Epidemiological characteristics of cerebral palsy in children and adolescents in a Brazilian northeast capital
DOI:
https://doi.org/10.1590/1809-2950/20012527042020Keywords:
Cerebral Palsy, Epidemiology, Social DeterminantsAbstract
This study aimed to describe the prevalence of cerebral palsy among children and adolescents, its subtypes, associated comorbidities, and socioeconomic characteristics of families. This is a cross-sectional epidemiological study conducted from a population-based survey on cerebral palsy among children and adolescents in the city of Aracaju, Sergipe, Brazil. Results: Based on guardians’ answers to the proposed questionnaire, we obtained data on 240 children and adolescents with cerebral palsy in Aracaju. The period prevalence of cerebral palsy was 1.37 per 1,000 people. Some neighborhoods showed a prevalence three to four times higher than that found to the overall city, indicating that the total prevalence is not a homogeneous indicator. Most participants were male (56.25%), self-declared as mixed-race or Black (67.50%), and aged 8.56 years on average. Bilateral spastic was the most prevalent cerebral palsy subtype (45.42%), and epilepsy was the most common comorbidity (48.33%) along with intellectual disability. Household monthly income was $ 252.87. Our results indicate that children and adolescents with cerebral palsy are mostly from minoritized groups, Black or mixed-race, and live in extreme poverty.
Downloads
References
McCullough N, Parkes J, Kerr C, McDowell BC. The health of
children and young people with cerebral palsy: A longitudinal,
population-based study. Int J Nurs Stud. 2013;50(6):747-56.
doi: 10.1016/j.ijnurstu.2011.01.011
Graham HK, Rosenbaum P, Paneth N, Dan B, Lin J-P, Damiano
DL, et al. Cerebral palsy. Nat Rev Dis Primers. 2016;2:15082.
doi: 10.1038/nrdp.2015.82
Pakula AT, Van Naarden Braun K, Yeargin-Allsopp M. Cerebral
Palsy: classification and epidemiology. Phys Med Rehabil Clin
N Am. 2009;20(3):425-52. doi: 10.1016/j.pmr.2009.06.001
McIntyre S, Taitz D, Keogh J, Goldsmith S, Badawi N, Blair E. A
systematic review of risk factors for cerebral palsy in children
born at term in developed countries. Dev Med Child Neurol.
;55(6):499-508. doi: 10.1111/dmcn.12017
Dan B, Paneth N. Making sense of cerebral palsy prevalence
in low-income countries. Lancet Glob Heal. 2017;5(12):e1174-5.
doi: 10.1016/S2214-109X(17)30420-5
Himmelmann K, Uvebrant P. The panorama of cerebral palsy
in Sweden part XII shows that patterns changed in the birth
years 2007-2010. Acta Paediatr. 2018;107(3):462-8. doi: 10.1111/
apa.14147
Goldsmith S, McIntyre S, Smithers-Sheedy H, Blair E, Cans
C, Watson L, et al. An international survey of cerebral palsy
registers and surveillance systems. Dev Med Child Neurol.
;58(Suppl 2):11-7. doi: 10.1111/dmcn.12999
Cans C, Surman G, McManus V, Coghlan D, Hensey O, Johnson
A. Cerebral palsy registries. Semin Pediatr Neurol. 2004;11(1):
-23. doi: 10.1016/j.spen.2004.01.004.
Sellier E, Platt MJ, Andersen GL, Krägeloh-Mann I, De La Cruz
J, Cans C, et al. Decreasing prevalence in cerebral palsy: a
multi-site European population-based study, 1980 to 2003.
Dev Med Child Neurol. 2016;58(1):85-92. doi: 10.1111/dmcn.12865
Brasil. Instituto Brasileiro de Geografia e Estatística. Cidades e
Estados, Aracaju-SE [Internet]. Brasília, DF: IBGE; [cited 2018
Dez 20]. Available from: https://www.ibge.gov.br/cidades-eestados/se/aracaju.html
Van Naarden Braun K, Maenner MJ, Christensen D, Doernberg
NS, Durkin MS, Kirby RS, et al. The role of migration and choice
of denominator on the prevalence of cerebral palsy. Dev Med
Child Neurol. 2013;55(6):520-6. doi: 10.1111/dmcn.12095
Kakooza-Mwesige A, Andrews C, Peterson S, Wabwire Mangen
F, Eliasson AC, Forssberg H. Prevalence of cerebral palsy in
Uganda: a population-based study. Lancet Glob Health.
;5(12):e1275-82. doi: 10.1016/S2214-109X(17)30374-1
Liu JM, Li S, Lin Q, Li Z. Prevalence of cerebral palsy in China.
