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Socio-demographic factors impact disabilities caused by perinatal asphyxia among Chinese children
Deng Ao1,2, Shuai Guo1, Chunfeng Yun3
1Institute of Population Research/WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China.
Insights
Disabilities from perinatal asphyxia affect Chinese children, with higher risks for males and low-income families. These disparities are most pronounced in younger children, highlighting the need for targeted prevention efforts.
Area of Science:
- Pediatric Health
- Disability Studies
- Public Health
Background:
- Perinatal asphyxia significantly burdens child health and well-being.
- Understanding the prevalence and risk factors of associated disabilities in Chinese children is limited.
Purpose of the Study:
- To evaluate the prevalence and socio-demographic risk factors of perinatal asphyxia-induced disabilities in Chinese children in 2006.
- To compare disability trajectories across different socio-demographic statuses.
Main Methods:
- Utilized cross-sectional data from the 2006 China National Survey on Disability (616,940 children aged 0-17).
- Identified perinatal asphyxia-induced disabilities using consensus manual guidelines.
- Employed multivariable logistic regression and adjusted predictions to analyze associations with socio-demographic factors.
Main Results:
- Prevalence of perinatal asphyxia-induced disabilities was 7.70 per 10,000 children.
- Male gender (OR 1.81) and low family income (OR 1.73) were associated with higher disability probability.
- Increasing age decreased the probability of disability (OR 0.89).
Conclusions:
- Demographic and socioeconomic factors, particularly gender and family income, are significant risk factors for perinatal asphyxia-induced disabilities.
- These risk factors have a greater impact on infants and young children.
- Societal efforts are needed to prevent these disabilities, focusing on younger children and their families.
Background:
Disabilities caused by perinatal asphyxia will burden child health and well-being. To date, our understanding about the situation and risk factors of perinatal asphyxia-induced disabilities among Chinese children is still limited.
Objectives:
To evaluate the prevalence and socio-demographic risk factors of disabilities caused by perinatal asphyxia among Chinese children in 2006 and compare disability trajectories across different socio-demographic status.
Methods:
Cross-sectional data came from the 2006 China National Survey on Disability which includes a total of 616,940 children aged 0-17 years old was employed in the investigation. Perinatal asphyxia-induced disabilities were identified by following the guidance in consensus manuals. Population-weighted numbers and prevalence rates were investigated, and multivariable logistic regression was performed to evaluate associations between disabilities and socio-demographic factors. Adjusted predictions at representative values were computed to compare the disability trajectories relative to significant socio-demographic variables.
Results:
The prevalence rate of disabilities caused by perinatal asphyxia was 7.70 per 10,000 children (95% CI: 7.01-8.39). Male (OR 1.81, 95% CI: 1.47-2.23) and low family income (OR: 1.73, 95% CI: 1.21-2.49) have higher and the increase of per additional year of age (OR: 0.89, 95% CI: 0.88-0.91) has lower probability of being disabilities caused by perinatal asphyxia. Further disability trajectories showed that differences in probability between gender and family income group were more evident before age 7 and weakened with increasing age.
Conclusions:
Our results showed that both demographic and socioeconomic characteristics are risk factors for disabilities caused by perinatal asphyxia. Of these, gender and family income have much higher impact than other factors on the prevalence rate of disabilities caused by perinatal asphyxia at infants and young children. Multiple society sectors should increase their effort to bring about fundamental social change to prevent disabilities caused by perinatal asphyxia, especially concerning younger children and their families.
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