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Main arrow Archive of previous Issues arrow ╣2 2013 (30) arrow Children health in megalopolis in the context of health care modernization
Children health in megalopolis in the context of health care modernization Print
Thursday, 18 April 2013

Summary. Trends in prevalence and incidence of morbidity and disability of children residing within a catchment area of a Moscow health care facility were analyzed for the period of the active phase of the heath care modernization initiative (2005-2011). Mainly positive trends in prevalence and incidence of morbidity of children and adolescents have been identified. Infant morbidity is declining, while a reliable increase in incidence of diseases associated with behavior risk factors (injuries, poisoning and other external causes) and diabetes mellitus in children under 14 years of age has been reported.

Detection of congenital abnormalities, tumors, diseases of the musculoskeletal system and diseases of the blood and blood-forming organs in adolescents is increasing. Incidence of anemia, diabetes and obesity is on the rise.

Excluding diseases of respiratory system, diseases of skin and subcutaneous tissue, diseases of the musculoskeletal and genitourinary systems have become major contributors to the children morbidity prevalence; diseases of the musculoskeletal system, diseases of skin and subcutaneous tissue and diseases of the eye and adnexa are major causes of the adolescent morbidity prevalence. Diseases of the eye and adnexa, diseases of the genitourinary and digestive systems are major contributors to the infant morbidity prevalence.

Prevailance of diseases of the circulatory system, diseases of the endocrine system and musculoskeletal system and diseases of the digestive system significantly increases with age. Incidence of asthma, diabetes mellitus and obesity in adolescents is multifold higher.

Against the background of stagnated rates of disability prevalence, there is a tendency towards increased disability incidence in children and adolescents due to diseases of the central nervous system, digestive system, movement disorders and impaired physical mobility and self-care.

Visceral and metabolic and movement disorders as the major health impairments, ability to manage your body, to move and communicate as the leading impaired physical function and congenital abnormalities and diseases of the central nervous system as the attributable diseases are the major causes of the general disability. Essential growth of the share of disability cases attributed to the diseases of the digestive system was registered.

Keywords. Morbidity prevalence and incidence; disability; children population; health care modernization; megalopolis.

References

  1. Al'bitskiy VYu, Antonova EV, Baranov AA, Bondar' VI, Volkov IM, Zelinskaya DI, et al. Methodic recommendation for studying children morbidity. Moscow. 2009. 39 p. (in Rusian).
  2. Al'bitskiy VYu, Zelinskaya DI, Terletskaya RN. Morbidity and disability in children. Rossiyskiy pediatricheskiy zhurnal 2008;(1):32-35 (in Rusian).
  3. Baranov AA, Al'bitskiy VYu, Bondar' VI, Volkov IM, Zelinskaya DI, Modestov AA, et al. The current approaches to studying children morbidity in Russia. Rossiyskiy pediatricheskiy zhurnal 2008;(5):4-7 (in Rusian).
  4. Baranov AA, Al'bitskiy VYu, Zelinskaya DI, Terletskaya RN. Disability in children population of Russia. Moscow: Tsentr razvitiya mezhsektoral'nykh programm; 2008. 240 p. (in Rusian).
  5. Baranov AA, Namazova-Baranova LS, Al'bitskiy VYu. Prevention pediatrics ľ new challengers. Voprosy sovremennoy pediatrii 2012;(2):3-6 (in Rusian).
  6. Burdeynyy NN. Efficiency of state social policy in conditions of modernization (by an example of healthcare system). Vestnik Rossiyskogo universiteta druzhby narodov. Ser.: Sociology. 2012;(1):59-65 (in Rusian).
  7. Gaydarov GM, Alekseeva NYu. Modernization of healthcare in the subject of the Russian Federation as a new stage in increasing accessibility and quality of health care to population. Menedzhment kachestva v sfere zdravookhraneniya i sotsial'nogo razvitiya 2011;(1):11-30 (in Rusian).

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Last Updated ( Friday, 19 April 2013 )
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