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Maternal Disability and Early Child Preventive Care.

Hilary K Brown1,2,3,4, Clare Taylor5, Andi Camden1,6,4

  • 1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.

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Summary
This summary is machine-generated.

Children of mothers with intellectual or developmental disabilities had fewer well-child visits and immunizations. This highlights a need for improved access to preventive health care for this vulnerable population.

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Area of Science:

  • Pediatric Health
  • Disability Studies
  • Public Health

Background:

  • Preventive health care, including well-child visits and immunizations, is crucial for child development.
  • Mothers with physical, sensory, or intellectual or developmental disabilities often face barriers to their own healthcare.
  • It remains unclear if these barriers extend to the preventive healthcare access for their young children.

Purpose of the Study:

  • To investigate disparities in preventive health care access for young children whose mothers have various types of disabilities.
  • To compare the rates of well-child visits, immunizations, and developmental screenings between children of mothers with and without disabilities.

Main Methods:

  • A population-based study in Ontario, Canada, analyzed data for children born between 2012 and 2019.
  • Included mothers with physical, sensory, intellectual/developmental disabilities, multiple disabilities, or no disability.
  • Primary outcomes: receipt of recommended well-child visits and immunizations in the first two years; secondary outcomes: developmental assessments and screenings. Adjusted relative risks (aRR) were calculated.

Main Results:

  • Children of mothers with intellectual or developmental disabilities were less likely to receive recommended well-child visits (aRR 0.92) and routine immunizations (aRR 0.88).
  • These children also had lower rates of enhanced 18-month developmental assessment (aRR 0.92) and any developmental screen (aRR 0.94).
  • No significant disparities were observed for children of mothers with physical or sensory disabilities compared to those without disabilities.

Conclusions:

  • Children born to mothers with intellectual or developmental disabilities experience significant disparities in accessing essential preventive health care services.
  • Targeted resources and interventions are needed to improve healthcare access for young children of mothers with intellectual or developmental disabilities.
  • Further research should explore the specific barriers contributing to these disparities to inform policy and practice.