Trajectories and outcomes among children with special health care needs

Pediatrics
Jon QuachMelissa Wake

Abstract

Outcomes for children with special health care needs (SHCN) can vary by their patterns and persistence over time. We aimed to empirically establish typical SHCN trajectories throughout childhood and their predictive relationships with child and parent outcomes. The 2 cohorts of the nationally representative Longitudinal Study of Australian Children were recruited in 2004 at ages 0 to 1 (n = 5107, B cohort) and 4 to 5 years (n = 4983, K cohort). The parent-reported Children With SHCN Screener (Short Form) was completed at each of 4 biennial waves. Wave 4 outcomes were parent-reported behavior and health-related quality of life, teacher-reported learning, and directly assessed cognition. Both parents self-reported mental distress. We derived intracohort trajectories by using latent class analysis in Mplus. We compared mean outcome scores across trajectories by using linear regression, adjusting for socioeconomic position. Four distinct SHCN trajectories were replicated in both cohorts: persistent (B 6.8%, K 8.7%), emerging (B 4.1%, K 11.5%), transient (B 7.9%, K 4.2%), and none (B 81.3%, K 75.6%). Every outcome was adversely affected except fathers' mental health. From infancy to age 6 to 7 years, the persistent and emerging grou...Continue Reading

Citations

Mar 17, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Jon QuachHarriet Hiscock
Nov 2, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Olivia J LindlyKatharine E Zuckerman
Mar 17, 2017·Academic Pediatrics·Jon QuachMelissa Wake
Jul 12, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Batya Elbaum, Seniz Celimli-Aksoy
Sep 16, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Karina Javalkar, Jonathan S Litt
Feb 7, 2021·BMC Health Services Research·Matthew J GlasgowJane E Harding

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