Preserving children's health: search for the ways of solving relevant issues

Автор: Shabunova Alexandra A., Korolenko Alexandra V., Natsun Leila N., Razvarina Irina N.

Журнал: Economic and Social Changes: Facts, Trends, Forecast @volnc-esc-en

Рубрика: Social and economic development

Статья в выпуске: 2 т.14, 2021 года.

Бесплатный доступ

Changed social reality, caused by the coronavirus pandemic (COVID-19), made attention to population’s health, its risks, and defining factors relevant. Nowadays, an individual’s personal responsibility for own health and coherence of various social institutions’ activities in the formation of children’s health are of particular importance. The article is devoted to an analysis of children’s health and search for the ways of its improvement. The authors explore the issues of availability and quality of medical services, safeguard of children’s health and discuss the barriers to inter-institutional cooperation in this field, as well as ways of overcoming them. To achieve these objectives, we used quantitative and qualitative sociological methods: a sociological survey of families with children aged 3-17 years, monitoring observation of cohorts of families with children, focus group studies of parents of children aged 3-17 years, an expert survey of specialists of the regional health system and members of government authorities. The authors reveal several issues: decline of children’s health potential in growing; insufficient awareness of parents about the state, forms, and methods of preserving and strengthening children’s health, discrepancy between parents’ ideas about their own competence in this matter with reality; lack of narrow-profile specialists in children’s medical institutions; absence of medical workers among full-time staff of educational organizations; queues and complexity of making appointments with specialists; low availability of free and high cost of paid medical services; insufficient information interaction between medical, educational organizations and parents in the prevention of diseases; lack of parents’ knowledge of full information about objectives of professional examinations and insufficient awareness of the importance of further actions to restore and strengthen health of children. Based on the analysis, we stated the areas of solving these problems. They may include the development and implementation of specific management tools to preserve children’s health potential.


Health, child population, institutes of healthcare, children's health, medical services

Короткий адрес:

IDR: 147234731   |   DOI: 10.15838/esc.2021.2.74.8

Список литературы Preserving children's health: search for the ways of solving relevant issues

