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Research article:
The effects of caring for young children with developmental disabilities on mothers’ health and healthcare use: analysis of primary care data in the Born in Bradford cohort
Reference:
Sarah C. Masefield; Stephanie L. Prady; Trevor A. Sheldon; Neil Small; Stuart Jarvis; Kate E. Pickett(2021) The effects of caring for young children with developmental disabilities on mothers’ health and healthcare use: analysis of primary care data in the Born in Bradford cohort . Journal of Developmental and Physical Disabilities, doi:
- Link to fulltext article
- Abstract
- We explored the association between caregiving for preschool children with developmental disabilities and maternal health and healthcare use using linked primary care and Born in Bradford birth cohort data. Adjusting for pre-natal health, healthcare use and socioeconomic status, mothers who were caregivers were more likely than other mothers to have symptoms of psychological distress (odds ratio 1.24; 95% CI 1.01, 1.53), exhaustion (1.42; 1.12, 1.80) and possibly head and musculoskeletal pain (1.18; 0.97, 1.43). Despite the higher prevalence of symptoms, they did not access healthcare services more and may have sought healthcare for psychological distress less often (0.64; 0.40, 1.02). In general, socioeconomic deprivation was associated with worse health. Pakistani ethnicity (versus white British) and pre-natal consultation were strongly associated with higher post-natal consultation rates. Prenatal ill health, healthcare use and socioeconomic status are important factors in the detection of postnatal ill health via primary care services. If caregiver burden and the risk of under-detecting (and thus under treating) caregiver ill health is not addressed during the preschool period health inequalities between caregivers and other mothers and their families may persist and grow. The health of mothers of young disabled children, in particular their unmet health needs, warrants more attention in research and clinical practice.
- Author for correspondence
- Sarah C. Masefield
- Email for correspondence
- sarah.masefield@york.ac.uk
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