Research of socioeconomic status and school-based health screening results of study with children after two years of COVID-19 pandemic

Yıl 2022, , 1002 - 1008, 20.07.2022

Ufuk Ünlü , Nagihan Yıldız Çeltek , Elif Erdoğdu Ceylan , Osman Demir

https://doi.org/10.32322/jhsm.1100294

Öz

Aim: Schools are the most effective environments for health screenings for children and adolescents. The aim of school health screenings is to contribute to the protection and maintenance of children's health status by early diagnosis and treatment of diseases. We aimed to reveal the health screening findings of children whose lifestyles changed during the pandemic period, and to compare according to socioeconomic status.
Material and Method: Students from three different schools which were grouped as low, middle and high socioeconomic status were included. Hearing test, visual acuity examination, orthopedic examination, blood pressure measurements, height, weight and anthropometric measurements were performed. Descriptive statistical methods were used in the evaluation of the data.
Results: 1322 students with parental consent were included in our study. 667 (50.5%) of the students were female, mean age was 11.4±1.1, and mean body mass index score was 19.6±4.0. When body mass index scores were evaluated, 202 (15.3%) students were overweight and 189 (14.3%) were obese. Visual acuity defect was found in 257 (19.4%) of the students and hearing loss in 309 (23.4%). As a result of orthopedic examination and blood pressure measurements, 67 (5.1%) scoliosis and 131 (9.9%) high blood pressure were determined. The rate of hypertension was found to be significantly higher in school students with high socioeconomic status compared to the others (p<0.001).
Conclusion: The health problems detected at a high rate in our study emphasize the importance and necessity of school health screening practices. We would like to emphasize the importance of health screenings especially for children and adolescent age groups and the need for studies with broad participation and screening of many parameters.

