Publicação
European Deprivation Index and children with Cerebral Palsy: Data from the Portuguese Cerebral Palsy Surveillance Program
| datacite.subject.fos | Ciências Médicas | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| datacite.subject.sdg | 10:Reduzir as Desigualdades | |
| dc.contributor.author | Folha, Teresa | |
| dc.contributor.author | Cadete, Ana | |
| dc.contributor.author | Sousa-Uva, Mafalda | |
| dc.contributor.author | Aniceto, Carlos | |
| dc.contributor.author | Braz, Paula | |
| dc.contributor.author | Calado, Eulália | |
| dc.contributor.author | Alvarelhão, Joaquim | |
| dc.contributor.author | Virella, Daniel | |
| dc.date.accessioned | 2026-03-02T16:13:56Z | |
| dc.date.available | 2026-03-02T16:13:56Z | |
| dc.date.issued | 2025-06 | |
| dc.description.abstract | Introduction: Socioeconomic inequalities have been associated with the severity of cerebral palsy (CP). The European Deprivation Index (EDI) accounts for aggregated ecological effects not yet identified. We describe the association between complexity and etiology of CP and a proxy for socioeconomic inequalities in Portugal. Participants and Methods: The Portuguese National Surveillance of Cerebral Palsy (PNSCP) collects data of 5-to-8-year-old children with CP, born since 2001, following the Surveillance of Cerebral Palsy in Europe (SCPE) datacollection protocol. Official live-birth (LB) statistics and data from children with CP born between 2001-2015, notified until September 2024, were analysed according to the area-level socioeconomic deprivation at birth, using the Portuguese version of the EDI (EDI-PT), categorized in tertiles and measured at municipal level. The CP severity/complexity was classified using the Cerebral Palsy Complexity-Scale (CPC-Scale). Associations were estimated by the odds ratio (OR) with a 95% confidence interval (95%CI). Results: 2,410 registered children with CP were classified according to tertiles of EDI-PT: 481 children in the 1st tertile (20%-CP vs 23%-LB); 591 in the 2nd (25%-CP vs 33%-LB) and 1,338 in the 3d (55%-CP vs 44% LB). Significant associations were observed between the 3rd tertile of EDI-PT and both post-neonatal causes of CP (OR 2.365; CI 1.408, 4.175) and the complexity of CP (OR 1.355; CI 1.029, 1.782). Conclusion: Area-level socioeconomic disadvantage at birth appears to have a positive effect on the odds for more severe/complex CP and the occurrence of post-neonatal cases of CP. Further investigation is needed to better understand these associations. | eng |
| dc.identifier.uri | http://hdl.handle.net/10400.18/11021 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.rights.uri | N/A | |
| dc.subject | Cerebral Palsy | |
| dc.subject | Complexity | |
| dc.subject | Children | |
| dc.subject | Socieconomic Deprivation | |
| dc.subject | Determinantes da Saúde e da Doença | |
| dc.subject | Portugal | |
| dc.title | European Deprivation Index and children with Cerebral Palsy: Data from the Portuguese Cerebral Palsy Surveillance Program | eng |
| dc.type | conference object | |
| dspace.entity.type | Publication | |
| oaire.citation.conferenceDate | 2025-10 | |
| oaire.citation.conferencePlace | Heidelberg, Germany | |
| oaire.citation.title | 4th Triennial Meeting of the International Alliance of Academies of Childhood Disability (IAACD) / 37th Annual Meeting of the European Academy Of Childhood Disability (EACD), 24-28 June 2025 | |
| oaire.version | http://purl.org/coar/version/c_b1a7d7d4d402bcce |