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Prevalence and impact of disabling chronic conditions in childhood

Author

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  • Newacheck, P.W.
  • Halfon, N.

Abstract

Objectives. This study provides a current national profile of the prevalence and impact of chronic conditions causing childhood disability. Disability is defined as a long-term reduction in ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition. Methods. A cross-sectional descriptive analysis was performed on data from 99 513 children younger than 18 years who were included in the 1992-1994 National Health Interview Survey. The response rate exceeded 93% during each year. Results. A significant proportion of children, estimated at 6.5% of all US children, experienced some degree of disability. The most common causes of childhood disability were respiratory diseases and mental impairments. Prevalence of disability was higher for older children, boys, and children from low-income and single-parent families. Childhood disability is estimated to result in 66 million restricted activity days annually, including 24 million days lost from school. Furthermore, disability in childhood results in an added 26 million physician contacts and 5 million hospital days annually. Conclusions. Childhood disability has profound impacts on children, the education system, and the health care system.

Suggested Citation

  • Newacheck, P.W. & Halfon, N., 1998. "Prevalence and impact of disabling chronic conditions in childhood," American Journal of Public Health, American Public Health Association, vol. 88(4), pages 610-617.
  • Handle: RePEc:aph:ajpbhl:1998:88:4:610-617_4
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    Cited by:

    1. Parish, Susan L. & Rose, Roderick A. & Dababnah, Sarah & Yoo, Joan & Cassiman, Shawn A., 2012. "State-level income inequality and family burden of US families raising children with special health care needs," Social Science & Medicine, Elsevier, vol. 74(3), pages 399-407.
    2. Murasko, Jason E., 2008. "An evaluation of the age-profile in the relationship between household income and the health of children in the United States," Journal of Health Economics, Elsevier, vol. 27(6), pages 1489-1502, December.
    3. Russ, Shirley & Garro, Nicole & Halfon, Neal, 2010. "Meeting children's basic health needs: From patchwork to tapestry," Children and Youth Services Review, Elsevier, vol. 32(9), pages 1149-1164, September.
    4. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    5. Berg, Nathan & Murdoch, James, 2008. "Access to grocery stores in Dallas," MPRA Paper 26585, University Library of Munich, Germany.
    6. Ai-Wen Hwang & Chia-Feng Yen & Tsan-Hon Liou & Rune J Simeonsson & Wen-Chou Chi & Donald J Lollar & Hua-Fang Liao & Lin-Ju Kang & Ting-Fang Wu & Sue-Wen Teng & Wen-Ta Chiu, 2015. "Participation of Children with Disabilities in Taiwan: The Gap between Independence and Frequency," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-19, May.

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