CAREFul: Clinical and Administrative Data on Substance and HIV Risk Exposure for Foster Youth
Preventing health risk behaviors among youth in foster care is critical to support their success as adults and minimize burden on the public health system. Youth in foster care use more healthcare services than their peers, especially following placement changes.
The rate of substance use among youth in foster care is much higher than that of the general population. Sexual risk behaviors such as unprotected sex, multiple partners, and early sexual debut are also more common among adolescents in foster care, placing youth at increased risk for sexually transmitted infections, HIV, and unintended pregnancies.
Despite efforts to provide more support to youth when they enter foster care through required healthcare visits when youth enter care or change placements, inequities and disparities in preventable health concerns remain.
Purpose
The purpose of this project is to identify differences in healthcare access and use and predictors of health behaviors for youth in foster care compared to demographically similar youth never in foster care, using data elements that are commonly available in the electronic health record, with the long-term goal of supporting the delivery of prevention and intervention efforts to promote health equity for young people in foster care.
- Child welfare administrative data are linked to electronic health records for children in foster care for at least one day
- Identified data are made available to clinicians and children’s services professionals while children are in foster care, to assist with healthcare delivery and health management
- Data for children who were in foster care for at least one day between 2012 and 2017 and were over the age of 4 have been de-identified for research purposes, forming the CAREFul dataset
- A comparison sample of young people who were never in foster care was identified using the electronic health record, and was matched 1-to-1 with youth in foster care using dates of birth, gender, race and ethnicity, and insurance type. All young people in the comparison sample received primary care at Cincinnati Children’s Hospital
- CAREFul contains only de-identified data, in accordance with HIPAA Safe Harbor De-Identification standards.
- CAREFul data are available to other researchers with an established data use agreement with Cincinnati Children’s Hospital and Hamilton County Job and Family Services. Please contact Sarah Beal for this data use agreement.
We encourage researchers interested in the health of children in foster care to collaborate and use these data to advance health equity and improve healthcare delivery practices for children when they are in foster care. If you have questions or would like to use this data, please reach out:
Principal Investigator: Sarah J. Beal, PhD
Contact information: sarah.beal@cchmc.org
Updates and Data
Data last updated on 5/23/22
Summary data is provided to promote transparency and open data sharing. Please do not use these summary data to inform clinical decisions or practice-based changes at this time. Instead, we encourage collaboration and additional analysis, beyond summary and descriptive data, to answer questions about healthcare delivery and addressing health needs that will promote evidence-based practice and healthcare delivery decisions.
