Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
J Intellect Disabil Res. 2020 Apr;64(4):303-310. doi: 10.1111/jir.12720. Epub 2020 Jan 29.
Mothers with intellectual and developmental disabilities (IDD) experience socio-economic and health disparities which could impact their offspring's health care utilisation. We systematically reviewed evidence on health care utilisation in infants and young children of women with and without IDD.
MEDLINE, EMBASE, CINAHL, and PsycINFO were searched from inception to October 2019 for studies examining preventive care, immunisations, emergency department visits, and hospitalisations. Data extraction and quality assessment were performed using standardised tools. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were generated using random effects models for outcomes with data available from ≥3 studies.
Four articles describing three cohort studies and one cross-sectional study met our criteria. Maternal IDD status was associated with increased neonatal intensive care unit admission rates (pooled OR 2.03; 95% CI 1.31, 3.13). There were no differences in immunisation rates or hospitalisations.
Few studies have examined the impact of maternal IDD status on health care utilisation in their infants and young children. More high-quality studies are needed.
智力和发育障碍（IDD）的母亲面临社会经济和健康方面的差距，这可能会影响其子女的医疗保健利用。我们系统地回顾了关于 IDD 母亲及其子女的婴儿和幼儿的医疗保健利用的证据。
从建库到 2019 年 10 月，我们在 MEDLINE、EMBASE、CINAHL 和 PsycINFO 上搜索了检查预防保健、免疫接种、急诊就诊和住院治疗的研究。使用标准化工具进行数据提取和质量评估。对于有≥3 项研究提供数据的结局，使用随机效应模型生成汇总优势比（OR）和 95%置信区间（CI）。
符合标准的有 4 篇文章描述了 3 项队列研究和 1 项横断面研究。母亲的 IDD 状况与新生儿重症监护病房入院率增加有关（汇总 OR 2.03；95%CI 1.31，3.13）。免疫接种率或住院率没有差异。
很少有研究检查了母亲 IDD 状况对其婴儿和幼儿医疗保健利用的影响。需要更多高质量的研究。
