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Published in: Quality of Life Research 2/2021

Open Access 01-02-2021 | Care

Predictors of quality of life among youths in foster care—a 5-year prospective follow-up study

Authors: Marit Larsen, Anouk Goemans, Valborg Baste, Tom F. Wilderjans, Stine Lehmann

Published in: Quality of Life Research | Issue 2/2021

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Abstract

Purpose

Few studies have investigated possible predictors of positive outcomes for youths in foster care. The aim of this prospective follow-up study was to examine quality of life (QoL) among youths in foster care and to assess whether contextual and child factors predicted QoL.

Methods

Online questionnaires were completed by carers in Norway in 2012 (T1, n = 236, child age 6–12 years) and by youths and carers in 2017 (T2, n = 405, youth age 11–18 years). We received responses on 116 of the youths at both T1 and T2, and our final sample consisted of 525 youths with responses from T1 and/or T2. Child welfare caseworkers reported preplacement maltreatment and service use at T1. We assessed mental health and prosocial behavior at T1 by having carers complete the Strength and Difficulties Questionnaire and QoL at T2 with youth-reported KIDSCREEN-27. We analyzed the data using descriptive statistics, t-tests and multiple linear regressions, and we used multiple imputation to handle missing data.

Results

Youths in foster care had lower QoL across all dimensions compared to a Swedish general youth sample. QoL scores among our sample were similar to Norwegian youths with ill or substance abusing parents and to European norm data. Youths reported the highest QoL scores on the parent relations and autonomy dimension. Male gender, younger age, kinship care and prosocial behavior five years earlier predicted higher QoL.

Conclusion

Similar to other at-risk youths, youths in foster care seem to have lower QoL than the general Scandinavian population. Despite early adversities, they had good relations with their current carers. Adolescent girls seem especially vulnerable to low QoL and might need extra support to have good lives in foster care.
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Metadata
Title
Predictors of quality of life among youths in foster care—a 5-year prospective follow-up study
Authors
Marit Larsen
Anouk Goemans
Valborg Baste
Tom F. Wilderjans
Stine Lehmann
Publication date
01-02-2021
Publisher
Springer International Publishing
Keyword
Care
Published in
Quality of Life Research / Issue 2/2021
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02641-z

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