Children with cerebral palsy: racial disparities in functional limitations
| Autor: | Marshalyn Yeargin-Allsopp, Martha S. Wingate, Russell S. Kirby, Carrie L. Arneson, Ruth E. Benedict, Kim Van Naarden Braun, Maureen S. Durkin, Matthew J. Maenner |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Activities of daily living Epidemiology Population Black People Severity of Illness Index White People Cerebral palsy Severity of illness Activities of Daily Living medicine Odds Ratio Prevalence Very Preterm Birth Humans Healthcare Disparities education Child education.field_of_study business.industry Cerebral Palsy Racial Groups Gross Motor Function Classification System Odds ratio Health Status Disparities medicine.disease Confidence interval United States Physical therapy Female business |
| Zdroj: | Epidemiology (Cambridge, Mass.). 23(1) |
| ISSN: | 1531-5487 |
| Popis: | Background Previous studies of the frequency of cerebral palsy in the United States have found excess prevalence in black children relative to other groups. Whether the severity of cerebral palsy differs between black and white children has not previously been investigated. Methods A population-based surveillance system in 4 regions of the United States identified 476 children with cerebral palsy among 142,338 8-year-old children in 2006. Motor function was rated by the Gross Motor Function Classification System and grouped into 3 categories of severity. We used multiple imputation to account for missing information on motor function and calculated the race-specific prevalence of each cerebral palsy severity level. Results The prevalence of cerebral palsy was 3.7 per 1000 black children and 3.2 per 1000 white children (prevalence odds ratio [OR] = 1.2 [95% confidence interval = 1.0-1.4]). When stratified by severity of functional limitation, the racial disparity was present only for severe cerebral palsy (black vs. white prevalence OR=1.7 [1.1-2.4]). The excess prevalence of severe cerebral palsy in black children was evident in term and very preterm birth strata. Conclusion Black children in the United States appear to have a higher prevalence of cerebral palsy overall than white children, although the excess prevalence of cerebral palsy in black children is seen only among those with the most severe limitations. Further research is needed to explore reasons for this disparity in functional limitations; potential mechanisms include racial differences in risk factors, access to interventions, and under-identification of mild cerebral palsy in black children. |
| Databáze: | OpenAIRE |
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