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.

Related Concept Videos

Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
Stress and Mental Health01:30

Stress and Mental Health

Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic Obstructive Pulmonary Disease I: Introduction

Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Relationship with Other Adult Family Members and Siblings01:29

Relationship with Other Adult Family Members and Siblings

Other adult family members and siblings play a crucial role in shaping children’s social and emotional development. While parents or primary caregivers are often the central figures in early attachment and socialization, other adults in a child’s life, such as grandparents, aunts, and uncles, can significantly influence developmental outcomes. These influences depend on each adult’s personality and may help compensate when a primary caregiver is emotionally distant or inconsistent. For...