Modern models of quantitative assessment and management of the level of physical, mental and social health as a basis for the prevention of morbidity among children and adolescents

Introduction. The preservation and strengthening of the health in children and adolescents is currently a problem of individual health management in connection with which there is a need to change the approach to health assessment, which consists not only in determining the disease, but also in a prenosological assessment of the level of individual health. The purpose is to develop integral indicators of quantitative assessment of health, on the basis of which to scientifically substantiate the health management system for children and adolescents. Materials and methods. Four thousand eight hundred children and adolescents of school age (7-17 years old) underwent computer diagnostics of the functional state of the central nervous, autonomic and cardiovascular systems using the methods of variation chronoreflexometry (Moroz MP, 2001) and variation cardiorhythmotography (Igisheva LN, 2003). Mental health is investigated by determining anxiety levels, negative emotional experiences, stress prognosis, and stress tolerance. The level of social health was assessed according to the method of E.V. Tsikalyuk (2013). Results. 37.7% of the examined children were found to have a satisfactory level; 28.2% stress, 23% - unsatisfactory and 11.1% showed disadaptation. A high level of anxiety in everyday life was experienced by 36.7% of the subjects and 61.3% in the classroom; 12.3% of children had a high level of negative emotional experiences. 28.1% of children had a high level of social health; 51.6% had an average; 12.3% had a low level; 6.5% had a social “unhealthiness”. Limitations of the study. When developing a modern model for assessing and managing physical, psychological and social health, data from a psychophysiological examination of 4,800 school-age children were used. Conclusion. The developed integral measures of univariate assessment of children’s physical, mental and social health provided the basis for justifying the model of screening and health management of the child population.