A Dregan1, M C Gulliford. 1. Division of Primary Care and Public Health Sciences, King's College London, Capital House, 42 Weston St, London, SE1 3QD, UK. alexandru.dregan@kcl.ac.uk
Abstract
OBJECTIVES: Childhood experiences of public care may be associated with adult psychosocial outcomes. This study aimed to evaluate the associations of four public care exposures: type of placement, length of placement, age at admission to care and number of placements, as well as the reasons for admission to public care with emotional and behavioural traits at age 30 years. METHODS: Participants included 10,895 respondents at the age 30 survey of the 1970 British Cohort Study (BCS70) who were not adopted and whose care history was known. Analyses were adjusted for individual, parental and family characteristics in childhood. RESULTS: Cohort members with a public care experience presented lower childhood family socio-economic status compared with those in the no public care group. After adjusting for confounding, exposure to both foster and residential care, longer placements and multiple placements were associated with more extensive adult emotional and behavioural difficulties. Specifically, residential care was associated with increased risk of adult criminal convictions (OR = 3.09, 95% CI: 2.10-4.55) and depression (1.81, 1.23-2.68). Multiple placements were associated with low self-efficacy in adulthood (OR = 3.57, 95% CI: 2.29, 5.56). Admission to care after the age of 10 was associated with increased adult criminal convictions (OR = 6.03, 95% CI: 3.34-10.90) and smoking (OR = 3.32, 95% CI: 1.97-5.58). CONCLUSION: Adult outcomes of childhood public care reflect differences in children's experience of public care. Older age at admission, multiple care placements and residential care may be associated with worse outcomes.
OBJECTIVES: Childhood experiences of public care may be associated with adult psychosocial outcomes. This study aimed to evaluate the associations of four public care exposures: type of placement, length of placement, age at admission to care and number of placements, as well as the reasons for admission to public care with emotional and behavioural traits at age 30 years. METHODS:Participants included 10,895 respondents at the age 30 survey of the 1970 British Cohort Study (BCS70) who were not adopted and whose care history was known. Analyses were adjusted for individual, parental and family characteristics in childhood. RESULTS: Cohort members with a public care experience presented lower childhood family socio-economic status compared with those in the no public care group. After adjusting for confounding, exposure to both foster and residential care, longer placements and multiple placements were associated with more extensive adult emotional and behavioural difficulties. Specifically, residential care was associated with increased risk of adult criminal convictions (OR = 3.09, 95% CI: 2.10-4.55) and depression (1.81, 1.23-2.68). Multiple placements were associated with low self-efficacy in adulthood (OR = 3.57, 95% CI: 2.29, 5.56). Admission to care after the age of 10 was associated with increased adult criminal convictions (OR = 6.03, 95% CI: 3.34-10.90) and smoking (OR = 3.32, 95% CI: 1.97-5.58). CONCLUSION: Adult outcomes of childhood public care reflect differences in children's experience of public care. Older age at admission, multiple care placements and residential care may be associated with worse outcomes.
Authors: Vesna Jordanova; Robert Stewart; David Goldberg; Paul E Bebbington; Traolach Brugha; Nicola Singleton; James E B Lindesay; Rachel Jenkins; Martin Prince; Howard Meltzer Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2007-05-22 Impact factor: 4.328
Authors: Margaret H Bublitz; Daniel Rodriguez; Asi Polly Gobin; Marissa Waldemore; Susanna Magee; Laura R Stroud Journal: Am J Obstet Gynecol Date: 2014-04-05 Impact factor: 8.661
Authors: Brittany Barker; Thomas Kerr; Gerald Taiaiake Alfred; Michelle Fortin; Paul Nguyen; Evan Wood; Kora DeBeck Journal: BMC Public Health Date: 2014-02-24 Impact factor: 3.295
Authors: Kristie Foley; Lorand Ferencz; Cristian Meghea; Zoltan Abram; Melinda Pénzes; Andrea Fogarasi-Grenczer; Peter Balazs; Lorand Schmidt Journal: Int J Environ Res Public Health Date: 2018-08-02 Impact factor: 3.390