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Monday, May 6, 2013

Rising Prevalence of Disability Among Kids

A release from the American Academy of Pediatrics describes a study on disability prevalence. Dr. Amy Houtrow and colleagues find increasing disability among children, especially those in upper-income families.

The researchers analyzed data from the National Health Interview Survey conducted by the Centers for Disease Control and Prevention in 2001-2002 and survey data from 2009-2010. A total of 102,468 parents of children ages 0-17 years participated in the surveys.
Parents were asked whether their child had any limitations in play or activity, received special education services, needed help with personal care, had difficulty walking without equipment, had difficulty with memory or had any other limitation.
If they answered yes to any of those questions, they were asked whether their child’s limitations were due to a vision or hearing problem; asthma or breathing problem; joint, bone or muscle problem; intellectual deficit or mental retardation; emotional or behavior problems; epilepsy; learning disability; speech problems; attention-deficit/hyperactivity disorder; birth defect; injury or other developmental problem.
Researchers classified conditions into three groups: physical, neurodevelopmental/mental health and other.
Results showed that the prevalence of disability increased 16.3% from 2001-2002 to 2009-2010.
While neurodevelopmental and mental health-related disabilities increased, those due to physical conditions decreased. This trend was most notable among children under 6 years of age whose rate of neurodevelopmental disabilities nearly doubled over the study period from 19 cases to 36 cases per 1,000 children. [emphasis added]
“The survey did not break out autism, but we suspect that some of the increase in neurodevelopmental disabilities is due to the rising incidence or recognition of autism spectrum disorders,” Dr. Houtrow said.
The data also showed that children living in poverty experienced the highest rates of disability at both time periods but not the highest growth. The largest increase was seen among children living in households with incomes at or above 300% of the federal poverty level (about $66,000 a year for a family of four).
“We are worried that those living in poverty may be having problems with being diagnosed and getting services,” Dr. Houtrow said.
Since the study could not pinpoint why the disability rate is increasing, more research is needed, she concluded.