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Health service utilization by mentally handicapped children and factors affecting it

Author(s): Asghari Sh. | Malekafzali H. | Holakouie Naieni K. | Majdzadeh R. | Soleimani F. | Amirsalari S.

Journal: Journal of School of Public Health and Institute of Public Health Research
ISSN 1735-7586

Volume: 5;
Issue: 1;
Start page: 29;
Date: 2007;
Original page

Keywords: Developmental disability | Health service utilization | Negative binomial regression

Background and Aim:  One of the biggest problems faced by parents of handicapped children is the child's health care. This study investigates patterns of heath care utilization and the related factors in children with mental impairment. Material and Methods: This cross-sectional study involved 110 children (≤14 year old) with developmental disabilities in Tehran. Parents were selected by systematic random sampling for face-to-face interview.  Statistical analysis was based on negative binomial regression. Results: Over 99% of the surveyed children received ambulatory care and 15 % had been hospitalized over the preceding year; 0.9% had never used health services. These children had utilized health services 207+18 times in a year. Among these services 38+3 were not subsidized by the State. Factors affecting service utilization were parent information (p
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