Please using the following citation if referencing the data on this page: Beal SJ, Nause K, Greiner MV. CAREFul Publicly Available Summary Data. https://www.cincinnatichildrens.org/research/divisions/f/foster-care-research-lab/projects/careful-data-dashboard. Accessed on MM/DD/YY.
Total number of youth included: 5,574
Table 1: Participant demographics, youth ever in foster care
Table 2: Participant demographics, youth never in foster care
Participant Demographics, Youth Ever in Foster Care
| Age at study begin and Sex assigned at birth | N | Race and Ethnicity | % Endorsing lifetime substance use | Median total healthcare encounters | Median count of mental health diagnoses | Median count of chronic conditions |
| Age 4, F | 9 | Non-Hispanic White | 0.00% | 12 | 0 | 1 |
| Age 4, F | 1 | Hispanic White | 0.00% | 26 | 0 | 1 |
| Age 4, F | 19 | Non-Hispanic Black | 5.30% | 11 | 0 | 1 |
| Age 4, F | 5 | More than one Race | 0.00% | 11 | 2 | 0 |
| Age 4, F | 5 | All other Races and Ethnicities | 0.00% | 4 | 0 | 0 |
| Age 4, M | 15 | Non-Hispanic White | 6.70% | 9 | 0 | 0 |
| Age 4, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 4, M | 12 | Non-Hispanic Black | 16.70% | 15.5 | 2 | 0.5 |
| Age 4, M | 5 | More than one Race | 20.00% | 14 | 1 | 0 |
| Age 4, M | 1 | All other Races and Ethnicities | 0.00% | 4 | 0 | 0 |
| Age 5, F | 31 | Non-Hispanic White | 3.20% | 8 | 0 | 0 |
| Age 5, F | 2 | Hispanic White | 0.00% | 10 | 0.5 | 0 |
| Age 5, F | 39 | Non-Hispanic Black | 5.10% | 9 | 0 | 0 |
| Age 5, F | 5 | More than one Race | 0.00% | 19 | 0 | 1 |
| Age 5, F | 15 | All other Races and Ethnicities | 0.00% | 6 | 0 | 0 |
| Age 5, M | 25 | Non-Hispanic White | 16.00% | 6 | 1 | 0 |
| Age 5, M | 1 | Hispanic White | 0.00% | 23 | 6 | 0 |
| Age 5, M | 31 | Non-Hispanic Black | 22.60% | 13 | 1 | 0 |
| Age 5, M | 2 | More than one Race | 0.00% | 11 | 0.5 | 0.5 |
| Age 5, M | 1 | All other Races and Ethnicities | 0.00% | 23 | 0.5 | 0.5 |
| Age 6, F | 37 | Non-Hispanic White | 5.40% | 8 | 0 | 0 |
| Age 6, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 6, F | 38 | Non-Hispanic Black | 10.50% | 6 | 0 | 0 |
| Age 6, F | 7 | More than one Race | 14.30% | 9 | 1 | 0 |
| Age 6, F | 9 | All other Races and Ethnicities | 0.00% | 3 | 0 | 0 |
| Age 6, M | 32 | Non-Hispanic White | 21.90% | 11.5 | 1 | 0 |
| Age 6, M | 1 | Hispanic White | 0.00% | 22 | 2 | 0 |
| Age 6, M | 36 | Non-Hispanic Black | 16.70% | 11.5 | 2 | 0 |
| Age 6, M | 8 | More than one Race | 12.50% | 12 | 1 | 1 |
| Age 6, M | 16 | All other Races and Ethnicities | 6.30% | 3.5 | 0 | 0 |
| Age 7, F | 40 | Non-Hispanic White | 10.00% | 7.5 | 0 | 0 |
| Age 7, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 7, F | 49 | Non-Hispanic Black | 18.40% | 8 | 0 | 0 |
| Age 7, F | 3 | More than one Race | 66.70% | 17 | 2 | 1 |
| Age 7, F | 8 | All other Races and Ethnicities | 12.50% | 6 | 0 | 0 |
| Age 7, M | 39 | Non-Hispanic White | 20.50% | 10 | 1 | 0 |
| Age 7, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 7, M | 49 | Non-Hispanic Black | 20.40% | 9 | 0 | 0 |
| Age 7, M | 5 | More than one Race | 20.00% | 6 | 1 | 0 |
| Age 7, M | 12 | All other Races and Ethnicities | 25.00% | 3.5 | 0 | 0 |
| Age 8, F | 42 | Non-Hispanic White | 26.20% | 9 | 0 | 0 |
| Age 8, F | 1 | Hispanic White | 0.00% | 37 | 0 | 1 |
| Age 8, F | 51 | Non-Hispanic Black | 23.50% | 10 | 1 | 0 |
| Age 8, F | 1 | More than one Race | 0.00% | 10 | 1 | 0 |
