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The role of socioeconomic determinants in children’s health

dc.contributor.authorRusso, Tânia
dc.contributor.authorPereira, João
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblKarger
dc.date.accessioned2025-06-06T21:17:03Z
dc.date.available2025-06-06T21:17:03Z
dc.date.issued2025
dc.descriptionPublisher Copyright: © 2025 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.
dc.description.abstractAfter many years of being portrayed as a major achievement of the health service, child health in Portugal has recently come under scrutiny after an increase in infant deaths. Commentators have pointed to unequal access to healthcare and poorly monitored pregnancies of migrant mothers as possible causes. In this context, we revisit the socioeconomic determinants of children’s health, reflecting on how various factors such as parental income and education, immigration, ethnicity, and social policies exert their influence on child health. Socioeconomic determinants have long been recognised, but their importance is often overlooked in the field of child health. The authors discuss theoretical approaches such as the worlds of influence framework proposed by UNICEF and consider various pathways through which socioeconomic determinants shape children’s health, namely, the so-called material, psychological, behavioural, and structural pathways. The authors then move on to consider the empirical literature, drawing attention to factors such as life course, socioeconomic disadvantage, deprived neighbourhoods, poverty and income, household and family characteristics, parental education, ethnic diversity, and immigration. Finally, policy implications are considered, with the authors arguing that a multisectoral and coordinated approach, embracing both social and public health interventions, is required. Guaranteeing universal access to services that promote healthy early child development – including early childcare and education and efforts to reduce childhood poverty – is central to promoting equity. Classic public health policies, such as health surveillance and prevention programs, especially targeted at the preconception period, gestation, and childhood, are also important. In geographical areas with a strong immigrant presence, specific programs designed to facilitate integration should be available. If we are to improve child health and make sure that none are left behind, we need to focus attention on a broad range of socioeconomic determinants.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent488948
dc.identifier.doi10.1159/000545167
dc.identifier.issn2504-3137
dc.identifier.otherPURE: 118028086
dc.identifier.otherPURE UUID: a22d6762-106a-4333-aa1d-5a55c06a4684
dc.identifier.otherScopus: 105004426163
dc.identifier.otherPubMed: 40330146
dc.identifier.otherPubMedCentral: PMC12052372
dc.identifier.otherWOS: 001479275400001
dc.identifier.urihttp://hdl.handle.net/10362/183979
dc.identifier.urlhttps://www.scopus.com/pages/publications/105004426163
dc.language.isomul
dc.peerreviewedyes
dc.subjectChild health
dc.subjectEthnic and racial minorities
dc.subjectHealth inequities
dc.subjectSocial determinants of health
dc.subjectSocioeconomic disparities in health
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 10 - Reduced Inequalities
dc.titleThe role of socioeconomic determinants in children’s health
dc.title.alternativeO papel dos determinantes socioeconómicos na saúde das criançasen
dc.typeother
degois.publication.firstPage112
degois.publication.issue2
degois.publication.lastPage120
degois.publication.titlePortuguese Journal of Public Health
degois.publication.volume43
dspace.entity.typePublication
rcaap.rightsopenAccess

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