A comparative analysis of abandoned street children and formerly abandoned street children in La Paz, Bolivia.
OBJECTIVE
A comparative study of abandoned street children and formerly abandoned street children was conducted in La Paz, Bolivia, representing the first such comparative assessment. Between August and December 1997, all abandoned street children in La Paz, Bolivia, who were willing to participate (n = 124) were interviewed repeatedly at night using standardised questionnaires to collect information on family history, demographics, socioeconomics, drug use, and physical/sexual abuse. The same questionnaires were administered to all former abandoned street children who chose to enter a local orphanage (n = 35).


RESULTS
The persistent street children differed greatly from those who entered the orphanage, most markedly in their higher risk of police abuse (95% versus 38%), absence from school (84% versus 19%), engagement in robbery (26% versus 4%), paint thinner use (88% versus 41%), alcohol use (58% versus 12%), and a serious medical problem (53% versus 20%). The risks for street children increased rapidly with age.


CONCLUSIONS
A cascade of adverse outcomes afflicts the vast majority of abandoned street children in La Paz, which cumulate with age and diminish the likelihood of successful rehabilitation through lasting placement in an orphanage or residential home. Informed by these findings, the investigators operate a home for abandoned street children in La Paz.
Department of Pediatrics, Boston University School of Medicine and Boston Medical Center, Harvard Medical School, and Brigham and Women's Hospital, Boston, MA, USA. chuang30@hotmail.com
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Huang
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Barreda
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Mendoza
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Guzman
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Gilbert
D000041:Absenteeism; D000293:Adolescent; D000428:Alcohol Drinking / Q000523:psychology; D001838:Bolivia; D002648:Child; D002649:Child Abuse; D002675:Child, Preschool; D003415:Crime; D005260:Female; D006304:Health Status; D018453:Homeless Youth / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D016495:Police; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000523:psychology