RESUMEN
OBJECTIVE: It is widely assumed that universal mandatory reporting policies (MRPs) for sexual misconduct are important for campus safety, but there is little evidence to support these assumptions. HYPOTHESES: Given the exploratory nature of this research, no formal hypotheses were tested. We did not expect universal MRPs to be significantly associated with increased reporting or postreporting outcomes. METHOD: Data on MRPs and sexual misconduct reporting in annual security reports and to Title IX coordinators at institutions of higher education in New York (N = 188) were used to examine the prevalence of universal MRPs as well as the relationship between MRPs and reporting and postreporting outcomes. RESULTS: Descriptives showed that 44% of institutions of higher education have a universal MRP. Multivariate linear regression models indicated that universal MRPs were not significantly related to reporting in annual security reports; reports to Title IX coordinators, campus police, campus safety or security officers; or rates of referrals to additional services, no-contact orders, access to the judicial conduct process for sexual misconduct, or findings of student responsibility for sexual misconduct. CONCLUSIONS: Our findings raise concerns about the widespread implementation of MRPs and highlight the need for future research on their impact on student-survivor reporting and access to remedies and resources. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Asunto(s)
Notificación Obligatoria , Delitos Sexuales , Humanos , Conducta Sexual , Políticas , UniversidadesRESUMEN
Pelvic floor dysfunction (PFD) is a common gynecological problem; however, women residing in rural communities may refrain from seeking treatment for PFD. The purpose of this study was to characterize severity of PFD among postpartum women residing in rural communities (<50,000 residents) in the United States and explore the demographic and psychosocial correlates of PFD. METHODS: A survey packet comprised of the Pelvic Floor Disability Index (PFDI-20) and Prolapse and Incontinence Knowledge Questionnaire (PIKQ) as well as the Edinburgh Perinatal Depression Screening (EPDS), items from the Canadian Sexual Health Indicator (CSHI) survey, and demographic questions were distributed via electronic link following recruitment using social media. Descriptive statistics were calculated, and multivariate logistic regression was used to assess the factors associated with PFDI-20 score. RESULTS: Participants (n = 383) have limited pelvic health knowledge (PIKQ) despite self-reporting moderate symptoms of dysfunction (PFDI-20). Over half of women scored ≥14 on the EPDS, indicating probable depression. Women with high scores on the EPDS had greater odds of reporting moderate/severe PFD. Women that identified as Black and/or having a college degree were more likely to report moderate/severe PFD. CONCLUSION: Rural women require further support to improve their physical and psychological health in the postpartum period.
Asunto(s)
Madres , Población Rural , Embarazo , Femenino , Estados Unidos/epidemiología , Humanos , Prevalencia , Diafragma Pélvico , Canadá/epidemiología , Periodo PospartoRESUMEN
Little is known about actual incidents of gender-based violence reported by college students or the campus adjudication process or outcomes of reported cases. Data from Annual Security Reports (ASRs) and Title IX Coordinators was used to examine the context, processes, and outcomes of reported incidents of sexual misconduct (N = 1,054) at institutions of higher education (IHEs) in a Mid-Atlantic state. Results showed that ASRs undercounted incidents of sexual misconduct. Few incidents reported to Title IX Coordinators resulted in a formal Title IX complaint, and fewer still resulted in a finding of responsibility or suspension/expulsion of the responsible student. The primary outcome of reports were victim services, not perpetrator punishments. Significant variability within and between IHE types was also uncovered. Findings suggest that better data collection as well as research on victim engagement in the Title IX complaint process and on sexual misconduct at community colleges and independent IHEs is needed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Asunto(s)
Delitos Sexuales/legislación & jurisprudencia , Delitos Sexuales/estadística & datos numéricos , Universidades/legislación & jurisprudencia , Regulación Gubernamental , Adhesión a Directriz/legislación & jurisprudencia , Humanos , Estados UnidosRESUMEN
BACKGROUND: Gun violence and psychological problems are often conflated in public discourse on gun safety. However, few studies have empirically assessed the effect of exposure to violence when exploring the association between gun carrying and psychological distress. OBJECTIVE: To examine the potential effect of exposure to violence on the associations between gun carrying and psychological distress among vulnerable adolescents. DESIGN: Longitudinal cohort study. SETTING: The Pathways to Desistance study, a study of youths found guilty of a serious criminal offense in Philadelphia County, Pennsylvania, or Maricopa County, Arizona. PARTICIPANTS: 1170 male youths aged 14 to 19 years who had been found guilty of a serious criminal offense. MEASUREMENTS: Youths were assessed at baseline and at four 6-month intervals with regard to gun carrying ("Have you carried a gun?"), psychological distress (Global Severity Index), and exposure to violence (modified version of the Exposure to Violence Inventory). RESULTS: At the bivariate level, gun carrying was consistently associated with higher levels of psychological distress. However, the association between psychological distress and gun carrying diminished or disappeared when exposure to violence was considered. Exposure to violence (as either a victim or a witness) was significantly related to gun carrying at all follow-up assessments, with increased odds of gun carrying ranging from 1.43 to 1.87 with each additional report of exposure to violence. LIMITATIONS: The study sample was limited to justice-involved male youths. Precarrying distress and exposure to violence could not be fully captured because many participants had initiated gun carrying before baseline. CONCLUSION: In male youths involved in the criminal justice system, the relationship between psychological distress and gun carrying seems to be influenced by exposure to violence (either experiencing or witnessing it). Further study is warranted to explore whether interventions after exposure to violence could reduce gun carrying in this population. PRIMARY FUNDING SOURCE: None.
