Leggat Geoffrey, Kuntsche Emmanuel, Kuntsche Sandra, Atkins Prue, Laslett Anne-Marie
Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Bouverie Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Int J Drug Policy. 2024 Oct;132:104544. doi: 10.1016/j.drugpo.2024.104544. Epub 2024 Aug 23.
There is inconsistent evidence regarding the effect of birth parent substance use on developmental outcomes for children placed into out-of-home-care (OOHC).
This study aims to examine how parental substance use affects outcomes of Australian children in out-of-home care, adjusting for key demographic, social and system factors.
Four waves of survey data were collected for children and young people who agreed to participate in the Pathways of Care Longitudinal Study (POCLS) between 2011 and 2018. The study sample included 1,506 children and young people (792 with a history of parental substance misuse) aged 9 months to 17 years who participated in at least one wave of the POCLS and had linked administrative data from the Department of Communities and Justice (DCJ), NSW, Australia.
Multilevel longitudinal models were used to analyse the relationship of child developmental outcomes (physical health, socio-emotional wellbeing, and verbal and non-verbal cognitive ability) with parental substance misuse in their child protection history. Each model included adjustments for child demographics, family socio-economic status, child protection system factors and the unbalanced panel.
Children in OOHC with a history of parental substance misuse were more likely to be in the typical range for verbal cognitive development compared to those in OOHC without this history. In addition, younger (9 months to 5 years) children with a record of parental substance misuse exhibited significantly more typical fine and gross motor skill development than those without this history.
Concerns that children in OOHC with a history of parental substance misuse may be more affected with regards to early-stage physical development, and later verbal cognitive development than those without this history in OOHC, may not be justified.
关于亲生父母使用药物对进入家庭外照料（OOHC）儿童发育结果的影响，证据并不一致。
本研究旨在探讨父母使用药物如何影响澳大利亚接受家庭外照料儿童的发育结果，并对关键的人口统计学、社会和系统因素进行调整。
在2011年至2018年期间，收集了同意参与照料途径纵向研究（POCLS）的儿童和青少年的四轮调查数据。研究样本包括1506名9个月至17岁的儿童和青少年（792名有父母药物滥用史），他们参与了至少一轮POCLS，并与澳大利亚新南威尔士州社区与司法部（DCJ）的行政数据相关联。
使用多层次纵向模型分析儿童发育结果（身体健康、社会情感幸福感以及语言和非语言认知能力）与儿童保护历史中父母药物滥用之间的关系。每个模型都对儿童人口统计学、家庭社会经济地位、儿童保护系统因素和不平衡面板进行了调整。
与没有父母药物滥用史的家庭外照料儿童相比，有父母药物滥用史的家庭外照料儿童在语言认知发展方面更有可能处于正常范围。此外，有父母药物滥用记录的年幼（9个月至5岁）儿童比没有此历史的儿童表现出明显更典型的精细和粗大运动技能发展。
认为有父母药物滥用史的家庭外照料儿童在早期身体发育和后期语言认知发展方面可能比没有此历史的家庭外照料儿童受到更大影响的担忧可能没有依据。
