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Maternal Disability and Early Child Preventive Care.
- Source :
-
Pediatrics . Oct2024, Vol. 154 Issue 4, p1-8. 8p. - Publication Year :
- 2024
-
Abstract
- OBJECTIVES: Preventive health care for children comprises routine well-child visits and immunizations. Women with physical, sensory, or intellectual or developmental disabilities tend to experience more barriers to preventive health care; yet it is unknown whether such barriers are observed among their young children. METHODS: This population-based study in Ontario, Canada included children born between 2012 and 2019 whose mothers had a physical (n = 74 084), sensory (n = 26 532), or intellectual or developmental (n = 1391) disability, multiple disabilities (n = 5774), or no disability (n = 723 442). Primary outcomes were receipt of the recommended number of well-child visits and routine immunizations in the first 2 years. Secondary outcomes included receipt of the enhanced 18-month developmental assessment and any developmental screen. Relative risks (aRR) were generated using modified Poisson regression and adjusted for maternal sociodemographics and mental health and child sex. RESULTS: Compared with children of mothers without disabilities, those whose mothers had intellectual or developmental disabilities were less likely to receive the recommended number of well-child visits (56.3% vs 63.2%; aRR 0.92, 95% confidence interval [CI] 0.88-0.97), routine immunizations (43.8% vs 53.7%; aRR 0.88, 95% CI 0.83-0.94), enhanced 18-month developmental assessment (52.3% vs 60.8%; aRR 0.92, 95% CI 0.88-0.97), or any developmental screen (54.9% vs 62.5%; aRR 0.94, 95% CI 0.90-0.99). Other disability groups did not experience such disparities. CONCLUSIONS: There is a need to develop resources to improve access to preventive health care for young children of women with intellectual or developmental disabilities. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHILDREN'S health
*IMMUNIZATION
*POISSON distribution
*MENTAL health
*MOTHERS
*DESCRIPTIVE statistics
*SENSORY disorders
*RELATIVE medical risk
*DEVELOPMENTAL disabilities
*INTELLECTUAL disabilities
*MEDICAL appointments
*MEDICAL screening
*SOCIODEMOGRAPHIC factors
*CONFIDENCE intervals
*PREVENTIVE health services
Subjects
Details
- Language :
- English
- ISSN :
- 00314005
- Volume :
- 154
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 180068093
- Full Text :
- https://doi.org/10.1542/peds.2024-066069