  • Rimashevskaya N.M., Rusanova N.E. Health of the Russian population in the context of socio-economic modernization. Narodonaselenie=Population, 2015, no. 4 (70), pp. 96–105 (in Russian).
  • Bradshaw J., Hoelscher P., Richardson D. An Index of child well-being in the European Union. Social Indicators Research, 2007, vol. 80, pp. 133–177. DOI: 10.1007/s11205-006-9024-z
  • Richardson D., Hoelscher P., Bradshaw J. Child well-being in Central and Eastern European Countries (CEE) and the Commonwealth of Independent States (CIS). Child Indicators Research, 2008, vol. 1, pp. 211–250. DOI: 10.1007/s12187-008-9020-8
  • Ben-Arieh A. Indicators of children’s well-being: What should be measured and why? Social Indicator Research, 2007, vol. 84, pp. 249–250.
  • Shabunova A.A., Morev M.V., Kondakova N.A. Zdorov’e detei: itogi pyat-nadtsatiletnego monitoringa: monografiya [Children’s health: Results of fifteen years of monitoring: Monograph]. Vologda: ISEDT RAS, 2012. 262 p.
  • Obrazhei N.V. Social infrastructure of childhood as important direction of social policy in the field of children health protection. Sotsiologicheskii al’manakh=Sociological Almanac, 2016, no. 7, pp. 93–100.
  • Amerijckx G., Humblet P.C. Child well-being: What does it mean? Children & Society, 2013. DOI: 10.1111/chso.12003
  • What is Child Well-Being?: Does It Matter How We Measure It? National Council on Family Relations Annual Conference, San Antonio, Texas (November 7, 2013). Available at:
  • Bradshaw J., Richardson D. An Index of Child Well-Being in Europe. Child Indicators Research, 2009, vol. 2 (3), pp. 319–351.
  • Hernandez D.J., Napierala J.S. Disparities in U.S. Parental employment insecurity and child well-being across income groups: before, during, and after the great recession. Child Indicators Research, 2020, vol. 13, pp. 741–775. Available at:
  • Bass L.E. Social focus on health and children’s well-being. Sociological Inquiry, 2011, vol. 81 (4), pp. 495–498.
  • Fernandes L., Mendes A., Teixeira A.A.C. A review essay on the measurement of child wellbeing. Social Indicators Research, 2012, vol. 106 (2), pp. 239–257.
  • Buck K.D., Summers J.K., Smith L.M. et al. Application of the human well-being index to sensitive population divisions: A Children’s Well-Being Index development. Child Indicators Research, 2018, vol. 11, pp. 1249–1280. Available at:
  • Rees G. The association of childhood factors with children’s subjective well-being and emotional and behavioural difficulties at 11 years old. Child Indicators Research, 2018, vol. 11, pp. 1107–1129. Available at:
  • Vujčić M.T., Brajša-Žganec A., Franc R. Children and young peoples’ views on well-being: A qualitative study. Child Indicators Research, 2019, vol. 12, pp. 791–819. Available at:
  • Fattore T., Fegter S., Hunner-Kreisel C. Children’s understandings of well-being in global and local contexts: Theoretical and methodological considerations for a multinational qualitative study. Child Indicators Research, 2019, vol. 12, pp. 385–407. Available at:
  • Amholt T.T., Dammeyer J., Carter R. et al. Psychological well-being and academic achievement among schoolaged children: A systematic review. Child Indicators Research, 2020, vol. 13, pp. 1523–1548. Available at:
  • Vishnevskii A.G., Andreev E.M., Shcherbakova E.M. Demographic challenges of Russia. Part one – population and space. Demoskop Weekly=Demoskop Weekly, 2017, no. 749–750, pp. 1–10 (in Russian).
  • Kolosnitsyna M.G., Kossova T.V., Sheluntsova M.A. Factors of the life expectancy increase: Country-level cluster analysis. Demograficheskoe obozrenie=Demographic Review, 2019, vol. 6, no. 1, pp. 124–150 (in Russian).
  • Rybakovsky O.L., Sudoplatova V.S., Tayunova O.A. The potential for reducing mortality in Russia. Sotsiologicheskie issledovaniya=Sociological Studies, 2017, no. 3, pp. 29–42 (in Russian).
  • Zaitseva E.V., Goncharova N.V. Analysis of the influence of pronatalistic policy on reproduction of population and position of large families. Vestnik UrFU. Seriya ekonomika i upravlenie=Bulletin of Ural Federal University Series Economics and Management, 2019, vol. 18, no. 6, pp. 967–988. DOI: 10.15826/vestnik.2019.18.6.047 (in Russian).
  • Razvarina I.N. Assessment of economic damage caused by child mortality. Vestnik UrFU. Seriya ekonomika I upravlenie=Bulletin of Ural Federal University Series Economics and Management, 2018, vol. 17, no. 4, pp. 620–634 (in Russian).
  • Rostovskaya T.K., Kuchmaeva O.V., Bezverbnaya N.A. Current state and prospects of family policy in Russia: Socio-demographic analysis. Ekonomicheskie i sotsial’nye peremeny: fakty, tendentsii, prognoz=Economic
  • and Social Changes: Facts, Trends, Forecast, 2019, vol. 12, no. 6, pp. 209–227. DOI: 10.15838/esc.2019.6.66.12 (in Russian).
  • Makar S.V., Simagin Yu.A., Yarasheva A.V. Demographic situation in Russia and social infrastructure. Narodonaselenie=Population, 2020, vol. 23, no. 1, pp. 67–75. DOI: 10.19181/population.2020.23.1.6 (in Russian).
  • Rybakovsky O.L., Tayunova O.A. Fertility in Russia and demographic waves. Narodonaselenie=Population, 2017, no. 4 (78), pp. 56–66. DOI: 10.26653/1561-7785-2017-4-4 (in Russian).
  • Klupt M.A. Influence of family policy and normative beliefs about family on fertility: Comparative analysis. Sotsiologicheskie issledovaniya=Sociological Studies, 2020, no. 3, pp. 40–50. DOI: 10.31857/S013216250008812-6 (in Russian).