| Age 8, F | 7 | All other Races and Ethnicities | 14.30% | 5 | 0 | 0 |
| Age 8, M | 40 | Non-Hispanic White | 40.00% | 8 | 1 | 0 |
| Age 8, M | 1 | Hispanic White | 0.00% | 9 | 0 | 1 |
| Age 8, M | 60 | Non-Hispanic Black | 25.00% | 9 | 0.5 | 0 |
| Age 8, M | 3 | More than one Race | 66.70% | 11 | 0 | 0 |
| Age 8, M | 11 | All other Races and Ethnicities | 0.00% | 5 | 0 | 0 |
| Age 9, F | 34 | Non-Hispanic White | 38.20% | 9 | 0 | 0 |
| Age 9, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 9, F | 59 | Non-Hispanic Black | 35.60% | 10 | 1 | 0 |
| Age 9, F | 5 | More than one Race | 40.00% | 16 | 2 | 0 |
| Age 9, F | 10 | All other Races and Ethnicities | 20.00% | 5.5 | 0 | 0 |
| Age 9, M | 50 | Non-Hispanic White | 32.00% | 6 | 1 | 0 |
| Age 9, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 9, M | 57 | Non-Hispanic Black | 38.60% | 8 | 0 | 1 |
| Age 9, M | 4 | More than one Race | 25.00% | 10.5 | 0.5 | 1 |
| Age 9, M | 12 | All other Races and Ethnicities | 16.70% | 2 | 0 | 0 |
| Age 10, F | 42 | Non-Hispanic White | 42.90% | 6 | 1 | 0 |
| Age 10, F | 2 | Hispanic White | 0.00% | 6.5 | 0.5 | 0.5 |
| Age 10, F | 58 | Non-Hispanic Black | 39.70% | 8 | 0.5 | 1 |
| Age 10, F | 5 | More than one Race | 20.00% | 11 | 1 | 0 |
| Age 10, F | 5 | All other Races and Ethnicities | 0.00% | 1 | 0 | 0 |
| Age 10, M | 55 | Non-Hispanic White | 34.60% | 5 | 1 | 0 |
| Age 10, M | 1 | Hispanic White | 100.00% | 2 | 6 | 0 |
| Age 10, M | 45 | Non-Hispanic Black | 35.60% | 12 | 1 | 1 |
| Age 10, M | 3 | More than one Race | 100.00% | 5 | 0 | 0 |
| Age 10, M | 5 | All other Races and Ethnicities | 40.00% | 5 | 0 | 0 |
| Age 11, F | 41 | Non-Hispanic White | 48.80% | 5 | 1 | 0 |
| Age 11, F | 1 | Hispanic White | 0.00% | 0 | 0 | 1 |
| Age 11, F | 64 | Non-Hispanic Black | 53.10% | 6 | 1 | 0 |
| Age 11, F | 2 | More than one Race | 50.00% | 8 | 3 | 1.5 |
| Age 11, F | 8 | All other Races and Ethnicities | 50.00% | 3.5 | 1.5 | 0 |
| Age 11, M | 60 | Non-Hispanic White | 43.30% | 5 | 1 | 0 |
| Age 11, M | 2 | Hispanic White | 50.00% | 7.5 | 1.5 | 0 |
| Age 11, M | 57 | Non-Hispanic Black | 57.90% | 5 | 1 | 0 |
| Age 11, M | 7 | More than one Race | 42.90% | 17 | 1 | 1 |
| Age 11, M | 10 | All other Races and Ethnicities | 60.00% | 5 | 0 | 0 |
| Age 12, F | 37 | Non-Hispanic White | 48.70% | 5 | 2 | 1 |
| Age 12, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 12, F | 65 | Non-Hispanic Black | 69.20% | 5 | 1 | 1 |
| Age 12, F | 6 | More than one Race | 100.00% | 4 | 0 | 0.5 |
| Age 12, F | 4 | All other Races and Ethnicities | 75.00% | 1.5 | 1 | 0 |
| Age 12, M | 51 | Non-Hispanic White | 58.80% | 5 | 1 | 0 |
| Age 12, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 12, M | 66 | Non-Hispanic Black | 63.60% | 6 | 1 | 0 |
| Age 12, M | 0 | More than one Race | -- | -- | -- | -- |
| Age 12, M | 4 | All other Races and Ethnicities | 75.00% | 3 | 0.5 | 0 |
| Age 13, F | 35 | Non-Hispanic White | 54.30% | 4 | 0 | 1 |
| Age 13, F | 1 | Hispanic White | 0.00% | 15 | 1 | 1 |
| Age 13, F | 55 | Non-Hispanic Black | 60.00% | 9 | 1 | 1 |
| Age 13, F | 6 | More than one Race | 66.70% | 8 | 2 | 0.5 |
| Age 13, F | 7 | All other Races and Ethnicities | 71.40% | 5 | 1 | 1 |
| Age 13, M | 31 | Non-Hispanic White | 58.10% | 3 | 3 | 0 |
| Age 13, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 13, M | 74 | Non-Hispanic Black | 64.90% | 4.5 | 1.5 | 0 |
