Children’s health in changing times: time trends in pathology profile of inhabitants of Polar Urals over past years
|Session Name||5.3 Health promotion and population health|
|Author(s)||Sergei Avrusin (Saint-Petersburg State Pediatric Medical University, Russian Federation), Tatiana Burtseva (M.K. Ammosov North-Eastern Federal University, Yakutsk, Russian Federation), Vyacheslav Chasnyk (Saint-Petersburg State Pediatric Medical University, Russian Federation), Elena Sinelnikova (Saint-Petersburg State Pediatric Medical University, Russian Federation), Irina Solodkova (Saint-Petersburg State Pediatric Medical University, Russian Federation)|
Background. Improved economic conditions in polar regions of Russia over past 20 years give reason to hope that children’s health also improved, though trends in the development of healthcare services are divergent. State reports present child morbidity based on the number of new cases registered by a healthcare professional. Disparities in health care make it difficult to reveal trends in morbidity. The objective of the study was to reveal trends in child morbidity in the settlements of Kharp and Aksarka of the Yamal-Nenets autonomous region over past years.
Methods. A group of specialists examined 983 schoolchildren in the settlements Aksarka and Kharp in 2002 and in 2014. Profile of pathology for every child was computed, which is a set of scores, calculated according to the estimates which had been set by a body of experts [Vorontsov et al., 1991]. Time and local trends in scores for each of 22 nosological subsets were analyzed.
Results. A Decrease in score was revealed for almost all subsets of the pathology profile both in Aksarka and Kharp (more dramatic). In 2002 3 subsets (nutrition, stomatology, gastroenterology) reached 300 points and 8 subsets (vasocardiology, hematology, cardiology, ENT, nephrology, orthopedy, rheumatology, endocrinology) exceeded the threshold of 100 points, which was the documentary evidence of high morbidity in these subsets. After 12 years none of the subsets reached 300 points and only stomatology, orthopedy and logopaedics exceeded 100 points.
Conclusions. The results show remarkable improvement in health status of children over last years.