Cerebral palsy: social class differences in prevalence in relation to birthweight and severity of disability.
The aim of the study was to examine the possible influence of social class on the prevalence of cerebral palsy. The study was a retrospective population based survey of all cases of cerebral palsy. The study involved all cases of cerebral palsy born to residents in the Eastern Health Board area of t...
| Publicado en: | Journal of Epidemiology & Community Health Vol. 44; no. 3; pp. 191 - 196 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
BMJ Publishing Group
Sep1990
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104751263&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104751263 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0143005X C0H jtl: Journal of Epidemiology & Community Health issn: 0143005X maglogo: N pubinfo: dt: Sep1990 vid: 44 iid: 3 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 104751263 104751263 2011110728 10.1136/jech.44.3.191 NLM2148770 PMC1060640 104751263 ppf: 191 ppct: 5 formats: tig: atl: Cerebral palsy: social class differences in prevalence in relation to birthweight and severity of disability. aug: au: Dowding, V M Barry, C affil: Department of Community Health, University of Dublin, Trinity College, Republic of Ireland. sug: subj: Cerebral Palsy Epidemiology Social Class Birth Weight Cerebral Palsy Etiology Child Child, Preschool Disability Evaluation Persons with Disabilities Human Ireland Prevalence Retrospective Design Child: 6-12 years Child, Preschool: 2-5 years ab: The aim of the study was to examine the possible influence of social class on the prevalence of cerebral palsy. The study was a retrospective population based survey of all cases of cerebral palsy. The study involved all cases of cerebral palsy born to residents in the Eastern Health Board area of the Republic of Ireland between 1976 and 1981 inclusive. There were 289 cases of cerebral palsy during the study period. Thirty one were excluded because they were attributable to postneonatal brain damage, leaving 258 children for analysis. Cases with uncertain diagnosis were excluded. There was a clear social class gradient in the overall prevalence of cerebral palsy, also evident in the individual syndromes of hemiplegia and diplegia. No such gradient was detected in the other syndromes, either singly or in combination. Among cases of low birthweight (less than or equal to 2500 g), the prevalence was the same across the social class range after allowing for the increased low birthweight rate in the lower social class categories. Among normal birthweight cases there was a strong positive association with decreasing social class. Intrauterine growth retardation seemed to be a factor in cerebral palsy in all social class groups. Prevalence of cerebral palsy severe enough to prevent walking by the fourth birthday, but not of cases ambulant by this age, increased with socioeconomic disadvantage. The clear social class gradients in hemiplegia and diplegia suggest that environmental factors play an important role in the aetiology of these syndromes, but there was no evidence of a contribution from this type of factor in the remaining types of cerebral palsy. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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