a comparison of the wellbeing of orphans and abandoned children ages 6–12 in institutional and community-based care settings in 5 less wealthy nations比较幸福的6至12岁的孤儿和被遗弃的儿童的机构和社区保健机构在5较不富裕的国家.pdfVIP
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a comparison of the wellbeing of orphans and abandoned children ages 6–12 in institutional and community-based care settings in 5 less wealthy nations比较幸福的6至12岁的孤儿和被遗弃的儿童的机构和社区保健机构在5较不富裕的国家
A Comparison of the Wellbeing of Orphans and
Abandoned Children Ages 6–12 in Institutional and
Community-Based Care Settings in 5 Less Wealthy
Nations
1,2,5 1 1 1,5 1,3,4
Kathryn Whetten *, Jan Ostermann , Rachel A. Whetten , Brian W. Pence , Karen O’Donnell ,
Lynne C. Messer1, Nathan M. Thielman 1,6, The Positive Outcomes for Orphans (POFO) Research Team
1 Center for Health Policy, Duke Global Health Institute, Duke University, Durham, North Carolina, United States of America, 2 Terry Sanford Institute of Public Policy, Duke
University, Durham, North Carolina, United States of America, 3 Departments of Psychiatry and Pediatrics, Duke University Medical Center, Durham, North Carolina, United
States of America, 4 Center for Child and Family Health, Duke University, Durham, North Carolina, United States of America, 5 Department of Community and Family
Medicine, Duke University, Durham, North Carolina, United States of America, 6 Department of Medicine, Division of Infectious Diseases and International Health, Duke
University, Durham, North Carolina, United States of America
Abstract
Background: Leaders are struggling to care for the estimated 143,000,000 orphans and millions more abandoned children
worldwide. Global policy makers are advocating that institution-living orphans and abandoned children (OAC) be moved as
quickly as possible to a residential family setting and that institutional care be used as a last resort. This analysis tests the
hypothesis that institutional care for OAC aged 6–12 is associated with worse health and wellbeing than community
residential care using conservative two-tail tests.
Methodology: The Positive Outcomes for Orphans (POFO) study employ
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