Health of children adopted from the former Soviet Union and Eastern Europe : Comparison with preadoptive medical records.
Context. - Children born in the countries of the former Soviet Union and Eastern Europe are now a main source of international adoptions in the United States, but often little information is available about these children prior to adoption.
- To analyze the preadoptive medical reports of children adopted from Eastern Europe and the former Soviet Union and to compare these reports with their evaluations after arrival in the United States.
- Case series.
Subjects and Setting
- A total of 56 children adopted from Eastern Europe and the former Soviet Union were evaluated in 2 international adoption clinics.
Preadoptive medical records were available for 47 of these children.
- There were 43 (91%) of 47 medical reports available from the children's birth countries that included multiple unfamiliar neurologic diagnoses.
Evaluations in the International Adoption Clinics frequently revealed growth delays (z score ¾ - 1 for weight in 44% of children, height in 68%, and head circumference in 43%). Children had 1 month of linear growth lag for every 5 months in an orphanage (r=-0.48, P<. 001).
Developmental delays were also common (gross motor delays in 70% of children, fine motor in 82%, language in 59%, and social-emotional in 53%). While serious medical problems were found or corroborated in 11 (20%) of the 56 children evaluated in our clinics, neurologic diagnoses cited in preadoptive medical reports were not confirmed. (...)
Mots-clés Pascal : Système santé, Epidémiologie, Enfant, Homme, Bilan santé, Etude comparative, Russie, Eurasie, Europe Est, Europe, Evaluation, Diagnostic, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Health system, Epidemiology, Child, Human, Medical check up, Comparative study, Russia, Eurasia, Eastern Europe, Europe, Evaluation, Diagnosis, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0483801
Code Inist : 002B30A03B. Création : 03/02/1998.