Journal article
Impact of social disadvantage on cerebral palsy severity
S Woolfenden, C Galea, H Smithers-Sheedy, E Blair, S Mcintyre, S Reid, M Delacy, N Badawi
Developmental Medicine and Child Neurology | WILEY | Published : 2019
DOI: 10.1111/dmcn.14026
Abstract
Aim: To investigate the impact of socio-economic disadvantage on indicators of cerebral palsy (CP) severity – motor impairment, intellectual disability, and the presence of severe comorbidities – in children with CP in Australia. Method: Data from the Australian Cerebral Palsy Register were analysed. Socio-economic disadvantage was assessed using maternal age, maternal country of birth, and a measure of neighbourhood socio-economic status (SES) at the time of the child's birth. Descriptive bivariate analysis, trend analysis, risk ratios, and mediation analysis were undertaken to examine the impact of disadvantage on the indicators of CP severity. Results: A socio-economic gradient was demons..
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Funding Acknowledgements
We thank the families and individuals who supported and contributed their clinical data to CP registers across Australia, members of CP QUEST, members of the Australian Cerebral Palsy Register group, and Assistant Professor Maryam Oskoui, McGill University. The research was funded by the Research Foundation, Cerebral Palsy Alliance. The authors have stated that they had no interests that could be perceived as posing a conflict or bias.