Addressing disparities among children with cerebral palsy: Optimizing enablement, functioning, and participation

Area of Science:

• Pediatric Neurology
• Public Health
• Health Disparities Research

Background:

• Cerebral palsy (CP) diagnosis necessitates understanding health disparities.
• Socioeconomic status (SES) and social determinants of health significantly impact CP prevalence and severity.
• Limited evidence exists on the direct impact of contextual factors on CP in the United States.

Discussion:

• Health disparities in CP are evident across various populations, influenced by SES, neighborhood disadvantage, maternal education, gender, and minority status.
• Systematic data collection through registries and surveillance is crucial for identifying at-risk populations.
• Addressing disparities requires culturally sensitive engagement and trauma-informed care.

Key Insights:

• Children with CP exhibit significant health disparities based on SES, neighborhood disadvantage, maternal education, gender, and minority status.
• International data reveal consistent patterns of disparities in CP prevalence and severity.
• Socioeconomic and demographic factors are critical determinants of health outcomes in children with CP.

Outlook:

• Implement targeted strategies in the U.S. to enhance enablement and functioning for children with CP.
• Improve comprehensive assessment and care for young children with motor delays.
• Establish systematic population counts and neurodevelopmental surveillance across health, education, and rehabilitation sectors.