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J Korean Soc Matern Child Health > Volume 13(2); 2009 > Article
Journal of The Korean Society of Maternal and Child Health 2009;13(2):220-233.
DOI: https://doi.org/10.21896/jksmch.2009.13.2.220    Published online July 31, 2009.
Assessment of Health Status in Children and Healthcare Needs in the Day Care Centers
한경자1, 김지수2, 최미영3
1서울대학교
2가천의과학대학교
3한국보건산업진흥원
건강사정에 근거한 보육시설 영유아의 건강상태 및 건강관리 요구 -서울시 일개 구의 구립어린이집을 중심으로-
한경자1, 김지수2, 최미영3
1서울대학교
2가천의과학대학교
3한국보건산업진흥원
Abstract
Purpose
: To investigate the children's health status such as growth and development, current health problems, past medical history, health behaviors and parents' need for child health in day care centers.
Methods
: A cross-sectional descriptive study was conducted on 244 children at 6 day care centers in Seoul. Parents completed a structured questionnaire and research assistants conducted growth and development assessment, physical exam and surveyed children's health behaviors for a month, Feb 2007. Data analysis was conducted using SPSS Win, and analyzed through descriptive statistics.
Results
: For 26.6% of the children were chronic illness such as cold, atopy, asthma, respiratory disease, chronic renal failure, attention-deficit hyperactivity disorder. And 4.1% of them had acute disease. About eleven percent of children missed standard vaccination in partially. Failure of growth was found in 3.3% of subjects and there was 8.6% of them who were under weight and 7.8% were obese. The result of Korean Denver II developmental screening test showed 8.6% of subjects were classified as questionable or untestable. On the physical exam, 6.2% of the children had hypertension and about 8% did the other health problems. Many parents was unsatisfied with child health care and needed revision of facilities, health care provider for their children in child day care centers.
Conclusion
: As a result, quite a number of children in child day care centers had health problems. These results represent there is a need to develop and make provisions for health service programs for children in day care centers by health experts.
Key Words: child, health assessment, physical examination, health status, child day care centers


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