Table 3.
Associations between involvement with child welfare services (ages 0–18) and premature all-cause mortality (ages 19–65). Stratified by reason for involvement with child welfare services. Results from multivariable Cox regression models (subsamples for family circumstances, n = 12,314; behavioural problems, n = 12,714).
Premature all-cause mortality |
||||||
---|---|---|---|---|---|---|
Model 1a |
Model 2b |
Model 3c |
||||
HR | 95% CI | HR | 95% CI | HR | 95% CI | |
Involvement with child welfare services because of family circumstances | ||||||
Majority population (ref.) | 1.00 | 1.00 | 1.00 | |||
Not substantiated investigation | 1.75 | 1.21, 2.54 | 1.66 | 1.14, 2.42 | 1.53 | 1.03, 2.26 |
In-home services | 2.98 | 1.84, 4.81 | 2.65 | 1.61, 4.35 | 2.40 | 1.43, 4.02 |
Placement in OHC |
2.29 |
1.94, 2.71 |
2.17 |
1.82, 2.59 |
2.07 |
1.71, 2.51 |
Model 1a |
Model 2b |
Model 3c |
||||
HR |
95% CI |
HR |
95% CI |
HR |
95% CI |
|
Involvement with child welfare services because of behavioural problems | ||||||
Majority population (ref.) | 1.00 | 1.00 | 1.00 | |||
Not substantiated investigation | 2.01 | 1.70, 2.37 | 1.81 | 1.52, 2.14 | 1.79 | 1.51, 2.13 |
In-home services | 2.90 | 2.14, 3.94 | 2.40 | 1.74, 3.31 | 2.35 | 1.70, 3.25 |
Placement in OHC | 6.56 | 5.41, 7.97 | 6.21 | 5.07, 7.61 | 6.04 | 4.89, 7.46 |
HR=Hazard ratios; CI=Confidence interval.
Bold face = p < 0.001.
Adjusted for gender.
Adjusted for gender and family socioeconomic conditions (occupational class, marital status, and maternal age).
Adjusted for gender and household dysfunction (alcohol problems, divorce, mental illness, incarceration, death) and family socioeconomic conditions (occupational class, marital status, and maternal age).