Child Health Systems in Sweden

Wettergren, Björn; Blennow, Margareta; Hjern, Anders; Söder, Olle; Ludvigsson, Jonas F.

doi:10.1016/j.jpeds.2016.04.055

Cited by 98 publications

(122 citation statements)

References 20 publications

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“…In Sweden, patients with childhood‐onset IBD are treated by paediatric gastroenterologists until the age of 18 years while adult IBD patients are followed up by gastroenterologists . Sweden is a high‐income country with publicly funded healthcare including both in‐patient and out‐patient care as well as medications available at low cost for all residents.…”

Section: Methodsmentioning

confidence: 99%

Adult height in patients with childhood‐onset inflammatory bowel disease: a nationwide population‐based cohort study

Mouratidou

Malmborg

Sachs

et al. 2020

Aliment Pharmacol Ther

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Summary Background Growth retardation is well described in childhood‐onset inflammatory bowel disease (IBD). Aims To study if childhood‐onset IBD is associated with reduced final adult height. Methods We identified 4201 individuals diagnosed with childhood‐onset IBD 1990‐2014 (Crohn's disease: n = 1640; ulcerative colitis: n = 2201 and IBD‐unclassified = 360) in the Swedish National Patient Register. Results Patients with IBD attained a lower adult height compared to reference individuals (adjusted mean height difference [AMHD] −0.9 cm [95% CI −1.1 to −0.7]) and to their healthy siblings (AMHD −0.8 cm [−1.0 to −0.6]). Patients with Crohn’s disease (CD) were slightly shorter than patients with ulcerative colitis (UC; −1.3 cm vs −0.6 cm). Lower adult height was more often seen in patients with pre‐pubertal disease onset (AMHD −1.6 cm [−2.0 to −1.2]), and in patients with a more severe disease course (AMHD −1.9 cm, [−2.4 to −1.4]). Some 5.0% of CD and 4.3% of UC patients were classified as growth retarded vs 2.5% of matched reference individuals (OR 2.42 [95% CI 1.85‐3.17] and 1.74 [1.36‐2.22] respectively). Conclusion Patients with childhood‐onset IBD on average attain a slightly lower adult height than their healthy peers. Adult height was more reduced in patients with pre‐pubertal onset of disease and in those with a more severe disease course.

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Section: Methodsmentioning

confidence: 99%

Adult height in patients with childhood‐onset inflammatory bowel disease: a nationwide population‐based cohort study

Mouratidou

Malmborg

Sachs

et al. 2020

Aliment Pharmacol Ther

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“…In Sweden, the social welfare system ensures free access to universal child health care with routine screening for developmental delays (Idring et al 2012) and comprehensive assessment for ASD . Regular routine check-ups and vaccinations are conducted at Child Health Centers (CHCs) covering almost 99% of all children in Sweden (Wettergren et al 2016). If a young child is suspected for ASD during routine screening, the child is referred to specialized Child and Adolescent Psychiatry Clinics (CAPCs) for further diagnostic assessment.…”

Section: Overview Of Supports and Services For Children With Asd In Smentioning

confidence: 99%

Needs of Grandparents of Preschool-Aged Children with ASD in Sweden

Engstrand

Roll-Pettersson

Westling

et al. 2019

J Autism Dev Disord

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Little is known about needs of grandparents of young children with autism in family and community settings. This study investigated perceived needs of grandparents of preschool-aged children diagnosed with ASD in the cultural context of Sweden. Participants were 120 grandparents of children enrolled into autism intervention programs provided by the public disability services in Stockholm. The Grandparents' Needs Survey and the SDQ Impact supplement were used to collect data. Grandparents expressed most needs in topic areas of information and childcare. No significant relations were found between grandparents' demographics and perceptions of needs; grandparents' needs were predicted by their perceived burden. The findings provide insight into understanding of grandparents' needs essential for planning and provision of quality family-centered early intervention services.

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“…Briefly, families were recruited randomly when parents visited a local child health‐care centre (CHC) for their child's 8‐month check‐up. The CHCs, financed by the counties, offer routine health check‐ups to children aged 0–6 years free of charge and cover almost all children (99%) in Sweden . Families with at least one parent with obesity (body mass index (BMI) of at least 30 kg/m 2 ), or two parents with overweight (BMI of 25–29.9 kg/m 2 ), were recruited to the high obesity risk group (high‐risk) ( n = 181).…”

Section: Methodsmentioning

confidence: 99%

“…The CHCs, financed by the counties, offer routine health check-ups to children aged 0-6 years free of charge and cover almost all children (99%) in Sweden. 12 Families with at least one parent with obesity (body mass index (BMI) of at least 30 kg/m 2 ), or two parents with overweight (BMI of 25-29.9 kg/m 2 ), were recruited to the high obesity risk group (high-risk) (n = 181). Families with two normal-weight parents (BMI of 18-24.9 kg/m 2 ) were recruited to the low obesity risk group (low-risk) (n = 57).…”

Section: Methodsmentioning

confidence: 99%

Development of sleep patterns in children with obese and normal‐weight parents

Xiu

Hagströmer

Bergqvist-Norén

et al. 2018

J Paediatrics Child Health

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AimTo study the sleep development and sleep characteristics in children at different obesity risks, based on parental weight, and also to explore their weekday–weekend sleep variations and associated family factors.MethodsA total of 145 children participating in a longitudinal obesity prevention project were included, of which 37 had normal‐weight parents (low obesity risk), and 108 had overweight/obese parents (high obesity risk). Sleep diaries at ages 1 and 2 years were used to study sleep development in children at different obesity risks. Objectively assessed sleep using an accelerometer at 2 years of age was used to analyse weekday–weekend sleep variations.ResultsThere was no difference in sleep development from age 1 to age 2 among children at different obesity risks, but more children in the high‐risk group had prolonged sleep onset latency and low sleep efficiency. At 2 years of age, children in the high‐risk group had more weekday–weekend variation in sleep offset (mean difference 18 min, 95% confidence interval (CI) 4–33 min), midpoint of sleep (mean difference 14 min, 95% CI 3–25 min) and nap onset (mean difference 42 min, 95% CI 10–74 min) than children in the low‐risk group, after adjusting for other family factors. However, no difference could be detected between groups in weekday–weekend variation in sleep duration.ConclusionsUnfavourable sleep characteristics, as well as more variation in sleep schedules, have been observed in children at high obesity risk. While the differences were relatively small, they may reflect the unfavourable sleep hygiene in families at high obesity risk.

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Child Health Systems in Sweden

Cited by 98 publications

References 20 publications

Adult height in patients with childhood‐onset inflammatory bowel disease: a nationwide population‐based cohort study

Adult height in patients with childhood‐onset inflammatory bowel disease: a nationwide population‐based cohort study

Needs of Grandparents of Preschool-Aged Children with ASD in Sweden

Development of sleep patterns in children with obese and normal‐weight parents

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