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.
| Original language | English (US) |
|---|---|
| Journal | Archives of Physical Medicine and Rehabilitation |
| DOIs | |
| State | Accepted/In press - 2017 |
Fingerprint
Keywords
- Child
- Intellectual disability
- Rehabilitation
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
Cite this
Trends in Rehabilitation Services Use in Chinese Children and Adolescents With Intellectual Disabilities : 2007-2013. / He, Ping; Guo, Chao; Luo, Yanan; Wen, Xu; Salas, John Michael Ian; Chen, Gong; Zheng, Xiaoying.
In: Archives of Physical Medicine and Rehabilitation, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trends in Rehabilitation Services Use in Chinese Children and Adolescents With Intellectual Disabilities
T2 - 2007-2013
AU - He, Ping
AU - Guo, Chao
AU - Luo, Yanan
AU - Wen, Xu
AU - Salas, John Michael Ian
AU - Chen, Gong
AU - Zheng, Xiaoying
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Child
KW - Intellectual disability
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85031783935&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85031783935&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2017.05.007
DO - 10.1016/j.apmr.2017.05.007
M3 - Article
C2 - 28610967
AN - SCOPUS:85031783935
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
ER -