Childhood disability and socio-economic circumstances in low and middle income countries: systematic review

Article English OPEN
Simkiss, Douglas E ; Blackburn, Clare M ; Mukoro, Felix O ; Read, Janet M ; Spencer, Nicholas J (2011)

<p>Abstract</p> <p>Background</p> <p>The majority of children with disability live in low and middle income (LAMI) countries. Although a number of important reviews of childhood disability in LAMI countries have been published, these have not, to our knowledge, addressed the association between childhood disability and the home socio-economic circumstances (SEC). The objective of this study is to establish the current state of knowledge on the SECs of children with disability and their households in LAMI countries through a systematic review and quality assessment of existing research.</p> <p>Methods</p> <p>Electronic databases (MEDLINE; EMBASE; PUBMED; Web of Knowledge; PsycInfo; ASSIA; Virtual Health Library; POPLINE; Google scholar) were searched using terms specific to childhood disability and SECs in LAMI countries. Publications from organisations including the World Bank, UNICEF, International Monetary Fund were searched for. Primary studies and reviews from 1990 onwards were included. Studies were assessed for inclusion, categorisation and quality by 2 researchers.</p> <p>Results</p> <p>24 primary studies and 13 reviews were identified. Evidence from the available literature on the association between childhood disability and SECs was inconsistent and inconclusive. Potential mechanisms by which poverty and low household SEC may be both a cause and consequence of disability are outlined in the reviews and the qualitative studies. The association of poor SECs with learning disability and behaviour problems was the most consistent finding and these studies had low/medium risk of bias. Where overall disability was the outcome of interest, findings were divergent and many studies had a high/medium risk of bias. Qualitative studies were methodologically weak.</p> <p>Conclusions</p> <p>This review indicates that, despite socially and biologically plausible mechanisms underlying the association of low household SEC with childhood disability in LAMI countries, the empirical evidence from quantitative studies is inconsistent and contradictory. There is evidence for a bidirectional association of low household SEC and disability and longitudinal data is needed to clarify the nature of this association.</p>
  • References (58)
    58 references, page 1 of 6

    1. World Health Organization: World Report on Disability Geneva: WHO; 2011.

    2. Univeristy of Wisconsin and UNICEF: Monitoring Child Disability in Developing Countries: Results from the Multiple Indicator Cluster Surveys New York: UNICEF; 2008.

    3. Maulik PK, Darmstadt GL: Childhood disability in low-and middle-income countries: Overview of screening, prevention, services, legislation and epidemiology. Pediatrics 2007, 120(suppl):1-55.

    4. Filmer D: Disability, poverty, and schooling in developing countries: Results from 14 household surveys. The World Bank Economic Review 2008, 141-163.

    5. Mont D: Measuring disability prevalence. Social protection discussion paper No 0706 Washington: The World Bank; 2007.

    6. Bickenbach J, Chatterji S, Badley E, Ustin T: Models of disablement, universalisim and the international classification of impairments, disabilities and handicaps. Social Science and Medicine 1999, 48(9):1173-1187.

    7. Wasserman D: Philosophical issues in the definition and social response to disability. In Handbook of Disability Studies. Edited by: Seelman GK, Bury M. Thousand Oaks, California: Sage Publications; 2001:.

    8. Colver A, Dickinson H, SPARCLE group: Study Protocol: Determinants of participation and quality of life of adolescents with cerebral palsy: a longitudinal study (SPARCLE 2). BMC Public Health 2010, 10:208.

    9. McDougall J, Wright V, Rosenbaum R: The ICF model of functioning and disability: incorporating quality of life and human development. Developmental Neurorehabilitiation 2010, 13(3):204-211.

    10. World health Organization: International Classification of Functioning, Disability and Health - Children and Youth Version Geneva: WHO; 2007.

  • Metrics
    No metrics available
Share - Bookmark