Self-reported physical disabilities in children in the Netherlands.
OBJECTIVE
To assess the prevalence of self-reported physical disabilities in school children, through the Child Health Monitoring System.


METHODS
In 1992/1993. data were obtained in mainstream education (n = 5484), and in 1994/1995 in special education (n = 2622). The data were weighted to calculate estimates representative of the Dutch population.


RESULTS
Physical disabilities were reported in 21% [20.9%; 99% confidence interval 20.0-21.8], and 5% [4.7%; 99% confidence interval 4.3-5.2] had a severe disability. Severe physical disabilities were more frequent in the youngest age group, and certain of these disabilities may be related to normal development. In older children, accidents are an important cause of disabilities. Boys had disabilities more often than girls, especially speech disabilities. Disabilities were more common among children whose parents had a low level of education. Only a minority (14%) of the children with a severe disability, reported to be restricted in the daily pursuits.


CONCLUSIONS
Physical disabilities are a common health problem in school children, but they do not usually cause a handicap.
Spee-van der Wekke
J
J
TNO Prevention and Health, Child Health division, Leiden, the Netherlands.
den Ouden
A L
AL
Meulmeester
J F
JF
Radder
J J
JJ
D000203:Activities of Daily Living; D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019988:Children with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D010358:Patient Participation; D011788:Quality of Life; D012042:Registries; D017678:Sex Distribution