Cohort profile: The ‘Children’s Health in Care in Scotland’ (CHiCS) study—a longitudinal dataset to compare health outcomes for care experienced children and general population children

Allik, M. , Brown, D. , Taylor Browne Lūka, C. , Macintyre, C., Leyland, A. H. and Henderson, M. (2021) Cohort profile: The ‘Children’s Health in Care in Scotland’ (CHiCS) study—a longitudinal dataset to compare health outcomes for care experienced children and general population children. BMJ Open, 11(9), e054664. (doi: 10.1136/bmjopen-2021-054664)

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Abstract

Purpose: The Children’s Health in Care in Scotland Cohorts were set up to provide first population-wide evidence on the health outcomes of care experienced children (CEC) compared with children in the general population (CGP). To date, there are no data on how objective health outcomes, mortality and pregnancies for CEC are different from CGP in Scotland. Participants: The CEC cohort includes school-aged children who were on the 2009/2010 Scottish Government’s Children Looked After Statistics (CLAS) return and on the 2009 Pupil Census (PC). The children in the general population cohort includes those who were on the 2009 PC and not on any of the CLAS returns between 1 April 2007 and 31 July 2016. Findings to date: Data on a variety of health outcomes, including mortality, prescriptions, hospitalisations, pregnancies, and Accident & Emergency attendances, were obtained for the period 1 August 2009 to 31 July 2016 for both cohorts. Data on socioeconomic status (SES) for both cohorts were available from the Birth Registrations and a small area deprivation measure was available from the PC. CEC have, on average, lower SES at birth and live in areas of higher deprivation compared with CGP. A higher proportion of CEC have recorded events across all health data sets, and they experienced higher average rates of mortality, prescriptions and hospitalisations during the study period. The reasons for contacting health services vary between cohorts. Future plans: Age-standardised rates for the two cohorts by sex and area deprivation will be calculated to provide evidence on population-wide prevalence of main causes of death, reasons for hospitalisation and types of prescription. Event history analysis will be used on matched cohorts to investigate the impact of placement histories and socioeconomic factors on health.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Taylor Browne, Ms Courtney and Brown, Dr Denise and Leyland, Professor Alastair and Henderson, Prof Marion and Allik, Dr Mirjam
Authors: Allik, M., Brown, D., Taylor Browne Lūka, C., Macintyre, C., Leyland, A. H., and Henderson, M.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
ISSN (Online):2044-6055
Published Online:14 September 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in BMJ Open 11(9): e054664
Publisher Policy:Reproduced under a Creative Commons License
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
306624Comparing health outcomes for looked after children and children in the general population in Scotland using linked administrative dataMirjam AllikEconomic and Social Research Council (ESRC)ES/T000120/1HW - MRC/CSO Social and Public Health Sciences Unit
190698Urban Big Data Research CentreNick BaileyEconomic and Social Research Council (ESRC)ES/L011921/1S&PS - Urban Big Data
Inequalities in healthMedical Research Council (MRC)MC_UU_00022/2HW - MRC/CSO Social and Public Health Sciences Unit
Chief Scientist Office (CSO)SPHSU17