{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:20:32Z","timestamp":1758043232129,"version":"3.44.0"},"reference-count":55,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the relationship between household poverty, inequality, and disability among children in rural Bangladesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a matched case\u2013control study in Shahjadpur, northern Sirajganj, Bangladesh. Children aged younger than 18\u2009years with disabilities (i.e. cases: those with cerebral palsy, spina bifida, hydrocephalus, muscular dystrophy, spinal cord injury, amputation, club foot, cleft lip or palate, trauma or burn\u2010related injury or impairment, congenital deformity, genetic condition, and visual, hearing, and speech impairments) and age\u2010, sex\u2010, and location\u2010matched children without disabilities (i.e. controls) were recruited. Cases were identified using the key informant method. Household poverty likelihood and socioeconomic status (SES) were assessed using a validated poverty scorecard. Descriptive and inferential analyses were completed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between October 2017 and February 2018, 1274 cases and 1303 controls were recruited (median age at assessment 9\u2009years 10\u2009months [interquartile range 6\u2009years 0\u2009months\u201313\u2009years 7\u2009months] and 9\u2009years 10\u2009months [5\u2009years 8\u2009months\u201312\u2009years 0\u2009months] respectively). The household poverty likelihood was 7% higher among cases than controls (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Parental employment, family income, and school enrolment rate were significantly lower among cases than controls especially in the families with low SES. Both underweight and stunting were significantly higher among cases than controls (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 for both). Receipt of rehabilitation services and health\u2010care seeking from formal sectors were significantly lower among cases from families with low SES than high SES (60% vs. 71%, <jats:italic>p<\/jats:italic>\u2009=\u20090.03; 10% vs. 33%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Our findings are crucial to develop interventions and reduce the inequalities between children with and without disabilities in low\u2010resource settings such as Bangladesh as highlighted in the global agenda of the Sustainable Development Goals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.16272","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T05:39:36Z","timestamp":1741757976000},"page":"1315-1330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Childhood disabilities, household poverty, and inequality: A population\u2010based case\u2013control study in rural Bangladesh"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7077-3146","authenticated-orcid":false,"given":"Israt","family":"Jahan","sequence":"first","affiliation":[{"name":"CSF Global  Dhaka Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD) University of South Asia  Dhaka Bangladesh"},{"name":"School of Health, Medical and Applied Sciences Central Queensland University  Rockhampton QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1480-8409","authenticated-orcid":false,"given":"Tasneem","family":"Karim","sequence":"additional","affiliation":[{"name":"CSF Global  Dhaka Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD) University of South Asia  Dhaka Bangladesh"},{"name":"Discipline of Child and Adolescent Health, Sydney Medical School The University of Sydney  Sydney NSW 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Imam","sequence":"additional","affiliation":[{"name":"CSF Global  Dhaka Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD) University of South Asia  Dhaka Bangladesh"},{"name":"School of Health, Medical and Applied Sciences Central Queensland University  Rockhampton QLD Australia"},{"name":"Central Queensland Public Health Unit Central Queensland Hospital and Health Service  Rockhampton QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Muhit","sequence":"additional","affiliation":[{"name":"CSF Global  Dhaka Bangladesh"},{"name":"Asian Institute of Disability and Development (AIDD) University of South Asia  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Badawi","sequence":"additional","affiliation":[{"name":"Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health,\u2009Sydney Medical School, Faculty of Medicine and Health The 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