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Association between socioeconomic status and cerebral palsy

Sung-Hui Tseng1,2, Jiun-Yih Lee3, Yi-Lin Chou4

  • 1Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.

Plos One
|January 25, 2018
PubMed

Insights

Cerebral palsy (CP) affects 1.9-2.8 per 1000 children in Taiwan, with higher prevalence in boys, low-income families, and rural areas. These findings highlight key risk factors for CP in the Chinese population.

Area of Science:

  • Pediatrics
  • Epidemiology
  • Public Health

Background:

  • Cerebral palsy (CP) is a significant developmental disorder affecting children.
  • Understanding CP prevalence and associated risk factors is crucial for public health initiatives.
  • Taiwan's healthcare data offers a valuable resource for epidemiological studies.

Purpose of the Study:

  • To determine the annual prevalence of cerebral palsy (CP) in children under 7 years old in Taiwan.
  • To investigate the association between socioeconomic status and CP prevalence.
  • To identify demographic and geographic factors linked to CP in Taiwan.

Main Methods:

  • Utilized data from the Taiwan National Health Insurance Research Database (2002-2008).
  • Defined severe and total CP using catastrophic illness certificates and medical claims.
  • Calculated annual CP prevalence per 1000 children aged under 7.

Main Results:

  • Annual prevalence of total CP ranged from 1.9 to 2.8 per 1000 children; severe CP ranged from 1.1 to 1.4 per 1000.
  • Boys had a 30% higher likelihood of CP (adjusted RR 1.3-1.4).
  • Low family income (adjusted RR 5.1-6.4) and rural location were associated with higher CP prevalence.

Conclusions:

  • CP prevalence in Taiwan is comparable to Western countries.
  • Male sex, low income, and rural residence are associated with increased CP prevalence.
  • Findings offer insights into CP epidemiology within the Chinese population.
Abstract

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