The Impact of Cleft Lip/Palate and Surgical Intervention on Adolescent Life Outcomes

被引:1
作者
Wydick, Bruce [1 ,2 ,3 ]
Zahid, Mustafa [4 ]
Manning, Sam [5 ]
Maller, Jeremiah [6 ]
Evsanaa, Kira [7 ]
Skjoldhorne, Susann [8 ]
Bloom, Matthew [9 ]
Das, Abhishek [10 ]
Deshpande, Gaurav [10 ]
机构
[1] Univ San Francisco, 2130 Fulton St, San Francisco, CA 94117 USA
[2] Ctr Effect Global Act CEGA, Berkeley, CA 94720 USA
[3] Univ Notre Dame, Notre Dame, IN 46556 USA
[4] Stanford Univ, Ctr Food Secur & Environm, Stanford, CA 94305 USA
[5] OpenResearch, Bethesda, MD USA
[6] Apple Comp Inc, Cupertino, CA USA
[7] Capital One, San Francisco, CA USA
[8] WestEd, San Francisco, CA USA
[9] Univ Notre Dame, Mendoza Coll Business, Notre Dame, IN 46556 USA
[10] Mahatma Gandhi Med Coll, Pondicherry, India
关键词
LIP; CHILDREN; INFANTS; ANXIETY;
D O I
10.5334/gogh.3679
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Cleft lip/palate (CLP) is a congenital orofacial anomaly appearing in approximately one in 700 births worldwide. While in high-income countries CLP is normally addressed surgically during infancy, in developing countries CLP is often left unoperated, potentially impacting multiple dimensions of life quality. Previous research has frequently compared CLP outcomes to those of the general population. But because local environmental and genetic factors contribute to the risk of CLP and also may influence life outcomes, such studies may downwardly bias estimates of both CLP status and correction. Objectives: This research represents the first study to use causal econometric methods to estimate the effects of both CLP status and CLP correction on the physical, social, and mental well-being of children. Methods: Data were collected first-hand from 1,118 Indian children, where we obtained first-hand data on height, weight, grip strength, cognitive ability, reading, and math ability. A professional speech therapist reviewed digital recordings of speech taken at the interview to obtain four measures of speech quality. Using this data, the household fixed-effects model we employ jointly estimates effects of CLP status and CLP surgical intervention.
引用
收藏
页数:16
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