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The aim of the study is to analyze the situation with child disability in the Poltava region for 2018–2022, investigate its main trends, and analyze the structure of the causes that lead to children's disabilities. Materials and Methods. The study design is descriptive. The conducted study involved methods of social medicine: medical-statistical and structural-logical analysis. The statistical data of the State Statistics Service of Ukraine were taken as the study materials. To obtain results, calculations of generally accepted indicators (disability, primary disability, specific gravity) and analysis of statistical series was carried out. Results. It was established that during the studied period, the level of disability in the child population in the Poltava region was higher than the national level and it remains relatively stable (from 228.28 per 10,000 children in 2018 to 228.96 per 10,000 children in 2022). At the same time, the level of primary disability of the child population during the study period was lower than the national level and showed a downward trend (from 23.98 per 10,000 children in 2018 to 20.57 per 10,000 children in 2022). The gender structure of both indicators showed that the specific weight of boys was higher than that of girls, and there was also an increase in the level of indicators among boys and a decrease among girls. The main causes of disability in the Poltava region were congenital anomalies (26.26%), mental and behavioral disorders (23.45%), diseases of the endocrine system (12.99%), which corresponded to the structure of the disability causes in Ukraine. Regarding primary disability, the main reasons were mental disorders (30.60%, a gradual increase in specific gravity is observed), endocrine problems (18.32%), and congenital anomalies (17.46%). Conclusions. During the studied period, there was a trend towards an increase in primary disability. In the structure of disability and primary disability, an increase in the specific weight of boys was observed. In the structure of disability, the first place was occupied by mental disorders, and during the studied period, there was a tendency to increase. In the Poltava region, in contrast to Ukraine, endocrine problems take the second place. Based on such a picture, it can be concluded that in order to improve children's health, attention should be paid to the psychological health of children and the preventive component of risk factors should be strengthened.
The aim of the study is to analyze the situation with child disability in the Poltava region for 2018–2022, investigate its main trends, and analyze the structure of the causes that lead to children's disabilities. Materials and Methods. The study design is descriptive. The conducted study involved methods of social medicine: medical-statistical and structural-logical analysis. The statistical data of the State Statistics Service of Ukraine were taken as the study materials. To obtain results, calculations of generally accepted indicators (disability, primary disability, specific gravity) and analysis of statistical series was carried out. Results. It was established that during the studied period, the level of disability in the child population in the Poltava region was higher than the national level and it remains relatively stable (from 228.28 per 10,000 children in 2018 to 228.96 per 10,000 children in 2022). At the same time, the level of primary disability of the child population during the study period was lower than the national level and showed a downward trend (from 23.98 per 10,000 children in 2018 to 20.57 per 10,000 children in 2022). The gender structure of both indicators showed that the specific weight of boys was higher than that of girls, and there was also an increase in the level of indicators among boys and a decrease among girls. The main causes of disability in the Poltava region were congenital anomalies (26.26%), mental and behavioral disorders (23.45%), diseases of the endocrine system (12.99%), which corresponded to the structure of the disability causes in Ukraine. Regarding primary disability, the main reasons were mental disorders (30.60%, a gradual increase in specific gravity is observed), endocrine problems (18.32%), and congenital anomalies (17.46%). Conclusions. During the studied period, there was a trend towards an increase in primary disability. In the structure of disability and primary disability, an increase in the specific weight of boys was observed. In the structure of disability, the first place was occupied by mental disorders, and during the studied period, there was a tendency to increase. In the Poltava region, in contrast to Ukraine, endocrine problems take the second place. Based on such a picture, it can be concluded that in order to improve children's health, attention should be paid to the psychological health of children and the preventive component of risk factors should be strengthened.
Introduction. The spread of non-communicable diseases among pediatric population focuses attention of the scientific community on the search for effective mechanisms for early diagnostic of diseases and the introduction of appropriate preventive measures. According to the Center for Medical Statistics, the prevalence of diseases among adolescents is 2177.7 ‰ (in 2017), which may indicate the presence of several diseases in one adolescent and includes preventive measures to the category of immediate. The aim is to determine syntropic diseases and morpho-functional disorders among school-age children at the stages of medical preventive examinations. Materials and methods: M. von Pfaundler’s formula was used to calculate the index of syntropy (joint manifestation of diseases) on the basis of data from the evaluation of medical examinations of students during studying, at first to ninth grades. An index above 3.0 was chosen for analysis, which indicates a high syntropy of diseases. Syntropy indices are calculated for boys and girls. Results. The method of determining syntropic diseases is widely used by the Ukrainian scientific community [3, 4, 5]. The results of the study showed common syntropic combinations with a high index of syntropy throughout the period of study in primary and secondary school. Inherent for the boys were: functional disorders of the biliary tract, hypertrophy of the tonsils, posture disorders or functional weakness of the feet. For girls, common combinations were functional disorders of the biliary tract, hypertrophy of the tonsils and disorders of the neurological spectrum (neurasthenia, cerebrospinal fluid hypertension, vegetative - vascular dystonia). «Marker» diseases that require an expansion of the range of diagnostic and preventive measures for girls are FRBT, deviations of the nervous system. For boys with functional disorders of the biliary tract, puberty, or musculoskeletal disorders, additional diagnostic measures are required. Conclusions. The current Order of the Ministry of Health of Ukraine on medical care for students of general secondary education (medical preventive examinations) provides only examination by a pediatrician, other specialists - according to the indications. Therefore, given the high syntropy of certain diseases, it is advisable to focus the attention of primary care professionals in conducting medical preventive examinations among children of primary school years and twelve to thirteen years to identify possible combined pathology and increase the level of knowledge of health professionals in the pre-medical stage of medical preventive examinations in order to identify diseases and morpho-functional abnormalities among school-age children and to introduce timely preventive measures.
A retrospective analysis of modern scientific literature was carried out. An analysis of modern features and trends in the state of the population's health and the influence of a complex of environmental factors on it, including nutrition, was carried out. The data on morbidity of the population of Ukraine according to the statistical collections for 2019–2022 were analyzed, and the health indicators of children of Ukraine were analyzed for the period (2019–2022). Nutrition is one of the environmental factors that directly affects the health of a person of any age. Rational and safe nutrition contributes to the normal growth and development of children, the prevention of diseases, the prolongation of people's lives, the increase in working capacity and provides conditions for their adaptation to the environment. Food is a multicomponent environmental factor containing more than 600 substances necessary for the normal functioning of the human body. Each of these substances occupies a certain place in the complex harmonious mechanism of biochemical processes and contributes to the proper physical development of a person. Unsatisfactory indicators of children's health are an urgent problem today. The steady decline in the number of practically healthy children, the ever-increasing flow of children suffering from chronic pathology and the disabled, is considered by many researchers today as a national tragedy. Analyzing the reasons for unsatisfactory indicators of the health of the population, it is possible to distinguish the influence of the following groups of factors: socio-economic (50%), environmental (20%), genetic (20%), state of medical care (10%). In the last decade, pediatricians, hygienists, and anthropologists have noted with great concern a particularly sharp deterioration in physical development and other criteria of health and motor fitness. Therefore, in our opinion, it is relevant to assess the health indicators of the child population as a prospect for the development of the future of the modern state. This study becomes especially relevant against the background of the incidence and prevalence of childhood diseases in recent years. Keywords: healthy lifestyle, hygienic assessment, diet, quality of life, morbidity, children.
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