Impact of Social Disadvantage on Medical and Functional Severity in Children With Cerebral Palsy.

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-01-01 DOI:10.1111/cch.70028

Theresa Sukal-Moulton, Michael E Msall, Kristen Wroblewski, Sarah Safdar, Deborah J Gaebler-Spira

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引用次数: 0

Abstract

Background: Those with neurological disorders like cerebral palsy (CP) may experience an altered impact of social determinates of health on child functioning and well-being. We investigated the relationship between relative social advantage and medical and functional outcomes in a large cohort of children, adolescents and young adults with CP (n = 1269, aged 2-84 years).

Methods: We extracted data from the Cerebral Palsy Research Registry and dichotomized a range of independent factors (income, ethnicity and race) into advantaged and disadvantaged/vulnerable and a range of medical and functional outcomes (gross motor, manual ability, behaviour, breathing, nutritional intake, hearing, seizures, language and vision) and computed odds ratios using logistic regression.

Results: We found significantly more gross and fine motor functional limitations for those with disadvantage in income (p = 0.002 and 0.006), marginalized race (p < 0.001 and 0.062) or ethnicity (p = 0.013 and 0.014). Ethnicity was further implicated in gestational age, whereas minority race played a role in more severe impairments in breathing, nutritional intake, language functioning and low birth weight status.

Conclusion: We found evidence of more health and functional challenges for children with CP and social disadvantage in our cohort. Additional access to equitable resources may improve these imbalances and should be prioritized.

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社会劣势对脑瘫患儿医学和功能严重程度的影响

背景：脑瘫（CP）等神经系统疾病患者可能会经历社会健康决定因素对儿童功能和福祉的改变影响。我们调查了一大批患有CP的儿童、青少年和年轻人（n = 1269，年龄2-84岁）的相对社会优势与医疗和功能结局之间的关系。方法：我们从脑瘫研究登记处提取数据，并将一系列独立因素（收入、种族和种族）分为有利因素和不利/弱势因素，以及一系列医疗和功能结果（大肌肉运动、体力能力、行为、呼吸、营养摄入、听力、癫痫发作、语言和视力），并使用逻辑回归计算比值比。结果：我们发现，收入较差的儿童（p = 0.002和0.006）和边缘化种族的儿童有更多的粗大和精细运动功能限制（p = 0.002和0.006）。结论：我们发现证据表明，在我们的队列中，CP和社会条件较差的儿童有更多的健康和功能挑战。增加获得公平资源的机会可能改善这些不平衡，应予以优先考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.