Children Placed In Out-of-Home Care as Midlife Adults: Are They Still Disadvantaged or Have They Caught Up With Their Peers?
Children Placed In Out-of-Home Care as Midlife Adults: Are They Still Disadvantaged or Have They Caught Up With Their Peers?
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DOI：
10.1177/1077559517701855
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发表时间：
2017-08-01
影响因子：
5.1
通讯作者：
Almquist, Ylva B.
中科院分区：
文献类型：
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作者：
Brannstrom, Lars;Vinnerljung, Bo;Almquist, Ylva B.
国际研究一直报告说，被安置在家庭外照顾（OHC）的儿童在成年后的结果很差。然而，人们对他们在中年时期的结果知之甚少。使用前瞻性的数据，从一个队列的14,000多名瑞典人出生于1953年，其中近9%已被放置在OHC，本研究探讨是否有发展的连续性或不连续性的劣势达到中年OHC儿童，相比同龄人。在1992-2008年（39-55岁）对结果概况进行了评估，在此将其概念化为与教育、经济困难、失业和心理健康问题相关的不良结果的组合。结果表明，在控制观察到的混杂因素的情况下，有过OHC经历的患者最终处于最不利结局的几率增加了2倍。这些研究结果表明，OHC的经验是一个强大的标志，不利的结果也在中年。
International research has consistently reported that children placed in out-of-home care (OHC) have poor outcomes in young adulthood. Yet, little is known about their outcomes in midlife. Using prospective data from a cohort of more than 14,000 Swedes born in 1953, of which nearly 9% have been placed in OHC, this study examines whether there is developmental continuity or discontinuity of disadvantage reaching into middle age in OHC children, compared to same-aged peers. Outcome profiles, here conceptualized as combinations of adverse outcomes related to education, economic hardship, unemployment, and mental health problems, were assessed in 1992-2008 (ages 39-55). Results indicate that having had experience of OHC was associated with 2-fold elevated odds of ending up in the most disadvantaged outcome profile, controlling for observed confounding factors. These findings suggest that experience of OHC is a strong marker for disadvantaged outcomes also in midlife.