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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
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 2...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543549/ https://www.ncbi.nlm.nih.gov/pubmed/35778857 http://dx.doi.org/10.1002/hec.4567 |
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author | Müller, Vibeke Gerdtham, Ulf Alriksson‐Schmidt, Ann Jarl, Johan |
author_facet | Müller, Vibeke Gerdtham, Ulf Alriksson‐Schmidt, Ann Jarl, Johan |
author_sort | Müller, Vibeke |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9543549 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95435492022-10-14 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 Health Econ Research Articles 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. John Wiley and Sons Inc. 2022-07-01 2022-10 /pmc/articles/PMC9543549/ /pubmed/35778857 http://dx.doi.org/10.1002/hec.4567 Text en © 2022 The Authors. Health Economics published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Müller, Vibeke Gerdtham, Ulf Alriksson‐Schmidt, Ann Jarl, Johan Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title | Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title_full | Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title_fullStr | Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title_full_unstemmed | Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title_short | Parental decisions to divorce and have additional children among families with children with cerebral palsy: Evidence from Swedish longitudinal and administrative data |
title_sort | parental decisions to divorce and have additional children among families with children with cerebral palsy: evidence from swedish longitudinal and administrative data |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543549/ https://www.ncbi.nlm.nih.gov/pubmed/35778857 http://dx.doi.org/10.1002/hec.4567 |
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