| Age 13, M | 4 | More than one Race | 25.00% | 5.5 | 0 | 0 |
| Age 13, M | 6 | All other Races and Ethnicities | 50.00% | 1 | 0.5 | 0 |
| Age 14, F | 28 | Non-Hispanic White | 78.60% | 3 | 1 | 0 |
| Age 14, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 14, F | 63 | Non-Hispanic Black | 68.30% | 7 | 1 | 0 |
| Age 14, F | 1 | More than one Race | 100.00% | 2 | 3 | 0 |
| Age 14, F | 7 | All other Races and Ethnicities | 42.90% | 2 | 0 | 0 |
| Age 14, M | 20 | Non-Hispanic White | 60.00% | 2 | 1.5 | 0 |
| Age 14, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 14, M | 57 | Non-Hispanic Black | 75.40% | 3 | 1 | 0 |
| Age 14, M | 5 | More than one Race | 40.00% | 6 | 1 | 0 |
| Age 14, M | 9 | All other Races and Ethnicities | 66.70% | 3 | 0 | 0 |
| Age 15, F | 27 | Non-Hispanic White | 55.60% | 2 | 1 | 0 |
| Age 15, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 15, F | 41 | Non-Hispanic Black | 61.00% | 4 | 1 | 1 |
| Age 15, F | 3 | More than one Race | 100.00% | 3 | 3 | 1 |
| Age 15, F | 5 | All other Races and Ethnicities | 20.00% | 2 | 0 | 0 |
| Age 15, M | 22 | Non-Hispanic White | 63.60% | 2 | 1 | 0 |
| Age 15, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 15, M | 52 | Non-Hispanic Black | 75.00% | 2.5 | 1 | 0 |
| Age 15, M | 3 | More than one Race | 66.70% | 5 | 3 | 0 |
| Age 15, M | 8 | All other Races and Ethnicities | 50.00% | 1 | 0.5 | 0 |
| Age 16, F | 18 | Non-Hispanic White | 33.30% | 2.5 | 1 | 0 |
| Age 16, F | 1 | Hispanic White | 100.00% | 1 | 0 | 1 |
| Age 16, F | 56 | Non-Hispanic Black | 69.60% | 5.5 | 2 | 1 |
| Age 16, F | 3 | More than one Race | 66.70% | 4 | 1 | 2 |
| Age 16, F | 6 | All other Races and Ethnicities | 33.30% | 2.5 | 0 | 0.5 |
| Age 16, M | 30 | Non-Hispanic White | 43.30% | 1 | 0.5 | 0 |
| Age 16, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 16, M | 43 | Non-Hispanic Black | 60.50% | 3 | 0 | 0 |
| Age 16, M | 1 | More than one Race | 100.00% | 2 | 0 | 0 |
| Age 16, M | 9 | All other Races and Ethnicities | 33.30% | 1 | 0 | 0 |
| Age 17, F | 20 | Non-Hispanic White | 50.00% | 2 | 1.5 | 1 |
| Age 17, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 17, F | 40 | Non-Hispanic Black | 42.50% | 3 | 0 | 0.5 |
| Age 17, F | 2 | More than one Race | 0.00% | 3 | 4.5 | 0.5 |
| Age 17, F | 4 | All other Races and Ethnicities | 25.00% | 0 | 0 | 0 |
| Age 17, M | 19 | Non-Hispanic White | 42.10% | 2 | 1 | 0 |
| Age 17, M | 1 | Hispanic White | 0.00% | 5 | 6 | 1 |
| Age 17, M | 41 | Non-Hispanic Black | 58.50% | 1 | 0 | 0 |
| Age 17, M | 3 | More than one Race | 0.00% | 1 | 0 | 0 |
| Age 17, M | 4 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
| Age 18, F | 15 | Non-Hispanic White | 20.00% | 0 | 0 | 1 |
| Age 18, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 18, F | 37 | Non-Hispanic Black | 46.00% | 2 | 1 | 1 |
| Age 18, F | 0 | More than one Race | -- | -- | -- | -- |
| Age 18, F | 5 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
| Age 18, M | 13 | Non-Hispanic White | 23.10% | 1 | 1 | 0 |
| Age 18, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 18, M | 27 | Non-Hispanic Black | 25.90% | 0 | 0 | 0 |
| Age 18, M | 1 | More than one Race | 100.00% | 4 | 2 | 1 |
| Age 18, M | 7 | All other Races and Ethnicities | 14.30% | 0 | 0 | 0 |
| Age 19, F | 2 | Non-Hispanic White | 0.00% | 0 | 0 | 0 |
