Does Parental Marital Status at Birth Influence the Risk of Children and Grandchildren Requiring Local Authority Care? A Retrospective Study of the Scottish Birth Cohort
Abstract Background - Demand in children’s social care remains at historically high levels across the UK. The number of children in local authority care in Scotland increased every year between 1998 and 2013. This study explores a possible trans-generational influence of historical changes in family structure at birth. Method - Children who were accommodated by a typical Scottish local authority from 2000 to 2013 were identified. The parental marital status on birth registrations of the children and their parents was compared to all Scottish registrations in national birth cohorts and relative risk (RR) was calculated for different birth circumstances. Results - The children who entered care were more likely to have been born to unmarried parents than their peers (RR 7.8, CI 6.3-9.6). Their mothers (RR 3.2, CI 2.7-3.9) and fathers (RR 1.5, CI 1.1-2) were also more likely than their peers to have been born to unmarried parents. The accumulated risk of young children entering care if their parents and maternal grandparents had been unmarried on birth registrations was very large (RR 23.3, CI 12.5-43.5). Conclusion - Parental marriage is protective against entering local authority care for children in Scotland. Historical changes in family structure at birth may influence demand in children’s services.