Medical and psychological aspects of health formation in school-age children under the influence of social priorities

Authors

DOI:

https://doi.org/10.15574/SP.2024.8(144).3447

Keywords:

schoolchildren, health, education, morbidity, social priorities

Abstract

The influence of social priorities on the health formation of school-aged children is increasing in wartime conditions, making its study of significant theoretical and practical importance for improving the functioning of the healthcare system.

Aim - to investigate the characteristics of health formation in school-aged children under the influence of issues caused by social priorities.

Materials and methods. A randomized controlled study was conducted on 1,100 patients aged 7-18 years from general education schools and gymnasiums. The study examined the dynamics of disease formation in children under the influence of established social priorities (children's attitudes toward education, work, family, and society) within the educational process. Data collection and processing were performed using the automated project system Universal Online, version 43.1.

Results. Data analysis from PubMed and Cochrane Library confirmed a strong relationship between schoolchildren’s health and social factors. A negative correlation between the number of healthy children and social problems (-0.72) indicates that improving health reduces social difficulties. A positive correlation between morbidity and social problems (0.91) confirms their interconnection. A strong correlation between the younger and middle age groups (0.97) suggests similar disease influences, while a moderate correlation between the older group (0.49-0.44) is associated with age-related changes. Linear regression analysis showed that for every increase of one healthy child, the average number of children with social problems decreases by 0.4276.

Conclusions. A strong connection between children's health and their social priorities has been established. Health improvement contributes to reducing social problems, enhancing adaptation, and academic success. The increase in morbidity and social challenges requires a comprehensive approach involving doctors, psychologists, teachers, parents, and public institutions. Considering age-specific factors is crucial for effectively supporting children’s health and social well-being.

The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies.

No conflict of interest was declared by the authors.

References

Alcántara-Porcuna V, Sánchez-López M, Martínez-Vizcaíno V, Martínez-Andrés M, Ruiz-Hermosa A, Rodríguez-Martín B. (2021). Parents' Perceptions on Barriers and Facilitators of Physical Activity among Schoolchildren: A Qualitative Study. Int J Environ Res Public Health. 18(6): 3086. https://doi.org/10.3390/ijerph18063086; PMid:33802746 PMCid:PMC8002392

Allison MA, Crane LA, Beaty BL et al. (2007). School-Based Health Centers: Improving Access and Quality of Care for Low-Income Adolescents. Pediatrics. 120: e887-e894. https://doi.org/10.1542/peds.2006-2314; PMid:17846146

Álvarez-Bueno C, Pesce C, Cavero-Redondo I, Sánchez-López M, Garrido-Miguel M, Martínez-Vizcaíno V. (2017). Academic Achievement and Physical Activity: A Meta-analysis. Pediatrics. 140(6): e20171498. https://doi.org/10.1542/peds.2017-1498; PMid:29175972

Alvarez-Bueno C, Pesce C, Cavero-Redondo I, Sanchez-Lopez M, Martinez-Hortelano JA, Martinez-Vizcaino V. (2017). The Effect of Physical Activity Interventions on Children's Cognition and Metacognition: A Systematic Review and Meta-Analysis. J. Am. Acad. Child Adolesc. Psychiatry. 56: 729-738. https://doi.org/10.1016/j.jaac.2017.06.012; PMid:28838577

Arbesman M, Bazyk S, Nochajski SM. (2013). Systematic Review of Occupational Therapy and Mental Health Promotion, Prevention, and Intervention for Children and Youth. The American Journal of Occupational Therapy. 67(6): e120-e130. https://doi.org/10.5014/ajot.2013.008359; PMid:24195907

Babadi ME et al. (2021). Morning Exercise at School and Sedentary Activities are Important Determinants for Hypertension in Adolescents. Int J Prev Med. 12:131. https://doi.org/10.4103/ijpvm.IJPVM_41_19; PMid:34912507 PMCid:PMC8631126

Bailey KA, Baker AL, McElduff P, Kavanagh DJ. (2016). The Influence of Parental Emotional Neglect on Assault Victims Seeking Treatment for Depressed Mood and Alcohol Misuse: A Pilot Study. Journal of Clinical Medicine. 5(10): 88. https://doi.org/10.3390/jcm5100088; PMid:27735838 PMCid:PMC5086590

Barati L et al. (2022). Overweight and obesity: worldwide risk factors for pediatric hypertension. ARYA Atheroscler. 18(1):1-6. doi: 10.48305/arya.v18i1.2242. PMID: 36818149; PMCID: PMC9931604.

