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Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data.
Müller, Vibeke; Gerdtham, Ulf; Alriksson-Schmidt, Ann; Jarl, Johan.
Afiliación
  • Müller V; Department of Clinical Sciences, Malmö, Health Economics Unit, Lund University, Lund, Sweden.
  • Gerdtham U; Department of Clinical Sciences, Malmö, Health Economics Unit, Lund University, Lund, Sweden.
  • Alriksson-Schmidt A; Department of Economics, Lund University, Lund, Sweden.
  • Jarl J; Department of Clinical Sciences, Orthopedics Unit, Lund University, Lund, Sweden.
Health Econ ; 31(10): 2170-2186, 2022 10.
Article en En | MEDLINE | ID: mdl-35778857
This study analyzes the relationship of having a child with the early-onset disability cerebral palsy (CP) and the parental decision to divorce and to have additional children. We use longitudinal matched case-control data from multiple linked Swedish National Population Registers between 2001 and 2015 and perform Cox proportional hazards regressions with interval-censoring. Although we do not find a general excess parental divorce risk on CP relative to the comparison group without CP, we find that having a child with CP increases the risk of divorce for parents with low education. We also find that having a child with CP reduces the likelihood of having additional children, especially for mothers in the older age range (maternal age at delivery >33 years) and parents with low education. The severity level of the disability, as indicated by gross motor function, is not related to the results. These findings should be understood in the Swedish context, which provides extensive welfare support (e.g., personal assistance). If future studies would find adverse results in countries with less social care and benefits, our results may indicate that it is possible to mitigate negative consequences for the family of a child with disability.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis Cerebral Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans País/Región como asunto: Europa Idioma: En Revista: Health Econ Asunto de la revista: SERVICOS DE SAUDE Año: 2022 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parálisis Cerebral Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans País/Región como asunto: Europa Idioma: En Revista: Health Econ Asunto de la revista: SERVICOS DE SAUDE Año: 2022 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido