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Intercountry adoptees in out-of-home care: A national cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Barnendokrinologisk forskning/Tuvemo)
National Institute for Psychosocial Medicine, Department of Public Health Sciences, Division of Psychosocial Factors and Health, Karolinska Institutet, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Barnendokrinologisk forskning/Tuvemo)
2007 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 96, no 3, 437-442 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate risks of placements in out-of-home care for non-European adoptees. Methods: Intercountry adoptees born outside Europe 1973-1984 (n = 16 522) were compared with same age peers from the majority population (n = 1 026 523) using national demographic and child welfare registers. Multivariate analyses were performed using logistic regression models, and odds ratios (OR) for different forms of out-of-home care placements were calculated. Results: After adjustments for socio-demographic background variables, the OR:s for placements of intercountry adoptees in residential care from age 10 were 5.1 (95% Cl 4.6-5.8) and 3.0 (95% Cl 2.6-3.6) for placements in foster care from age 10. For placements in all forms of out-of home care up to age 10, the odds were on par with the majority population. Higher child age at adoption, origin from Latin America, single parent adoption and maternal age above 35 at birth of the child were identified as significant predictors of out-of-home care from age 10. Conclusion: Intercountry adoptees emerge as a risk group for placements in out-of home care during adolescence, especially for entries into residential care (in Sweden usually triggered by persistent behaviour problems).

Place, publisher, year, edition, pages
2007. Vol. 96, no 3, 437-442 p.
Keyword [en]
Foster care, Intercountry adoption, International adoption, Residential care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-95298DOI: 10.1111/j.1651-2227.2006.00149.xISI: 000244716300026PubMedID: 17407473OAI: oai:DiVA.org:uu-95298DiVA: diva2:169460
Available from: 2006-12-21 Created: 2006-12-21 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Overrepresentation of Internationally Adopted Adolescents in Swedish §12-institutions
Open this publication in new window or tab >>Overrepresentation of Internationally Adopted Adolescents in Swedish §12-institutions
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In order to study internationally adopted delinquents, internationally adopted controls, delinquent controls and an additional group of healthy non-adopted, non-delinquent controls, the following tests were used: WISC/WAIS, TOL, WCST, a questionnaire, I think I am, ISSI, an attachment test, KSP, and SCL-90. In the register study, data were obtained from the registers of The National Board of Health and Welfare and Statistics Sweden and multivariate analyses were performed using logistic regression models. Odds ratios (OR) for different forms of out-of-home care placements were calculated.

It was found that the adopted delinquents had a significantly lower full scale IQ (WISC/WAIS) and significantly lower results on several measurements in the WISC /WAIS compared to the adopted controls. In addition, both groups of adoptees scored low in the WISC/WAIS subscale arithmetics when compared to the population mean. The adopted delinquents clearly had disruptive and infectious relations to their parents which was demonstrated in I think I am, ISSI, the attachment test and the questionnaire. The adopted controls demonstrated good relations to adoptive parents. When personality and self-perception were measured and analyzed in a two-way ANOVA, the results clearly pointed to ”delinquency” as the explaining factor to the variance of the results as opposed to ”adoption”.

Finally, the regression analyses of the register data demonstrated an OR of 3.0 (after adjustments for age and sex) for placements of intercountry adoptees in residental care from age 10 and an OR of 5.1 in model 2 (after adjustments for socio-demographic background variables). More over, higher child age at adoption, origin from Latin America, single parent adoption and maternal age above 35 at birth of the child were identified as significant predictors of out-of-home care from age 10.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2007. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 213
Keyword
Psychology, transnational adoption, international adoption, intercountry adoption, intelligence, adolescent, delinquent, neuropsychological, cognitive, attachment, relations, adoptive parents, personality, self-perception, residential care, foster care, Psykologi
Identifiers
urn:nbn:se:uu:diva-7423 (URN)91-554-6763-6 (ISBN)
Public defence
2007-01-12, Rosénsalen, Barnsjukhuset, Akademiska Sjukhuset, ing. 95/96, nbv, 751 85, Uppsala, 09:15
Opponent
Supervisors
Available from: 2006-12-21 Created: 2006-12-21Bibliographically approved

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Elmund, AnnaLindblad, FrankHjern, Anders

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