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2003, vol. 56, br. 9-10, str. 436-438
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Deca bez roditeljskog staranja kao vulnerabilna kategorija stanovništva
Children without parental care as a vulnerable category
aInstitut za zaštitu zdravlja, Novi Sad bDom zdravlja, Novi Sad
e-adresa: izzz@eunet.yu
Sažetak
Pod vulnerabilnošću se podrazumeva izloženost štetnim uticajima, riziku ili stresu, što povećava verovatnoću obolevanja. Vulnerabilnost dece bez roditeljskog staranja je uslovljena nedostatkom i/ili neadekvatnom porodičnom sredinom. Istraživanja pokazuju da su kod ove dece ugrožene sve 3 komponente zdravlja. Ona češće zaostaju u fizičkom, psihomotornom i intelektualnom razvoju, obično su emocionalno nestabilna, reaguju neprilagođenim ponašanjem i imaju nisko samopoštovanje, a u adolescenciji su sklonija rizičnom ponašanju, što bitno utiče na pad zdravstvenog potencijala, koji je preduslov zdravlja. S obzirom da su u dečjoj populaciji prediktori za visok kvalitet života psihosocijalni faktori i porodična klima, može se očekivati da će kod ove dece on biti lošiji nego kod dece koja imaju pozitivno porodično iskustvo. Sve to uslovljava posebne potrebe u oblasti zdravstvene, psihološke i socijalne zaštite, a njihovo adekvatno rešavanje predstavlja važan društveni zadatak, jer se na taj način obezbeđuje razvoj zdravstvenog potencijala, smanjuju nejednakosti u zdravlju i unapređenje zdravlja i kvaliteta života.
Abstract
Introduction Health protection and health promotion are the primary goals of modern medicine. Since children's health is the cornerstone of adult's health, it must be in the center of all social and health care strategies. Vulnerability concept Vulnerability means exposure to harmful influences, risks or stress, which increases disease probability. The most vulnerable are categories that are exposed to influence of many harmful factors, which have minimal chances for survival and lowest quality of life. Vulnerability of children without parental care Vulnerability of children without parental care is caused by lack and/or inadequate family environment. These children are usually emotionally unstable; they frequently develop conduct disorders and have low self-esteem. As adolescents, these children have tendency to risky behavior, which greatly decreases their health potentials. Health status and quality of life All three components of health are endangered with children without parental care. These children present with physical, psycho-motoric and intellectual impairments. There are no studies about quality of life regarding these children, but we can assume that their quality of life is lower than in children who experience protective family environment, since quality of psychosocial factors and family environment are very important predictors of quality of life. Conclusion Children without parental care are an extremely vulnerable category, because they are subjected to various risk factors. Therefore, in order to improve health potentials and quality of life, special measures are required in health care, psychological care and social welfare.
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