{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:29:51Z","timestamp":1792798191766,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,3,7]],"date-time":"2014-03-07T00:00:00Z","timestamp":1394150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"EU (Addictions and lifestyles in contemporary Europe reframing addictions project ALICE RAP)"},{"name":"the Academy of Finland","award":["259289"],"award-info":[{"award-number":["259289"]}],"id":[{"id":"https:\/\/ror.org\/05k73zm37","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Aims<\/jats:title>\n                    <jats:p>To study (i) whether the children of substance\u2010abusing mothers are hospitalised because of injury or illness more often than other children; (ii) how often these children are placed out of home; and (iii) how the type of substance used by the mother affects her children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>\n                      This was a retrospective population\u2010based cohort study based on Finnish health care and social welfare registers. The participants were all children born in\n                      <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                      inland in 2002 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009\n                      <jats:italic>=<\/jats:italic>\n                      \u200955\u2009369) and their biological mothers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009\n                      <jats:italic>=<\/jats:italic>\n                      \u200954\u2009519). Mothers with register entries related to substance abuse in the period 1998\u20132009 were defined as having a substance abuse problem. Children were followed up for their first seven years of life for hospitalisations because of injuries and infectious diseases and out\u2010of\u2010home placements. The associations between hospitalisation and out\u2010of\u2010home care and mothers' type of substance abuse were estimated using logistic regression. The child's gender and the mother's psychiatric disorders and socio\u2010demographic characteristics obtained from the registers were standardised in the final models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Based on the register data, 2% of mothers had a substance abuse problem. Alcohol problems were more common than drug problems. Children with substance\u2010abusing mothers were more often hospitalised because of injuries and infectious diseases than other children. They had also been placed out of home more often. Mothers' abuse of both alcohol and drugs was a bigger risk for the child than solely alcohol or solely drug abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>\n                      The mother's substance abuse has negative outcomes on the child's immediate environment, which affects the health and safety of the child.\n                      <jats:italic>[Raitasalo K, Holmila M, Autti\u2010R\u00e4m\u00f6 I, Notkola IL, Tapanainen H. Hospitalisations and out\u2010of\u2010home placements of children of substance\u2010abusing mothers: A register\u2010based cohort study.<\/jats:italic>\n                      Drug Alcohol Rev\n                      <jats:italic>2015;34:38\u201345]<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.12121","type":"journal-article","created":{"date-parts":[[2014,3,7]],"date-time":"2014-03-07T01:50:36Z","timestamp":1394157036000},"page":"38-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Hospitalisations and out\u2010of\u2010home placements of children of substance\u2010abusing mothers: A register\u2010based cohort study"],"prefix":"10.1111","volume":"34","author":[{"given":"Kirsimarja","family":"Raitasalo","sequence":"first","affiliation":[{"name":"Alcohol and Drugs National Institute for Health and Welfare (THL)  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja","family":"Holmila","sequence":"additional","affiliation":[{"name":"Alcohol and Drugs National Institute for Health and Welfare (THL)  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilona","family":"Autti\u2010R\u00e4m\u00f6","sequence":"additional","affiliation":[{"name":"Research Department The Social Insurance Institution of Finland (Kela)  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma\u2010L.","family":"Notkola","sequence":"additional","affiliation":[{"name":"Finnish Information Centre for Register Research  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heli","family":"Tapanainen","sequence":"additional","affiliation":[{"name":"Alcohol and Drugs National Institute for Health and Welfare (THL)  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(01)00293-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2010.04.003"},{"key":"e_1_2_7_4_1","volume-title":"Coping with alcohol and drug problems: the experiences of family members in three contrasting cultures","author":"Orford J","year":"2005"},{"key":"e_1_2_7_5_1","article-title":"Kokemuksia alkoholiongelmaisten vanhempien kanssa eletyst\u00e4 lapsuudesta [Childhood experiences of living with problem\u2010drinking parents]. 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