| Age 19, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 19, F | 10 | Non-Hispanic Black | 10.00% | 2 | 0 | 0 |
| Age 19, F | 0 | More than one Race | -- | -- | -- | -- |
| Age 19, F | 3 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
| Age 19, M | 1 | Non-Hispanic White | 100.00% | 6 | 0 | 1 |
| Age 19, M | 1 | Hispanic White | 0.00% | 0 | 0 | 0 |
| Age 19, M | 14 | Non-Hispanic Black | 7.10% | 0 | 0 | 0 |
| Age 19, M | 0 | More than one Race | -- | -- | -- | -- |
| Age 19, M | 2 | All other Races and Ethnicities | 0.00% | 0 | 0.5 | 0 |
| Age 20, F | 0 | Non-Hispanic White | -- | -- | -- | -- |
| Age 20, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 20, F | 1 | Non-Hispanic Black | 0.00% | 2 | 0 | 1 |
| Age 20, F | 0 | More than one Race | -- | -- | -- | -- |
| Age 20, F | 1 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
| Age 20, M | 1 | Non-Hispanic White | 0.00% | 3 | 0 | 0 |
| Age 20, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 20, M | 4 | Non-Hispanic Black | 0.00% | 0 | 0 | 0.5 |
| Age 20, M | 0 | More than one Race | -- | -- | -- | -- |
| Age 20, M | 2 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
Participant Demographics, Youth Never in Foster Care
| Age at study begin and Sex assigned at birth | N | Race and Ethnicity | % Endorsing lifetime substance use | Median total healthcare encounters | Median count of mental health diagnoses | Median count of chronic conditions |
| Age 4, F | 12 | Non-Hispanic White | 0.00% | 8 | 0 | 0 |
| Age 4, F | 2 | Hispanic White | 0.00% | 45.5 | 0.5 | 1 |
| Age 4, F | 23 | Non-Hispanic Black | 0.00% | 17 | 0 | 1 |
| Age 4, F | 0 | More than one Race | -- | -- | -- | -- |
| Age 4, F | 2 | All other Races and Ethnicities | 0.00% | 8.5 | 0 | 0.5 |
| Age 4, M | 14 | Non-Hispanic White | 7.10% | 8.5 | 0 | 0 |
| Age 4, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 4, M | 14 | Non-Hispanic Black | 7.10% | 45.5 | 0 | 1 |
| Age 4, M | 4 | More than one Race | 0.00% | 20 | 0 | 2 |
| Age 4, M | 1 | All other Races and Ethnicities | 0.00% | 0 | 0 | 0 |
| Age 5, F | 34 | Non-Hispanic White | 0.00% | 7 | 0 | 0 |
| Age 5, F | 5 | Hispanic White | 20.00% | 18 | 0 | 0 |
| Age 5, F | 44 | Non-Hispanic Black | 4.60% | 13 | 0 | 1 |
| Age 5, F | 7 | More than one Race | 0.00% | 11 | 0 | 0 |
| Age 5, F | 1 | All other Races and Ethnicities | 0.00% | 6 | 0 | 0 |
| Age 5, M | 21 | Non-Hispanic White | 9.50% | 6 | 0 | 0 |
| Age 5, M | 3 | Hispanic White | 33.30% | 5 | 3 | 0 |
| Age 5, M | 32 | Non-Hispanic Black | 0.00% | 10 | 0 | 1 |
| Age 5, M | 5 | More than one Race | 20.00% | 14 | 4 | 1 |
| Age 5, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 6, F | 38 | Non-Hispanic White | 5.30% | 6 | 0 | 0 |
| Age 6, F | 2 | Hispanic White | 0.00% | 32 | 1 | 1.5 |
| Age 6, F | 42 | Non-Hispanic Black | 4.80% | 8 | 0 | 0.5 |
| Age 6, F | 8 | More than one Race | 0.00% | 20.5 | 0 | 0.5 |
| Age 6, F | 2 | All other Races and Ethnicities | 0.00% | 10 | 0.5 | 2.5 |
| Age 6, M | 40 | Non-Hispanic White | 2.50% | 12.5 | 0 | 0 |
| Age 6, M | 4 | Hispanic White | 0.00% | 21.5 | 0 | 2.5 |
| Age 6, M | 39 | Non-Hispanic Black | 5.10% | 12 | 0 | 1 |
| Age 6, M | 9 | More than one Race | 0.00% | 5 | 0 | 0 |
| Age 6, M | 1 | All other Races and Ethnicities | 0.00% | 21 | 1 | 1 |
| Age 7, F | 43 | Non-Hispanic White | 7.00% | 8 | 0 | 0 |
| Age 7, F | 1 | Hispanic White | 0.00% | 28 | 0 | 0 |
| Age 7, F | 48 | Non-Hispanic Black | 0.00% | 8.5 | 0 | 1 |
