{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:10:41Z","timestamp":1784304641675,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the association between the widely used social deprivation index, the Child Adjusted Care Need Index, and healthcare centres with a higher proportion of children with specific health risk factors monitored within the Swedish Child Health Services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on health outcomes and index scores were obtained from the Swedish Child Health Services Register and grouped by healthcare centre. Multiple linear regression analyses were conducted to assess the relationship between index scores and various health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The index partly explained the variation in the proportion of children exposed to second\u2010hand smoke and those who failed language screening. However, associations between the index and the proportions of overweight, obese or non\u2010breastfed children were weak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Child Adjusted Care Need Index may be useful in identifying centres with higher proportions of children at risk for second\u2010hand smoke exposure and failures in language screening. However, it appears less effective in identifying centres with higher proportions of children at risk for overweight, obesity or not being breastfed. This calls for further research on the Child Adjusted Care Need Index and other sociodemographic factors that affect children's health in order to improve resource allocation, guided by the principles of proportionate universalism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70348","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T04:16:26Z","timestamp":1761192986000},"page":"408-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Can the Care Need Index Identify Healthcare Centres With Higher Proportions of Children at Risk?"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2644-4991","authenticated-orcid":false,"given":"Mattias","family":"Wennergren","sequence":"first","affiliation":[{"name":"General Practice\/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Child Health Services Regionh\u00e4lsan  Region V\u00e4stra G\u00f6taland Sweden"},{"name":"Research, Education, Development &amp; Innovation, Primary Health Care Regionh\u00e4lsan  Region V\u00e4stra G\u00f6taland Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7257-8758","authenticated-orcid":false,"given":"Anna","family":"F\u00e4ldt","sequence":"additional","affiliation":[{"name":"Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Grimby\u2010Ekman","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1278-4554","authenticated-orcid":false,"given":"Rajna","family":"Knez","sequence":"additional","affiliation":[{"name":"Gillbergcentrum, Institute of Neuroscience and Physiology Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Child and Adolescent Medicine, Child and Adolescent Psychiatry and Women's Health Skaraborg Hospital, Region V\u00e4stra G\u00f6taland  Sk\u00f6vde Sweden"},{"name":"School of Health Sciences University of Sk\u00f6vde  Sk\u00f6vde Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1060-3676","authenticated-orcid":false,"given":"Sofia","family":"Dalemo","sequence":"additional","affiliation":[{"name":"General Practice\/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Research, Education, Development &amp; Innovation, Primary Health Care Regionh\u00e4lsan  Region V\u00e4stra G\u00f6taland Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2016.04.055"},{"key":"e_1_2_11_3_1","volume-title":"Sweden: Health System Review","author":"Janl\u00f6v N.","year":"2023"},{"key":"e_1_2_11_4_1","unstructured":"National Board of Health and Welfare \u201cV\u00e4gledning f\u00f6r Barnh\u00e4lsov\u00e5rden \u201d(In Swedish) (2014) 172 http:\/\/www.socialstyrelsen.se\/Lists\/Artikelkatalog\/Attachments\/19403\/2014\u20104\u20105.pdf."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.26633\/RPSP.2020.110"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2018-314808"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493512450624"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001805"},{"key":"e_1_2_11_9_1","unstructured":"The Public Health Agency of Sweden \u201cHur m\u00e5r sm\u00e5 Barn i Sverige? 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