Asunto(s)
Conducta del Adolescente , Crimen , Exposición a la Violencia/psicología , Armas de Fuego , Estrés Psicológico , Adolescente , Crimen/legislación & jurisprudencia , Humanos , Estudios Longitudinales , Masculino , Poblaciones Vulnerables , Adulto JovenRESUMEN
The current research examines Colorado's experience implementing evidence-based mandated treatment Standards, which use a uniform risk assessment, differentiated treatment levels, offender competencies, and a multidisciplinary treatment team (MTT) composed of a victim advocate, probation officer, and treatment provider to manage offender treatment. Using data from MTT member surveys (n = 107) and follow-up interviews (n = 14), the study investigates perceptions of implementation and treatment fidelity, MTT decision making and communication, and the process of successful treatment completion. Results demonstrate that full implementation of Colorado's standards for domestic violence treatment has not yet been achieved and that many MTT members report challenges to communication and decision making regarding offender treatment plans and successful achievement of competencies. Recommendations for further improvements in Colorado's domestic violence treatment model are made and directions for future research are discussed.
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Maltrato a los Niños/prevención & control , Adhesión a Directriz , Implementación de Plan de Salud/organización & administración , Servicios Preventivos de Salud/organización & administración , Maltrato Conyugal/prevención & control , Violencia/prevención & control , Adulto , Niño , Colorado , Intervención en la Crisis (Psiquiatría) , Femenino , Regulación Gubernamental , Humanos , Comunicación Interdisciplinaria , Relaciones Interinstitucionales , Masculino , Persona de Mediana EdadRESUMEN
OBJECTIVE: Vascular restenosis remains a major obstacle to long-term success after vascular intervention. Circulating progenitor cells have been implicated in restenosis, and yet it has remained unclear if these cells, particularly nonendothelial progenitors, have an active role in this pathologic process. We hypothesized that circulating CD34(+)/c-kit(+) progenitors would increase after vascular injury, mirrored by changes in the injury signal, stromal cell-derived factor 1α (sdf1α). We further postulated that an antibody-based depletion would mitigate progenitor surge and, in turn, reduce restenosis in a murine model. METHODS: C57BL6 mice underwent wire injury of the femoral artery and were compared with mice with sham surgery and vessel ligation by flow cytometry as well as by sdf1α enzyme-linked immunosorbent assay of peripheral blood. Next, injured C57BL6 mice treated with a depleting antibody toward the progenitor marker sca-1 or with an isotype control were compared in terms of sdf1α as well as enumeration of progenitors. At 28 days, restenosis was quantified between sca-1- and isotype-treated animals. RESULTS: Wire injury generated an increase in sdf1α as well as a surge of CD34(+)/c-kit(+) progenitors relative to nonsurgical controls (P = .005). Treatment with sca-1 antibody ablated the peripheral surge compared with isotype-treated, injured animals (P = .02), and sca progenitor depletion reduced the 28-day intima to media ratio in a statistically significant fashion compared with either nontreated (P = .04) or isotype-treated (P = .036) animals. CONCLUSIONS: Our study has demonstrated that sca-1 antibody reduces both progenitor surge and vascular restenosis after endoluminal vascular injury in a murine model. This suggests that circulating progenitors play an active role in restenotic disease.
