. Recent rises in notifications of certain sexually transmitted infections (STIs) among young people in Ireland have raised concerns over the extent to which young people have the skills and information to make healthy choices in relation to their sexual health and wellbeing. In this context, sexual health literacy – i.e., the degree to which individuals have the ability to find, understand and use information and services to inform decisions and actions – is a key protective factor for the prevention of negative sexual health outcomes and for allowing young people to be more in control of their own sexual and reproductive health. In this report, we used data from Cohort ’98 of Growing Up in Ireland, the national longitudinal study of children and young people in Ireland, to examine the factors associated with sexual health literacy among young adults, and how sexual health literacy is associated with sexual health behaviours (i.e., condom and contraception use). The Growing Up in Ireland data on sexual health literacy were collected in 2018 when the young people were 20 years of age, and the measure of sexual health literacy was based on answers to two questions that gauged knowledge of female fertility and STI prevention methods.
Archives: Publications
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Factors Associated With Cocaine Use at 17 and 20 Years Old: A Longitudinal Analysis of a Nationally Representative Cohort
Purpose
Despite growing concerns about trends in cocaine use, there is a shortage of longitudinal research that prospectively examines risk and protective factors associated with cocaine initiation and use in general youth populations. This study addresses this gap.Methods
Growing Up in Ireland is a nationally representative cohort. Individual, family, and socio-environmental exposures associated with incident past-year cocaine use at ages 17 (N = 5965) and 20 (n = 4549) were assessed with survey-weighted logistic regression using generalised estimating equations. Prevalent past-year cocaine use at 20 (N = 4679) was analysed using generalised estimating equations complemented by gradient-boosted decision trees and Shapley explanations.Results
221 (3.7%) self-reported cocaine use at 17 and 1072 (22.9%) at 20. Alcohol use at 14 or younger was associated with eight times the odds of cocaine use at 17 (aOR 8.0, 95% CI 1.7–37.3) and 19 times at 20 (aOR 19.2, 95% CI 8.6–43.2). Peer cannabis use was associated with 7 times the odds of cocaine use at 17 (aOR 7.3, 95% CI 2.9–18.3) and double at 20 (aOR 2.4, 95% CI 1.8–3.2). Growing up in a neighbourhood where substance use was common doubled the odds of cocaine use at 17 (aOR 2.4, 95% CI 1.3–4.4). Shapley explanations revealed individual-specific positive or negative impacts of exposures.Discussion
Cocaine use among 20-year-olds in Ireland is higher than reported internationally, and increases sharply between the ages of 17 and 20, suggesting a need for interventions targeting this age group. However, associations with early adolescent factors suggest that early interventions may also be important. -
The impact of the Covid-19 pandemic on the wellbeing of migrant young people in Ireland
The world-wide COVID-19 pandemic significantly disrupted education, with school closures leading to a shift to remote learning. Existing and emerging research has shown that even a relatively short period of missed school has negative consequences for academic and social outcomes among children and young people, especially for those from more vulnerable families. While emerging research drawing on cross-sectional data has focussed on how the pandemic has affected immigrant youth, there is a paucity of longitudinal studies in this field. In this paper, we used the longitudinal Growing Up in Ireland study to investigate and analyse the wellbeing of migrant-origin 12-year-olds in Ireland during the COVID-19 pandemic. Our research shows that compared to their Irish peers, immigrant adolescents had poorer wellbeing, partly related to differences in family support for remote learning, in experiences of poor-quality interaction with peers and in levels of family strain.