  • Shcherbakov A.I. Increasing fertility is the main aim of demographic policy in Russia. Sotsial’no-trudovye issledovaniya=Social and Labor Research, 2019, no. 3 (36), pp. 143–152. DOI: 10.34022/2658-3712-2019-36-3-143-152 (in Russian).
  • Baranov A.A. et al. Results of preventive medical examinations of minors in the Russian Federation. Rossiiskii pediatricheskii zhurnal=The Russian Pediatric Journal, 2016, no. 19 (5), pp. 287–293 (in Russian).
  • Namazova-Baranova L.S. et al. Morbidity of children aged 5 to 15 years in the Russian Federation. Meditsinskii sovet=Medical Council, 2014, no. 1, pp. 6–10 (in Russian).
  • Rimashevskaya N.M., Breeva E.B. The “field” of childhood. Narodonaselenie=Population, 2011, no. 4, pp. 17–26 (in Russian).
  • Sukhareva L.M., Rapoport I.K., Polenova M.A. The health of the Moscow schoolchildren and the factors that influence its formation (longitudinal study). Zdorov’e naseleniya i sreda obitaniya=Public Health and Life Environment, 2014, no. 3 (252), pp. 28–30 (in Russian).
  • Shabunova A.A. Twenty years of children’s health monitoring: Organization, results, conclusions. Ekonomicheskie i sotsial’nye peremeny: fakty, tendentsii, prognoz=Economic and Social Changes: Facts, Trends, Forecast, 2015, no. 2 (38), pp. 116–128. DOI: 10.15838/esc/2015.2.38.7 (in Russian).
  • Baranov A.A., Albitskiy V.Yu. State of health of children in Russia, priorities of its preservation and improving. Kazanskii meditsinskii zhurnal=Kazan Medical Journal, 2018, vol. 99, no. 4, pp. 689–705 (in Russian).
  • Baranov A.A., Yakovleva T.V., Albitsky V.Yu., Modestov A.A., Antonova E.V. Reduction of avertable loss of health in children – the strategy of social pediatrics. Voprosy sovremennoi pediatrii=Current Pediatrics, 2008, vol. 7, no. 4, pp. 6–8 (in Russian).
  • Baranov A.A., Albitsky V.Yu., Terletskaya R.N., Zelinskaya D.I. Conception of decreasing of preventable health loss in children. Voprosy sovremennoi pediatrii=Current Pediatrics, 2010, vol. 9, no. 5, pp. 5–9 (in Russian).
  • Albitsky V.Yu., Modestov A.A., Yakovleva T.V., Mendelevich B.D. Preventability of losses in children’s health as an effective resource saving strategy in public health. Sotsial’nye aspekty zdorov’ya naseleniya=Social Aspects of Population Health, 2010, no. 4 (16) (in Russian).
  • Farrakhov A.Z., Shavaliev R.F., Sadykov M.M. Health centers for children as a priority direction of the prophylactic activity of pediatrics service. Meditsinskii al’manakh=Medical Almanac, 2013, no. 2 (26), pp. 12–15 (in Russian).
  • Kovtun O.P., Anufrieva E.V., Malyamova L.N., Tsarkova S.A. Organization of preventive medical examinations of minors in the Sverdlovsk region: Ways to improve quality. Ural’skii meditsinskii zhurnal=Ural Medical Journal, 2018, no. 6 (161), pp. 118–125 (in Russian).
  • Sukhareva L.M., Namazova-Baranova L.S., Rapoport I.K. The morbidity of Moscow schoolchildren in thedynamics of the learning from the first to the ninth grade (longitudinal study). Rossiiskii pediatricheskii zhurnal=The Russian Pediatric Journal, 2013, no. 4, pp. 48–53 (in Russian).
  • Natsun L.N. Incidence of Malignant Neoplasms in Children in the Regions of the North-Western Federal District. In: Instituty razvitiya chelovecheskogo potentsiala v usloviyakh sovremennykh vyzovov: sbornik statei XI Ural’skogo demograficheskogo foruma: v 2-kh t. [Human development institutions in the context of modern challenges: Collection of articles of the XI of the Ural Demographic Forum: in 2 volumes.]. Volume II. Ekaterinburg: Institut ekonomiki UrO RAN, 2020. pp. 187–193 (in Russian).
  • Banteva M.N., Manoshkina E.M., Sokolovskaya T.A., Matveev E.N. Trends in incidence and dynamics of chronic pathology in children aged 0-14 in the Russian Federation. Sotsial’nye aspekty zdorov’ya naseleniya=Social Aspects of Population Health, 2019, no. 65 (5). DOI: 10.21045/2071-5021-2019-65-5-10 (in Russian). Available at:,ru/ (accessed: 19.08.2020).
  • Razvarina I.N., Natsun L.N. Health of children aged 0–3 in the Vologda region. Sotsial’nye aspekty zdorov’ya naseleniya=Social Aspects of Population Health, 2019, no. 1 (65). DOI: (in Russian). Available at:,ru/ (in Russian).
  • Baranov A.A. et al. Trends and the health status of the child population of the Russian Federation. Rossiiskii pediatricheskii zhurnal=The Russian Pediatric Journal, 2012, no. 6, pp. 4–9 (in Russian).
  • Shabunova A.A., Kondakova N.A. Children’s health and development: Results of a 20-year monitoring. Ekonomicheskie i sotsial’nye peremeny: fakty, tendentsii, prognoz=Economic and Social Changes: Facts, Trends, Forecast, 2014, no. 5 (35), pp. 33–54 (in Russian).
  • Ivanova M.A., Lyutsko V.V. Analysis of the security and staffing pediatricians precinct in the Russian Federation for the period 2007-2016 years. Sovremennye problemy zdravookhraneniya i meditsinskoi statistiki=Current Problems of Health Care and Medical Statistics, 2019, no. 1, pp. 167–185. DOI: 10.24411/2312-2935-2019-10011 (in Russian).
  • Razvarina I.N., Kalachikova O.N. Private or public? Parental assessment of the conditions of children’s medical service. Diskurs=Diskurs, 2018, no. 12 (26), pp. 293–310 (in Russian).
Статья научная