<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452025000200112</article-id>
<article-id pub-id-type="doi">10.1159/000545167</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Role of Socioeconomic Determinants in Children&#8217;s Health]]></article-title>
<article-title xml:lang="pt"><![CDATA[O papel dos determinantes socioeconómicos na saúde das crianças]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Russo]]></surname>
<given-names><![CDATA[Tânia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,NOVA University Lisbon NOVA National School of Public Health ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde Amadora/Sintra Hospital Fernando Fonseca Department of Paediatrics]]></institution>
<addr-line><![CDATA[Amadora ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,NOVA University Lisbon Comprehensive Health Research Center NOVA National School of Public Health, Public Health Research Centre]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>112</fpage>
<lpage>120</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452025000200112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452025000200112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452025000200112&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract After 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&#8217;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&#8217;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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Depois de vários anos a ser retratada como uma história de sucesso, a saúde infantil em Portugal voltou recentemente ao debate público com um ligeiro aumento das mortes infantis. Alguns comentadores apontam, como possíveis causas deste aumento, o acesso desigual a cuidados de saúde e o facto de existirem gravidezes mal vigiadas na população migrante. Neste contexto, revisitamos os determinantes socioeconómicos da saúde das crianças, refletindo sobre como vários factores, tais como o rendimento e educação dos pais, a imigração, a etnia e as políticas sociais exercem a sua influência na saúde infantil. Os determinantes socioeconómicos são reconhecidos há muito tempo, mas a sua importância é frequentemente negligenciada no domínio da saúde infantil. Começa-se por discutir abordagens teóricas como os mundos de influência proposto pela UNICEF e consideram-se vários caminhos através dos quais os determinantes socioeconómicos influenciam a saúde das crianças, nomeadamente materiais, psicológicos, comportamentais e estruturais. De seguida, aborda-se a literatura empírica considerando fatores como trajetórias de vida, desvantagem socioeconómica, bairros carenciados, pobreza e rendimento, atributos familiares, educação dos pais, diversidade étnica e imigração. Por fim, o trabalho debruça-se sobre as implicações políticas, defendendo que é necessária uma abordagem multissetorial e coordenada, abrangendo intervenções sociais e de saúde pública. Garantir o acesso universal a serviços que promovam o desenvolvimento saudável da primeira infância - incluindo educação e cuidados na primeira infância, bem como esforços para reduzir a pobreza infantil - é fundamental para promover a equidade. Políticas clássicas de saúde pública, como programas de vigilância e prevenção em saúde, especialmente direcionadas para o período pré-concecional, gravidez e infância, são também importantes. Em áreas geográficas com forte presença de imigrantes, devem estar disponíveis programas específicos concebidos para facilitar a sua integração. Se queremos melhorar a saúde infantil e garantir que nenhuma criança é deixada para trás, precisamos de concentrar a atenção num conjunto alargado de determinantes socioeconómicos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Social determinants of health]]></kwd>
<kwd lng="en"><![CDATA[Child health]]></kwd>
<kwd lng="en"><![CDATA[Health inequities]]></kwd>
<kwd lng="en"><![CDATA[Socioeconomic disparities in health]]></kwd>
<kwd lng="en"><![CDATA[Ethnic and racial minorities]]></kwd>
<kwd lng="pt"><![CDATA[Determinantes sociais da saúde]]></kwd>
<kwd lng="pt"><![CDATA[Saúde das crianças]]></kwd>
<kwd lng="pt"><![CDATA[Iniquidades em saúde]]></kwd>
<kwd lng="pt"><![CDATA[Desigualdades soioeconómicas em saúde]]></kwd>
<kwd lng="pt"><![CDATA[Minorias étnicas e raciais]]></kwd>
</kwd-group>
</article-meta>
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