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Associations and mediating factors between adverse childhood experiences and substance use behaviours in early adulthood: A population-based longitudinal study
Background
Research has demonstrated positive associations between adverse childhood experiences (ACEs) and substance use behaviours in young adults. However, many of these are based on cross-sectional data. The pathway between ACEs and substance misuse among emerging adults is also not fully understood and few studies have investigated potential mediating factors.Methods
We analysed data from the Child Cohort of the Growing Up in Ireland study, a nationally representative longitudinal sample of children recruited at 9 years of age (n = 4,729). Logistic regression was used to examine individual and cumulative ACE exposure relationships with substance use at age 20 years. Mediation analyses were used to assess whether parental and peer relationships and school engagement mediate ACE history associations with substance use behaviours.Results
ACE exposure relationships with current cannabis use, other illicit drug use and problematic drug use were observed. In particular, young adults who had experienced 2 ACEs or 3 + ACEs had an approximate two-fold (OR=1.80, 95 % CI: 1.29, 2.51) and approximate three-fold (OR=2.94, 95 % CI: 2.06, 4.19) increased odds of problematic drug use, respectively, when compared to participants who had experienced no ACEs during the study period. Mediation analyses suggested that parent and peer attachment and liking school partially mediate relationships between ACEs and substance use behaviours.Conclusions
Children who have experienced ACEs are at higher risk of future substance use and problematic drug use. In supporting these children, identified mediators such as interpersonal relationships and school engagement may help guide selection of prevention interventions. -
Participation in shadow education and academic performance: A comparison of upper secondary school students in Ireland and Germany
This article uses two longitudinal cohort studies (Growing Up in Ireland and the National Educational Panel Study) to examine how shadow education relates to academic performance in Ireland and Germany. Patterns of take-up of, and outcomes from, shadow education are found to reflect the particular country context—aimed at maintaining performance to avoid grade retention in Germany and preparing for a high-stakes upper secondary exam in Ireland. Participation enhances academic performance but only for students with lower levels of prior achievement. However, the relationship is not much stronger than with engagement in structured out-of-school activities. Thus, shadow education appears to be one of a number of strategies used by more privileged families to secure educational advantage.
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The association of multidimensional household poverty with child and mother psychopathology wellbeing trajectories using a prospective longitudinal cohort in Ireland
Background
The association between multidimensional household poverty (MHP) and child and mother psychopathology trajectories is not well understood. The aim of this paper is to explore this association.Methods
We analysed 9241 infants and mothers recruited at 9-months (m) and 32-years (y) respectively from the Growing-up-in-Ireland study and followed up when the child was aged 3, 5, 7, 9 and 13y. MHP was derived from monetary, subjective and material poverty questionnaires completed by mothers before infant age 3y using latent-class-analysis. Confounder-adjusted linear spline multilevel models were used to examine the association between MHP before 3y and trajectories of child (3-to-13y) and mother (34-to-46y) psychopathology wellbeing measures (Strengths-and-difficulties-questionnaire and Centre-for-epidemiological-studies-depression-scale, respectively).Results
In adjusted models, MHP before 3y was associated with a higher mean difference(MD) (MD:0.67, 95%CI 0.41,0.92) in child psychopathology at 3y and this was broadly similar at age 13y (MD:0.87, 95% CI 0.57,1.17). MHP prior to 3y was associated with a higher mother psychopathology when her child was age 3y (MD:1.07, 95% CI 0.90,1.23) and this persisted albeit with a slight reduction in magnitude at age 13y of the child (MD:0.72, 95% CI 0.53,0.90).Conclusions
Though replication in other cohorts is required, findings suggest that MHP exposure in child infancy may have early negative life course impacts on mother and child wellbeing that persist for up to a decade. If causal, these findings underscore the importance of early life course policy interventions to prevent and ameliorate poverty to reduce long term psychopathology of mothers and their children. -
Housing, Health and Happiness: How Inadequate Housing Shapes Child and Parental Wellbeing
There has been a good deal of attention in Irish policy discourse to housing supply and affordability. However, there has been less focus on the extent to which the quality of housing impacts the wellbeing of children and their parents. This study addresses this gap in knowledge by using data from Growing Up in Ireland (GUI) Cohort ’08 to explore the influence of housing and neighbourhood quality on parental and child wellbeing. In particular, it looks at how the length of time households have spent experiencing inadequate housing can shape families’ wellbeing. The study adopts a multidimensional approach to measuring inadequate housing, capturing whether the home is unsuitable (in terms of size or problems like damp), whether the household struggles to adequately heat the home, lack of access to a garden or play space, the number of residential moves and the type of tenure. In addition, neighbourhood quality is assessed in terms of local disorder, having low social capital (with few family and friends in the area) and having access to fewer local services. Child wellbeing is measured using the Strengths and Difficulties Questionnaire (SDQ), which captures the extent of children’s socio-emotional difficulties.
