Journal article
Cerebral palsy and developmental intellectual disability in children younger than 5 years: findings from the GBD-WHO Rehabilitation Database 2019
- Abstract:
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Objective: Children with developmental disabilities are associated with a high risk of poor school enrollment and educational attainment without timely and appropriate support. Epidemiological data on cerebral palsy and associated comorbidities required for policy intervention in global health are lacking. This paper set out to report the best available evidence on the global and regional prevalence of cerebral palsy (CP) and developmental intellectual disability and the associated “years lived with disability” (YLDs) among children under 5 years of age in 2019.
Methods: We analyzed the collaborative 2019 Rehabilitation Database of the Global Burden of Disease (GBD) Study and World Health Organization for neurological and mental disorders available for 204 countries and territories. Point prevalence and YLDs with 95% uncertainty intervals (UI) are presented.
Results: Globally, 8.1 million (7.1–9.2) or 1.2% of children under 5 years are estimated to have CP with 16.1 million (11.5–21.0) or 2.4% having intellectual disability. Over 98% resided in low-income and middle-income countries (LMICs). CP and intellectual disability accounted for 6.5% and 4.5% of the aggregate YLDs from all causes of adverse health outcomes respectively. African Region recorded the highest prevalence of CP (1.6%) while South-East Asia Region had the highest prevalence of intellectual disability. The top 10 countries accounted for 57.2% of the global prevalence of CP and 62.0% of the global prevalence of intellectual disability.
Conclusion: Based on this Database, CP and intellectual disability are highly prevalent and associated with substantial YLDs among children under 5 years worldwide. Universal early detection and support services are warranted, particularly in LMICs to optimize school readiness for these children toward inclusive education as envisioned by the United Nations’ Sustainable Development Goals.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 1.4MB, Terms of use)
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- Publisher copy:
- 10.3389/fpubh.2022.894546
Authors
Contributors
- Role:
- Contributor
- Publisher:
- Frontiers Media
- Journal:
- Frontiers in Public Health More from this journal
- Volume:
- 10
- Article number:
- 894546
- Publication date:
- 2022-08-25
- Acceptance date:
- 2022-07-12
- DOI:
- EISSN:
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2296-2565
- ISSN:
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2296-2565
- Pmid:
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36091559
- Language:
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English
- Keywords:
- Pubs id:
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1280542
- Local pid:
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pubs:1280542
- Deposit date:
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2022-10-25
Terms of use
- Copyright holder:
- Olusanya et al
- Copyright date:
- 2022
- Rights statement:
- © 2022 Olusanya, Gladstone, Wright, Hadders-Algra, Boo, Nair, Almasri, Kancherla, Samms-Vaughan, Kakooza-Mwesige, Smythe, del Castillo-Hegyi, Halpern, de Camargo, Arabloo, Eftekhari, Shaheen, Gulati, Williams, Olusanya, Wertlieb, Newton and Davis. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
- Licence:
- CC Attribution (CC BY)
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