Data Resource Profile: Children Looked After Return (CLA).
Ontology highlight
ABSTRACT:
SUBMITTER: Mc Grath-Lone L
PROVIDER: S-EPMC5005948 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:IntroductionLinked health care datasets have been used effectively in Scotland for some time. Use of social care data has been much more limited, partly because responsibility for these services is distributed across multiple local authorities. However, there are substantial interactions between health and social care (also known internationally as long-term care) services, and keen policy interest in better understanding these. We introduce two social care resources that can now be linked to health datasets at a population level across Scotland to study these interdependencies. These data emerge from the Scottish Government's centralised collation of data from mandatory returns provided by local authorities and care homes.MethodsDeterministic and Probabilistic methods were used to match the Social Care Survey (SCS) and Scottish Care Home Census (SCHC) to the Community Health Index (CHI) number via the National Records of Scotland (NRS) Research Indexing Spine.ResultsFor the years 2010/11 to 2015/16, an overall match rate of 91.2% was achieved for the SCS to CHI from 31 of Scotland's 32 local authority areas. This rate varied from 76.7% to 98.5% for local authority areas. A match rate of 89.8% to CHI was achieved for the SCHC in years 2012/13 to 2015/16 but only 52.5% for the years 2010/11 to 2011/12.ConclusionIndexing of the SCS and SCHC to CHI offers a new and rich resource of data for health and social care research.
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Project description:ObjectiveTo investigate whether men and women who were looked-after (in public care) or adopted as children are at increased risk of adverse psychological and social outcomes in adulthood.Design, settingProspective observational study using the Avon Longitudinal Study of Parents and Children, which recruited pregnant women and their male partners in and around Bristol, UK in the early 1990s.Participants8775 women and 3654 men who completed questionnaires at recruitment (mean age: women 29; men 32) and 5?years later.ExposureChildhood public care status: looked-after; adopted; not looked-after or adopted (reference group).OutcomesSubstance use (alcohol, cannabis, tobacco) prepregnancy and 5?years later; if ever had addiction; anxiety and depression during pregnancy and 5?years later; if ever had mental health problem; social support during pregnancy; criminal conviction.ResultsFor women, 2.7% were adopted and 1.8% had been looked-after; for men, 2.4% and 1.4%, respectively. The looked-after group reported the poorest outcomes overall, but this was not a universal pattern, and there were gender differences. Smoking rates were high for both the looked-after (men 47%, women 58%) and adopted (men 44%, women 40%) groups relative to the reference group (both 28%). The looked-after group were at increased risk of a high depression score (men: 26% vs 11%, OR 2.9 (95% CI 1.5 to 5.6); women: 24% vs 9%, 3.4 (2.2 to 5.0)). A high anxiety score was reported by 10% of the reference women, compared with 26% of those looked-after (3.0 (2.0 to 4.5)) and 17% of those adopted (1.8 (1.2 to 2.6)). Looked-after men and women reported the lowest social support, while criminal convictions and addiction were highest for looked-after men. Adjustment for adult socioeconomic position generally attenuated associations for the looked-after group.ConclusionsThe needs of those who experience public care as children persist into adulthood. Health and social care providers should recognise this.
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