Boers E, Afzali MH, Newton N, Conrod P. (2019). Association of Screen Time and Depression in Adolescence. JAMA Pediatrics. 173; 9: 853-859. URL: https://pubmed.ncbi.nlm.nih.gov/31305878/. https://doi.org/10.1001/jamapediatrics.2019.1759; PMid:31305878 PMCid:PMC6632122

Bonell C, Farah J, Harden A et al. (2021). Interventions to improve mental health and well-being among school-aged children: A systematic review. Cochrane Database Syst Rev. 5(5). https://doi.org/10.1002/14651858.CD012345.pub2

Bronfenbrenner U. (1979).The Ecology of Human Development: Experiments by Nature and Design. Harvard University Press: 330. https://doi.org/10.4159/9780674028845

Compa M, Baumbach C, Kaczmarek-Majer K et al. (2023). Air pollution and attention in Polish schoolchildren with and without ADHD. Sci Total Environ. 892: 164759. Epub 2023 Jun 9. https://doi.org/10.1016/j.scitotenv.2023.164759; PMid:37302611

Currie C, Zanotti C, Morgan A, Currie D et al. (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey. Copenhagen, WHO Regional Office for Europe. Health Policy for Children and Adolescents. No. 6.

Duarte A, Martins S, Augusto C, Silva MJ, Lopes L, Santos R, Rosário R. (2024). The impact of a health promotion program on toddlers' socio-emotional development: a cluster randomized study. BMC Public Health. 24: Article 415. https://doi.org/10.1186/s12889-024-17953-9; PMid:38331822 PMCid:PMC10854086

Duncan M et al. (2022). The association of physical activity, sleep, and screen time with mental health in Canadian adolescents during the COVID-19 pandemic: A longitudinal is temporal substitution analysis. Mental Health and Physical. 23: 100473. Epub 2022 Sep 18. https://doi.org/10.1016/j.mhpa.2022.100473; PMid:36156917 PMCid:PMC9482721

Fenwick-Smith A, Dahlberg EE, Thompson SC. (2018, Jul 5). Systematic review of resilience-enhancing, universal, primary school-based mental health promotion programs. BMC Psychol. 6(1): 30. https://doi.org/10.1186/s40359-018-0242-3; PMid:29976252 PMCid:PMC6034212

Fyfe-Johnson AL, Hazlehurst MF, Perrins SP, Bratman GN, Thomas R, Garrett KA et al. (2021). Nature and children's health: A systematic review. Pediatrics. 148(4): e2020049155. https://doi.org/10.1542/peds.2020-049155; PMid:34588297

Hamulka J, Wadolowska L, Hoffmann M, Kowalkowska J, Gutkowska K. (2018). Effect of an education program on nutrition knowledge, attitudes toward nutrition, diet quality, lifestyle, and body composition in Polish teenagers The ABC of healthy eating project: Design, protocol, and methodology. Nutrients. 10(10): 1439-1439. https://doi.org/10.3390/nu10101439; PMid:30720795 PMCid:PMC6213798

Haug E, Castillo I, Samdal O, Smith OR. (2023, Sep 22). Body-related concerns and participation in physical education among adolescent students: the mediating role of motivation. Front Psychol. 14: 1266740. eCollection 2023. https://doi.org/10.3389/fpsyg.2023.1266740; PMid:37842720 PMCid:PMC10569498

Huber-Mollema Y, Oort FJ, Lindhout D, Rodenburg R. (2020, Apr). The well-being of mothers with epilepsy with school-aged children. Epilepsy Behave. 105: 106966. Epub 2020 Mar. 6. https://doi.org/10.1016/j.yebeh.2020.106966; PMid:32146338

