The characteristics and community-based participation of children with and without disabilities: Evidence from the UK Millennium Cohort Study

Stella Arakelyan - ORCID 0000-0003-0326-707X https://orcid.org/0000-0003-0326-707XDonald Maciver - ORCID 0000-0002-6173-429X https://orcid.org/0000-0002-6173-429XAIM To describe and compare the socio-demographic characteristics and community-based participation of children with and without disabilities.METHOD This cross-sectional study reports data on 1,073 children with disabilities (663 boys; 410 girls) and 11,122 children without disabilities (5617 boys; 5505 girls) aged 10-12 years from the fifth sweep of the Millennium Cohort Study. Chi-squared (χ2) was used to explore differences between the two groups. Logistic regression models were used to assess the relationships between childhood disability (dependent variable) and socio-demographic characteristics. Logistic regression models were also used to examine the associations between childhood disability (dependent variable) and participation in community-based activities.RESULTS. Children with disabilities were more likely to be boys, have psychosocial and behavioural problems, live in single-parent households and have a parent with a longstanding illness. Patterns of community-based participation were similar between children with and without disabilities. However, the extent to which the two groups participated differed. Children with disabilities participated with lower frequency in unstructured physical activities (Adjusted Odds Ratio [AOR] 2.41; 95% confidence interval [CI] 1.95, 2.99), organized physical activities (AOR 2.29; 95% CI 1.83, 2.86), religious gatherings (AOR 2.08; 95% CI 1.35, 3.20) and getting together with friends (AOR 3.31; 95% CI 2.61, 4.20).INTERPRETATION Socio-demographic characteristics differed between children with and without disabilities. Children with disabilities had greater restriction in participation compared to peers without disabilities. Participation promoting interventions are required to support the participation of children with disabilities in social and physical activities.https://doi.org/10.1111/dmcn.1440262pubpub

The association between employment status and health among British adults with and without intellectual impairments:cross-sectional analyses of a cohort study

Background: There exists a well established link between employment status and health, with unemployment being associated with poorer health. Much less is known about the association between economic inactivity and health, especially among people with disabilities. Our aim is to determine whether the association between employment status and health is similar for adults with and adults without intellectual impairment. Methods: Using nationally representative data from the 1970 British Cohort Study, we undertook a series of cross sectional analyses of the association between employment status and health (self-reported general health, mental health) among British adults with and without intellectual impairments at ages 26, 30, 34, 38 and 42. Results: People with intellectual disability and borderline intellectual functioning had markedly lower employment rates and poorer health than other participants at all waves of data collection. When compared with participants in full-time employment the prevalence of poorer self rated health and mental health was higher among participants with and without intellectual impairment who were in either part-time employment or were economically inactive at all ages. When compared with participants in employment the prevalence of poorer self rated health and mental health was higher among participants with and without intellectual impairment who were in the economically inactive categories of unemployment, education/training and ill/disabled at all ages. Intellectual disability status appeared to moderate the strength of the relationship between economic activity and self-rated health and, to a much lesser extent, the relationship between economic activity and mental health. In all instances the moderation indicated a stronger association among participants without intellectual impairment. Conclusions: The results provide substantive evidence to suggest that the nature of the well-established association between employment and better health is similar for British adults with and without intellectual impairments. The results do, however, indicate that the magnitude of the effect involved differed. Further research is needed to identify mechanisms that may underlie this difference