Marceau Kristine, De Araujo-Greecher Marielena, Miller Emily S, Massey Suena H, Mayes Linda C, Ganiban Jody M, Reiss David, Shaw Daniel S, Leve Leslie D, Neiderhiser Jenae M
Rhode Island Hospital/Brown University, Providence, Rhode Island, United States of America.
The Pennsylvania State University, University Park, Pennsylvania, United States of America.
PLoS One. 2016 Mar 24;11(3):e0150486. doi: 10.1371/journal.pone.0150486. eCollection 2016.
We aimed to assess comprehensively the prevalence of perinatal risks experienced by a potentially high-risk yet understudied population of children domestically adopted in the United States. Data are from participant report and medical records from mothers (n = 580) who completed a domestic adoption placement with nonrelatives at or near birth (Mean placement age = 7 days). We describe a comprehensive measure of perinatal risks, including divergences from previous assessment tools and the incorporation of multiple reporters, and report the prevalence of various types of perinatal risks. The prevalence of each specific risk factor was generally low, although several risks were more prevalent in this sample than estimates from nationally representative publicly available data. Nearly the entire sample (99%) experienced some type of risk exposure. Birth mothers who placed their children for adoption domestically in the US experience higher levels of perinatal risks than the national average, but not for all specific types of risk. Thus, the developmental trajectories of children adopted domestically may systematically differ from the general population to the extent that these specific perinatal risks impact development.
我们旨在全面评估在美国国内收养的潜在高危但研究不足的儿童群体所经历的围产期风险的患病率。数据来自参与者报告以及母亲的医疗记录（n = 580），这些母亲在孩子出生时或接近出生时与非亲属完成了国内收养安置（平均安置年龄 = 7天）。我们描述了一种围产期风险的综合测量方法，包括与先前评估工具的差异以及多个报告者的纳入，并报告了各种类型围产期风险的患病率。每个特定风险因素的患病率总体较低，尽管有几种风险在该样本中比具有全国代表性的公开可用数据中的估计更为普遍。几乎整个样本（99%）都经历了某种类型的风险暴露。在美国国内为孩子安排收养的生母经历的围产期风险水平高于全国平均水平，但并非所有特定类型的风险都是如此。因此，就这些特定围产期风险影响发育的程度而言，国内收养儿童的发育轨迹可能与一般人群存在系统性差异。
