{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:15:46Z","timestamp":1788221746888,"version":"build-2803163510"},"reference-count":50,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                    <jats:p>In Canada, approximately 4% to 7% of children live in a foster home during their childhood. This study reports on hospitalizations of children in foster homes, with the hypothesis that rates of hospitalization are higher for children with foster home experience compared to all other children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We used linked Canadian Census records and health administrative databases. All children &amp;lt;18\u00a0years old were included in all provinces and territories except for Quebec. Our exposure was being identified as a \u201cfoster child\u201d on Census Day 2011. Our primary outcome was hospitalizations between 2011 and 2017. Survey weights were applied to obtain a sample size representative of the Canadian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Our study represented weighted N\u2009=\u200931\u2009595 (unweighted N\u2009=\u20095796) children in foster homes compared to weighted N\u2009=\u20095\u2009317\u2009346 (unweighted N\u2009=\u20091\u2009062\u2009694) children not in a foster home. Indigenous First Nations children were in foster homes at a rate of 50.49 per 1000, compared to 3.28 per 1000 white children (ratio 15.4, 95% CI, 9.27\u201325.43). Children with foster home experience were more likely to be hospitalized compared to those without (283 per 1000 vs 140 per 1000, relative rate 1.94, 95% CI, 1.69\u20132.22). The top causes of hospitalization for young adults with foster home experience were mental health, substance use, and complications of reproductive health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Children and young adults with foster home experience have acute health needs that last into their adult years and would benefit from early and accessible mental health and reproductive health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2025-073643","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:02:16Z","timestamp":1786406536000},"source":"Crossref","is-referenced-by-count":0,"title":["Hospitalization of Children in Foster Homes: A Canadian Cohort Study"],"prefix":"10.1542","volume":"158","author":[{"given":"Ashley","family":"Quinn","sequence":"first","affiliation":[{"name":"1Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Racine","sequence":"additional","affiliation":[{"name":"2School of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"3Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico","family":"Trocm\u00e9","sequence":"additional","affiliation":[{"name":"4School of Social Work, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Blackstock","sequence":"additional","affiliation":[{"name":"4School of Social Work, McGill University, Montreal, Quebec, Canada"},{"name":"5First Nations Child and Family Caring Society, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Fallon","sequence":"additional","affiliation":[{"name":"1Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kofi","family":"Antwi-Boasiako","sequence":"additional","affiliation":[{"name":"6School of Social Work, King\u2019s University College at Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungwee","family":"Park","sequence":"additional","affiliation":[{"name":"7Health Analysis Division, Statistics Canada, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Barrowman","sequence":"additional","affiliation":[{"name":"8Clinical Research Unit, Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vid","family":"Bijeli\u0107","sequence":"additional","affiliation":[{"name":"8Clinical Research Unit, Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doug","family":"Manuel","sequence":"additional","affiliation":[{"name":"9School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"10Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Evans","sequence":"additional","affiliation":[{"name":"3Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"},{"name":"9School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"11Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"2026083119583271800_r1","volume-title":"Denouncing the continued overrepresentation of First Nations children in Canadian child welfare: Findings from the First Nations Canadian Incidence Study of Reported Child Abuse and Neglect-2019","author":"Fallon","year":"2021"},{"issue":"4","key":"2026083119583271800_r2","doi-asserted-by":"crossref","first-page":"152","DOI":"10.24095\/hpcdp.44.4.02","article-title":"Rates of out-of-home care among children in Canada: an analysis of national administrative child welfare data","volume":"44","author":"Pollock","year":"2024","journal-title":"Health Promot Chronic Dis Prev Can."},{"issue":"1","key":"2026083119583271800_r3","doi-asserted-by":"crossref","first-page":"622","DOI":"10.3390\/ijerph20010622","article-title":"Childhood prevalence of involvement with the child protection system in Quebec: 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