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Inequity in physiotherapeutic interventions for children with Cerebral Palsy in Sweden - a national registry study.
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden; Umeå Center for Gender Studies, Umeå University, Umeå, Sweden.
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Umeå Center for Gender Studies, Umeå University, Umeå, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-7543-4397
2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227Article in journal (Refereed) Accepted
Abstract [en]

AIM: The aim of this study was to investigate the distribution of physiotherapeutic interventions for children with Cerebral Palsy in Sweden from an equity perspective, considering sex, country of birth and geographical region.

METHOD: This national cross-sectional registry study includes children with Cerebral Palsy aged 0-18 years who participated in 2015 in the Swedish national quality registry, the Cerebral Palsy follow-up program, CPUP. Comparisons and associations between physiotherapeutic interventions and sex, country of birth and geographical regions were conducted using Chi2 and logistic regression analysis, controlling for cognitive level, level of motor function, age group and dominating symptom.

RESULTS: Of the 2855 participants, 2201 (79%) had received physiotherapy. Children born in Sweden had 1.60 times higher odds (95% CI 1.10-2.33) of receiving physiotherapy compared with children born in foreign countries. Distribution of physiotherapeutic interventions differed significantly between geographical regions. No associations between sex and physiotherapeutic interventions were observed.

CONCLUSION: The results of this study indicate inequity in care in Sweden towards children with Cerebral Palsy born in other counties. Further, physiotherapeutic interventions were not equally distributed in different.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019.
Keywords [en]
CPUP, Adolescents, Cerebral Palsy, Inequity, Physiotherapy
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:hig:diva-30627DOI: 10.1111/apa.14980PubMedID: 31435959OAI: oai:DiVA.org:hig-30627DiVA, id: diva2:1348571
Note

Funding agency:

Norrbacka-Eugenia foundation [grant number 811/15 2016].Umeå Center for Gender Studies, Umeå University.Strategic Research Area: Health Care Science (SFO-V), Umeå University.

Available from: 2019-09-04 Created: 2019-09-04 Last updated: 2019-09-04Bibliographically approved

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