Screenings for children: international programmes & recommendations from evidence-based guidelines
| Autor: | R Winkler, I Reinsperger |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | European Journal of Public Health. 29 |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckz186.116 |
| Popis: | Background Children and adolescents are in general a healthy population group. However, they are exposed to a number of morbidities (physical illnesses and mental disorders) and social burdens (e.g. poverty, violence). In Austria, there are currently no routine screenings for children older than 6 years. The project aimed at providing an overview of international screening programmes and of recommendations from evidence-based guidelines for 6 to 14 years old children. Methods The overview of screening practices in nine selected (mostly European) countries is based on an (Internet) hand search and expert contacts. For the guideline overview, we conducted a search in guideline databases and on websites of institutions. Results We identified four main screenings that were predominantly offered in the analysed countries: screenings of body weight & height, hearing & vision disorders, dental disease and mental disorders. The services are provided in school and/or in doctors’ practices, involving physicians and/or nurses. 50 evidence-based guidelines from 16 institutions met our pre-defined inclusion criteria. We identified recommendations for 24 diseases or risk factors. We found most recommendations on screening for overweight and dental disease. Further guidelines addressed infectious diseases, mental disorders, health and risk behaviour, and counselling. Conclusions The results are now used as a basis for discussion for the development of a new screening programme in Austria. The overview provides an international and evidence-based view. However, social determinants of health, such as education and living conditions, were hardly considered in the identified screenings, but should be increasingly addressed in a comprehensive programme. Key messages Screenings for overweight and dental disease were central in both the selected countries’ programmes and the guideline recommendations. Comprehensive programmes should not only focus on physical parameters, but should also take into account the social determinants of health. |
| Databáze: | OpenAIRE |
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