Research Participation of Minor Adolescents in Foster Care

Jenny K.R. Francis, Jane A. Andresen, Alexis Guzman, Jill D. McLeigh, Heidi M. Kloster, Susan L. Rosenthal

Research output: Contribution to journalArticlepeer-review


Study Objective: In this study we evaluated published studies about foster care to: (1) determine the types of data used; (2) describe the degree to which a sexual/reproductive health topic was addressed; and (3) describe the consent process. Design: Analysis of published literature. Setting: PubMed was searched using “foster care” for English articles published between January 1, 2017 and September 4, 2019. Participants: None. Interventions: None. Main Outcome Measures: Articles were coded into 4 data source categories: primary, secondary, peripheral, or perspective data. Articles with a primary data source were coded for participant ages: only 9 years old and younger, 10- to 17-year-olds (minor adolescents), and only 18 years old and older. Articles using a secondary data source were coded for the source of the data registry. All articles were coded for presence of a sexual/reproductive health outcome. The primary data articles that included minor adolescents were coded for the study topic and consent process. Results: Of the 176 articles about foster care, 72/176 (41%) used primary data, 53/176 (30%) used secondary data, and 51/176 (29%) used peripheral/perspective data. Forty-eight of the primary data articles included minor adolescents. Secondary data sources included few national research surveys. Sexual/reproductive health outcomes were measured in 17 articles, 4 of which used primary data. The consent process for minor adolescents varied and had no consistent pattern across studies. Conclusion: Research on best practices for consent processes and use of registries could be developed to increase research on sexual/reproductive health outcomes among adolescents in foster care.

Original languageEnglish (US)
Pages (from-to)190-195
Number of pages6
JournalJournal of pediatric and adolescent gynecology
Issue number2
StatePublished - Apr 2021


  • Adolescents
  • Confidentiality
  • Consent
  • Foster care
  • Sexual and reproductive health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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