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The impact of socioeconomic inequities and small-area deprivation on child inpatient care

2026-06Artigo científico Acesso aberto
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dc.contributor.authorRusso, Tânia
dc.contributor.authorPereira, João
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2026-08-11T11:22:02Z
dc.date.available2026-08-11T11:22:02Z
dc.date.issued2026-06
dc.descriptionPublisher Copyright: © 2026 by the authors.
dc.description.abstractSocioeconomic inequities are associated with longer length of hospital stay (LOS) and clinical severity in children. This retrospective cross-sectional study analyzes health inequalities and area-level deprivation, focusing on hospitalization indicators, in a suburban pediatric population in Portugal. Pediatric admissions to a local general hospital were analyzed for LOS and admission to intensive care unit (ICU), as well as their relation to socioeconomic factors, over an 8-year period (2014 to 2021), using population-averaged models. Area-level inequalities were measured for the population ranked by civil parishes’ European Deprivation Index. 8016 admissions were included. Health inequalities associated with socioeconomic deprivation were observed, with concentration curves above the diagonal for LOS and admission to ICU and located in urban and densely populated civil parishes. Neonatal age showed the highest mean LOS ratio (MR = 2.29, 95% CI 1.96; 2.67, p < 0.001) and ICU admission odds (OR = 9.25, 95% CI 4.84; 17.68, p < 0.001). Mean LOS ratio was significantly higher for Black ethnicity (MR = 1.19; 95% CI 1.10; 1.28, p < 0.001) and lower maternal education. Odds of admission to ICU was significantly higher for male gender (OR = 1.25, 95% CI 1.01; 1.55, p = 0.048) and mother’s unskilled occupation (OR = 1.66, 95% CI 1.09; 2.53, p = 0.019). Paternal manual skilled occupation demonstrated 17% higher mean LOS ratio (p < 0.001) and 51% higher odds of admission to ICU (p = 0.019). Public policies must be culturally competent and target socioeconomic and geographical deprivation.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1017108
dc.identifier.doi10.3390/ijerph23060767
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 170698493
dc.identifier.otherPURE UUID: af3b23bd-ac43-4269-bf1e-c3d7a40ea358
dc.identifier.otherScopus: 105043000871
dc.identifier.otherPubMed: 42354298
dc.identifier.otherPubMedCentral: PMC13300299
dc.identifier.urihttp://hdl.handle.net/10362/205174
dc.identifier.urlhttps://www.scopus.com/pages/publications/105043000871
dc.language.isoeng
dc.peerreviewedyes
dc.subjectchildren
dc.subjectethnicity
dc.subjecthealth inequities
dc.subjecthospitalization
dc.subjectpediatric intensive care
dc.subjectPortugal
dc.subjectsocial determinants of health
dc.subjectPollution
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectHealth, Toxicology and Mutagenesis
dc.subjectSDG 3 - Good Health and Well-being
dc.titleThe impact of socioeconomic inequities and small-area deprivation on child inpatient careen
dc.title.subtitleevidence from a quantitative study in a vulnerable suburban settingen
dc.typejournal article
degois.publication.issue6
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume23
dspace.entity.typePublication
rcaap.rightsopenAccess

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