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Research Letter
April 20, 2020

All-Cause Mortality Among Children in the US Foster Care System, 2003-2016

Author Affiliations
  • 1SafePlace: The Center for Child Protection and Health, Division of General Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
  • 2Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
  • 3Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia
  • 4Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 5PolicyLab, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
  • 6Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia
  • 7Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Pediatr. Published online April 20, 2020. doi:10.1001/jamapediatrics.2020.0715

Children in foster care have worse medical and behavioral health than children in the general population. This is influenced by multiple factors, including a high incidence of poverty, exposure to trauma, and chronic medical conditions.1,2 Despite known differences in health, less is known regarding differences in mortality. In this cross-sectional study, we compared mortality rates and trends for children in the US foster care system with those in the general population for the 2003-2016 time period.

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