• Subjective assessment of children’s health and social determinants of its formation

Subjective assessment of children’s health and social determinants of its formation

SOVREMENNAYA PEDIATRIYA.2018.4(92):44-48; doi 10.15574/SP.2018.92.44

Peresypkina T. V.
SI «Institute for Children and Adolescents Healthcare of the National Academy of Medical Sciences of Ukraine», Kharkiv
Karazin Kharkiv National University, Ukraine

The questionnaire is considered to be an information source on the children's health and well-being, social conditions and behaviour, and may be used for health risk identification and health impairment prevention in the future.
Objective: to determine the factors that effect on health according to the subjective assessment of the health by adolescents.
Material and methods. The questioning of schoolchildren was carried out in compliance with all the requirements of the Helsinki Declaration on the Preservation of Personal Data. The study involved 821 adolescents — pupils of 9–11 grades of general educational institutions of the network of Schools of Health Promotion of two raions in Kharkiv. Depending on the subjective assessment of their own health, all children were divided into two groups: children who consider themselves healthy and do not have complaints about their health; children who have health impairment and can determine which organs or systems malfunction.
Results. Children who had complaints about their health status, demonstrated lower level of the indicator of assistance concerning healthy lifestyles from teachers, parents, as well as greater proportion of those who were not provided with such an assistance at all. Children who had different diseases were less aware of the impact of bad habits on health and had a more positive attitude towards tobacco and alcohol advertising; these children had a low level of physical activity; spent lots of their free time in disco clubs; less involved in public life; more often had mother or all family members smokers of tobacco. According to the questionnaire, children with unsatisfactory health status were more dissatisfied with the relationships in the family, in the school, the quality of teaching in it, did not want to receive new information about health-oriented behaviour. Predominantly adolescents had complaints of nervous system, visual organs, gastrointestinal, musculoskeletal and respiratory disorders. Almost a fifth of the interviewed schoolchildren had complaints about dysfunction of two or more body systems.
Conclusions. Depending on the subjective assessment of health, differences in the way of schoolchildren's life, the role of the family in the formation of health-oriented behaviour and the attitude towards bad habits, and the need of schoolchildren to receive assistance were revealed. Identified problem issues are useful for the development of model or health level assessment criteria of the training team.
Key words: health of schoolchildren, lifestyle, social determinants of health, prevention, questionnaire.

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