Introduction There is a lack of empirical evidence on the predictors and temporal ordering of factors associated with child disability.
Objective To examine the relationship between social disadvantage in earlier childhood and the onset of LLTI/D in later childhood in the UK ONSLS.
Methods Children born between the 1981 and 1991 UK censuses who became ONSLS members and were present at the 2001 census were identified. Data were extracted on those children who didn't have LLTI/D in 1991 but did in 2001 (index) and those with no LLTI/D on either occasion (comparison). A social disadvantage index (SDI) was constructed for 1991. Logistic regression models were fitted on LLTI/D with the SDI as the independent variable of interest adjusted for age, gender, lone parenthood, and ethnicity.
Results 60 000+ children became ONSLS members between 1981 and 1991 and were present at the 1991 and 2001 censuses. 52 438 in the index and comparison groups had complete data. In bivariate analysis, social disadvantage, age, gender and lone parenthood but not ethnicity were significantly associated with the onset of LLTI/D in the index group. After adjustment for confounding, the SDI showed a finely graded association with onset of LLTI/D in the index group (most disadvantaged OR=2.12 (1.77, 2.54); disadvantaged in two domains OR=1.45 (1.20, 1.75); disadvantaged in one domain OR=1.14 (0.94, 1.40)).
Conclusions Social disadvantage in earlier childhood as a predisposing factor for the development of LLTI/D in later childhood and adolescence. Social disadvantage may be both cause and consequence of childhood LLTI/D.
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