{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:57:38Z","timestamp":1789628258611,"version":"build-2803163510"},"reference-count":35,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T00:00:00Z","timestamp":1688688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008391","name":"UBS Optimus Foundation","doi-asserted-by":"publisher","award":["49692"],"award-info":[{"award-number":["49692"]}],"id":[{"id":"10.13039\/501100008391","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Robust social resources that lead to a healthy sense of belonging are imperative during emerging adulthood. However, young adults with alternative care experience, such as residential or foster care, often lack the social resources necessary to transition to adulthood successfully. Though some research has examined the importance of social resources in this population, less is known about a sense of belonging, which is associated with these social resources. The current study examined the association between care experience, belonging, and well-being outcomes among emerging adults (n = 703) who were separated from their biological parents during care and received alternative care in 16 nations. The presence of belonging was associated with type of alternative care, age at separation, and reason for separation. There was also an association between belonging and well-being outcomes, including homelessness and suicidal ideation. Adults lacking a sense of belonging reported higher rates of homelessness and suicidal ideation, lower life satisfaction, and lower resilience. The study has global implications for enhancing social support for emerging adults with care experience in order to facilitate a sense of belonging as a social resource.<\/jats:p>","DOI":"10.3390\/ijerph20136311","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T01:57:09Z","timestamp":1688695029000},"page":"6311","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The Relationship between Sense of Belonging and Well-Being Outcomes in Emerging Adults with Care Experience"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5787-4161","authenticated-orcid":false,"given":"Amanda Hiles","family":"Howard","sequence":"first","affiliation":[{"name":"Department of Psychology, Samford University, 800 Lakeshore Dr., Homewood, AL 35229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getrude","family":"Dadirai Gwenzi","sequence":"additional","affiliation":[{"name":"Department of Social Work, University of Zimbabwe, 630 Churchill Avenue, Harare, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6821-1130","authenticated-orcid":false,"given":"Lindsey","family":"Newsom","sequence":"additional","affiliation":[{"name":"Department of Psychology, Samford University, 800 Lakeshore Dr., Homewood, AL 35229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belay T.","family":"Gebru","sequence":"additional","affiliation":[{"name":"Hope for the Fatherless, 558 Castle Pines Parkway, Castle Pines, CO 80108, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Gilbertson Wilke","sequence":"additional","affiliation":[{"name":"CAFO Center on Applied Research for Vulnerable Children and Families, 505 Los Arces Monteflor II Cayma, Arequipa, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/j.1750-8606.2007.00016.x","article-title":"Emerging adulthood: What is it, and what is it good for?","volume":"1","author":"Arnett","year":"2007","journal-title":"Child Dev. 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Diabetes Rep."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Arnett, J.J. (2015). The Oxford Handbook of Emerging Adulthood, Oxford University Press.","DOI":"10.1093\/oxfordhb\/9780199795574.001.0001"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1016\/j.sbspro.2010.03.174","article-title":"Dimensions of mental health: Life satisfaction, anxiety and depression: A preventive mental health study in Ankara University students population","volume":"2","author":"Guney","year":"2010","journal-title":"Procedia-Soc. Behav. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Arnett, J.J., and Tanner, J.L. (2006). Emerging Adults in America: Coming of Age in the 21st Century, American Psychological Association.","DOI":"10.1037\/11381-000"},{"key":"ref_8","first-page":"1","article-title":"Young people leaving out-of-home care in Victoria, Australia: An exploration of factors influencing positive transitions","volume":"3","author":"Butterworth","year":"2020","journal-title":"Soc. Work Policy Stud. Soc. Justice Pract. Theory"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1037\/0033-2909.117.3.497","article-title":"The need to belong: Desire for interpersonal attachments as a fundamental human motivation","volume":"117","author":"Baumeister","year":"1995","journal-title":"Psychol. Bull."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"105773","DOI":"10.1016\/j.childyouth.2020.105773","article-title":"The role of natural mentoring and sense of belonging in enhancing resilience among youth in care","volume":"120","year":"2021","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1177\/0038038511399624","article-title":"Self, belonging and social change","volume":"45","author":"May","year":"2011","journal-title":"Sociology"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Evans, R., Katz, C.C., Fulginiti, A., and Taussig, H. (2022). Sources and types of social supports and their association with mental health symptoms and life satisfaction among young adults with a history of out-of-home care. Children, 9.","DOI":"10.3390\/children9040520"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/S2352-4642(20)30022-5","article-title":"Prevalence and number of children living in institutional care: Global, regional, and country estimates","volume":"4","author":"Desmond","year":"2020","journal-title":"Lancet Child Adolesc. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1177\/23493003221082333","article-title":"Antecedents to child placement in residential care: A systematic review","volume":"9","author":"Wilke","year":"2022","journal-title":"Inst. Child. Explor. Beyond"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s40609-016-0060-6","article-title":"Who cares for children? A descriptive study of care-related data available through global household surveys and how these could be better mined to inform policies and services to strengthen family care","volume":"3","author":"Martin","year":"2016","journal-title":"Glob. Soc. Welf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"105075","DOI":"10.1016\/j.childyouth.2020.105075","article-title":"Social networks during the transition to adulthood from the perspective of Israeli care leavers and their social workers","volume":"115","year":"2020","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.jad.2016.10.023","article-title":"Self-harm risk between adolescence and midlife in people who experienced separation from one or both parents during childhood","volume":"208","author":"Astrup","year":"2017","journal-title":"J. Affect. Disord."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.amepre.2018.04.008","article-title":"Experience of child\u2013parent separation and later risk of violent criminality","volume":"55","author":"Mok","year":"2018","journal-title":"Am. J. Prev. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1111\/cfs.12922","article-title":"Accelerated adulthood, extended adolescence and the care cliff: Supporting care leavers\u2019 transition from care to independent living","volume":"27","author":"Palmer","year":"2022","journal-title":"Child Fam. Soc. Work"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Howard, A.R.H., Gwenzi, G.D., Taylor, T., and Wilke, N.G. (2023). The Relationship between Adverse Childhood Experiences, Health, and Life Satisfaction in Adults with Care Experience: The Mediating Role of Attachment. Child Fam. Soc. Work.","DOI":"10.1111\/cfs.13006"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.childyouth.2019.01.044","article-title":"Predictors of life satisfaction among care leavers: A mixed-method longitudinal study","volume":"99","author":"Refaeli","year":"2019","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/2167696818800846","article-title":"Constructing the meaning of \u201cfamily\u201d in the context of out-of-home care: An exploratory study on residential care leavers in Harare, Zimbabwe","volume":"8","author":"Gwenzi","year":"2020","journal-title":"Emerg. Adulthood"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s42844-023-00088-y","article-title":"The relationship between spirituality and resilience and wellbeing: A study of 529 care leavers from 11 nations","volume":"4","author":"Howard","year":"2023","journal-title":"Advers. Resil. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1080\/2156857X.2018.1494034","article-title":"Creation of belonging and non-belonging in the temporal narratives of young people transitioning out of care in Denmark","volume":"8","author":"Bengtsson","year":"2018","journal-title":"Nord. Soc. Work Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1080\/01419870903318896","article-title":"Care leavers and social capital: Understanding and negotiating racial and ethnic identity","volume":"33","author":"Barn","year":"2010","journal-title":"Ethn. Racial Stud."},{"key":"ref_26","unstructured":"Roser, M. (2014). Human development index (HDI). Our World Data."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1080\/10705500802222972","article-title":"The brief resilience scale: Assessing the ability to bounce back","volume":"15","author":"Smith","year":"2008","journal-title":"Int. J. Behav. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1207\/s15327752jpa4901_13","article-title":"The satisfaction with life scale","volume":"49","author":"Diener","year":"1985","journal-title":"J. Personal. Assess."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Altman, I., Rapoport, A., and Wohlwill, J.F. (1980). Environment and Culture, Springer.","DOI":"10.1007\/978-1-4899-0451-5"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1111\/j.1469-7610.2012.02608.x","article-title":"Annual research review: Resilient functioning in maltreated children-past, present, and future perspectives","volume":"54","author":"Cicchetti","year":"2013","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/j.1467-954X.2011.02045.x","article-title":"The powerful relational language of \u2018family\u2019: Togetherness, belonging and personhood","volume":"60","author":"McCarthy","year":"2012","journal-title":"Sociol. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1002\/ajcp.12098","article-title":"Predicting homelessness among emerging adults aging out of foster care","volume":"60","author":"Shah","year":"2017","journal-title":"Am. J. Community Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1007\/s10560-022-00860-6","article-title":"Healing trauma and loss and increasing social connections: Transitions from care and early parenting","volume":"39","author":"Purtell","year":"2022","journal-title":"Child Adolesc. Soc. Work J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1177\/03085759211037156","article-title":"No typical care story: How do care-experienced young people and foster carers understand fostering relationships?","volume":"45","author":"Sprecher","year":"2021","journal-title":"Adopt. Foster."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"106434","DOI":"10.1016\/j.childyouth.2022.106434","article-title":"Raising the profile of care leavers with mental health and\/or intellectual disabilities: A contribution from Northern Ireland","volume":"136","author":"Kelly","year":"2022","journal-title":"Child. Youth Serv. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/13\/6311\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:07:46Z","timestamp":1760126866000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/13\/6311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,7]]},"references-count":35,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["ijerph20136311"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20136311","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,7]]}}}