Hygienic assessment of measures aimed at risks reduction and health preservation for children in secondary schools

View or download the full article: 
PDF icon health-risk-analysis-2018-3-14.pdf
UDC: 
613.956: 616.1-02: 614.72
DOI: 
10.21668/health.risk/2018.3.14.eng
Authors: 

V.V. Vasilyev1,2,3, M.V. Perekusikhin4

Organization: 

1Penza State University 40, Krasnaya Str., Penza, 440026, Russian Federation
2Penza Institute for Doctors' Advanced Training, a brunch of Russian Medical Academy for Continuous Occupational Training, the Russian Public Healthcare Ministry, 8а Stasova Str., Penza, 440060, Russian Federation
3 N.N. Burdenko's Penza Regional Clinical Hospital, 28 Lermontova Str., Penza, 440026, Russian Federation
4Federal Service for Surveillance over Consumer Rights Protection and Human Well-being, Penza Regional Office, 35 Lermontova Str., Penza, 440026, Russian Federation

Abstract: 

We questioned 1,064 school students from 5-11 grades and 720 parents of schoolchildren from 1-4 grades and assessed health of 2,512 children and teenagers via comparative examination performed in two secondary schools with similar sanitary-epidemiologic situation in them but different preventive activities accomplished and different medical care provided. The results we obtained via questioning and examination revealed that school children's health is preserved and improved due to targeted development of preventive activities and medical care, better nutrition in school, an increase in physical activities, and a growth in number of children who wish to pursue health-preserving behavior patterns. When a prevention and rehabilitation unit was established in a school it allowed to improve medical care and achieve a substantial decrease in morbidity among school children, first of all, with respiratory organs diseases which were a basic reason for absence from classes. Most children (77.5%) who were made healthier or recovered in school had suffered from respiratory organs diseases.

Improvement of preventive activities aimed at creating health culture and attitudes towards healthy life style had positive influence on children's motivation and formation of such behavior stereotypes that helped to preserve their health. It was confirmed by questioning results as well as by lower levels of common and primary morbidity and better physical development. Share of practically healthy school students without any risk factors (the 1st health group) increased from 5.61% in 2009 to 8.54% in 2017; share of school students who were in the 2nd health group (had functional deviations or ran risks of chronic pathology development) decreased from 86.28 to 83.98% (р < 0.05).

