Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data.

cerebral palsy divorce early-onset disability family formation register-based study

Journal

Health economics
ISSN: 1099-1050
Titre abrégé: Health Econ
Pays: England
ID NLM: 9306780

Informations de publication

Date de publication:
10 2022
Historique:
revised: 03 05 2022
received: 26 11 2021
accepted: 08 06 2022
pubmed: 3 7 2022
medline: 9 9 2022
entrez: 2 7 2022
Statut: ppublish

Résumé

This study analyzes the relationship of having a child with the early-onset disability cerebral palsy (CP) and the parental decision to divorce and to have additional children. We use longitudinal matched case-control data from multiple linked Swedish National Population Registers between 2001 and 2015 and perform Cox proportional hazards regressions with interval-censoring. Although we do not find a general excess parental divorce risk on CP relative to the comparison group without CP, we find that having a child with CP increases the risk of divorce for parents with low education. We also find that having a child with CP reduces the likelihood of having additional children, especially for mothers in the older age range (maternal age at delivery >33 years) and parents with low education. The severity level of the disability, as indicated by gross motor function, is not related to the results. These findings should be understood in the Swedish context, which provides extensive welfare support (e.g., personal assistance). If future studies would find adverse results in countries with less social care and benefits, our results may indicate that it is possible to mitigate negative consequences for the family of a child with disability.

Identifiants

pubmed: 35778857
doi: 10.1002/hec.4567
pmc: PMC9543549
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2170-2186

Informations de copyright

© 2022 The Authors. Health Economics published by John Wiley & Sons Ltd.

Références

Dev Med Child Neurol. 2008 Oct;50(10):744-50
pubmed: 18834387
Am J Ment Retard. 2001 May;106(3):265-86
pubmed: 11389667
Disabil Rehabil. 2012;34(14):1202-7
pubmed: 22235883
Dev Med Child Neurol. 2019 Oct;61(10):1162-1167
pubmed: 30950519
Dev Med Child Neurol. 2015 Aug;57(8):768-75
pubmed: 26154654
Med Care. 2015 Sep;53(9):e65-72
pubmed: 23703645
Nat Rev Dis Primers. 2016 Jan 07;2:15082
pubmed: 27188686
Future Child. 2006 Fall;16(2):151-73
pubmed: 17036550
Dev Med Child Neurol. 2009 Nov;51(11):872-7
pubmed: 19416339
Health Econ. 2004 Aug;13(8):749-65
pubmed: 15322988
Health Econ. 2022 Oct;31(10):2170-2186
pubmed: 35778857
Dev Med Child Neurol. 2020 Feb;62(2):163-168
pubmed: 31381150
Dev Med Child Neurol. 2017 Apr;59(4):402-406
pubmed: 27896812
Demography. 2015 Apr;52(2):401-32
pubmed: 25749487
Soc Sci Med. 2019 Apr;226:182-189
pubmed: 30856607
Res Dev Disabil. 2014 Feb;35(2):448-54
pubmed: 24361813
J Appl Res Intellect Disabil. 2017 Jan;30(1):121-132
pubmed: 26492865
J Pediatr Nurs. 2019 Jan - Feb;44:1-8
pubmed: 30683274
Dev Med Child Neurol Suppl. 2007 Feb;109:8-14
pubmed: 17370477
Am J Ment Retard. 2007 Jul;112(4):261-74
pubmed: 17559293
Turk Pediatri Ars. 2015 Sep 01;50(3):163-9
pubmed: 26568692
Int J Environ Res Public Health. 2019 Oct 29;16(21):
pubmed: 31671833
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
PLoS One. 2017 Mar 29;12(3):e0173659
pubmed: 28355237
J Fam Psychol. 2010 Aug;24(4):449-57
pubmed: 20731491
Dysphagia. 2021 Jun;36(3):351-361
pubmed: 32519149
Eur J Phys Rehabil Med. 2013 Dec;49(6):815-22
pubmed: 24285025
Sociol Sci. 2019 Apr;6:264-292
pubmed: 31187049
BMC Pediatr. 2007 Dec 05;7:41
pubmed: 18053264
Eur J Paediatr Neurol. 2014 May;18(3):282-94
pubmed: 24412031
Child Care Health Dev. 2014 Sep;40(5):654-62
pubmed: 23952344
J Appl Res Intellect Disabil. 2014 Sep;27(5):420-30
pubmed: 25254268
Lifetime Data Anal. 2015 Oct;21(4):579-93
pubmed: 26100005

Auteurs

Vibeke Müller (V)

Department of Clinical Sciences, Malmö, Health Economics Unit, Lund University, Lund, Sweden.

Ulf Gerdtham (U)

Department of Clinical Sciences, Malmö, Health Economics Unit, Lund University, Lund, Sweden.
Department of Economics, Lund University, Lund, Sweden.

Ann Alriksson-Schmidt (A)

Department of Clinical Sciences, Orthopedics Unit, Lund University, Lund, Sweden.

Johan Jarl (J)

Department of Clinical Sciences, Malmö, Health Economics Unit, Lund University, Lund, Sweden.

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