Health inequalities in childhood diseases: temporal trends in the inter-crisis period

Since 2008, children in Catalonia (Spain) have suffered a period of great economic deprivation. This situation has generated broad-ranging health inequalities in a variety of diseases. It is not known how these inequalities have changed over time. The aim of the present study is to determine trends...

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Published in:International journal for equity in health 2024-04, Vol.23 (1), p.76-76, Article 76
Main Authors: Carrilero, Neus, García-Altés, Anna
Format: Article
Language:English
Subjects:
Adverse events
Age
Analysis
Anxiety
Boys
Child
Childhood
Children
Children & youth
Childrens health
Congenital anomalies
Congenital defects
Demographic aspects
Deprivation
Disease
Diseases
Disorders
Economic aspects
Emotions
Epidemiology
Girls
Guardians
Health care disparities
Health disparities
Health inequalities
Health services
Health status
Inequalities
Inequality
Longitudinal studies
Mental disorders
Mental health
Mood
Obesity
Payment systems
Pharmaceuticals
Poisoning
Policy making
Population studies
Regression analysis
Regression models
Sex
Social aspects
Social exclusion
Social security
Sociodemographics
Socioeconomic factors
Time
Time trends (Statistics)
Trends
Variables
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description Since 2008, children in Catalonia (Spain) have suffered a period of great economic deprivation. This situation has generated broad-ranging health inequalities in a variety of diseases. It is not known how these inequalities have changed over time. The aim of the present study is to determine trends in inequalities over this period in ten relevant diseases in children according to sex and age. A retrospective cross-sectional population-based study of all children under 15 years old resident in Catalonia during the 2014-2021 period (over 1.2 million children/year) and of their diagnoses registered by the Catalan Health System. Health inequalities were estimated by calculating the relative index of inequality and time trends using logistic regression models. Interaction terms were added to test for the effects of sex on time trends. Increasing significant temporal trends in inequalities were shown for both sexes in almost all the diseases or adverse events studied (asthma, injuries, poisoning, congenital anomalies, overweight and obesity), in mood disorders in boys, and in adverse birth outcomes in girls. Adjustment and anxiety and mood disorders in girls showed a decreasing temporal trend in inequalities. More than half of the diseases and adverse events studied experienced significant annual increases in inequality. Poisoning stood out with an average annual increase of 8.65% [4.30, 13.00], p ≤ 0.001 in boys and 8.64% [5.76, 11.52], p ≤ 0.001) in girls, followed by obesity with increases of 5.52% [4.15, 6.90], p =  
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subjects Adverse events
Age
Analysis
Anxiety
Boys
Child
Childhood
Children
Children & youth
Childrens health
Congenital anomalies
Congenital defects
Demographic aspects
Deprivation
Disease
Diseases
Disorders
Economic aspects
Emotions
Epidemiology
Girls
Guardians
Health care disparities
Health disparities
Health inequalities
Health services
Health status
Inequalities
Inequality
Longitudinal studies
Mental disorders
Mental health
Mood
Obesity
Payment systems
Pharmaceuticals
Poisoning
Policy making
Population studies
Regression analysis
Regression models
Sex
Social aspects
Social exclusion
Social security
Sociodemographics
Socioeconomic factors
Time
Time trends (Statistics)
Trends
Variables
title Health inequalities in childhood diseases: temporal trends in the inter-crisis period
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