Health prevention in the pediatric population - challenges and recommendations for the future
DOI:
https://doi.org/10.12775/JEHS.2025.82.60399Keywords
prevention, primary prevention, secondary prevention, tertiary prevention, quaternary prevention, health promotion, pediatrics, healthAbstract
Introduction and purpose: The aim of this work is to deepen the topic of health prevention and to draw attention to the need for early intervention, a holistic approach to health and cooperation between family, school and health care. Popularization of knowledge about a healthy lifestyle, including breastfeeding, physical activity and prevention of lifestyle diseases, is crucial for the proper development of children and adolescents.
State of knowledge: The contemporary approach to prevention in pediatrics is based on four levels of preventive measures. Primary prevention focuses on eliminating or reducing risk factors for diseases and shaping pro-health habits, such as a healthy diet, physical activity and vaccinations. Secondary prevention focuses on early detection of diseases in their subclinical stages, which allows for faster initiation of treatment and limiting further development of diseases. Tertiary prevention aims to prevent complications and further deterioration of health in people already affected by the disease. This includes rehabilitation, psychological support and control and treatment of chronic diseases. Quaternary prevention, which is gaining importance in recent studies, involves protecting patients from unnecessary medical interventions that may do more harm than good.
Conclusion: Effective prevention in pediatrics requires an integrated approach, including cooperation between parents, teachers, medical personnel and institutions responsible for public health. Adapting activities to local conditions and actively involving children and their caregivers increase the effectiveness of prevention programs. Comprehensive, yet individualized strategies are key to improving the health of the pediatric population and preventing diseases in later stages of life.
References
Woynarowska, B. (2021). Edukacja zdrowotna. Podręcznik akademicki. PWN.
Jarosz, M. (Red.). (2020). Normy żywienia dla populacji Polski i ich zastosowanie. Instytut Żywności i Żywienia.
Główny Urząd Statystyczny. (2020). Zdrowie dzieci i młodzieży w Polsce. Warszawa.
WHO Europe. (2019). Health promoting schools: Experiences from the European Region.
Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2017). Mental health promotion in schools. International Journal of Psychiatry in Clinical Practice, 21(1), 1–7. https://doi.org/10.1080/13651501.2016.1235019
Świderska, A. (2021). Znaczenie edukacji emocjonalnej w profilaktyce zaburzeń psychicznych. Psychologia w praktyce, (1).
Ministerstwo Zdrowia. (2022). Narodowy Program Zdrowia 2021–2025.
OECD. (2021). Mental health and well-being in schools. OECD Publishing.
Narodowy Instytut Zdrowia Publicznego PZH. (2023). Program Szczepień Ochronnych na 2024 r.
WHO. (2022). Immunization coverage. https://www.who.int
Zakład Stomatologii Dziecięcej UM w Łodzi. (2020). Stan zdrowia jamy ustnej dzieci w Polsce.
WHO. (2021). Marketing of foods high in fat, salt and sugar to children.
Bańka, A. (2022). Mediacje cyfrowe w promocji zdrowia. Media i Zdrowie, (2).
European Commission. (2020). eHealth and mHealth – Future of public health promotion.
Sonntag, H., & Bühringer, G. (2010). FreD goes net – European knowledge transfer in early intervention for young drug users. Federal Centre for Health Education.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x
Waters, E., de Silva-Sanigorski, A., Hall, B. J., Brown, T., Campbell, K. J., Gao, Y., & Summerbell, C. D. (2011). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews, (12). https://doi.org/10.1002/14651858.CD001871.pub3
Lintuvuori, M., & Aira, M. (2015). Life Skills – A Finnish national school-based health promotion programme. Health Promotion International, 30(2), 281–289. https://doi.org/10.1093/heapro/dau050
WHO. (2017). Making every school a health-promoting school: Implementation guidance. World Health Organization.
Wojtyniak, B., & Goryński, P. (2012). Sytuacja zdrowotna ludności Polski i jej uwarunkowania. Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny
World Health Organization. (2014). Global status report on noncommunicable diseases 2014. WHO Press.
Jané-Llopis, E., & Barry, M. (2005). What makes mental health promotion effective? Promotion & Education, 12(2_suppl), 47–54. https://doi.org/10.1177/10253823050120020103
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259
Kumpfer, K. L., & Alvarado, R. (2003). Family-strengthening approaches for the prevention of youth problem behaviors. American Psychologist, 58(6–7), 457–465. https://doi.org/10.1037/0003-066X.58.6-7.457
Marmot, M. (2010). Fair society, healthy lives: The Marmot review. Strategic review of health inequalities in England post-2010.
Spencer, N., Raman, S., O’Hare, B., & Tamburlini, G. (2019). Addressing inequities in child health and development: Towards social justice. BMJ Paediatrics Open, 3(1), e000503. https://doi.org/10.1136/bmjpo-2019-000503
Langford, R., Bonell, C. P., Jones, H. E., Pouliou, T., Murphy, S. M., Waters, E., & Campbell, R. (2014). The WHO Health Promoting School framework for improving the health and well-being of students and staff. Cochrane Database of Systematic Reviews, (4). https://doi.org/10.1002/14651858.CD008958.pub2
Hieftje, K., Edelman, E. J., Camenga, D. R., & Fiellin, L. E. (2013). Electronic media–based health interventions promoting behavior change in youth: A systematic review. JAMA Pediatrics, 167(6), 574–580. https://doi.org/10.1001/jamapediatrics.2013.1095
Barry, M. M., Clarke, A. M., Jenkins, R., & Patel, V. (2013). A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. BMC Public Health, 13(1), 835. https://doi.org/10.1186/1471-2458-13-835
Kisling LA, Das JM. Prevention Strategies. Publishing; 2025 Jan
Martins C, Godycki-Cwirko M, Heleno B, Brodersen J. Quaternary prevention: reviewing the concept. Eur J Gen Pract. 2018 Dec;24(1):106-111. doi: 10.1080/13814788.2017.1422177. PMID: 29384397; PMCID: PMC5795741.
Dorota Paszkiewicz, Jan Piotrkowski. Profilaktyka w systemie ochrony zdrowia
Woynarowska, B. Profilaktyka w pediatrii. PWN. 2008
Zdrowie dzieci i młodzieży. Renata Szredzińska. Dzieci się liczą 2022. Raport o zagrożeniach bezpieczeństwa i rozwoju dzieci w Polsce
Środowiskowe zagrożenia stanu zdrowia dzieci – polskie doniesienia epidemiologiczne na tle światowej literatury przedmiotu. Jan E. Zejda. PRZEGL EPIDEMIOL 2010; 64: 333 - 339
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Copyright (c) 2025 Maria Antos-Łyko, Oliwia Regina Wasąg, Karina Aleksandra Koszuta, Przemysław Koszuta, Marcin Tkaczyk, Dawid Pająk, Piotr Czerniak, Julia Buszek, Paulina Laskowska, Adrian Pistelok

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