Inchley J, Currie D, Young T et al. (2020). Social determinants of health and well-being among young people: A cross-national comparative study. Public Health. 187: 111-117. https://doi.org/10.1016/j.puhe.2020.07.005; PMid:32937214

Godin K, Leatherdale ST, Elton-Marshall T. (2015, Jun ).A systematic review of the effectiveness of school-based obesity prevention programs for First Nations, Inuit and Métis youth in Canada. Clin Obes. 5(3): 103-115. Epub 2015 Apr 16. https://doi.org/10.1111/cob.12099; PMid:25880029

Guthold R et al. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. The Lancet Child & Adolescent Health. 4(1): 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2; PMid:31761562

Kataria N, et al. (2023). Knowledge Regarding Hypertension and Amount of Diet Consumption Among Adults from Uttarakhand: A Comparative Survey. Cureus, 15(6): e39876. PMID: 37323337; https://doi.org/10.7759/cureus.39876

Leach MJ, Nichols S, Trenholm S, Jones M. (2023, Apr). Health Literacy of Parents and Carers in a Regional Community: A Cross-Sectional Study. Community Health Equity Res Policy. 43(3): 275-282. Pub 2021 Jun 6. https://doi.org/10.1177/0272684X211022572; PMid:34096382

Li J, Shao W. (2022). Influence of sports activities on prosocial behavior of children and adolescents: A systematic literature review. Int J Environ Res Public Health. 19(11): 6484. https://doi.org/10.3390/ijerph19116484; PMid:35682069 PMCid:PMC9180162

López-Sánchez M, Arango-Paternina CM, Petro-Petro J, Lema-Gómez L, Eusse-López C, Petro JL et al. (2023). Academic performance and social networks of adolescents in a Caribbean city in Colombia. BMC Psychol. 11(1): 255. https://doi.org/10.1186/s40359-023-01299-9; PMid:37653469 PMCid:PMC10472701

Méndez Paz F, Tonguino S, Ortega-Lenis D. (2023). Main results and public health implications of the National School Health Survey (ENSE), Colombia 2017. Colomb Med (Cali). 54(2). https://doi.org/10.25100/cm.v54i2.5402

Nathan N, Elton B, Babic M, McCarthy N, Sutherland R. (2018, Feb). Barriers and facilitators to the implementation of physical activity policies in schools: A systematic review. Prev Med. 107: 45-53. Epub 2017 Nov 16. https://doi.org/10.1016/j.ypmed.2017.11.012; PMid:29155228

O'Farrell P, Wilson C, Shiel G. (2023, Mar). Teachers' perceptions of the barriers to assessment of mental health in schools with implications for educational policy: A systematic review. Br. J. Educ. Psychol. 93(1): 262-282. Epub 2022 Oct 27. https://doi.org/10.1111/bjep.12553; PMid:36300781 PMCid:PMC10092173

O'Keeffe GS, Clarke K. (2011). Pearson Council on Communications and Media, The Impact of Social Media on Children, Adolescents, and Families. Pediatrics. 127; 4: 800-804. URL: https://pubmed.ncbi.nlm.nih.gov/21444588/. https://doi.org/10.1542/peds.2011-0054; PMid:21444588

Pallan MB, Rashidi MJ. (2014, Jan). Contributors to childhood obesity in Iran: the views of parents and school staff. Public Health. 128(1): 83-90. Epub 2013 Dec 13. https://doi.org/10.1016/j.puhe.2013.10.005; PMid:24332408

Pierce M, Hope HF, Kolade A, Gellatly J, Osam CS, Perchard R et al. (2019). Effects of parental mental illness on children's physical health: Systematic review and meta-analysis. Cambridge University Press. https://doi.org/10.1192/bjp.2019.216; PMid:31610824

Pirojsakul K et al. (2022). Sleep duration and risk of high blood pressure in Thai adolescents: the Thai National Health Examination Survey V, 2014 (NHES-V). BMC Public Health. 2(1):1983. https://doi.org/10.1186/s12889-022-14430-z; PMid:36309648 PMCid:PMC9617401