Int J Epdemiol. 1999;28(5). doi: 10.1093/ije/28.5.949
Serdaroǧlu A, Cansu A, Özkan S, Tezcan S. Prevalence of
cerebral palsy in Turkish children between the ages of 2 and
years. Dev Med Child Neurol. 2006;48(6):413-6. doi: 10.1017/
S0012162206000910
McNally RJQ, Colver AF. Space-time clustering analyses of
occurrence of cerebral palsy in Northern England for births
to 2003. Ann Epidemiol [Internet]. 2008;18(2):108-12.
doi: 0.1016/j.annepidem.2007.07.104
Solaski M, Majnemer A, Oskoui M. Contribution of socioeconomic status on the prevalence of cerebral palsy: a systematic
search and review. Dev Med Child Neurol. 2014;56(11):1043-51.
doi: 10.1111/dmcn.12456
Durkin MS, Maenner MJ, Benedict RE, Van Naarden Braun
K, Christensen D, Kirby RS, et al. The role of socio-economic
status and perinatal factors in racial disparities in the risk
of cerebral palsy. Dev Med Child Neurol. 2015;57(9):835-43.
doi: 10.1111/dmcn.12746
Van Naarden Braun K, Doernberg N, Schieve L, Christensen
D, Goodman A, Yeargin-Allsopp M. Birth prevalence of
cerebral palsy: a population-based study. Pediatrics.
;137(1):e20152872. doi: 10.1542/peds.2015-2872
Wu YWW, Xing G, Fuentes-Afflick E, Danielson B, Smith LH,
Gilbert WM. Racial, ethnic, and socioeconomic disparities in
the prevalence of cerebral palsy. Pediatrics. 2011;127(3):e674-81.
doi: 10.1542/peds.2010-1656
Yeargin-Allsopp M, Van Naarden Braun K, Doernberg NS,
Benedict RE, Kirby RS, Durkin MS. Prevalence of cerebral palsy
in 8-year-old children in three areas of the United States in
: a multisite collaboration. Pediatrics. 2008;121(3):547-54.
doi: 10.1542/peds.2007-1270
Kakooza-Mwesige A, Forssberg H, Eliasson AC, Tumwine JK.
Cerebral palsy in children in Kampala, Uganda: Clinical subtypes,
motor function and co-morbidities. BMC Res Notes. 2015;8:166.
doi: 10.1186/s13104-015-1125-9
Andersen GL, Irgens LM, Haagaas I, Skranes JS, Meberg AE,
Vik T. Cerebral palsy in Norway: prevalence, subtypes and
severity. Eur J Paediatr Neurol. 2008;12(1):4-13. doi: 10.1016/j.
ejpn.2007.05.001
Gladstone M. A review of the incidence and prevalence,
types and aetiology of childhood cerebral palsy in resourcepoor settings. Ann Trop Paediatr. 2010;30(3):181-96.
doi: 10.1179/146532810X12786388978481
Sundrum R, Logan S, Wallace A, Spencer N. Cerebral palsy and
socioeconomic status: a retrospective cohort study. Arch Dis
Child. 2005;90(1):15-8. doi: 10.1136/adc.2002.018937
Yim SY, Yang CY, Park JH, Kim MY, Shin YB, Kang EY, et al.
Korean Database of Cerebral Palsy: A Report on Characteristics
of Cerebral Palsy in South Korea. Ann Rehabil Med. 2017;41(4):
-49. doi: 10.5535/arm.2017.41.4.638
World Bank. Quase metade do mundo vive com menos de USD
$5.50 por dia. [Internet]. Washington, DC: World Bank; 2018
[cited 2018 Dec 20]. Available from: https://www.worldbank.
org/pt/news/press-release/2018/10/17/nearly-half-the-worldlives-on-less-than-550-a-day-brazilian-portuguese
Tseng SH, Lee JY, Chou YL, Sheu ML, Lee YW. Association
between socioeconomic status and cerebral palsy. PLoS One.
;13(1):e0191724. doi: 10.1371/journal.pone.0191724
Oskoui M, Messerlian C, Blair A, Gamache P, Shevell M. Variation
in cerebral palsy profile by socio-economic status. Dev Med
Child Neurol. 2016;58(2):160-6. doi: 10.1111/dmcn.12808
Shih STF, Tonmukayakul U, Imms C, Reddihough D, Graham
HK, Cox L, et al. Economic evaluation and cost of interventions
for cerebral palsy: a systematic review. Dev Med Child Neurol.
;60(6):543-58. doi: 10.1111/dmcn.13653
Forthun I, Strandberg-Larsen K, Wilcox AJ, Moster D,
Petersen TG, Vik T, et al. Parental socioeconomic status and
risk of cerebral palsy in the child: evidence from two Nordic
population-based cohorts. Int J Epidemiol. 2018;47(4):
-306. doi: 10.1093/ije/dyy139
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Marcus Valerius da Silva Peixoto, Andrezza Marques Duque, Susana de Carvalho, Társilla Pereira Gonçalves, Ana Paula de Souza Novais, Marco Antônio Prado Nunes
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
