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Title: Disability-specific associations with child health and functioning
Authors: Chan, KL 
Lo, CKM 
Ho, FK
Ip, P
Keywords: Child physical disabilities
Learning and developmental disabilities
Intellectual disabilities
Internalizing disorders
Autism spectrum disorder
Health-related quality of life
Child health
Issue Date: 20-Mar-2019
Publisher: Molecular Diversity Preservation International (MDPI)
Source: International journal of environmental research and public health, 20 Mar. 2019, v. 6, no. 6, 1024, p. 1-9 How to cite?
Journal: International journal of environmental research and public health 
Abstract: This study examined the health profile of children with different types of disabilities and explored the disability-specific associations with various types of health and functioning using a large nonclinical sample of children. A cross-sectional school survey was conducted during 2016 and 2017. A total of 4114 children (aged 6–18 years) receiving primary or secondary education, or their proxy, in Hong Kong participated in the study. Disabilities were categorized as (a) physical disabilities; (b) learning and developmental disabilities; (c) intellectual disabilities; (d) internalizing disorders or mental illness; and (e) autism spectrum disorder. Health-related quality of life (QoL), sleep-related QoL, activities of daily living (ADL), emotional functioning, and social functioning were assessed and compared between children with disabilities and those without. The results showed that children with disabilities showed poorer physical functioning, health-related QoL, and emotional and social functioning than their counterparts without disabilities. Disability-specific associations with health were found: (a) physical disabilities and intellectual disabilities were associated with greater difficulties in ADL; (b) language impairment and Attention deficit/ hyperactivity disorder (ADHD) were negatively associated with sleep-related QoL; (c) all types of disabilities but hearing impairment were negatively associated with health-related QoL (HRQoL); and (d) language impairment, ADHD, internalizing disorder, as well as autism spectrum disorder were associated with greater abnormal behavioral difficulties. The findings warrant the development of tailor-made intervention programs and give insights to effective resource allocation for the children in need.
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph16061024
Rights: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
The following publication Chan, K. L., Lo, C. K. M., Ho, F. K., & Ip, P. (2019). Disability-specific associations with child health and functioning. International Journal of Environmental Research and Public Health, 26(6), 1024, 1-9 is available at
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