Families of adolescents and young adults with complex chronic conditions: socioeconomic impact after ten years.
Fernanda Yeza Ferreira, Francisco Figueiredo Netto, Mariane Caetano Sulino-Gonçalves and 2 others
PMID 41417383WHAT IT FOUND
Among 24 families, household income did not change significantly over ten years, but household size rose by 18% and public-private health coverage fell by 50%.
Key findings
01Household income in reais and in minimum wages did not differ significantly between 2012 and 2022.
02Household size increased by an estimated 18% after ten years (p = 0.04).
03Mixed public and private health insurance coverage fell by 50%, and exclusive public coverage increased.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 24 mothers or caregivers were studied, which was about 20% of the original group, so the findings may not represent all families. Many original families were not included because the child had died, the condition resolved, the family declined, or contact could not be made. The interviews included only 12 mothers, so the qualitative themes come from a small subset. The study looked only at mothers or caregivers, not at the adolescents or young adults themselves. It describes what happened over ten years in one Brazilian municipality; it does not test any treatment or care model. The study was conducted near the end of the pandemic emergency period, which may have affected household finances and healthcare access.
Declared interests
Funded in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The article does not report a conflict-of-interest declaration.
The easy way to misread this
Do not conclude that these families became financially stable over ten years. Household income did not change significantly, and household size increased, so per capita purchasing power was under strain.