| Age 7, F | 8 | More than one Race | 12.50% | 15.5 | 0 | 1 |
| Age 7, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 7, M | 40 | Non-Hispanic White | 5.00% | 6 | 0 | 0 |
| Age 7, M | 4 | Hispanic White | 25.00% | 14 | 0 | 1.5 |
| Age 7, M | 52 | Non-Hispanic Black | 5.80% | 11.5 | 0 | 0 |
| Age 7, M | 9 | More than one Race | 0.00% | 13 | 0 | 3 |
| Age 7, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 8, F | 38 | Non-Hispanic White | 13.20% | 10 | 0 | 0.5 |
| Age 8, F | 2 | Hispanic White | 100.00% | 51 | 0.5 | 2 |
| Age 8, F | 49 | Non-Hispanic Black | 0.00% | 8 | 0 | 0 |
| Age 8, F | 12 | More than one Race | 0.00% | 6 | 0 | 0.5 |
| Age 8, F | 1 | All other Races and Ethnicities | 0.00% | 14 | 0 | 1 |
| Age 8, M | 39 | Non-Hispanic White | 10.30% | 13 | 0 | 1 |
| Age 8, M | 1 | Hispanic White | 0.00% | 9 | 0 | 0 |
| Age 8, M | 63 | Non-Hispanic Black | 1.60% | 7 | 0 | 1 |
| Age 8, M | 13 | More than one Race | 0.00% | 9 | 3 | 1 |
| Age 8, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 9, F | 38 | Non-Hispanic White | 23.70% | 10.5 | 0 | 1 |
| Age 9, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 9, F | 65 | Non-Hispanic Black | 12.30% | 9 | 0 | 1 |
| Age 9, F | 5 | More than one Race | 40.00% | 12 | 1 | 1 |
| Age 9, F | 1 | All other Races and Ethnicities | 0.00% | 6 | 0 | 1 |
| Age 9, M | 57 | Non-Hispanic White | 14.00% | 12 | 1 | 1 |
| Age 9, M | 1 | Hispanic White | 0.00% | 9 | 0 | 2 |
| Age 9, M | 60 | Non-Hispanic Black | 11.70% | 10.5 | 0 | 1 |
| Age 9, M | 4 | More than one Race | 0.00% | 26.5 | 3.5 | 0 |
| Age 9, M | 1 | All other Races and Ethnicities | 0.00% | 2 | 0 | 0 |
| Age 10, F | 43 | Non-Hispanic White | 14.00% | 10 | 0 | 1 |
| Age 10, F | 2 | Hispanic White | 50.00% | 8.5 | 1.5 | 1 |
| Age 10, F | 62 | Non-Hispanic Black | 16.10% | 6 | 0 | 1 |
| Age 10, F | 4 | More than one Race | 25.00% | 16 | 0.5 | 0.5 |
| Age 10, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 10, M | 52 | Non-Hispanic White | 9.60% | 6.5 | 0 | 0.5 |
| Age 10, M | 2 | Hispanic White | 0.00% | 38 | 1.5 | 2.5 |
| Age 10, M | 50 | Non-Hispanic Black | 22.00% | 11 | 0 | 1 |
| Age 10, M | 5 | More than one Race | 0.00% | 10 | 0 | 0 |
| Age 10, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 11, F | 38 | Non-Hispanic White | 13.20% | 8.5 | 0 | 0 |
| Age 11, F | 3 | Hispanic White | 33.30% | 8 | 0 | 0 |
| Age 11, F | 68 | Non-Hispanic Black | 16.20% | 7.5 | 0 | 1 |
| Age 11, F | 6 | More than one Race | 16.70% | 17 | 0 | 2 |
| Age 11, F | 1 | All other Races and Ethnicities | 0.00% | 2 | 0 | 0 |
| Age 11, M | 64 | Non-Hispanic White | 15.60% | 9.5 | 0 | 0 |
| Age 11, M | 3 | Hispanic White | 0.00% | 8 | 0 | 2 |
| Age 11, M | 59 | Non-Hispanic Black | 27.10% | 8 | 0 | 1 |
| Age 11, M | 9 | More than one Race | 33.30% | 7 | 0 | 1 |
| Age 11, M | 1 | All other Races and Ethnicities | 0.00% | 37 | 1 | 3 |
| Age 12, F | 39 | Non-Hispanic White | 30.80% | 14 | 0 | 1 |
| Age 12, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 12, F | 68 | Non-Hispanic Black | 36.80% | 11.5 | 0 | 1 |
| Age 12, F | 5 | More than one Race | 0.00% | 6 | 0 | 0 |
| Age 12, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 12, M | 50 | Non-Hispanic White | 18.00% | 6.5 | 0 | 0 |
| Age 12, M | 2 | Hispanic White | 0.00% | 22.5 | 0.5 | 0.5 |
| Age 12, M | 62 | Non-Hispanic Black | 29.00% | 7 | 0 | 1 |
| Age 12, M | 7 | More than one Race | 28.60% | 6 | 1 | 0 |
