養護下にある子どもの転帰に関する国際研究の全体像を整理(New study maps what we do and don’t know about outcomes for children in care)

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2026-02-25 スウォンジー大学

英国スウォンジー大学の研究チームは、養護下にある子どもたちの将来 outcomes に関する既存研究を体系的に整理し、何が分かっていて何が不足しているのかを可視化した。教育達成、就労、健康、精神的福祉など多面的な指標を検討した結果、成人後の長期的影響や地域差に関するデータが限定的であることが判明。研究は、政策立案や支援制度の改善に向け、より包括的で追跡的なデータ収集の必要性を提起している。

<関連情報>

児童の家庭外養育の成果に関するエビデンスのマッピング:レビューのスコープレビュー Mapping the evidence on outcomes of childhood out-of-home care: A scoping review of reviews

Richmond Opoku,Natasha Judd,Katie Cresswell,Michael Parker,Michaela James,Jonathan Scourfield,Karen Hughes,Jane Noyes,Dan Bristow,Evangelos Kontopantelis,Sinead Brophy,Natasha Kennedy
PLOS One  Published: February 25, 2026
DOI:https://doi.org/10.1371/journal.pone.0325409

養護下にある子どもの転帰に関する国際研究の全体像を整理(New study maps what we do and don’t know about outcomes for children in care)

Abstract

Background

Children placed in out-of-home care in high-income countries face complex challenges due to exposure to adverse childhood experiences and systemic disadvantages. While research on their outcomes has grown, the evidence base remains fragmented. An overview of review-level evidence was conducted to identify patterns, gaps, and priorities for future research and practice.

Methods

A scoping review of reviews was conducted. Peer-reviewed review articles published between January 2013 and July 2024 were identified through searches in databases including EBSCOhost, ProQuest, Cochrane Database of Systematic Reviews, and Epistemonikos. Eligible reviews focused on childhood out-of-home care experience and reported outcomes for care-experienced individuals (assessed either in childhood or adulthood) and/or associated factors. Outcomes were categorised under the following domains: Health and Emotional Wellbeing (HEW), Physical and Legal Security (PLS), Education and Learning (EL), Living Standards and Social Wellness (LSSW), and Identity and Civic Participation (ICP). Factors were classified across multiple levels, including individual child-level, socio-relational-level, community-level, system-level, and other factors.

Results

A total of 77 reviews were included, spanning diverse methodologies and contexts. Research was concentrated in domains such as HEW and LSSW, with indicators such as mental and emotional health and attachment and behaviour functioning receiving substantial attention. Conversely, key gaps were identified, including the limited reporting of ICP outcomes (e.g., identity and self-respect). System-level factors, such as care quality and placement type, were most frequently reported across outcome domains and indicators. Individual child level and socio-relational-level factors were consistently highlighted, while community-level factors were largely underrepresented.

Conclusion

Future research should target gaps in underexplored outcome domains like ICP and indicators such as bullying, mortality, and educational readiness. Community-level factors warrant more attention as they play a significant role in supporting transitions to independence and social integration.

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