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Anticuerpos/farmacología , Antígenos CD34/metabolismo , Arteria Femoral/efectos de los fármacos , Células Madre Hematopoyéticas/efectos de los fármacos , Proteínas de la Membrana/antagonistas & inhibidores , Neointima , Proteínas Proto-Oncogénicas c-kit/metabolismo , Lesiones del Sistema Vascular/tratamiento farmacológico , Animales , Antígenos Ly/inmunología , Antígenos Ly/metabolismo , Constricción Patológica , Modelos Animales de Enfermedad , Arteria Femoral/inmunología , Arteria Femoral/lesiones , Arteria Femoral/metabolismo , Células Madre Hematopoyéticas/inmunología , Células Madre Hematopoyéticas/metabolismo , Células Madre Hematopoyéticas/patología , Hiperplasia , Proteínas de la Membrana/inmunología , Proteínas de la Membrana/metabolismo , Ratones Endogámicos C57BL , Transducción de Señal/efectos de los fármacos , Factores de Tiempo , Lesiones del Sistema Vascular/inmunología , Lesiones del Sistema Vascular/metabolismo , Lesiones del Sistema Vascular/patologíaRESUMEN
Using a cycle of violence framework, we investigated experiences with physical intimate partner violence (IPV) victimization, perpetration, and both IPV victimization and perpetration (IPV overlap). Data included the U.S. subsample of college students in the International Dating Violence Study (n = 4,162). Findings indicated that 40% of participants reported lifetime IPV, with 28% reporting membership in the overlap group. Cycle of violence variables including child sexual abuse, witnessing violence inside the home during childhood, and witnessing violence outside the home during childhood were uniquely related to membership in the overlap group. No relationship between cycle of violence variables and IPV victimization only or IPV perpetration only was identified. Results suggested the cycle of violence might predominantly operate among individuals who are both IPV victims and offenders, rather than among individuals experiencing IPV victimization or perpetrate IPV exclusively.
Asunto(s)
Adultos Sobrevivientes del Maltrato a los Niños/estadística & datos numéricos , Víctimas de Crimen/estadística & datos numéricos , Relaciones Interpersonales , Delitos Sexuales/estadística & datos numéricos , Parejas Sexuales/psicología , Adulto , Femenino , Estado de Salud , Humanos , Violencia de Pareja , Masculino , Factores de Riesgo , Estados Unidos , Adulto JovenRESUMEN
Prior research suggests that homicide cases involving familial offenders and victims are subject to a "domestic discount" that reduces sentencing severity. However, the operation of a domestic discount in regard to death penalty sentencing has been rarely examined. The current research uses a near-population of jury decisions in capital murder trials conducted in North Carolina from 1991 to 2009 (n = 800), and a series of logistic regression analyses to determine whether there is (a) a direct effect between offender-victim relationship (e.g., domestic, friend/acquaintance, and stranger) and jury decision making, and/or (b) whether domestic offender-victim relationship (as well as other offender-victim relationships) moderates the effect of legal and extralegal case characteristics on jury assessment of the death penalty. Our findings revealed no empirical support for a "domestic discount" whereby juries are less likely to impose death sentences in cases involving domestic homicides. However, substantial differences in predictors of death sentencing were found across offender-victim dyads; most notably, domestic homicide cases demonstrated the most legalistic model of jury decisions to impose death sentences.
Asunto(s)
Pena de Muerte/legislación & jurisprudencia , Toma de Decisiones , Violencia Doméstica/legislación & jurisprudencia , Homicidio/legislación & jurisprudencia , Víctimas de Crimen , Humanos , North CarolinaRESUMEN
A small body of prior research has examined the impact of victim sex on jury death penalty decision-making and the majority of this research has demonstrated some evidence of a "female victim effect" such that cases involving a female victim are more likely to receive the death penalty than similarly situated cases with a male victim. However, within this line of research studies have suggested that victim sex may work in conjunction with other case characteristics. In order to further explore this phenomenon, the current study examines a near-population of death penalty cases from North Carolina (n=1069) from 1977-2009 using propensity score matching. Results demonstrate that once cases are matched on more than 50 legal and extralegal case characteristics, there is no statistically significant or substantive link between victim sex and death penalty decision-making. Findings suggest that it is concrete differences in the legal and extralegal factors observed in cases with female victims compared to male victims that shape jury death sentence decisions rather than a direct effect of victim sex (before matching: OR=1.53; 95% CI=1.20-1.95; p<.001/after matching: OR=0.90; 95% CI=0.66-1.24; p=.52). Study limitations and implications are also discussed.