| Age 12, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 13, F | 37 | Non-Hispanic White | 18.90% | 7 | 0 | 0 |
| Age 13, F | 5 | Hispanic White | 0.00% | 24 | 1 | 3 |
| Age 13, F | 60 | Non-Hispanic Black | 28.30% | 11 | 0 | 1 |
| Age 13, F | 1 | More than one Race | 0.00% | 16 | 2 | 0 |
| Age 13, F | 1 | All other Races and Ethnicities | 0.00% | 17 | 0 | 0 |
| Age 13, M | 33 | Non-Hispanic White | 24.20% | 6 | 0 | 0 |
| Age 13, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 13, M | 77 | Non-Hispanic Black | 36.40% | 5 | 0 | 1 |
| Age 13, M | 3 | More than one Race | 0.00% | 1 | 2 | 0 |
| Age 13, M | 1 | All other Races and Ethnicities | 0.00% | 6 | 0 | 0 |
| Age 14, F | 29 | Non-Hispanic White | 27.60% | 9 | 0 | 1 |
| Age 14, F | 1 | Hispanic White | 100.00% | 11 | 0 | 3 |
| Age 14, F | 63 | Non-Hispanic Black | 42.90% | 8 | 0 | 1 |
| Age 14, F | 6 | More than one Race | 33.30% | 6.5 | 1 | 1 |
| Age 14, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 14, M | 22 | Non-Hispanic White | 9.10% | 3.5 | 0 | 0 |
| Age 14, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 14, M | 65 | Non-Hispanic Black | 44.60% | 4 | 0 | 1 |
| Age 14, M | 4 | More than one Race | 75.00% | 17.5 | 2 | 0.5 |
| Age 14, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 15, F | 29 | Non-Hispanic White | 27.60% | 8 | 0 | 1 |
| Age 15, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 15, F | 40 | Non-Hispanic Black | 52.50% | 7 | 0 | 1 |
| Age 15, F | 7 | More than one Race | 57.10% | 7 | 0 | 1 |
| Age 15, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 15, M | 28 | Non-Hispanic White | 28.60% | 3.5 | 0 | 0 |
| Age 15, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 15, M | 55 | Non-Hispanic Black | 30.90% | 4 | 0 | 0 |
| Age 15, M | 2 | More than one Race | 100.00% | 10.5 | 0 | 2 |
| Age 15, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 16, F | 19 | Non-Hispanic White | 15.80% | 8 | 0 | 1 |
| Age 16, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 16, F | 56 | Non-Hispanic Black | 53.60% | 5.5 | 0 | 1 |
| Age 16, F | 5 | More than one Race | 60.00% | 4 | 1 | 3 |
| Age 16, F | 4 | All other Races and Ethnicities | 0.00% | 1 | 1.5 | 1.5 |
| Age 16, M | 31 | Non-Hispanic White | 22.60% | 3 | 0 | 1 |
| Age 16, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 16, M | 50 | Non-Hispanic Black | 44.00% | 3 | 0 | 1 |
| Age 16, M | 2 | More than one Race | 0.00% | 1 | 4.5 | 1 |
| Age 16, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 17, F | 19 | Non-Hispanic White | 21.10% | 2 | 0 | 0 |
| Age 17, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 17, F | 46 | Non-Hispanic Black | 45.70% | 5 | 0 | 1 |
| Age 17, F | 1 | More than one Race | 0.00% | 1 | 0 | 0 |
| Age 17, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 17, M | 22 | Non-Hispanic White | 9.10% | 1 | 0 | 0 |
| Age 17, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 17, M | 42 | Non-Hispanic Black | 31.00% | 2 | 0 | 0.5 |
| Age 17, M | 3 | More than one Race | 0.00% | 0 | 0 | 1 |
| Age 17, M | 1 | All other Races and Ethnicities | 0.00% | 3 | 0 | 0 |
| Age 18, F | 16 | Non-Hispanic White | 6.30% | 2 | 0 | 1 |
| Age 18, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 18, F | 38 | Non-Hispanic Black | 23.70% | 2 | 0 | 1 |
| Age 18, F | 1 | More than one Race | 100.00% | 2 | 2 | 1 |
