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Health care utilisation in infants and young children born to women with intellectual and developmental disabilities: A systematic review and meta‐analysis
Author(s) -
Salaeva D.,
Tarasoff L. A.,
Brown H. K.
Publication year - 2020
Publication title -
journal of intellectual disability research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.941
H-Index - 104
eISSN - 1365-2788
pISSN - 0964-2633
DOI - 10.1111/jir.12720
Subject(s) - medicine , psycinfo , cinahl , meta analysis , medline , odds ratio , cohort study , health care , confidence interval , pediatrics , family medicine , psychological intervention , psychiatry , pathology , political science , law , economics , economic growth
Background Mothers with intellectual and developmental disabilities (IDD) experience socio‐economic and health disparities which could impact their offspring's health care utilisation. We systematically reviewed evidence on health care utilisation in infants and young children of women with and without IDD. Methods MEDLINE, EMBASE, CINAHL, and PsycINFO were searched from inception to October 2019 for studies examining preventive care, immunisations, emergency department visits, and hospitalisations. Data extraction and quality assessment were performed using standardised tools. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were generated using random effects models for outcomes with data available from ≥3 studies. Results Four articles describing three cohort studies and one cross‐sectional study met our criteria. Maternal IDD status was associated with increased neonatal intensive care unit admission rates (pooled OR 2.03; 95% CI 1.31, 3.13). There were no differences in immunisation rates or hospitalisations. Conclusions Few studies have examined the impact of maternal IDD status on health care utilisation in their infants and young children. More high‐quality studies are needed.