The Perinatal Risk Index: Early Risks Experienced by Domestic Adoptees in the United States.
The Perinatal Risk Index: Early Risks Experienced by Domestic Adoptees in the United States.
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DOI：
10.1371/journal.pone.0150486
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Neiderhiser JM
中科院分区：
文献类型：
--
作者：
Marceau K;De Araujo-Greecher M;Miller ES;Massey SH;Mayes LC;Ganiban JM;Reiss D;Shaw DS;Leve LD;Neiderhiser JM
我们的目的是全面评估美国国内收养儿童中潜在高风险但未被充分研究的儿童围产期风险的患病率。数据来自参与者报告和母亲（n = 580）的医疗记录，这些母亲在出生时或临近出生时完成了与非亲属的家庭收养安置（平均安置年龄= 7天）。我们描述了围产期风险的综合措施，包括与以前的评估工具的差异和多报告者的结合，并报告了各种类型围产期风险的流行情况。每种特定风险因素的流行率普遍较低，尽管该样本中有几种风险比全国代表性公开数据的估计更为普遍。几乎整个样本（99%）都经历了某种类型的风险暴露。在美国将孩子送到国内收养的生母比全国平均水平面临更高的围产期风险，但并非所有特定类型的风险都是如此。因此，国内收养儿童的发展轨迹可能与一般人群存在系统性差异，因为这些特定的围产期风险会影响发育。
We aimed to assess comprehensively the prevalence of perinatal risks experienced by a potentially high-risk yet understudied population of children domestically adopted in the United States. Data are from participant report and medical records from mothers (n = 580) who completed a domestic adoption placement with nonrelatives at or near birth (Mean placement age = 7 days). We describe a comprehensive measure of perinatal risks, including divergences from previous assessment tools and the incorporation of multiple reporters, and report the prevalence of various types of perinatal risks. The prevalence of each specific risk factor was generally low, although several risks were more prevalent in this sample than estimates from nationally representative publicly available data. Nearly the entire sample (99%) experienced some type of risk exposure. Birth mothers who placed their children for adoption domestically in the US experience higher levels of perinatal risks than the national average, but not for all specific types of risk. Thus, the developmental trajectories of children adopted domestically may systematically differ from the general population to the extent that these specific perinatal risks impact development.