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

Sana Raouafi, Sofiane Achiche, Maxime Raison

Article (2018)

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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

Subjects: 1900 Biomedical engineering > 1900 Biomedical engineering
2100 Mechanical engineering > 2100 Mechanical engineering
6400 Life sciences research related to human health and disease > 6400 Life sciences research related to human health and disease
6400 Life sciences research related to human health and disease > 6406 Epidemiology
9000 Health sciences > 9000 Health sciences
Department: Department of Mechanical Engineering
Institut de génie biomédical
PolyPublie URL: https://publications.polymtl.ca/5107/
Journal Title: Epidemiology Health (vol. 40)
Publisher: Epidemiology Health
DOI: 10.4178/epih.e2018010
Official URL: https://doi.org/10.4178/epih.e2018010
Date Deposited: 03 Jun 2022 15:39
Last Modified: 11 Nov 2022 14:21
Cite in APA 7: 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, e2018010 (10 pages). https://doi.org/10.4178/epih.e2018010

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