Children’s Orthopaedics Department, Medical University, Lublin, Poland
2
European Centre for Rehabilitation, Biała Podlaska, Poland
3
Departament of Health Informatics and Statistics, Institute of Rural Health, Lublin, Poland
4
Outpatient Clinic for Motor Organs Treatment ‘GERONIMO’, Tarnów, Poland
5
Chair of Physioprophylaxis, Faculty of Physical Education and Sports, Józef Piłsudski University of Physical Education, Warsaw, with seat in Biała Podlaska, Poland
6
Faculty of Pedagogy and Psychology, University of Economics and Innovation, Lublin, Poland
7
Department of Retinal and Vitreous Surgery, Medical University, Lublin, Poland
Introduction and objective: Scoliosis is a serious clinical problem which requires a systematic physical therapy and control of body balance – treatment from the moment of achieving skeletal maturity by a child. In the situation of neglect of such a management, the deformation of the spine often requires surgical intervention. The role of parents in the process of treatment of a child is undeniable. The study concerned the determination of socio-economic conditions and the engagement of parents with children treated due to scoliosis in Eastern Poland.
Material and Methods: The study was conducted by means of a diagnostic survey. The study group consisted of 193 parents (148 females (76.7%) and 45 males (23.3%)) – a randomly selected sample of the parents of children who participated in scoliosis rehabilitation courses in rehabilitation centres in Eastern Poland.
The significance of the relationships between variables was investigated by means of chi-square test for independence. The differences between the empirical and theoretical sample distribution was examined by means of chi-square goodness-of-fit test. The significance level was set at p=0.05.
Results: The study group covered 47.7% of inhabitants of the rural areas and small towns, and 52.3% of inhabitants of medium-size and large cities. Respondents with a higher economic status were more engaged in the treatment of their child with scoliosis. A greater number of parents with university education level reported to a specialist; however the frequency of these visits, similar to incomplete families, was the lowest.
Conclusions: The accessibility to specialists is lower in the rural than urban areas.
1. There is a relationship between the economic standard of the family and engagement in the treatment of a child with scoliosis.
2. There is a need to develop a system of education of parents concerning scoliosis and the consequences of neglecting treatment.
3. The system of public health services is insufficient for satisfying health demands of patients with the diagnosis of scoliosis.
REFERENCES(32)
1.
Borański J. Piątkowski W. (Eds.) Zdrowie i choroba. Wybrane problemy socjologii medycznej, ATUT, Wrocław 2002, p. 110-113.
Sheridan MA, Sarsour K, Jutte D, D’Esposito M, Boyce WT. The impact of social disparity on prefrontal function in childhood. PLoS One. 2012; 7(4): e35744.
Melchior M, Moffitt TE, Milne BJ, Poulton R, Caspi A. Why do children from socioeconomically disadvantaged families suffer from poor health when they reach adulthood? A life-course study. Am J Epidemiol. 2007; 166(8): 966-74.
Gilman SE, Kawachi I, Fitzmaurice GM, Buka SL. Socioeconomic status in childhood and the lifetime risk of major depression. Int J Epidemiol. 2002; 31(2): 359-67.
Nordentoft M, Andersen AM. Osler M. Childhood social environment and risk of drug and alcohol abuse in a cohort of Danish men born in 1953. Am J Epidemiol. 2006; 163(7): 654-61.
Brunner E, Shipley MJ, Blane D, Smith GD, Marmot MG. When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. J Epidemiol Community Health. 1999; 53(12): 757-64.
Ryan MD, Nachemson A. Thoracic adolescent idiopathic scoliosis: perinatal and environmental aspects in a Swedish population and their relationship to curve severity. J Pediatr Orthop. 1987; 7(1): 72-7.
Saabye J, Christoffersen H, Lund K. Follow-up study of 46 patients with idiopathic adolescent scoliosis. Physiological, psychological and social aspects. Ugeskr Laeger. 1986; 148(20): 1230-1.
Zejda JE, Brożek GM, Farnik M, Smółka I. Social and family-related correlates of medical care utilization by asthmatic children in Upper Silesia, Poland. Ann Agric Environ Med. 2012; 19(1): 141-5.
Łepecka-Klusek C, Wdowiak A, Pilewska-Kozak AB, Syty K, Jakiel G. The role of age, environmental and occupational factors on semen density. Ann Agric Environ Med. 2011; 18(2): 437-40.
Zagozdzon P, Kolarzyk E, Marcinkowski JT. Quality of life and rural place of residence in Polish women – population based study. Ann Agric Environ Med. 2011; 18(2): 429-32.
Kołłątaj W, Sygit K, Sygit M, Karwat ID, Kołłątaj B. Eating habits of children and adolescents from rural regions depending on gender, education, and economic status of parents. Ann Agric Environ Med. 2011; 18(2): 393-7.
Payne WK 3rd, Ogilvie JW, Resnick MD, Kane RL, Transfeldt EE, Blum RW. Does scoliosis have a psychological impact and does gender make a difference? Spine (Phila Pa 1976). 1997; 22(12): 1380-4.
Burwell GR, Dangerfield PH, Moulton A, Grivas TB. Adolescent idiopathic scoliosis (AIS), environment, exposome and epigenetics: a molecular perspective of postnatal normal spinal growth and the etiopathogenesis of AIS with consideration of a network approach and possible implications for medical therapy http://www.scoliosisjournal.co... 18.05.2012).
van Rhijn LW, Jansen EJ, Plasmans CM, Veraart BE. Curve characteristics in monozygotic twins with adolescent idiopathic scoliosis: 3 new twin pairs and a review of the literature. Acta Orthop Scand. 2001; 72(6): 621-5.
Goldberg CJ. Symmetry control. In Etiology of Adolescent Idiopathic Scoliosis: Current Trends and Relevance to New Treatment Approaches, State of the Art Reviews: Spine. Volume 14. Edited by Burwell RG, Dangerfield PH, Lowe TG, Margulies JY. Philadelphia, Hanley & Belfus Inc; 2000: 327-8.
McMaster M, Lee AJ, Burwell RG. Physical activities of patients with adolescent idiopathic scoliosis (AIS) compared with a control group: implications for etiology and possible prevention [abstract]. J Bone Joint Surg Br. 2006; 88-B (Supp II): 225.
McMaster ME. Heated indoor swimming pools, infants, and the pathogenesis of adolescent idiopathic scoliosis: a neurogenic hypothesis. Environ Health. 2011; 10: 86.
Ryan MD, Nachemson A. Thoracic adolescent idiopathic scoliosis: perinatal and environmental aspects in a Swedish population and their relationship to curve severity. J Pediatr Orthop. 1987; 7(1): 72.
Sarsour K, Sheridan M, Jutte D, Nuru-Jeter A, Hinshaw S, Boyce WT. Family socioeconomic status and child executive functions: the roles of language, home environment, and single parenthood. J Int Neuropsychol Soc. 2011; 17(1): 120-32.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.