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Medico-social aspects of health of children in large families


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The prevalence rate of large families in Russia has distinct regional character. So, a number of the subjects referred to the North Caucasus Federal Okrug are characterized by traditionally high level of a possession of many children. Such families distinguish from other categories of families on all socio-economic indices of the life quality and differ in both the maximum risk and degree ofpoverty. The share of the families having three and more children among needy households with children for the last decade has increased. Questions in the sphere of legislative and practical providing the rights and interests of members of large families which are regarded as insufficiently effective are discussed. Small number of studies devoted to the state of health, the organization of medical care and medico-social escort of children from large families was noted. There were sufficiently studied psychological and pedagogical aspects of this problem. Children of various age groups from large families were established to retard on all quantitative and qualitative indices of the physical development, differ in lower level of health and bigger prevalence of disability. There was substantiated the need for the elaboration of system of medico-social escort of the children who are brought up in large families as a real opportunity in modern conditions to influence on the shaping of health and its level for this category of the children’s population of Russia.

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For citation: Zelinskaya D.I., Terletskaya R.N., Rozhkovskaya S.A. Medico-social aspects of health of children in large families. Rossiiskii Pediatricheskii Zhurnal (Russian Pediatric Journal). 2016; 19(6): 361-366. (In Russian). DOI:


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