Prevalence of children with special healthcare needs: An epidemiological survey in Brazil

dc.creatorArrué, Andrea Moreira
dc.creatorHökerberg, Yara Hahr Marques
dc.creatorJantsch, Leonardo Bigolin
dc.creatorGama, Silvana Granado Nogueira da
dc.creatorOliveira, Raquel de Vasconcellos Carvalhaes de
dc.creatorOkido, Aline Cristiane Cavicchioli
dc.creatorCabral, Ivone Evangelista
dc.creatorLima, Regina Aparecida Garcia de
dc.creatorNeves, Eliane Tatsch
dc.date2022-11-16T18:10:05Z
dc.date2022-11-16T18:10:05Z
dc.date2022
dc.date.accessioned2023-09-26T20:28:23Z
dc.date.available2023-09-26T20:28:23Z
dc.identifierARRUÉ, Andrea Moreira et al. Prevalence of children with special healthcare needs: An epidemiological survey in Brazil. Journal of pediatric nursing, v. 67, p. 95-101, 2022.
dc.identifier0882-5963
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/55641
dc.identifier10.1016/j.pedn.2022.08.013
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8857674
dc.descriptionPurpose: We aimed to estimate the prevalence and delineate the profile of children with special healthcare needs (CSHCN) in the three municipalities of Brazil's southern and southeastern regions from 2015 to 2017. Design and methods: This cross-sectional study included 6853 children aged 0-11 years. Participants were selected through complex sampling in 32 primary healthcare units. The Brazilian version of the Children with Special Healthcare Needs Screener© and a questionnaire were used to identify sociodemographic and family characteristics, health status, and health services utilization. Simple and multiple logistic regression models were used to evaluate the association between family and child characteristics and prevalence (P < 0.05). Results: The prevalence of CSHCN was 25.3% (95% confidence interval: 21.0-30.0). Most participants required health services or were on long-term medication for a current chronic condition; approximately 53% of CSHCN had no formally recorded diagnoses. The most frequent health problems were respiratory conditions, asthma, and allergies. Approximately 60% of the CSHCN patients underwent follow-up examinations of the specialties pneumology, pediatrics, otorhinolaryngology, speech therapy, neurology, and psychology. Children of school age, of male sex, with premature birth, with a history of recurrent hospitalization, from non-nuclear families, and from underprivileged social classes were identified as risk factors for classification as CSHCN. Practice implication: These results contribute to the unprecedented mapping of these children in healthcare networks in Brazil. Conclusion: The high prevalence of CSHCN in medium and large municipalities in the southern and southeastern regions was associated with the child's previous health conditions and family structure.
dc.formatapplication/pdf
dc.languageeng
dc.publisherElsevier
dc.rightsrestricted access
dc.subjectChildren's health
dc.subjectChronic condition
dc.subjectHealth care
dc.subjectHealth surveys
dc.subjectReproducibility of results
dc.titlePrevalence of children with special healthcare needs: An epidemiological survey in Brazil
dc.typeArticle


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