Avdiievska O. Hygienic assessment of the conditions for the formation of a health-preserving environment in the families of students of general secondary education

The purpose of the dissertation is a hygienic assessment of the impact of the family on maintaining and strengthening the health of students in general secondary education to improve the system of primary prevention of non-communicable diseases of school-age children. On morbidity and biological adaptation - social status (p = 0.012) and psychological microclimate in the family (p = 0.027), financial situation of the family (p = 0.019), living conditions of children (p = 0.021), the presence of occupations of danger and diseases of parents p = 0.047), smoking of parents (p = 0.027), drug stimulation of childbirth (p = 0.034), the nature of infant feeding and the nature of nutrition to date (p = 0.007). Incomplete family was a risk factor for more frequent consumption of "fast food" (p = 0.02), "street" food (p <0.001), chips, crackers (p = 0.001) and fast food (p <0.001). Conflict situation in the family contributed to mental and behavioral disorders (p <0.05). Important factors in the formation of a healthy environment in the families - daily morning exercises related to the length of stay in the fresh air (rs = 0.25; p <0.05) , performance of hardening procedures (rs = 0.45; p <0.01), formation of teeth cleaning skills (rs = 0.28; p <0.05) and state of health at the end of the school day (rs = 0.36 ; p <0,01), duration of walks in the fresh air with a night's sleep (rs = -0,24; p <0,05). It was found that a single-parent family is a risk factor for more frequent consumption by adolescents of "fast food" (F = 9.8; p = 0.02), "street" food (F = 17.3; p <0.001), chips, crackers (F = 12.2; p = 0.001) and fast food (F = 18.9; p <0.001). If there were several children in the family, the parents paid more attention to the family's consumption of fresh vegetables (F = 7.5; p = 0.006) and fruits (F = 7.3; p = 0.007). The family of three generations paid more attention to the regular consumption of meat (F = 4.1; p = 0.04) and fermented milk products (F = 4.0; p = 0.04). Thus, at the end of the school day and after the weekend, 13.0% and 23.4% of students felt bad, and only 1.8% of parents admitted this (p <0.01). Based on a systematic analysis of the structural organization of the daily routine of students themselves and their parents, significant differences were also identified.