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Iron status, development, and behavior in young children in the Pennsylvania foster care system
BACKGROUND: Children in foster care are classified as a highly vulnerable population and struggle with both physical and mental health problems. Medical conditions, like poor nutritional status, remain understudied in children in foster care. To our knowledge, few studies in children in U.S. foster...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434919/ https://www.ncbi.nlm.nih.gov/pubmed/37590213 http://dx.doi.org/10.1371/journal.pone.0289951 |
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author | Arcot, Amrita Xing, Xueyi Gao, Xiang Font, Sarah A. Murray-Kolb, Laura E. |
author_facet | Arcot, Amrita Xing, Xueyi Gao, Xiang Font, Sarah A. Murray-Kolb, Laura E. |
author_sort | Arcot, Amrita |
collection | PubMed |
description | BACKGROUND: Children in foster care are classified as a highly vulnerable population and struggle with both physical and mental health problems. Medical conditions, like poor nutritional status, remain understudied in children in foster care. To our knowledge, few studies in children in U.S. foster care have quantified the prevalence of anemia, and no studies have examined the association between anemia status and relevant developmental and behavioral outcomes. OBJECTIVE/AIMS: (1) To determine the prevalence of anemia among children in or adopted from Pennsylvania foster care, between the ages of six months to ten years and (2) To examine if a child’s anemia status is associated with greater odds of relevant developmental and behavioral diagnoses. METHODS: We conducted a secondary data analysis utilizing the Medicaid Analytic eXtract database between 2010–2015. Children six months–ten years were included in the analysis if they were in or had been adopted from Pennsylvania foster care. Logistic regression was used to calculate adjusted odds ratios (AOR) with 95% confidence intervals for the association between iron status and health outcomes. RESULTS: A total of 50,311 children were included in our sample, of which 1,365 children (2.7%) were diagnosed with anemia. Children diagnosed with anemia had greater odds of delayed milestones (AOR: 2.38 [1.64–3.45]), specific delays in development (AOR: 1.59 [1.23–2.07]), adjustment disorder (AOR: 1.59 [1.06–2.39]), and irritability (AOR: 10.57 [3.36–33.25]), than children not diagnosed with anemia. CONCLUSION: The prevalence of anemia among children between six months–ten years in or adopted from the Pennsylvania foster care system is within the national rate of U.S. childhood anemia. Odds of several relevant developmental and behavioral diagnoses were greater among children diagnosed with anemia than children who were not. |
format | Online Article Text |
id | pubmed-10434919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-104349192023-08-18 Iron status, development, and behavior in young children in the Pennsylvania foster care system Arcot, Amrita Xing, Xueyi Gao, Xiang Font, Sarah A. Murray-Kolb, Laura E. PLoS One Research Article BACKGROUND: Children in foster care are classified as a highly vulnerable population and struggle with both physical and mental health problems. Medical conditions, like poor nutritional status, remain understudied in children in foster care. To our knowledge, few studies in children in U.S. foster care have quantified the prevalence of anemia, and no studies have examined the association between anemia status and relevant developmental and behavioral outcomes. OBJECTIVE/AIMS: (1) To determine the prevalence of anemia among children in or adopted from Pennsylvania foster care, between the ages of six months to ten years and (2) To examine if a child’s anemia status is associated with greater odds of relevant developmental and behavioral diagnoses. METHODS: We conducted a secondary data analysis utilizing the Medicaid Analytic eXtract database between 2010–2015. Children six months–ten years were included in the analysis if they were in or had been adopted from Pennsylvania foster care. Logistic regression was used to calculate adjusted odds ratios (AOR) with 95% confidence intervals for the association between iron status and health outcomes. RESULTS: A total of 50,311 children were included in our sample, of which 1,365 children (2.7%) were diagnosed with anemia. Children diagnosed with anemia had greater odds of delayed milestones (AOR: 2.38 [1.64–3.45]), specific delays in development (AOR: 1.59 [1.23–2.07]), adjustment disorder (AOR: 1.59 [1.06–2.39]), and irritability (AOR: 10.57 [3.36–33.25]), than children not diagnosed with anemia. CONCLUSION: The prevalence of anemia among children between six months–ten years in or adopted from the Pennsylvania foster care system is within the national rate of U.S. childhood anemia. Odds of several relevant developmental and behavioral diagnoses were greater among children diagnosed with anemia than children who were not. Public Library of Science 2023-08-17 /pmc/articles/PMC10434919/ /pubmed/37590213 http://dx.doi.org/10.1371/journal.pone.0289951 Text en © 2023 Arcot et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Arcot, Amrita Xing, Xueyi Gao, Xiang Font, Sarah A. Murray-Kolb, Laura E. Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title | Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title_full | Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title_fullStr | Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title_full_unstemmed | Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title_short | Iron status, development, and behavior in young children in the Pennsylvania foster care system |
title_sort | iron status, development, and behavior in young children in the pennsylvania foster care system |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434919/ https://www.ncbi.nlm.nih.gov/pubmed/37590213 http://dx.doi.org/10.1371/journal.pone.0289951 |
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