| Age 18, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 18, M | 13 | Non-Hispanic White | 15.40% | 0 | 0 | 0 |
| Age 18, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 18, M | 34 | Non-Hispanic Black | 8.80% | 0 | 0 | 0 |
| Age 18, M | 1 | More than one Race | 0.00% | 0 | 0 | 0 |
| Age 18, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 19, F | 2 | Non-Hispanic White | 0.00% | 3 | 0.5 | 0 |
| Age 19, F | 0 | Hispanic White | -- | -- | -- | -- |
| Age 19, F | 13 | Non-Hispanic Black | 23.10% | 1 | 0 | 0 |
| Age 19, F | 1 | More than one Race | 0.00% | 0 | 0 | 1 |
| Age 19, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 19, M | 2 | Non-Hispanic White | 50.00% | 33 | 0 | 5 |
| Age 19, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 19, M | 16 | Non-Hispanic Black | 6.30% | 0 | 0.0. | 0 |
| Age 19, M | 0 | More than one Race | -- | -- | -- | -- |
| Age 19, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 20, F | 0 | Non-Hispanic White | -- | -- | -- | -- |
| Age 20, F | 1 | Hispanic White | 0.00% | 29 | 0 | 0 |
| Age 20, F | 2 | Non-Hispanic Black | 0.00% | 1.5 | 0 | 0.5 |
| Age 20, F | 0 | More than one Race | -- | -- | -- | -- |
| Age 20, F | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
| Age 20, M | 2 | Non-Hispanic White | 100.00% | 1.5 | 0 | 3 |
| Age 20, M | 0 | Hispanic White | -- | -- | -- | -- |
| Age 20, M | 5 | Non-Hispanic Black | 0.00% | 0 | 0 | 0 |
| Age 20, M | 0 | More than one Race | -- | -- | -- | -- |
| Age 20, M | 0 | All other Races and Ethnicities | -- | -- | -- | -- |
Frequently Asked Questions
-
What is the purpose of this dashboard?
- How are the data from CAREFul going to be shared/distributed?
- What steps have been taken to ensure data security?
- Can others add their data?
- Who is organizing this project?
- What papers have been published so far?
The CAREFul study was initially designed to answer questions about healthcare use and health risks for children in foster care compared to demographically similar youth never in foster care. However, we recognize that these data may be useful for other research questions, and created this dashboard to share some of the summary data so that others can partner with us to answer their research questions with these data.
Because of the sensitive nature of these data, which include information about child welfare experiences (e.g., reasons children came into foster care), healthcare use, and health concerns, we are not posting full data publicly. With a data use agreement, fully de-identified data will be made available to researchers. A data use agreement can be established by contacting sarah.beal@cchmc.org to initiate execution.
Data has been fully de-identified, and cells with ten or fewer observations were collapsed into broader categories to ensure that no data could be used to re-identify the individuals represented in these data. Additionally, a data use agreement is required prior to the de-identified data being released.
We are interested in collaborating with others to grow the representation of other communities of children in foster care. Please contact Dr. Sarah Beal at sarah.beal@cchmc.org to explore opportunities to collaborate in this way.
This effort is led by Dr. Sarah Beal, and is supported by funding from the National Institutes of Health, R03MD011419 and K01DA041620.
See our list of publications.
Contact Us
Please direct questions to sarah.beal@cchmc.org.
