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Published on: September 19, 2019
Factors associated with chronic conditions among children in foster care
Sandra H Jee1, Richard P Barth, Moira A Szilagyi
1Division of General Pediatrics and Strong Children Research Center, University of Rochester School of Medicine and Dentistry, USA. Sandra_Jee@urmc.rochester.edu
Insights
Children in foster care have a high prevalence of chronic conditions. Younger children, non-Hispanic caregivers, and smaller households were associated with increased chronic conditions in this population.
Area of Science:
- Pediatrics
- Child Welfare
- Public Health
Background:
- The prevalence of chronic conditions in children in foster care ranges from 44%-82% based on previous studies.
- The foster care population is experiencing rapid growth, necessitating further research into associated health conditions.
Purpose of the Study:
- To identify factors associated with chronic conditions in a nationally representative sample of children in foster care.
- To analyze data from the National Survey of Child and Adolescent Well-Being (NSCAW) for insights into child welfare and health.
Main Methods:
- Analysis of data from The National Survey of Child and Adolescent Well-Being (NSCAW), Wave 1.
- Utilized regression analysis to determine significant factors associated with chronic conditions.
Main Results:
- Child age under 2 years was significantly associated with having a chronic condition.
- Caregiver race/ethnicity other than Hispanic was linked to a higher prevalence of chronic conditions.
- Fewer household members were also a significant factor associated with chronic conditions.
Conclusions:
- Identified key demographic and household factors associated with chronic conditions in children in foster care.
- Highlights the need for targeted interventions and support for this vulnerable population.
- Emphasizes the importance of considering chronic conditions within the context of child welfare services.
Abstract:
The population of children in foster care is rapidly growing. Previous local and state-level analyses have measured the prevalence of chronic conditions among such children to be from 44%-82%. The study objective was to identify factors associated with chronic conditions among a nationally representative sample of children in foster care for one year. The authors analyzed data from The National Survey of Child and Adolescent Well-Being (NSCAW), Wave 1, the first national dataset of children in the child welfare system. In regression analysis, factors significantly associated with having a chronic condition included: child age under 2 years, caregiver race/ethnicity other than Hispanic, and relatively few household members. Discussion includes consideration of chronic conditions in this high-risk population.
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