Early Childbirth Among Foster Youth: A Latent Class Analysis to Determine Subgroups at Increased Risk.
CONTEXT: Research has documented elevated rates of early childbirth among adolescents who have spent time in foster care, and a better understanding is needed of the characteristics of vulnerable individuals and the circumstances of their time in care. METHODS: California birth records for 1999–2010...
| Publicado en: | Perspectives on Sexual & Reproductive Health Vol. 51; no. 4; pp. 229 - 239 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140371008&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140371008 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386341 K87 jtl: Perspectives on Sexual & Reproductive Health issn: 15386341 maglogo: Y pubinfo: dt: Dec2019 vid: 51 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 140371008 140371008 140371008 10.1363/psrh.12124 140371008 ppf: 229 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Early Childbirth Among Foster Youth: A Latent Class Analysis to Determine Subgroups at Increased Risk. aug: au: King, Bryn Eastman, Andrea Lane Grinnell‐Davis, Claudette Aparicio, Elizabeth affil: Factor‐Inwentash Faculty of Social Work, University of Toronto, Toronto sug: subj: Foster Home Care Pregnancy in Adolescence Childbirth Risk Assessment Sexual Health Reproductive Health Human Pregnancy Female Structural Equation Modeling Special Populations California Birth Certificates Probability Child Welfare Adolescence Young Adult Length of Stay Chi Square Test Early Intervention Health Services Accessibility Adolescent: 13-18 years Female ab: CONTEXT: Research has documented elevated rates of early childbirth among adolescents who have spent time in foster care, and a better understanding is needed of the characteristics of vulnerable individuals and the circumstances of their time in care. METHODS: California birth records for 1999–2010 were probabilistically linked to state child welfare service records spanning the same date range to identify females aged 12–19 who had spent time in foster care and had had a first birth before age 20. Latent class analysis was used to identify subgroups based on age at most recent entry into care, length of this stay and three indicators of placement instability. The probability of a first birth being related to class membership was assessed as a distal outcome, and differences across classes were assessed using chi‐square tests. RESULTS: Four distinct classes of foster youth were identified: Later Entry/High Instability (20% of individuals), Later Entry/Low Instability (43%), Earlier Entry/High Instability (12%) and Earlier Entry/Low Instability (25%). The probability of a first childbirth ranged from 31% (class 1) to 15% (class 4); classes 2 and 3 experienced moderate risk (23% and 24%, respectively). Two groups were further characterized by high rates of reentry into care, with 56% of class 1 and 41% of class 3 individuals experiencing more than one episode in care. CONCLUSIONS: Identifiable subgroups of female foster youth are at heightened risk of early childbirth and may benefit from early intervention, enhanced support and access to reliable, ongoing sexual and reproductive health care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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