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The Changing Social Worlds of 13-year-olds
This study draws on data on Growing Up in Ireland (GUI) Cohorts ’98 and ’08 to document changes in the lives of adolescents over the period 2011/12 to 2021/22, building on an earlier study (Smyth, 2022) which compared their experiences at nine years of age. This decade was a period of considerable social and policy change, including reform of the junior cycle, growing digitalisation and the disruption of the pandemic to all aspects of young people’s lives. Changes were also evident in the profile of young people and their families, with increasing cultural diversity, higher education levels among parents, lower levels of financial strain and increasing numbers with a disability among members of Cohort ’08 than among their older cohort counterparts. The study looks at changes in 13-year-olds’ relationships with their parents and peers, in their day-to-day activities and in their experiences of school. The main research questions addressed by the study are: How have the quality of relationships, experience of learning and activities engaged in by adolescents changed over the course of a decade? To what extent do any such changes reflect differences in the family characteristics of the young people? Are any such changes more evident for boys or girls or for young people from different social backgrounds? Is differentiation by gender and social background in adolescents’ social worlds less evident for the younger cohort than previously?
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Longitudinal relations between child emotional difficulties and parent-child closeness: a stability and malleability analysis using the STARTS model
Background
Past empirical evidence on the longitudinal relations between emotional mental health symptoms and parent-child close relationships has produced mixed and inconclusive results. Some studies suggest a unidirectional relation, whereas other studies point toward a bidirectional association. Additionally, most of the past research has been carried out with adolescent samples, rather than children. Hence, this study aimed to estimate the longitudinal relations between children’s trait emotional difficulties and trait parent-child closeness, accounting for the time-invariant and time-varying state components of each factor.Methods
Participants were 7,507 children (ages 3 years, 5 years, 7 years, and 9 years) from the Growing Up in Ireland cohort. Α bivariate stable trait, autoregressive trait, and state (STARTS) model was estimated using Bayesian structural equation modelling.Results
The STARTS model revealed that children’s emotional difficulties and parent-child closeness were relatively stable across time, and these overarching traits were strongly negatively correlated. Children’s earlier trait emotional difficulties predicted later trait parent-child closeness and vice versa between 3 years and 5 years, and between 5 years and 7 years, but these effects disappeared between 7 years and 9 years. At all pairs of time points, state emotional difficulties and state parent-child closeness were weakly negatively correlated.Conclusions
Overall, the results suggest that early and middle childhood are critical stages for improving parent-child relationships and reducing children’s emotional difficulties. Developing close parent-child relationships in childhood appears to be a key factor in reducing children’s subsequent emotional difficulties. Children who face greater than usual emotional difficulties tend to be more withdrawn and less receptive to close parent-child relationships and this could serve as an important screening indicator. -
Bullying Victimization as an Adverse Experience for Psychosocial Adjustment among Irish Adolescents
This study investigates the long-term effects of victimization from middle adolescence to late adolescence and early adulthood, examining emotional and behavioral problems, peer relationships, and smoking habits and sleeping difficulties. The study also explores how these outcomes can persist into early adulthood, taking into consideration early victimization experiences, gender, cognitive ability, and family social class. The total sample included 7525 participants, spanning the ages of 13, 17, and 20, from the Child Cohort of the Growing Up in Ireland study (48.9% male). The path analysis model suggests that victimization is associated with behavioral problems at age 17, and it is also linked to emotional problems and sleeping difficulties at both ages 17 and 20. Additionally, sleeping difficulties, smoking habits, and indices of emotional and behavioral adjustment exhibit some stability between ages 13 and 17, as well as 17 and 20. Theoretical and practical implications are discussed.