Unaccompanied Evacuation and Adult Mortality: Evaluating the Finnish Policy of Evacuating Children to Foster Care During World War II.

Objectives. I examined associations between evacuation of Finnish children to temporary foster care in Sweden during World War II and all-cause mortality between ages 38 and 78 years. Methods. I used a Cox proportional hazards model to estimate mortality risk according to whether the individual was...

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Publicado en:American Journal of Public Health Vol. 104; no. 9; pp. 1759 - 1766
Autor principal: Santavirta, Torsten
Formato: Journal Article
Publicado: American Public Health Association Sep2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Public Health
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      dt: Sep2014
      vid: 104
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      pub: American Public Health Association
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        107874643
        10.2105/AJPH.2014.301939
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        atl: Unaccompanied Evacuation and Adult Mortality: Evaluating the Finnish Policy of Evacuating Children to Foster Care During World War II.
      aug:
        au: Santavirta, Torsten
      su:
        Sweden
        Finland
        Foster home care
        Child welfare
        Siblings
        Census
        Mortality
        War
        Socioeconomic factors
        History
        History of child welfare
        Proportional hazards models
        Data analysis software
      sug:
        subj:
          Foster home care
          Child welfare
          Siblings
          Census
          Mortality
          War
          Socioeconomic factors
          History
          Sweden
          Finland
          Other Residential Care Facilities
          All other residential care facilities
          Child and Youth Services
          History of child welfare
          Proportional hazards models
          Data analysis software
      ab: Objectives. I examined associations between evacuation of Finnish children to temporary foster care in Sweden during World War II and all-cause mortality between ages 38 and 78 years. Methods. I used a Cox proportional hazards model to estimate mortality risk according to whether the individual was evacuated during childhood or not. I used within-sibling analysis to control for all unobserved socioeconomic and genetic characteristics shared among siblings. Individual-level data for Finnish cohorts born in 1933 to 1944 were derived from wartime government records, Finnish census data from 1950 and 1970, and death cause registry from 1971 to 2011. Results. I found no statistically significant association between evacuation and all-cause mortality when all exposed individuals were included in the analysis. However, subgroup analysis showed that men evacuated before age 4 years had a 1.31 higher mortality risk (95% confidence interval = 1.01, 1.69) than their nonevacuated counterparts. Conclusions. In the aggregate, individuals do not have elevated mortality risk as a consequence of foster care during early childhood owing to the onset of sudden external shocks (e.g., wars).
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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