<  Back to the Polytechnique Montréal portal

Socioeconomic disparities and difficulties to access to healthcare services among Canadian children with neurodevelopmental disorders and disabilities

Sana Raouafi, Sofiane Achiche and Maxime Raison

Article (2018)

[img]
Preview
Published Version
Terms of Use: Creative Commons Attribution .
Download (831kB)
Cite this document: Raouafi, S., Achiche, S. & Raison, M. (2018). Socioeconomic disparities and difficulties to access to healthcare services among Canadian children with neurodevelopmental disorders and disabilities. Epidemiology Health, 40. doi:10.4178/epih.e2018010
Show abstract Hide abstract

Abstract

OBJECTIVES: The aims of this study were to identify the associations of levels of severity of neurodevelopmental disorders and disabilities (NDD/D) in children with their household socioeconomic status (SES) and their frequency of visits to a healthcare provider, and to examine how the severity of disability varied with these determinants among NDD/D subgroups, in order to inform possible social policy changes and to improve access to the healthcare system. METHODS: Data from the 2006 Participation and Activity Limitation Survey on children aged 5-14 years, collected by Statistics Canada, were analyzed (n=7,072 and weighted n=340,340). Children with NDD/D constituted those with impairments in motor, speech, neurosensory, and psychological functioning, as well as those who had issues with learning/cognition and social interactions. The weighted sample size for this group was n=111,630 (total sample size for children with limitations: n=174,810). We used logistic regression to assess the associations of household SES and frequency of visits to a healthcare provider with disability level. We included NDD/D subgroups as interaction terms in the model. Multiple correspondence analysis (MCA) was conducted to develop a profile of disability level. RESULTS: After-tax low income, family assistance, out-of-pocket expenses, needing but not receiving health services from a social worker, condition of the dwelling, and residential location were associated with the severity of NDD/D. Using MCA, 2 disability profiles could be identified based on access to healthcare, household income status, and condition of the dwelling. CONCLUSIONS: More social interventions are needed to reduce difficulties in accessing healthcare and to diminish the socially determined health inequalities faced by children with NDD/D.

Uncontrolled Keywords

Adolescent; Canada/epidemiology; Child; Child, Preschool; Disabled Children/*statistics & numerical data; Female; Health Services Accessibility/*statistics & numerical data; *Health Status Disparities; Humans; Male; Neurodevelopmental Disorders/epidemiology/*therapy; Severity of Illness Index; *Social Class; Children with disabilities; Inequalities; Neurodevelopmental disorders; Socioeconomic status

Open Access document in PolyPublie
Subjects: 1900 Génie biomédical > 1900 Génie biomédical
2100 Génie mécanique > 2100 Génie mécanique
6400 Recherche en sciences de la vie liées à la santé publique et aux maladies humaines > 6400 Recherche en sciences de la vie liées à la santé publique et aux maladies humaines
6400 Recherche en sciences de la vie liées à la santé publique et aux maladies humaines > 6406 Épidémiologie
9000 Sciences de la santé > 9000 Sciences de la santé
Department: Département de génie mécanique
Institut de génie biomédical
Research Center: Non applicable
Date Deposited: 03 Jun 2022 15:39
Last Modified: 04 Jun 2022 01:20
PolyPublie URL: https://publications.polymtl.ca/5107/
Document issued by the official publisher
Journal Title: Epidemiology Health (vol. 40)
Publisher: Epidemiology Health
Official URL: https://doi.org/10.4178/epih.e2018010

Statistics

Total downloads

Downloads per month in the last year

Origin of downloads

Dimensions

Repository Staff Only