A Study On Synthetical Evaluation Of Children And Adolescents Health And Its Influencing Factors

ObjectivesThis study was designed to carry out individual and synthetical evaluation on children and adolescents' overall health,comparing the physical health status between individuals and groups,exploring such index as children's growth and development,physiology,sports quality,psychological status and physical defects to establish an evaluation index system for synthetical evaluation of children and adolescents' health,which is an important component in school education evaluation system.MethodsIn October 2007,by the use of stratified cluster sampling method,we chose 7～18 year old Children and adolescents from Guangzhou,Xiangtan,Wuhan and Harbin,exclude invalid samples to retain an effective sample of 4251 copies,with effective rate of 95%. This study adopted 2005 National Survey of Student Physical Health Work Manual, Children and Youth Quality of Life Questionnaire and the Task Force prepared a Health Standards for the Project Implementation Plan.The subjects were measured with a unified approach to collect body shape index(height and weight index),physical function index (body mass index,vital capacity),physical indicators(50m run,standing long jump, endurance running),mental health indicators(life quality of Children and Adolescents), health defects indicators(refer to bad eyesight,dental caries,anemia,intestinal worm infections,obesity or malnutrition,and heart,lung,liver,stomach,kidney and other organic diseases) and other indicators.We adopted Visual FoxPro 6.0 to establish a database, SPSS13.0 software for statistical analysis.Quality judgment on individual health synthetical evaluation was made with AHP together with comprehensive index scales, based on which,group health synthetical evaluation was made with fuzzy mathematical synthesis.Results1.The establishment of evaluation index weights and determining weight coefficient of five categories of indicators.The order of five categories of indicators is health defects,respectively(0.3144),motor qualities(0.2251),morphological development(0.1535),physical function(0.1535), psychological status(0.1535).Three sub-projects of movement quality each with 1/3 (0.0750),morphological development of a sub-project is 0.1535,physiological feature a sub-project is 0.1535 and psychological conditions of a sub-project is 0.1535.2.Synthetical evaluation standard was established.Each province and autonomous region in China may refer to it to conduct synthetical evaluation of their individual and group's health condition.AHP was used to judge the evaluation scale and evaluate individual health.3.We compared of Growth and Development mean of 7-18 year-old students in Guangzhou, Xiangtan,Wuhan and Harbin to compare different evaluation results.The evaluation results are consistent with the local conditions.4.Research on the Child and Adolescent Obesity situation and physical quality Obesity status on primary and secondary students of different ages of the physiological function, athletic qualities have different degrees of impact.This is particularly true for the 50-meter dash and endurance run,in which obese group scores lower than normal group.Conclusion and Suggestions1.The establishment of a synthetical evaluation system for children and adolescents We established a system with five-category index such as physiology,function,and quality, mental and physical defect to evaluate their health in a comprehensive and objective way.2.The establishment of synthetical evaluation system for children and adolescents.Each province and autonomous region in China may refer to it to conduct synthetical evaluation of their individual and group's health condition.This also provides a scientific evaluation method and reference for health consultation,and gives insights into student's present health condition for students and their parents to adopt counter-measures.3.The influencing factors of children and adolescents' health(1) Growth and development,physiological functions,physical constitution,athletic ability are main influencing factors of human health.Physical health is not only the reflection of the level of human's energy but athletic level.(2) Region,age and gender contribute to children and adolescents' health(3) Obesity degree exerts different influence on physiology skills,athletical quality and mental health.(4) Mental health exerts different influence on children and adolescents' health4.A national wide evaluation is suggested to be conducted.Each province and autonomous region in China may refer to it to conduct synthetical evaluation of their individual and group's health condition.The results will provide a foundation for early intervention and further comparison.