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Functional Limitations Associated with Chronic Health Conditions Among School-Aged Children, in Kayseri, Turkey As. Prof. Vesile ŞENOL Prof. Dr. Fevziye ÇETİNKAYA Erciyes University, TURKEY. Purpose. The aim of this study was

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Functional Limitations Associated with Chronic Health Conditions Among School-Aged Children, in Kayseri, Turkey

As. Prof. Vesile ŞENOL

Prof. Dr. Fevziye ÇETİNKAYA

Erciyes University, TURKEY


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Purpose

The aim of this study was

  • to assess theprevalenceof activity limitations in school aged children with CHC /impairments

    and

  • the affecting factors in Kayseri, Turkey


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Method

  • Thiscross-sectionalstudywasconducted in Kayseri, Turkey, in 2005-2006.

  • 99 primaryschoolswerestratifiedaccordingtothesocio-economiclevels of thefamilies of thechildren as: welfare, middleandpoor.

  • Bysimplerandomsamplingtechnique, 20 primaryschoolswereincluded in thesample, 1/5 fromeachstratum.


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Method

  • A questionnairewasusedforthepresentstudy

  • In total, theparents of 4508 childrenansweredthequestionnaires.

  • Theresponse rate was 93 %.


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According to InternationalClassification of Functional (ICF):

  • Disability,which is actually considered“an umberalla term” for;

  • Impairment,

  • Activity limitations and

  • Participitation restriction.


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Chronic HealthCondition

  • Health Conditions-diseases, disorders and

    injuries

  • These are considered to be chronic when they are long-term (at least three months’ duration) or are of a permanent nature, which has interfered with daily functions during the last year.


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Impairments (ICF)

  • Impairment: Problems in body functions or structure

  • Body Functions: Physiological functions of body systems

  • Body structure: anatomical parts of body


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ActivityLimitations &ParticipitationRestriction (ICF)

  • Activity - The execution of a task or action by an individual

  • Activity limitations difficulties an individual may have in executing activities

  • Participitation : involvement in a life situation

  • Participitation restriction : Problems an individual may experience in involvement in life situation


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Chronic HealthCondition / Impairments

  • Reported 29 chronic health conditions emerged under three headings;

  • Chronic diseases (6)

  • Physical impairments (5)

  • Emotional/behavioral disorders (5).


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Activity Limitations

  • Mobility included being in need of help or supervision when going to school

  • Self-care needing help while eating, dressing and bathing

  • Communication having in difficulties in communicating with friends and teachers


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SchoolActivity Restirictions

  • School performance

  • School attendance

  • Grade repetition

    -be measured as animpact on aspects ofchildren’s school life-


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School Performance

be classified by asking the teachersas:

Poor

Fair

Good


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Family Ecology

  • Parental education

  • Occupation

  • Family income.


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Results

  • Childrenhad one or more chronic health conditions35.3 %

    The most commonly reported CHC are:

  • Teeth and periodontal diseases 32.7 %

  • Visual impairments 30.7 %

  • Urinary incontinence 14.7 %



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Activity Limiting Conditions conditions among school-aged children

  • The rate of all the children have one or more activity limitations 3.7 %

  • In children with CHC 9.2 %

  • In children withoutCHC 0.8 %


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The Type conditions among school-aged childrenof Activity Limiting Conditions

  • Mobility : 4.3 %

  • Self-care : 4.4 %

  • Communication : 4.0 %


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Table 2. Prevelance of functional limitations conditions among school-aged childrenamong school-aged children


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School conditions among school-aged childrenActivity Restirictions

In children with CHC

  • School absence days 29.7 %

  • Grade repetition 4.6 %

    In children withoutCHC

  • School absence days 21.6 %

  • Grade repetition 2.4 %


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Table conditions among school-aged children3. Impact of chronic health conditions on school-aged children’s school-activity levels


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The Rate conditions among school-aged childrenof Activity Limitations

  • Teethandperiodontaldiseases47.9%

  • Visualimpairments31.5 %

  • Speechimpediments26.7 %

  • Depression19.9 %

  • Musculoskeletal impairment 9.0 %


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Table conditions among school-aged children4. Impact of chronic health conditions on school-aged children’s functional activity levels


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Activity conditions among school-aged childrenLimitations

  • Activity limitations

    in boys

  • School absence days and grade repetition

    among 13-17 age groups

    Were the most common (p<0.05)


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Table conditions among school-aged children5. Prevalence of activity limitations according to some socio-demographic characteristics in children with CHC


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Activity conditions among school-aged childrenLimitations

  • low-educated

  • Unemployed

  • low-income

    -were higher in children fromfamilies-


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Table conditions among school-aged children6. Prevalence activity limitations according to some socio-demographic variables in children with CHC


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School conditions among school-aged childrenPerformance

Poorschoolperformance 53.4 %

In children with CHC 53.5 %

In children without CHC 53.3 %

Good school performance 10.9 %

In children with CHC 20.0 %

In children without CHC 6.0 %

*Thesuccess rate in thechildrenwho had chronichealthproblemswassurprisinglyhigherthanthosewhodid not.


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Conclusion conditions among school-aged children

  • Activity-limiting conditions in school-aged children with CHC are a major public health problem.

  • The findings of this study confirm that as well as long chronic health conditions, disrupted family environmental variables are likely to be significant risk factors for functional activity limitations.


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Conclusion conditions among school-aged children

  • Better health promotion and disease prevention may reduce the prevalence of disability depending on chronic health conditions/impairments.

  • Targetting prevention and rehabilitation efforts toward disavantaged children and families may be an important way of ameliorating the impact of these conditions.


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