Keywords: 
preventive activities, medical care, school, school children, health, questioning
Vasilyev V.V., Perekusikhin M.V. Hygienic assessment of measures aimed at risks reduction and health preservation for children in secondary schools. Health Risk Analysis, 2018, no. 3, pp. 128–135. DOI: 10.21668/health.risk/2018.3.14.eng
References: 
  1. Mylnikova I.V. Gigienicheskaya otsenka vnutrishkol'noi sredy gorodskikh i sel'skikh obrazovatel'nykh uchrezhdenii [Hygienic assessment of intraschool environment in rural and urban secondary school institute ons]. Gigiena i sanitariya, 2016, vol. 95, no. 12, pp. 1193–1197 (in Russian).
  2. Haverinen-Shaughnessy U., Shaughnessy R. J., Cole E. C., Toyinbo O., Moschandreas D.J. An assessment of indoor environmental quality in schools and its association with health and performance. Building and Environment, 2015, vol. 93
    (part 1), pp. 35–40. DOI: 10.1016/j.buildenv.2015.03.006
  3. Valina S.L., Ustinova O.Yu., Maklakova O.A., Ivashova Yu.A. Sravnitel'naya otsenka funktsional'nogo sostoyaniya serdechno-sosudistoi i vegetativnoi nervnoi sistemy u detei doshkol'nykh obrazovatel'nykh organizatsii obshcherazvivayushchei napravlennosti s razlichnoi napolnya-emost'yu grupp [Comparative evaluation of the functional state of the cardiovascular and the vegetative nervous system in children of general preschool educational establishments with various representation of groups]. Fundamental'nye issledovaniya, 2015, no. 1–7, pp. 1334–1338 (in Russian).
  4. Hrebtova A.Yu., Goreva E.A., Petrenko A.V. Stereotipy pitaniya detei v shkol'nykh kollektivakh [Stereotypes of the children nutrition at school associations]. Uchenye zapiski universiteta im. P.F. Lesgafta, 2015, no. 4, pp. 190–196 (in Russian).
  5. Esaulenko I.E., Nastausheva T.L., Zhdanova O.A., Minakova O.V., Logvinova I.I., Ippolitova L.I. Regulyarnoe pitanie v shkole kak faktor fizicheskogo razvitiya detei i podrostkov: rezul'taty kogortnogo issledovaniya [Regular meals at school as a factor of physical development of children and adolescents: results of a cohort study]. Voprosy sovremennoi pediatrii, 2016, vol. 15, no. 4, pp. 364–370 (in Russian).
  6. Gvozdareva O.V. Rezul'taty issledovaniya vliyaniya dvigatel'noi aktivnosti na zdorov'e shkol'nikov Gorno-Altaiska [Results of investigation of influence of motor performance on the health of schoolchildren of Gorno-Altaisk]. Zdorov'e naseleniya i sreda obitaniya, 2017, vol. 288, no. 3, pp. 47–50 (in Russian).
  7. Van Kann D.H.H., De Vries S.I., Schipperijn J., De Vries N.K., Jansen J.M.W., Kremers S.P., Choolyard J. Character-istics, Physical Activity, and Sedentary Behavior: Combining GPS and Accelerometry. Journal of School Health, 2016, vol. 86, no. 12, pp. 913–921.
  8. Sokolova S.B., Kuchma V.R. Kontseptsiya otsenki kachestva meditsinskoi pomoshchi obuchayushchimsya v obra-zovatel'nykh organizatsiyakh [Framework for quality of the health care in educational organization]. Zdorov'e naseleniya i sreda obitaniya, 2016, vol. 281, no. 8, pp. 8–12 (in Russian).
  9. Kuchma V. R., Makarova A. Yu., Rapoport I. K. Sostoyanie meditsinskogo obespecheniya detei v obrazovatel'nykh or-ganizatsiyakh [Status health care for children in educational institutions]. Voprosy shkol'noi i universitetskoi meditsiny i zdorov'ya, 2017, no. 2, pp. 37–45 (in Russian).
  10. Baranov A.A., Kuchma V.R., Anufrieva E.V., Sokolova S.V., Skoblina N.A., Virabova A.N., Makarova A.Yu., Tro-fimenko E.V., Kvilinskii P.N., Sapunova N.O. Otsenka kachestva okazaniya meditsinskoi pomoshchi obuchayushchimsya v obrazovatel'nykh organizatsiyakh [Quality Evaluation of Healthcare Services in Schools]. Vestnik Rossiiskoi akademii med-itsinskikh nauk, 2017, vol. 72, no. 3, pp. 180–194 (in Russian). DOI: 10.15690/vramn830
  11. Michael S.L, Merlo C.L., Basch C.E., Wentzel K.R, Wechler H. Health and Academics Critical Connections: Health and Academics. Journal of School Health, 2015, vol. 85, no. 11, pp. 740–758. DOI: 10.1111/josh.12309
  12. Hunt P., Barrison L., Telljohann S.K, Mazyck D.A. Whole School Approach Collaborative Development of School Health Policies, Processes, and Practices. Journal of School Health, 2015, vol. 85, no. 11, pp. 802–809. DOI: 10.1111/josh.12305
  13. Ustinova O.Yu., Valina S.L., Kobyakova O.A., Nikiforova N.V., Alekseeva A.V. Obosnovanie optimal'noi napolny-aemosti grupp doshkol'nykh obrazovatel'nykh organizatsii obshcherazvivayushchei napravlennosti [Rationale for the optimal group occupancy in preschool educational institutions of general enrichment orientation]. Gigiena i sanitariya, 2016, vol. 95, no 1, pp. 57–63 (in Russian).
  14. Elgar F.J., Pförtner T.-K., Moor I., De Clercq B., Stevens G.W., Currie C. Socioeconomic inequalities in adolescent health 2002–2010: A time-series analysis of 34 countries participating in the Health Behaviour in School-Aged Children study. Lancet, 2015, vol. 385 (9982), pp. 2088–2095. DOI: 10.1016/S0140-6736 (14) 61460-4
  15. Sukharev A.G., Stan V.V., Ignatova L.F. Rol' obrazovatel'noi organizatsii v formirovanii u uchashchikhsya motivatsii k zdorov'yu i zdorovomu obrazu zhizni [The role of educational organizations in the development of students'' motivation to health and healthy lifestyle]. Voprosy shkol'noi i universitetskoi meditsiny i zdorov'ya, 2016, no. 2, pp. 32–35 (in Russian).
  16. Kovtun O.P., Anufrieva E.V., Nozhkina N.V., Malyamova L.N. Shkol'naya meditsina: analiz dostignutykh rezul'tatov i poisk novykh reshenii [School medicine: analysis of achieved results and search for new solutions]. Vestnik ural'skoi meditsinskoi akademicheskoi nauki, 2018, vol. 15, no. 1, pp. 136–145 (in Russian). DOI: 10.22138/2500-0918-2018-15-1-136-145
  17. Kuchma V.R. Formirovanie zdorovogo obraza zhizni detei i edinogo profilakticheskogo prostranstva v obrazovatel'nykh organizatsiyakh: problemy i puti resheniya [Hygiene of children and teenagers in the formation of health of the nation]. Gigiena i sanitariya, 2015, vol. 94, no. 6, pp. 20–25 (in Russian).
  18. Stiefel L., Prescott M.P., Schwartz A.E. School Wellness Programs: Magnitude and Distribution in New York City Public Schools. Journal of School Health, 2017, vol. 87, no. 1, pp. 3–11. DOI: 10.1111/josh.12463
  19. Zahnd W.E, Smith T., Ryherd S.J., Cleer M., Rogers V., Steward D.E. Implementing a Nutrition and Physical Activity Curriculum in Head Start Through an Academic-Community Partnership. Journal of School Health, 2017, vol. 87, no. 6, pp. 465–473. DOI: 10.1111/josh.12515.
Received: 
28.06.2018
Accepted: 
06.08.2018
Published: 
30.09.2018

You are here

Home