-
Socioeconomic disparities and difficulties to access to healthcare services among Canadian children with neurodevelopmental disorders and disabilities
-
Sana Raouafi, Sofiane Achiche, Maxime Raison
-
Epidemiol Health. 2018;40:e2018010. Published online March 29, 2018
-
DOI: https://doi.org/10.4178/epih.e2018010
-
-
12,877
View
-
218
Download
-
11
Web of Science
-
15
Crossref
-
 Abstract
 PDF Supplementary Material
-
Abstract
OBJECTIVES
The aims of this study were to identify the associations of levels of severity of neurodevelopmental disorders and disabilities (NDD/D) in children with their household socioeconomic status (SES) and their frequency of visits to a healthcare provider, and to examine how the severity of disability varied with these determinants among NDD/D subgroups, in order to inform possible social policy changes and to improve access to the healthcare system.
METHODS Data from the 2006 Participation and Activity Limitation Survey on children aged 5-14 years, collected by Statistics Canada, were analyzed (n=7,072 and weighted n=340,340). Children with NDD/D constituted those with impairments in motor, speech, neurosensory, and psychological functioning, as well as those who had issues with learning/cognition and social interactions. The weighted sample size for this group was n=111,630 (total sample size for children with limitations: n=174,810). We used logistic regression to assess the associations of household SES and frequency of visits to a healthcare provider with disability level. We included NDD/D subgroups as interaction terms in the model. Multiple correspondence analysis (MCA) was conducted to develop a profile of disability level.
RESULTS After-tax low income, family assistance, out-of-pocket expenses, needing but not receiving health services from a social worker, condition of the dwelling, and residential location were associated with the severity of NDD/D. Using MCA, 2 disability profiles could be identified based on access to healthcare, household income status, and condition of the dwelling.
CONCLUSIONS More social interventions are needed to reduce difficulties in accessing healthcare and to diminish the socially determined health inequalities faced by children with NDD/D.
-
Summary
-
Citations
Citations to this article as recorded by  - Parent Perspectives: Understanding the Postschool Concerns of Parents of Transition-Age Youth With Disabilities
Kelli A. Sanderson, Jennifer L. Bumble
Career Development and Transition for Exceptional Individuals.2023; 46(3): 120. CrossRef - Common neural substrates of diverse neurodevelopmental disorders
H Moriah Sokolowski, Brian Levine
Brain.2023; 146(2): 438. CrossRef - Perceived household financial decline and physical/mental health among adolescents during the COVID-19 crisis: Focusing on gender differences
Nari Yoo, Sou Hyun Jang
Preventive Medicine Reports.2023; 32: 102119. CrossRef - Association between children's health-related quality of life, healthcare costs and socioeconomic position: Results from a longitudinal Australian-based study
Ha N.D. Le, Fiona Mensah, Katherine Lange, Jess A. Kerr, Ben Edwards, Yichao Wang, Terry Dwyer, Melissa Wake, Lisa Gold
Social Sciences & Humanities Open.2023; 8(1): 100547. CrossRef - Factors Affecting Access to Healthcare Systems for Children under Five Years with Disability in Low Resource Setting: A Case Study of Wajir County Referral Hospital, Kenya
Kivuti-Bitok L.W., Kiprop N.C.
International Journal of Public Health and Pharmacology.2023; 3(1): 92. CrossRef - Factors associated with capability and performance in children with neurodevelopmental disorders: an exploratory cross-sectional study
Mariana Ribeiro, Juliana Santos, Náguia Medeiros, Kênnea Ayupe, Hércules Leite, Ana Cristina Camargos
International Journal of Developmental Disabilities.2023; : 1. CrossRef - Association of Intellectual Disability with Delayed Presentation and Worse Outcomes in Emergency General Surgery
Allyse N. Zondlak, Esther J. Oh, Pooja U. Neiman, Zhaohui Fan, Kathryn K. Taylor, Naveen F. Sangji, Mark R. Hemmila, John W. Scott
Annals of Surgery.2023; 278(5): e1118. CrossRef - Terminology and descriptions of navigation and related practices for children with neurodisability and their families: a scoping review
Emily Gardiner, Vivian Wong, Grace Lin, Anton R. Miller
BMC Health Services Research.2022;[Epub] CrossRef - Unmet Medical Needs and Food Insecurity in Children with Neurodevelopmental Disorders: Findings from the 2019 National Health Interview Survey (NHIS)
Rose Calixte, Elizabeth P. Helzner, Sumaiya Islam, Marlene Camacho-Rivera, Susmita Pati
Children.2022; 9(12): 1798. CrossRef - Exploring opportunities for holistic family care of parental caregivers of children with life-threatening or life-limiting illnesses
Jill MG Bally, Meridith Burles, Nicole R Smith, Lorraine Holtslander, Chris Mpofu, Heather Hodgson-Viden, Marcelline Zimmer
Qualitative Social Work.2021; 20(5): 1356. CrossRef - A national harmonised data collection network for neurodevelopmental disorders: A transdiagnostic assessment protocol for neurodevelopment, mental health, functioning and well‐being
Kelsie A. Boulton, David Coghill, Natalie Silove, Elizabeth Pellicano, Andrew J. O. Whitehouse, Mark A. Bellgrove, Nicole J. Rinehart, Suncica Lah, Marie‐Antoinette Redoblado‐Hodge, Nadia Badawi, Helen Heussler, Nicole Rogerson, Joshua Burns, Michelle A.
JCPP Advances.2021;[Epub] CrossRef - Socioeconomic status and uptake of reproductive carrier screening in Australia
Stephen J. Robson, Melody Caramins, Mirette Saad, Graeme Suthers
Australian and New Zealand Journal of Obstetrics and Gynaecology.2020; 60(6): 976. CrossRef - Concerns and stress caused by the novel coronavirus disease (COVID-19) pandemic:
Kenji YOMODA
Taiikugaku kenkyu (Japan Journal of Physical Education, Health and Sport Sciences).2020; 65: 757. CrossRef - A Real-World Analysis of Prescribing Patterns and Non-persistence of Anti-TNFα Therapy for Inflammatory Bowel Disease
Eun Jin Jang, Jung Eun Ha, Seul Gi Im, Myeong Gyu Kim, Hyun Soon Sohn
Clinical Drug Investigation.2019; 39(7): 625. CrossRef - Long-term effectiveness and safety of varenicline and nicotine replacement therapy in people with neurodevelopmental disorders: A prospective cohort study
Taha Itani, Dheeraj Rai, Tim Jones, Gemma M. J. Taylor, Kyla H. Thomas, Richard M. Martin, Marcus R. Munafò, Neil M. Davies, Amy E. Taylor
Scientific Reports.2019;[Epub] CrossRef
|
KSE
