The truly disadvantaged? Midlife outcome dynamics of individuals with experiences of out-of-home care |
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| Institution: | 1. Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada;2. Department of Psychiatry, University of Manitoba, Winnipeg, Canada;3. Department of Public Health Sciences, Stockholm University, Stockholm, Sweden;4. Department of Medicine, Karolinska Institutet, Stockholm, Sweden;5. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA;6. Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada;7. Manitoba Center for Health Policy, Winnipeg, Canada;8. Department of Public Health Sciences, Stockholm Univesity, Stockholm, Sweden;9. Department of Medicine, Karolinska Institutet, Stockholm, Sweden |
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| Abstract: | Little is known about developmental outcomes in midlife of persons who were placed in out-of-home care (OHC) in childhood. Utilizing longitudinal Swedish data from a cohort of more than 14,000 individuals who we can follow from birth (1953) to the age of 55 (2008), this study examines midlife trajectories of social, economic, and health-related disadvantages with a specific focus on the complexity, timing, and duration of disadvantage in individuals with and without childhood experience of OHC. Roughly half of the OHC alumni did not have disadvantaged outcomes in midlife. However, experience of OHC was associated with a two-fold risk for various forms of permanent disadvantage, net of confounding factors. Implications for research, policy, and practice are discussed. |
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| Keywords: | Child welfare Midlife outcomes Out-of-home care Longitudinal Sequence analysis |
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