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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
Code list: res175: msk pain
51 codes in list
| Code | Coding system | Description | Entity type | List name | |||
|---|---|---|---|---|---|---|---|
| 16C.. | Read | Backache symptom | diagnostic | res175: msk pain | |||
| 16C2. | Read | Backache | diagnostic | res175: msk pain | |||
| 16C3. | Read | Backache with radiation | diagnostic | res175: msk pain | |||
| 16C4. | Read | Back pain worse on sneezing | diagnostic | res175: msk pain | |||
| 16C5. | Read | C/O - low back pain | symptom | res175: msk pain | |||
| 16C6. | Read | Back pain without radiation NOS | diagnostic | res175: msk pain | |||
| 16C7. | Read | C/O - upper back ache | symptom | res175: msk pain | |||
| 16CZ. | Read | Backache symptom NOS | diagnostic | res175: msk pain | |||
| 1DC8. | Read | Generalised aches and pains | diagnostic | res175: msk pain | |||
| N131. | Read | Pain in neck (& [cervical spine]) | diagnostic | res175: msk pain | |||
| N142. | Read | (Back pain: [lumbar spine] or [low] or [acute lumbar]) or (lumbalgia) or (lumbago) | diagnostic | res175: msk pain | |||
| N1420 | Read | Lumbago with sciatica | diagnostic | res175: msk pain | |||
| N145. | Read | (Backache unspecified) or (back pain unspecified & [acute]) | diagnostic | res175: msk pain | |||
| N2410 | Read | (Myalgia: [unspecified] or [intercostal myalgia]) or (muscle pain) | diagnostic | res175: msk pain | |||
| R00z2 | Read | [D]General aches and pains | symptom | res175: msk pain | |||
| X75rs | Read | Muscle pain | diagnostic | res175: msk pain | |||
| X75rt | Read | Intercostal myalgia | diagnostic | res175: msk pain | |||
| X75rz | Read | Acute back pain with sciatica | diagnostic | res175: msk pain | |||
| X75s1 | Read | Sacral back pain | diagnostic | res175: msk pain | |||
| X75s3 | Read | Posterior compartment low back pain | diagnostic | res175: msk pain | |||
| Xa0sK | Read | Chronic low back pain | diagnostic | res175: msk pain | |||
| Xa0sM | Read | Acute back pain - lumbar | diagnostic | res175: msk pain | |||
| Xa0wj | Read | Pain in cervical spine | diagnostic | res175: msk pain | |||
| Xa0wk | Read | Cervical trigger point syndrome | diagnostic | res175: msk pain | |||
| Xa0wl | Read | Cervical segmental dysfunction | diagnostic | res175: msk pain | |||
| Xa0wp | Read | Acute thoracic back pain | diagnostic | res175: msk pain | |||
| Xa0wq | Read | Thoracic trigger point syndrome | diagnostic | res175: msk pain | |||
| Xa0wr | Read | Thoracic segmental dysfunction | diagnostic | res175: msk pain | |||
| Xa0ws | Read | Thoracic back pain | diagnostic | res175: msk pain | |||
| Xa0wt | Read | Low back pain | diagnostic | res175: msk pain | |||
| Xa0wu | Read | Mechanical low back pain | diagnostic | res175: msk pain | |||
| Xa0wv | Read | Lumbar trigger point syndrome | diagnostic | res175: msk pain | |||
| Xa0ww | Read | Lumbar segmental dysfunction | diagnostic | res175: msk pain | |||
| Xa0xt | Read | Post-surgery back pain | diagnostic | res175: msk pain | |||
| Xa0yK | Read | Muscle tension pain | diagnostic | res175: msk pain | |||
| Xa6tC | Read | Pain on movement of skeletal muscle | diagnostic | res175: msk pain | |||
| Xa6YH | Read | Nuchal pain | diagnostic | res175: msk pain | |||
| Xa7mB | Read | Postural low back pain | diagnostic | res175: msk pain | |||
| Xa7mE | Read | Psychogenic back pain | diagnostic | res175: msk pain | |||
| Xa7ws | Read | Pain of head and neck region | diagnostic | res175: msk pain | |||
| Xabu2 | Read | Elongated styloid process syndrome | diagnostic | res175: msk pain | |||
| XaIIv | Read | Chronic back pain | diagnostic | res175: msk pain | |||
| XaINe | Read | Exacerbation of backache | diagnostic | res175: msk pain | |||
| XE0rW | Read | Lumbar ache - renal | diagnostic | res175: msk pain | |||
| XE1F4 | Read | Neck pain | diagnostic | res175: msk pain | |||
| XE1FB | Read | Pain in lumbar spine | diagnostic | res175: msk pain | |||
| XE1FE | Read | Acute back pain - unspecified | diagnostic | res175: msk pain | |||
| XE1Fm | Read | Myalgia unspecified | diagnostic | res175: msk pain | |||
| XE1He | Read | (Backache NOS) or (back pain [& low]) | diagnostic | res175: msk pain | |||
| XE1HU | Read | (Cervicalgia) or (neck pain NOS) | diagnostic | res175: msk pain | |||
| XM1GI | Read | Back pain | diagnostic | res175: msk pain |
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