Asunto(s)
Pena de Muerte , Víctimas de Crimen , Derecho Penal , Toma de Decisiones , Castigo , Adulto , Criminales , Femenino , Humanos , Masculino , North Carolina , Puntaje de Propensión , Factores SexualesRESUMEN
The link between child sexual abuse and adult intimate partner violence surfaces throughout prior research. Nonetheless, methodologies investigating this cycle of violence predominantly involve descriptive, correlational, or traditional regression-based analyses that preclude more definitive statements about the empirical relationship between child sexual abuse and adult partner violence. In recognition of these limitations, the current study presents a quasi-experimental investigation into the relationship between sexual abuse in childhood and physical partner violence victimization and/or perpetration in young adulthood. Propensity score matching analysis of a national data set sampling over 4,000 young adults suggests that experiencing child sexual abuse influences adult intimate partner violence victimization and perpetration. Study implications and directions for future research are discussed.
Asunto(s)
Maltrato a los Niños/psicología , Víctimas de Crimen/psicología , Violencia de Pareja/psicología , Parejas Sexuales/psicología , Adulto , Niño , Maltrato a los Niños/estadística & datos numéricos , Víctimas de Crimen/estadística & datos numéricos , Femenino , Humanos , Violencia de Pareja/estadística & datos numéricos , Estudios Longitudinales , Masculino , Factores de Riesgo , Maltrato Conyugal/psicología , Adulto JovenRESUMEN
OBJECTIVES: The purpose of this study was to characterize the expression of interleukin-11 (IL-11), a cytokine with anti-inflammatory, cytoprotective, and immune-modulating characteristics, in the canine eye. PROCEDURES: Normal canine eyes were collected from clinically healthy dogs that had been euthanized for reasons unrelated to this study. The distribution of IL-11 expression in the different ocular layers was evaluated by immunofluorescence (eight eyes). Expression levels were quantified (based on fluorescence intensity) using pixel density analysis. Primary cell cultures were derived from all three corneal cell layers. IL-11 mRNA expression was assessed in these cultures using quantitative RT-PCR before and after treatment with TGF-ß1, a known inducer of IL-11 expression. IL-11 protein expression was also assessed in the media of these cells by Western blot analysis. RESULTS: IL-11 protein was detected in the corneal epithelium, keratocytes, and the corneal endothelium of the normal canine eyes examined using immunofluorescence. Baseline IL-11 mRNA expression was noted in the corneal epithelium, fibroblasts, and endothelium using quantitative RT-PCR. Treatment of canine corneal cell lines with TGF-ß1 resulted in statistically significant increases in IL-11 expression in the corneal epithelium, endothelial and fibroblast cell lines with strongest induction noted in the fibroblasts and endothelium. CONCLUSION: This is the first description of IL-11 expression in the canine eye. The protein and mRNA appear to be constitutively present throughout all layers of the cornea and are increased by TGF-ß1, a cytokine important in ocular inflammation and disease.
Asunto(s)
Perros/fisiología , Regulación de la Expresión Génica/fisiología , Interleucina-11/metabolismo , Animales , Células Cultivadas , Córnea/citología , Interleucina-11/genética , ARN Mensajero/genética , ARN Mensajero/metabolismo , Factor de Crecimiento Transformador beta1/farmacologíaRESUMEN
Little is known about the role social support may play in reducing the risk of adolescent dating violence perpetration and victimization. This study is a longitudinal analysis of the independent impact of social support from friends and parents on the risk of emotional and physical dating violence perpetration and victimization among a large sample of female youth (n = 346). Findings indicate that 22% of the sample indicated perpetrating physical dating violence against a partner, whereas almost 16% revealed being the victim of physical dating violence; 34% of the sample indicated perpetrating emotional dating violence against a partner, whereas almost 39% revealed being the victim of emotional dating violence. Negative binomial regression models indicated that increased levels of support from friends at Time 1 was associated with significantly less physical and emotional dating violence perpetration and emotional (but not physical) dating violence victimization at Time 2. Parental support was not significantly related to dating violence in any model. Implications for dating violence curriculum and future research are addressed.
