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Arch Phys Med Rehabil. 2017 Dec;98(12):2408-2415. doi: 10.1016/j.apmr.2017.05.007. Epub 2017 Jun 10.

Trends in Rehabilitation Services Use in Chinese Children and Adolescents With Intellectual Disabilities: 2007-2013.

Author information

1
Institute of Population Research, Peking University, Beijing, China; Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD.
2
Institute of Population Research, Peking University, Beijing, China; Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA.
3
Institute of Population Research, Peking University, Beijing, China.
4
Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD.
5
Institute of Population Research, Peking University, Beijing, China; World Health Organization Collaborating Center on Reproductive Health and Population Science, Beijing, China. Electronic address: xzheng@pku.edu.cn.

Abstract

OBJECTIVES:

To investigate trends in rehabilitation services use in children and adolescents with intellectual disabilities, and to explore factors potentially contributing to the trends.

DESIGN:

A population-based study using a multistage, randomized cluster-sampling process to ascertain participants in 2006. A subsample was selected for follow-up surveys from 2007 to 2013.

SETTING:

Thirty-one provinces of China.

PARTICIPANTS:

Children (N=5432) aged 0 to 17 years with intellectual disabilities were followed up for 7 years.

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

The outcome variable was whether individuals received at least 1 of the following rehabilitation services in the past 12 months: occupational therapy, physical therapy, and speech or communication therapy.

RESULTS:

Overall, the utilization rates of rehabilitation services significantly increased from 14.4% in 2007 to 37.1% in 2013. The trends were also significant in children aged 0 to 10 and 11 to 17 years, in boys and girls, and in rural participants. From 2007 to 2013, rehabilitation services utilization increased at an annual rate of 22.39% (95% confidence interval, 18.11%-26.82%) in the total sample. The rise was only significant in rural rather than urban individuals, resulting in the urban-rural gap in rehabilitation services use being narrowed. However, minority populations and those without health insurance still received fewer rehabilitation services than their respective counterparts.

CONCLUSIONS:

There were upward trends in rehabilitation services use in participants over time, and the urban-rural gap was narrowed. However, there were still socioeconomic differences on rehabilitation services use among children and adolescents with intellectual disabilities.

KEYWORDS:

Child; Intellectual disability; Rehabilitation

PMID:
28610967
DOI:
10.1016/j.apmr.2017.05.007
[Indexed for MEDLINE]

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