title: Health of children adopted from Ethiopia.
abstract: OBJECTIVE
  Since 2000, American families have adopted 1,700 children from Ethiopia. Little is known about the health and development of these children.
  
  
  METHODS
  Retrospective chart review of the arrival health status of all 50 (26F:24M) children from Ethiopia/Eritrea seen in the International Adoption Clinic.
  
  
  RESULTS
  Prior to adoption, most children resided with relatives; 36% were >18 months old prior to entry into care. More than 50% were true orphans, often due to HIV. Arrival age ranged from 3 months to 15 years (mean +/- SD 4 years +/- 43.8 months). At arrival, growth z scores were near-average (weight -.59, height -.64, head circumference -.09); significantly better than adopted children Guatemala, China, or Russia seen in our clinic. However, some Ethiopian children were significantly growth delayed (WAZ < or =-2, 8%, HAZ 12%, HCZ 18%). Age at adoption did not relate to growth delays. Medical issues on arrival included intestinal parasites (53%, [14% with > or =3 types]), skin infections (45%), dental caries (25%), elevated liver transaminases (20%), latent tuberculosis (18%), and hepatitis B (2%). Age-appropriate vaccines had been administered in 15-77% of children (depending on specific vaccine). Behavior problems were uncommon. Gross/fine motor and cognitive skills were approximately 86% of expected for age. Age correlated inversely with developmental scores for cognition (r = -.49, P = .003). Five children had age reassignments.
  
  
  CONCLUSIONS
  Ethiopian/Eritean adoptees differ from other groups of internationally adopted children: they reside for relatively long periods of time with relatives prior to institutionalization, often have uncertain ages, exhibit few behavioral problems at arrival, have better growth, and may have less severe developmental delays. Whether these differences at arrival predict better outcomes for the Ethiopian/Eritrean children is unknown.
authors: International Adoption Clinic, Tufts-New England Medical Center, 750 Washington St., Boston, MA 02111, USA. lmiller1@tufts-nemc.org
authors: Laurie C
authors: LC
authors: Miller
authors: Beverly
authors: B
authors: Tseng
authors: Linda G
authors: LG
authors: Tirella
authors: Wilma
authors: W
authors: Chan
authors: Emily
authors: E
authors: Feig
mesh_terms: D000293:Adolescent; D000300:Adoption; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D005002:Ethiopia; D005260:Female; D006128:Growth; D006304:Health Status; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology; D008297:Male; D012189:Retrospective Studies; D014481:United States
references: J Am Acad Child Adolesc Psychiatry. 1994 Jun;33(5):753-5
references: 8056739
references: J Community Health. 1989 Winter;14(4):227-41
references: 2482845
references: Early Hum Dev. 2002 Jun;68(1):39-54
references: 12191528
references: Johns Hopkins Med J. 1977 Feb;140(2):43-6
references: 836514
references: N Engl J Med. 1991 Aug 15;325(7):479-85
references: 1649404
references: J Am Acad Child Adolesc Psychiatry. 1989 Mar;28(2):254-61
references: 2494148
references: JAMA. 1997 Sep 17;278(11):922-4
references: 9302245
references: Pediatrics. 2005 Jun;115(6):e710-7
references: 15930199
references: Pediatrics. 2006 Jul;118(1):139-45
references: 16818559
references: Obesity (Silver Spring). 2006 Feb;14(2):301-8
references: 16571857
references: JAMA. 1992 Dec 23-30;268(24):3446-51
references: 1281241
references: Pediatrics. 2000 Jun;105(6):E81
references: 10835094
references: Am J Clin Nutr. 1993 Feb;57(2 Suppl):303S-309S
references: 8427209
references: Am J Public Health. 1976 Mar;66(3):262-7
references: 1259062
references: Arch Pediatr. 1999 Oct;6(10):1053-8
references: 10544779
references: Food Nutr Bull. 2006 Dec;27(4 Suppl Growth Standard):S169-74
references: 17361654
references: Arch Pediatr Adolesc Med. 1995 Jan;149(1):40-4
references: 7827658
references: J Pediatr Endocrinol Metab. 1999 Jul-Aug;12(4):507-17
references: 10417966
references: Am J Dis Child. 1987 Dec;141(12):1251-2
references: 3687857
references: Am J Dis Child. 1987 Mar;141(3):298-302
references: 3812412
references: Am J Dis Child. 1973 Aug;126(2):164-6
references: 4724113
references: J Am Acad Child Adolesc Psychiatry. 1987 Jan;26(1):23-7
references: 3583996
references: J Am Acad Child Adolesc Psychiatry. 1990 Jan;29(1):94-103
references: 2295584
references: Pediatrics. 2000 Jun;105(6):E76
references: 10835089