Asunto(s)
Cortejo , Víctimas de Crimen , Relaciones Padres-Hijo , Grupo Paritario , Apoyo Social , Violencia , Adolescente , Femenino , Humanos , Estudios Longitudinales , OhioRESUMEN
In this study, survival analysis is used to examine time to rearrest for both domestic violence and nondomestic violence crimes among a cohort of domestic violence offenders (N = 286) over a 10-year period. In addition, risk factors for rearrest such as demographic, offending history, and batterer treatment variables are examined to determine their influence on domestic and nondomestic violence recidivism. Overall, the results suggest that approximately half of domestic violence offenders are rearrested. Furthermore, among those who are rearrested, they are rearrested fairly quickly and for generalized (both domestic and nondomestic violence offenses) versus specialized offending. Risk factors associated with both types of rearrest included age, marriage, and domestic violence offense history. Several additional risk factors were unique to rearrest type. Study limitations are explicitly stated and policy implications are discussed.
Asunto(s)
Criminales/legislación & jurisprudencia , Criminales/estadística & datos numéricos , Violencia Doméstica/legislación & jurisprudencia , Violencia Doméstica/estadística & datos numéricos , Asunción de Riesgos , Estudios de Cohortes , Femenino , Humanos , Aplicación de la Ley , Masculino , Recurrencia , Medición de Riesgo/estadística & datos numéricosRESUMEN
Sexual misconduct incidents reported to Title IX coordinators and stability in incident characteristics within institutions of higher education (IHEs) over time were examined. Data included two waves of reported incidents in 2016-2018 (n = 2,598) and 2018-2020 (n = 2,778) across Maryland IHEs (N = 40). Findings showed most reported incidents were for Other Sexual Misconduct (e.g., sexual harassment) versus Sexual Assault I (i.e., rape) or Sexual Assault II (e.g., unwanted sexual touching). Types of sexual misconduct differed regarding reporting by responsible employees, nonstudent perpetrators, and the range of accommodations accessed; institutional-level profiles of sexual misconduct were stable across waves. Implications and future research are discussed.
Asunto(s)
Delitos Sexuales , Humanos , Delitos Sexuales/estadística & datos numéricos , Femenino , Maryland , Masculino , Universidades/organización & administración , Adulto , Acoso Sexual/estadística & datos numéricosRESUMEN
A paucity of research has examined the prevalence of domestic and intimate partner violence (DV/IPV) victimization among persons experiencing eviction. The current study uses administrative records for a random sample of evicted adults in Omaha, Nebraska from 2017 to 2019 (n = 306) to assess the prevalence of DV/IPV victimization among evicted persons and differences among the DV/IPV and no DV/IPV groups. Findings indicated over 20% of evicted persons experienced DV/IPV victimization, and DV/IPV often preceded the first eviction. DV/IPV disproportionately impacted Black women. Implications regarding the compounding consequences of eviction and DV/IPV victimization and recommendations for future research are discussed.
RESUMEN
The current study uses a nationally representative sample of institutions of higher education (IHEs) in the United States (n = 448) to estimate the prevalence rate of consensual sexual relationship policies (CSRPs) and to examine variation in CSRPs across sectors of IHEs. The concepts of consent and power differentials in CSRPs are also explored. Findings show that the majority of IHEs do not have a CSRP, that there are no significant differences in the prevalence rate or type of CSRPs across IHE sectors, and the most common type of CSRP is a limited ban. The concepts of consent and power differentials underpin the majority of CSRPs.
