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Functional Limitations Associated with Chronic Health Conditions Among School-Aged Children, in Kayseri, Turkey As. Pro PowerPoint Presentation
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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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slide1

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

slide2

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
slide3

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.
slide4

Method

  • A questionnairewasusedforthepresentstudy
  • In total, theparents of 4508 childrenansweredthequestionnaires.
  • Theresponse rate was 93 %.
slide5

According to InternationalClassification of Functional (ICF):

  • Disability,which is actually considered“an umberalla term” for;
  • Impairment,
  • Activity limitations and
  • Participitation restriction.
slide6

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.
slide7

Impairments (ICF)

  • Impairment: Problems in body functions or structure
  • Body Functions: Physiological functions of body systems
  • Body structure: anatomical parts of body
slide8

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
chronic h ealth c ondition impairments
Chronic HealthCondition / Impairments
  • Reported 29 chronic health conditions emerged under three headings;
  • Chronic diseases (6)
  • Physical impairments (5)
  • Emotional/behavioral disorders (5).
slide10

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
slide11

SchoolActivity Restirictions

  • School performance
  • School attendance
  • Grade repetition

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

slide12

School Performance

be classified by asking the teachersas:

Poor

Fair

Good

slide13

Family Ecology

  • Parental education
  • Occupation
  • Family income.
slide14

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 %
slide16

Activity Limiting Conditions

  • 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 %
slide17

The Type of Activity Limiting Conditions

  • Mobility : 4.3 %
  • Self-care : 4.4 %
  • Communication : 4.0 %
slide19

School Activity 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 %
slide21

The Rate of Activity Limitations

  • Teethandperiodontaldiseases47.9%
  • Visualimpairments31.5 %
  • Speechimpediments26.7 %
  • Depression19.9 %
  • Musculoskeletal impairment 9.0 %
table 4 impact of chronic health conditions on school aged children s functional activity levels
Table 4. Impact of chronic health conditions on school-aged children’s functional activity levels
slide23

ActivityLimitations

  • Activity limitations

in boys

  • School absence days and grade repetition

among 13-17 age groups

Were the most common (p<0.05)

slide24
Table 5. Prevalence of activity limitations according to some socio-demographic characteristics in children with CHC
slide25

ActivityLimitations

  • low-educated
  • Unemployed
  • low-income

-were higher in children fromfamilies-

slide26
Table 6. Prevalence activity limitations according to some socio-demographic variables in children with CHC
slide27

SchoolPerformance

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.

slide28

Conclusion

  • 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.
slide29

Conclusion

  • 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.