Health groups as an integral indicator of the state of health of the offspring of the first generation of inhabitants of radioactively contaminated areas, from birth to the age of 18

Abstract

An analysis of the distribution of first-generation offspring born to residents of radiation-contaminated areas of Ukraine by health groups, assessment of the organization of medical examinations, identification of risk factors that are factors of loss of health, to improve medical care.

The observation period from 1987 to 2016. The total cohort was 35893 individuals, among whom male offspring constituted 18138 individuals, while female offspring constituted 17755 individuals. There were created four groups to study offspring up to 3 years old, depending on the time of birth of offspring after an accident – years of birth:(first – 01.03.1987– 28.02.1990, second – 01.03.1990– 28.02.1993, third – 01.03.1993– 28.02.1996, fourth – 01.03.1996– 28.02.1999), with a three-year observation period.

The groups under clinical examination have been entered as follows: the first group – healthy; the second group – practically healthy; the third group – diseased, whilst the disease has a compensated or subcompensated course. A separate fourth group includes individuals with persistent pathological disorders that lead to permanent disability (disability)

During the observation period, there were detected, that the offspring of the general cohort in the first years of life were mostly healthy and only 5% had the third health group. At the age of 16-18, the health condition gradually deteriorated, as evidenced by a 27% decrease in the proportion of healthy and practically healthy offspring (first and second health groups) and a simultaneous increase by 30% of the number of people in the third health group. Significant deterioration in the health of offspring occurred at 5-7 and 16-18 years. The health condition of the male offspring is worse than of the female offspring. During the entire study period, in all of the groups under study, the proportion of offspring with disabilities was about 1-2%.