Purba AK, Thomson RM, Henery PM, Pearce A, Henderson M, Katikireddi SV. (2023). Social media use and health risk behaviors in young people: systematic review and meta-analysis. BMJ. 383: e073552. https://doi.org/10.1136/bmj-2022-073552; PMid:38030217 PMCid:PMC10685288

Rist E, Joshi SV. (2021, Oct). Collaboration with Schools and School-Based Health Centers Collaboration with Schools and School-Based Health Centers. Child Adolescent Psychiatric Clin. N. Am. 30(4): 751-765. https://doi.org/10.1016/j.chc.2021.07.004; PMid:34538446

Rossman L, Solis S, Stevens J, Wynn B, Jones JS. (2019, Jun). Effect of menstrual bleeding on the detection of anogenital injuries in sexual assault victims. Am J Emerg Med. 37(6): 1203-1204. Epub 2018 Nov 6. https://doi.org/10.1016/j.ajem.2018.11.005; PMid:30415984

San Mauro I, Megias A, García de Angulo B, Bodega P, Rodríguez P, Grande G et al. (2015). Influencia de hábitos saludables en el estado ponderal de niños y adolescentes en edad escolar. Nutr Hosp. 31(5): 1996-2005. doi: 10.3305/nh.2015.31.5.8616.

Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostini C. (2018). Factors influencing children's eating behaviors. Nutrients. 10(6): 706-706. https://doi.org/10.3390/nu10060706; PMid:29857549 PMCid:PMC6024598

Shackleton N, Jamal F, Viner RM, Dickson K, Patton G, Bonell C. (2016, Apr). School Based Interventions Going Beyond Health Education to Promote Adolescent Health: Systematic Review of Reviews. J Adolescent Health. 58(4): 382-396. https://doi.org/10.1016/j.jadohealth.2015.12.017; PMid:27013271

Simmonds M, Llewellyn A, Owen CG, Woolacott N. (2016). Predicting adult obesity from childhood obesity a systematic review and meta-analysis. Obes Rev. 17(2): 95-107. https://doi.org/10.1111/obr.12334; PMid:26696565

Strömmer S, Barrett M, Woods-Townsend K, Baird J, Farrell D, Lord J et al. (2020). Engaging adolescents in changing behavior (EACH-B): A study protocol for a cluster randomized controlled trial. Trials. 21(1): 859. https://doi.org/10.1186/s13063-020-04761-w; PMid:33059762 PMCid:PMC7557314

Thomas MMC, Miller DP, Morrissey TW. (2019). Food Insecurity and Child Health. Pediatrics, 144(4): e20190397. https://doi.org/10.1542/peds.2019-0397; PMid:31501236

Vincent GE, Barnett LM, Lubins DR, Salmon J, Timperio A, Rodgers ND. (2017, Mar). Temporal and bidirectional associations between physical activity and sleep in primary school-aged children. Appl Physiol. Nutr. Metab. 42(3): 238-242. Epub 2016 Nov 3. https://doi.org/10.1139/apnm-2016-0424; PMid:28151690

Wallace C, Greenbaum J, Albright K. (2022). Global Perspectives on the Health and Social Impacts of Child Trafficking. Pediatrics. 150(4). https://doi.org/10.1542/peds.2021-055840

Webb NJ, Miller TL, Stockbridge EL. (2022, Nov 16). Potential effects of adverse childhood experiences on school engagement in youth: a dominance analysis. BMC Public Health. 22(1): 2096. https://doi.org/10.1186/s12889-022-14524-8; PMid:36384490 PMCid:PMC9668388

Weitzman M. (2021). Social Influences on Child Health. Pediatr. Rev. 42(7): 402-404. https://doi.org/10.1542/pir.2020-004897; PMid:34210762

Young H, Költő A, Reis M. (2016, Dec 5). Sexual Health questions included in the Health Behavior in School-aged Children (HBSC) Study: an international methodological pilot investigation. BMC Med. Res. Methodology. 16(1): 169. https://doi.org/10.1186/s12874-016-0270-8; PMid:27919233 PMCid:PMC5139025

Published

2024-12-28

Issue

Section

Original articles