Evidence map›Paper›PMID 37801757›Full record

ArticleChild abuse & neglect2023

Patterns of substance use among adolescents in and out of foster care: An analysis of linked health and child welfare administrative data.

Sarah J Beal, Mary V Greiner, Robert T Ammerman, Constance A Mara, Katie Nause, John Schulenberg, Jennie G Noll

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Child abuse & neglect, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Nonfatal Drug Overdose in a National Sample of Adolescents by Intent and Substance, Medicaid 2016-2020.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah J BealBehavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA. Electronic address: Sarah.Beal@cchmc.org.
Mary V GreinerDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA; General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Robert T AmmermanBehavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Constance A MaraBehavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Katie NauseBehavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
John SchulenbergHuman Development and Family Studies, Child Maltreatment Solutions Network, Pennsylvania State University, State College, PA, USA.
Jennie G NollDepartment of Psychology, University of Rochester, Rochester, NY, USA; Human Development and Family Studies, Child Maltreatment Solutions Network, Pennsylvania State University, State College, PA, USA.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Using Administrative and Clinical Data to Detect Drug Use and HIV Risk in Foster CareK01DA041620 · NIDA · CINCINNATI CHILDRENS HOSP MED CTR · PI BEAL, SARAH · 2017 to 2021
$840k
Understanding Disparities and Patterns of Healthcare Use for Teens in Foster CareR03MD011419 · NIMHD · CINCINNATI CHILDRENS HOSP MED CTR · PI BEAL, SARAH · 2017 to 2018
$156k
NCATS NIH HHS UL1 TR001425NICHD NIH HHS L40 HD077704NIDA NIH HHS K01 DA041620NIMHD NIH HHS R03 MD011419
6 · The paper itself

Abstract

backgroundYoung adults with a history of foster care have higher risk for substance use disorders. Social systems can deliver substance use prevention to youth; however, the timing of intervention delivery and how needs differ for youth in foster care are unclear.

objectiveTo compare initiation and rates of substance use among adolescents in foster care to demographically similar adolescents never in foster care as identified by the healthcare system, and identify factors associated with increased substance use. PARTICIPANTS AND

settingYouth in foster care (n = 2787, ages 10-20, inclusive) and demographically matched youth never in foster care (n = 2787) were identified using linked child welfare and electronic health records from a single pediatric children's hospital and county over a five-year period (2012-2017).

methodsAll healthcare encounters were reviewed and coded for substance use by type (alcohol, tobacco, cannabis, other). Age of first reported or documented substance use was also captured. Demographic and child welfare information was extracted from administrative records. Survival and logistic regression models were estimated.

resultsIn adjusted models, youth in foster care initiated substance use at earlier ages (HR = 2.50, p < .01) and had higher odds of engaging in use (AOR = 1.54; p < .01) than youth never in care. By age 12, substance use initiation was more likely while youth were in foster care than when they were not in foster care (HR = 1.42, p < .01). Placement stability and family care settings reduced odds of lifetime substance use.

conclusionsFoster care placement is associated with substance use. Screening may be important for prevention.

Indexed as

Child AbuseSubstance-Related DisordersAdolescentChildChild WelfareElectronic Health RecordsFoster Home CareHumansYoung AdultAdolescentChild welfareFoster careHealth carePreventionSubstance use

Identifiers

PMID37801757
PMCPMC10841651

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.