Asunto(s)
Delitos Sexuales , Acoso Sexual , Humanos , Estados Unidos , Prevalencia , Universidades , Políticas , Estudiantes , DocentesRESUMEN
Although there has been much debate regarding the application of Title IX and the related reporting, investigation, and conduct processes at institutions of higher education (IHEs) in the United States, only limited prior research has examined incidents of sexual misconduct reported to Title IX offices. The existing studies rely on aggregate data, which restricts our understanding of the scope of case-level factors (e.g., complainant type, reporting source) and how case-level factors impact case outcomes. The present study uses three years (2017-2020) of case-level data for incidents of sexual misconduct (n = 664) reported to the Title IX office at a single, large 4-year university in the Western United States to explore the scope of case-level factors and outcomes and potential changes in the rate of reporting over time. Results first show that most complainants were identified as undergraduate students, while most respondents were identified as unknown/anonymous; nearly half of the reports stemmed from responsible employees, while almost 85% came from a source other than the complainant. More than 90% of incidents were resolved through informal resolutions (e.g., providing resources to the complainant) rather than formal resolutions (i.e., the investigation and conduct process). A greater percentage of incidents reported by complainants compared to other reporter types were resolved through a formal resolution. Finally, the rate of reporting to Title IX increased significantly over the study period, but only by the Student Services office and "other" reporters. Recommendations for IHEs and future research are discussed.
Asunto(s)
Delitos Sexuales , Conducta Sexual , Humanos , Estados Unidos , Universidades , EstudiantesRESUMEN
OBJECTIVE: Few studies have compared measures of sexual misconduct reporting, and there are few assessments of campus policies on reporting. METHODS: Using data from New York institutions of higher education (IHEs) (N = 209) we compare the number of sexual misconduct incidents reported in Annual Security Reports (ASRs) and to Title IX coordinators, and explore the relationship between policies and reporting across both measures, while controlling for institutional factors. RESULTS: The majority of IHEs had higher numbers of sexual misconduct incidents reported to Title IX coordinators than reported in ASR data. Student bills of rights were associated with higher reporting in ASRs no policies were associated with reporting to Title IX coordinators. CONCLUSIONS: Campus sexual misconduct is both a public policy and a public health problem; we must advance the role of data and data-driven decision-making in crafting evidenced-based solutions.
RESUMEN
This study explored the potential role of victim advocacy in Native American missing person cases. Interviews with 25 tribal and non-tribal victim/social service providers were conducted to assess their perspectives on the factors which make Native Americans vulnerable to going missing, the barriers and challenges regarding reporting and investigating missing persons, as well as how victim/social service providers might better support the families of missing persons. Findings suggest that advocates perceive that responding to and offering services for Native families who experience a missing loved one will be extremely difficult because of the intersection of isolation, poverty, and jurisdictional complexities among tribal lands, combined with social service providers and law enforcement officers' lack of resources and training regarding cultural sensitivity. At the same time, advocates suggest that additional training and resources could help overcome many of these barriers and see a role for victim service providers in responding to missing and murdered Native American persons. Implications and suggestions for practice are discussed.
Asunto(s)
Policia , Servicio Social , Humanos , Aplicación de la LeyRESUMEN
BACKGROUND: Among the more than 400,000 children in foster care, there is a small group who will run away from care and face increased risks of negative outcomes. Previous studies on the predictors of running away from care use limited samples or outdated data. OBJECTIVE: The present study replicates and extends prior research by presenting an updated analysis of predictors of running away from foster care as well as 10-year trends in the prevalence and predictors of running from care. PARTICIPANTS AND SETTING: This study uses the Adoption and Foster Care Analysis and Reporting System (AFCARS) data to assess the runaway status of 597,911 children who were involved in foster care in 2019. Longitudinal trend analyses utilize AFCARS data from 2010 to 2019. METHOD: Using chi-square/t-tests and binary logistic regression analyses, this study investigates individual- and case-level predictors of running away from foster care programs. RESULTS: Findings show that girls (OR = 1.29, p < .001), African American children (OR = 1.89, p < .001), and older children (OR = 1.61, p < .001) are at increased risk of running away from foster care. Removal reasons such as child substance abuse (OR = 1.65, p < .001), abandonment (OR = 1.38, p < .001), and child behavioral problems (OR = 1.31, p < .001) are also associated with an increased risk. Analysis of 10-year trends shows a steady decline in running from care: 1.40% in 2010 to 0.98% in 2019. The profile of risk factors is stable overall, with a few notable exceptions. CONCLUSIONS: The percent of children running from foster care is at a 10-year low. Prevention and intervention efforts regarding running from care must focus on the needs of African American and Hispanic children, especially girls, as well as children with substance use or behavior problems. Given that programs rarely have prospective information regarding why children leave care and the negative consequences of labeling children as "runaways," shifting language to "missing from care" should be considered.