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학술저널
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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제59권 제6호
발행연도
2018.1
수록면
781 - 786 (6page)

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Purpose: Cerebral palsy (CP) is a neurodevelopmental disorder that causes serious disability. Prematurity and low birth weight(LBW) are known to be the strongest risk factors of CP. While socioeconomic status (SES) has been found to influence the occurrenceof CP, prematurity, and LBW, no studies have investigated this effect in Korea. The aim of this study was to evaluate the incidenceof CP, prematurity, and LBW in Korea, as well as the effect of SES thereon. Materials and Methods: Data were obtained from the National Health Information Database from 2007 to 2013; persons with ahistory of CP, prematurity, and LBW were investigated by year. SES was defined in accordance with income quintiles, birth regions,and coverage classification. Results: The incidence of CP decreased over the last five years, despite increased rates of prematurity and LBW. CP incidence wassignificantly lower in affluent groups than in the most deprived group, although this difference disappeared after controlling forconfounders. The incidence of CP was significantly higher in medical aid beneficiaries, even after controlling for confounders. Conclusion: CP incidence in Korea has decreased over the last five years, despite an increase in high-risk deliveries. Income levelhad no effect in CP incidence. These results may aid CP management and prevention policies.

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