Anahtar Kelimeler

Child health, health, schools, socioeconomic factors

Kaynakça

• Diğrak E, Öztürk EA, Zengin H, Tezel A. Evaluation of health screening results of two public primary school students. Turk J Fam Med Prim Care 2020: 289-98.
• Tomokawa S, Miyake K, Takahashi K, et al. Health screening system to ensure children's health and development in Japan. Pediatr Int 2021; 63: 869-79.
• Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief 2017; 288: 1-8.
• Ersoy E, Saatçi E. Periodic health examinations: An overview. Türk Aile Hekimliği Dergisi. 2017; 21: 82-9.
• Kalyoncu C, Metintas S, Baliz S, Arikan I. The level of health in elementary school students in training and research areas and evaluation of school screening examination results. TAF Preventive Medicine Bulletin 2011; 10: 511.
• Karnik S, Kanekar A. Childhood obesity: a global public health crisis. Int J Prev Med 2012; 3: 1-7.
• Adober RD, Joranger P, Steen H, Navrud S, Brox JI. A health economic evaluation of screening and treatment in patients with adolescent idiopathic scoliosis. Scoliosis 2014; 9: 21.
• Haas S. Trajectories of functional health: the ‘long arm’ of childhood health and socioeconomic factors. Soc Sci Med 2008; 66: 849–61
• Çınar S, Çavuşoğlu H. Research on obesity for children between the ages of 7-14 and from different socio-economic status. Turkiye Klinikleri J Nurs Sci 2016; 8: 112-21
• van der Hulst M, Polinder S, Kok R, et al. Socio-economic determinants of healthcare costs in early life: a register-based study in the Netherlands. Int J Equity Health 2022; 21: 5.
• Neyzi O, Günöz H, Furman A ve ark. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2008; 51: 1-14
• Bright K, Greeley CO, Eichwald J, Loveland CO, Tanner G. American Academy of Audiology Childhood Hearing Screening Guidelines. Reston, VA: American Academy of Audiology Task Force; 2011.
• National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004; 114(2 Suppl 4th Report): 555-76.
• Data.tuik.gov.tr. 2021. TÜİK Kurumsal. [online] Available at: <https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2020-37228> [Accessed 6 March 2022].
• O’Connor EA, Evans CV, Burda BU, Walsh ES, Eder M, Lozano P. Screening for Obesity and Interventions for Weight Management in Children and Adolescents: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Rockville (MD): Agency for Healthcare Research and Quality (US); June 2017.
• Kurth BM, Schaffrath Rosario A. Die Verbreitung von Ubergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Ergebnisse des bundesweiten Kinder- und Jugendgesundheitssurveys (KiGGS) [The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007; 50: 736-43.
• WHO. The challenge of obesity in the European region and strategies for response. Branca F, Nikogosian H, Lobstein T (editors). World Health Organization, Copenhagen, 2007.
• Alper Z, Ercan İ, Uncu Y. A meta-analysis and an evaluation of trends in obesity prevalence among children and adolescents in turkey: 1990 through 2015. J Clin Res Pediatr Endocrinol 2018; 10: 59-67.
• Uyar M, Demir LS, Durduran Y, Yücel M, Altınay SB, Şahin TK. İlkokul öğrencilerinde obezite insidansının saptanması; 4 yıllık kohort çalışmasının ön bulguları. Türkiye Çocuk Hast Derg 2021; 15: 459-64.
• Androutsos O, Perperidi M, Georgiou C, Chouliaras G. Lifestyle changes and determinants of children's and adolescents' body weight increase during the first COVID-19 lockdown in Greece: The COV-EAT study. Nutrients 2021; 13: 930.
• Çalışır H, Karaçam Z. The prevalence of overweight and obesity in primary schoolchildren and its correlation with sociodemographic factors in Aydın, Turkey. Int J Nurs Practice 2011; 17: 166-73.
• Assadi F. The growing epidemic of hypertension among children and adolescents: a challenging road ahead. Pediatr Cardiol 2012; 33: 1013-20.
• Ay AS, Mercan BM, Basat O. The frequency of obesity, hypertension, and anemia in school-aged children: a retrospective cross-sectional study from a family health center. Turkish J Fam Practice 2021; 25: 69-75.
• Bell CS, Samuel JP, Samuels JA. Prevalence of hypertension in children. Hypertension 2019; 73: 148-52.
• Demirci H, Nuhoglu C, Ursavas IS, Isildak S, Basaran EO, Kilic MY. Obesity and asymptomatic hypertension among children aged 6-13 years living in Bursa, Turkey. Fam Practice 2013; 30: 629-33.
• Sherpa D, Panta CR, Joshi N. Ocular morbidity among primary school children of Dhulikhel, Nepal. Nepal J Ophthalmol 2011; 3: 172-6.
• Shrestha RK, Shrestha GS. Ocular Morbidity among Children of Government Schools of Kathmandu Valley: A Follow-up Study. JNMA J Nepal Med Assoc 2017; 56: 243-7.
• Skarżyński PH, Świerniak W, Gos E, et al. Results of hearing screening of school-age children in Bishkek, Kyrgyzstan. Prim Health Care Res Dev 2020; 21: e18..
• Osei AO, Larnyo PA, Azaglo A, Sedzro TM, Torgbenu EL. Screening for hearing loss among school going children. Int J Pediatr Otorhinolaryngol 2018; 111: 7-12.
• Scaturro D, de Sire A, Terrana P, et al. Adolescent idiopathic scoliosis screening: Could a school-based assessment protocol be useful for an early diagnosis? J Back Musculoskelet Rehabil 2021; 34: 301-6.
• Aulisa AG, Giordano M, Guzzanti V, Falciglia F, Pizzetti P, Toniolo RM. Effectiveness of school scoliosis screening and the importance of this method in measures to reduce morbidity in an Italian territory. J Pediatr Orthop B 2019; 28: 271-7.
• Tahirbegolli B, Obertinca R, Bytyqi A, et al. Factors affecting the prevalence of idiopathic scoliosis among children aged 8-15 years in Prishtina, Kosovo. Sci Rep 2021; 11: 16786.
• Zurita Ortega F, Fernández Sánchez M, Fernández García R, Jiménez Schyke CE, Zaleta Morales L. Factores predictores de escoliosis en la población escolar [Predictors of scoliosis in school-aged children]. Gac Med Mex 2014; 150: 533-9.
• Ciaccia MCC, Castro JS, Rahal MA, et al. Prevalence of scoliosis in public elementary school students. prevalência de escoliose em escolares do ensino fundamental público. Rev Paul Pediatr 2017; 35: 191-8.
• Keane E, Layte R, Harrington J, Kearney PM, Perry IJ. Measured parental weight status and familial socio-economic status correlates with childhood overweight and obesity at age 9. PLoS One 2012; 7: e43503.
• Ip P, Ho FK, So HK, et al. Socioeconomic gradient in childhood obesity and hypertension: a multilevel population-based study in a Chinese community. PLoS One 2016; 11: e0156945.