The role of migration and choice of denominator on the prevalence of cerebral palsy

Authors

  • Kim Van Naarden Braun,

    Corresponding author
    • Developmental Disabilities Branch, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
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  • Matthew J Maenner,

    1. Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
    2. Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, USA
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  • Deborah Christensen,

    1. Developmental Disabilities Branch, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
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  • Nancy S Doernberg,

    1. Developmental Disabilities Branch, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
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  • Maureen S Durkin,

    1. Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
    2. Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, USA
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  • Russell S Kirby,

    1. Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA
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  • Marshalyn Yeargin-Allsopp

    1. Developmental Disabilities Branch, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Correspondence to Dr Kim Van Naarden Braun, 1600 Clifton Road MS E-86, Atlanta, GA 30333, USA. E-mail: kbn5@cdc.gov

Abstract

Aim

Differential migration and choice of denominator have been hypothesized to contribute to differences between period prevalence and birth prevalence of cerebral palsy (CP). The purpose of this study was to evaluate the effects of migration and choice of denominator on the prevalence of CP.

Method

Data from the Metropolitan Atlanta Developmental Disabilities Surveillance Program and census and birth certificate files were used to calculate various CP prevalence estimates for 2000.

Results

The overall CP period prevalence was 3.2 (95% confidence interval [CI] 2.7–3.8) per 1000 8-year-olds and was similar for those born in Atlanta who resided there at age 8 years (3.3; 95% CI 2.7–4.1) and those born outside Atlanta who moved into Atlanta by age 8 years (3.0; 95% CI 2.3–3.9). CP prevalence in these two migration strata was similar by sex and race/ethnicity. CP birth prevalence of 8-year-olds in Atlanta in 2000 was 2.0 (95% CI 1.6–2.5) per 1000 live births in 1992.

Interpretation

The authors found no evidence to support the hypothesis that differential in-migration explained higher period than birth prevalence of CP in Atlanta. Comparability of CP prevalence across geographic areas will be enhanced if future studies report both period and birth prevalence.

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