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Open AccessArticle

Disability-Specific Associations with Child Health and Functioning

1
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
2
Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(6), 1024; https://doi.org/10.3390/ijerph16061024
Received: 13 February 2019 / Revised: 13 March 2019 / Accepted: 14 March 2019 / Published: 20 March 2019
(This article belongs to the Special Issue Child Victimisation)
This study examined the health profile of children with different types of disabilities and explored the disability-specific associations with various types of health and functioning using a large nonclinical sample of children. A cross-sectional school survey was conducted during 2016 and 2017. A total of 4114 children (aged 6–18 years) receiving primary or secondary education, or their proxy, in Hong Kong participated in the study. Disabilities were categorized as (a) physical disabilities; (b) learning and developmental disabilities; (c) intellectual disabilities; (d) internalizing disorders or mental illness; and (e) autism spectrum disorder. Health-related quality of life (QoL), sleep-related QoL, activities of daily living (ADL), emotional functioning, and social functioning were assessed and compared between children with disabilities and those without. The results showed that children with disabilities showed poorer physical functioning, health-related QoL, and emotional and social functioning than their counterparts without disabilities. Disability-specific associations with health were found: (a) physical disabilities and intellectual disabilities were associated with greater difficulties in ADL; (b) language impairment and Attention deficit/ hyperactivity disorder (ADHD) were negatively associated with sleep-related QoL; (c) all types of disabilities but hearing impairment were negatively associated with health-related QoL (HRQoL); and (d) language impairment, ADHD, internalizing disorder, as well as autism spectrum disorder were associated with greater abnormal behavioral difficulties. The findings warrant the development of tailor-made intervention programs and give insights to effective resource allocation for the children in need. View Full-Text
Keywords: child physical disabilities; learning and developmental disabilities; intellectual disabilities; internalizing disorders; autism spectrum disorder; health-related quality of life; child health child physical disabilities; learning and developmental disabilities; intellectual disabilities; internalizing disorders; autism spectrum disorder; health-related quality of life; child health
MDPI and ACS Style

Chan, K.L.; Lo, C.K.M.; Ho, F.K.; Ip, P. Disability-Specific Associations with Child Health and Functioning. Int. J. Environ. Res. Public Health 2019, 16, 1024. https://doi.org/10.3390/ijerph16061024

AMA Style

Chan KL, Lo CKM, Ho FK, Ip P. Disability-Specific Associations with Child Health and Functioning. International Journal of Environmental Research and Public Health. 2019; 16(6):1024. https://doi.org/10.3390/ijerph16061024

Chicago/Turabian Style

Chan, Ko L.; Lo, Camilla K.M.; Ho, Frederick K.; Ip, Patrick. 2019. "Disability-Specific Associations with Child Health and Functioning" Int. J. Environ. Res. Public Health 16, no. 6: 1024. https://doi.org/10.3390/ijerph16061024

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