Inequalities in provision of the Disability Living Allowance for Down syndrome
2008
Objectives: To assess factors associated with
granting of the Disability Living Allowance (DLA) for
Down syndrome.
Design: Cross Sectional survey.
Setting: Families with a child with Down syndrome
enrolled in a community-based trial of vitamin
supplementation. Participants: 156 children with trisomy 21 (59%
male, 20% non-white) were enrolled before 7 months and
138 completed follow up. Main outcome measures: Before two years old, we
surveyed parents about applications for the DLA and
socioeconomic factors and assessed the child’s
development. Results: Application for the DLA was not
associated with ethnicity or English speaking.
Significantly less ethnic minority parents (OR=0.10; 95%
CI 0.03 to 0.35) and parents with English as a second
language (OR=0.15: 95% CI 0.04 to 0.62) were granted the
DLA. Amongst those granted DLA, ethnic minority families
were significantly less likely to be granted a higher
monetary award (OR= 0.19; 95% CI 0.06 to 0.55). Severity
of disability, reflected by quartile of Griffiths
Developmental Quotient or presence of severe cardiac
disease requiring surgery, was not associated with
application, granting, or level of the DLA award.
Conclusions: Although all children with Down
syndrome meet some of the criteria for the DLA, only 80%
were receiving this benefit. The decision to award DLA
and the monetary level of the award favoured white,
English speaking parents and was not related to severity
of disability. Routine monitoring of awards by ethnicity
and language spoken is needed.
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