Personal and environmental factors and household assistance in Down syndrome: cross-sectional study.

Autor:	Brugnaro BH; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil., Lima CRG; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil., Costa IGRD; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil., Fernandes G; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil., Campos AC; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil., Rosenbaum P; McMaster University, CanChild, 1280 Main St W, Hamilton, ON L8S 4L8, Canada., Pavão SL; Universidade Federal do Paraná, Departamento de Prevenção e Reabilitação em Fisioterapia, Rua XV de Novembro, 1299, Centro, 80060-000 Curitiba, PR, Brazil., Rocha NACF; Universidade Federal de São Carlos/UFSCar, Departamento de Fisioterapia, Laboratório de Análise do Desenvolvimento Infantil (LADI), Rodovia Washington Luís, s/n, Monjolinho, 13565-905 São Carlos, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Anais da Academia Brasileira de Ciencias [An Acad Bras Cienc] 2024 Sep 09; Vol. 96 (suppl 1), pp. e20230558. Date of Electronic Publication: 2024 Sep 09 (Print Publication: 2024).
DOI:	10.1590/0001-3765202420230558
Abstrakt:	According to a biopsychosocial framework, personal and environmental factors might be mediators or facilitators/barriers, respectively, to functioning. However, it is not known how these factors can impact independence in household chores in children/adolescents with Down syndrome (DS). This study explored whether and how personal/environmental factors are associated with the independence level in household chores of children/adolescents with DS in Brazil. Caregivers of twenty-eight children/adolescents with DS were interviewed using the CHORES and a standardized questionnaire about personal (child's age and sex) and environmental (socioeconomic level and maternal schooling) factors. Multiple linear regression analysis identified if/how these factors are associated with level of independence. For CHORES self-care and CHORES total, sex was a significant variable explaining 21.8% and 15.8%, respectively, of the variation in the outcomes. For the outcome CHORES family care none of the variables was significant. Female sex was associated with a lower need for assistance. We conclude that only the personal factor assessed related to female sex in children with DS was associated with the independence level in household chores. This finding highlights the importance of health care providers and families to encourage the independence in chores regardless of sex and promote opportunities for both boys and girls.
Databáze:	MEDLINE
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