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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: stress

85 codes in list

Code Coding system Description Entity type List name
1B1L. Read Stress-related problem diagnostic res175: stress
E28.. Read Acute reaction to stress (& [combat fatigue]) diagnostic res175: stress
E280. Read Acute panic state due to acute stress reaction diagnostic res175: stress
E281. Read Acute fugue state due to acute stress reaction diagnostic res175: stress
E282. Read Acute stupor state due to acute stress reaction diagnostic res175: stress
E283. Read Other acute stress reactions diagnostic res175: stress
E2830 Read Acute situational disturbance diagnostic res175: stress
E2831 Read Acute post-trauma stress state diagnostic res175: stress
E283z Read Other acute stress reaction NOS diagnostic res175: stress
E284. Read Stress reaction causing mixed disturbance of emotion and conduct diagnostic res175: stress
E29.. Read Adjustment disorder diagnostic res175: stress
E290. Read Brief depressive adjustment reaction diagnostic res175: stress
E290z Read Brief depressive reaction NOS diagnostic res175: stress
E291. Read Prolonged depressive adjustment reaction diagnostic res175: stress
E292. Read Adjustment reaction with predominant disturbance of other emotions diagnostic res175: stress
E2921 Read Adolescent emancipation disorder diagnostic res175: stress
E2922 Read Early adult emancipation disorder diagnostic res175: stress
E2923 Read Specific academic &/or work inhibition symptom res175: stress
E2924 Read Adjustment reaction with anxious mood diagnostic res175: stress
E2925 Read Culture shock diagnostic res175: stress
E292y Read Adjustment reaction with mixed disturbance of emotion diagnostic res175: stress
E292z Read Adjustment reaction with disturbance of other emotion NOS diagnostic res175: stress
E293. Read Adjustment reaction with predominant disturbance of conduct diagnostic res175: stress
E2930 Read Adjustment reaction with aggression diagnostic res175: stress
E2931 Read Adjustment reaction with antisocial behaviour diagnostic res175: stress
E2932 Read Adjustment reaction with destructiveness diagnostic res175: stress
E293z Read Adjustment reaction with predominant disturbance of conduct NOS diagnostic res175: stress
E294. Read Adjustment reaction with mixed disturbance of emotion and conduct diagnostic res175: stress
E29y. Read Other adjustment reactions diagnostic res175: stress
E29y0 Read Concentration camp syndrome diagnostic res175: stress
E29y1 Read Other post-traumatic stress disorder diagnostic res175: stress
E29y2 Read Adjustment reaction with physical symptoms diagnostic res175: stress
E29y3 Read Elective mutism due to an adjustment reaction diagnostic res175: stress
E29y5 Read Other adjustment reaction with withdrawal diagnostic res175: stress
E29yz Read Other adjustment reactions NOS diagnostic res175: stress
E29z. Read Adjustment reaction NOS diagnostic res175: stress
Eu4.. Read [X]Neurotic diagnostic res175: stress
Eu40. Read [X]Phobic anxiety disorders diagnostic res175: stress
Eu40y Read [X]Other phobic anxiety disorders diagnostic res175: stress
Eu40z Read [X]Phobic anxiety disorder Unspecified diagnostic res175: stress
Eu41. Read [X]Other anxiety disorders diagnostic res175: stress
Eu413 Read [X]Other mixed anxiety disorders diagnostic res175: stress
Eu41z Read [X]Anxiety disorder unspecified diagnostic res175: stress
Eu430 Read [X] Acute stress reaction (& [crisis reaction] or [crisis state] or [psychic shock] or [combat fatig diagnostic res175: stress
Eu432 Read [X] Adjustment disorders (& [culture shock] or [grief reaction] or [hospitalism in children]) diagnostic res175: stress
Eu43y Read [X]Other reactions to severe stress diagnostic res175: stress
Eu43z Read [X]Reaction to severe stress unspecified diagnostic res175: stress
Eu46. Read [X]Other neurotic disorders diagnostic res175: stress
Eu46z Read [X]Neurotic disorder unspecified diagnostic res175: stress
K586. Read Stress incontinence - female diagnostic res175: stress
Ry15. Read [D]Undue concern and preoccupation with stressful events symptom res175: stress
Ryu58 Read [X]State of emotional shock and stress unspecified symptom res175: stress
Ua165 Read Feeling stressed symptom res175: stress
Ub014 Read Stress management symptom res175: stress
X00Sf Read Post-traumatic stress disorder diagnostic res175: stress
X301U Read Stress-related gastritis diagnostic res175: stress
X76AY Read Work stress symptom res175: stress
Xa18j Read Combat fatigue diagnostic res175: stress
Xa18v Read Shell shock diagnostic res175: stress
Xa7mz Read Carer stress syndrome diagnostic res175: stress
Xa8HQ Read Tower block syndrome diagnostic res175: stress
Xa8HR Read Wife unable to cope symptom res175: stress
XaA2F Read Stress mapping symptom res175: stress
XaBUD Read Stress monitoring call symptom res175: stress
XaEFB Read Chronic post-traumatic stress disorder diagnostic res175: stress
XaI8j Read Stress counselling symptom res175: stress
XaJgP Read Stress-induced epilepsy diagnostic res175: stress
XaWye Read Stress cardiomyopathy diagnostic res175: stress
XaX55 Read Acute post-traumatic stress disorder following military combat diagnostic res175: stress
XaX56 Read Chronic post-traumatic stress disorder following military combat diagnostic res175: stress
XaX58 Read Delayed post-traumatic stress disorder following military combat diagnostic res175: stress
XE0pM Read Stress at home symptom res175: stress
XE0rR Read Stress incontinence symptom res175: stress
XE1bo Read Acute reaction to stress (& [post-traumatic] or [shell-shock]) diagnostic res175: stress
XE1Ym Read Acute stress reaction diagnostic res175: stress
XE1Yn Read Acute stress reaction NOS diagnostic res175: stress
XE1Yp Read Specific academic or work inhibition diagnostic res175: stress
XE1Zj Read [X]Other specified anxiety disorders diagnostic res175: stress
XE2Nh Read Stress monitoring admin. symptom res175: stress
XM0As Read Stress and adjustment reaction diagnostic res175: stress
XM1aI Read Stress at work symptom res175: stress
XM1Am Read Undue concern and preoccupation with stressful events symptom res175: stress
XM1Q3 Read Specific work inhibition symptom res175: stress
ZV4B2 Read Stressful work schedule symptom res175: stress
ZVu4E Read [X]Other stressful life events affecting family and household symptom res175: stress

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