title: Morbidity at elementary school entry differs by sex and level of residence urbanization: a comparative cross-sectional study.
abstract: BACKGROUND
  Health is vital to a child's learning in school and success in life. Therefore, early physical examination, and follow-up if necessary, would bring parents' attention to their child's health and would likely improve outcomes. The purposes of this study are twofold: to assess the health status of first-graders and to examine the health status differences between sexes, levels of residence urbanization, and quantity of available medical resources.
  
  
  METHODS
  This is a comparative descriptive study. Data from the 2002 Student Entry Physical Examination (SEPE) and Student Medical History Inventory (SMHI) were obtained from 203 public and private elementary schools in northern Taiwan where a population of 53,053 students was included. Frequencies, independent sample t test, one-way ANOVA along with Scheff's post hoc test, and Pearson's correlation were conducted using SPSS.
  
  
  RESULTS
  This study showed that 13.7% of students had at least one diagnosed disease from the SMHI reported by parents. Moreover, the SEPE indicated that 79.5% students had at least one health concern. Dental caries, myopia, and obesity were the most prevalent health problems among the first-graders (69.6%, 27.1%, and 9.5%, respectively). Research results show that there were significant differences in the prevalence of dental caries, myopia, and obesity between different sexes and among levels of urbanization. However, the quantity of available medical resources made no significant difference.
  
  
  CONCLUSIONS
  Elementary school entry physical examination is an important way to detect students' health problems. It is suggested that school health interventions consider students' health profiles along with their sex and level of urbanization in planning. More research is needed to find the risk factors of the health problems. Additionally, the creation of a school health committee is suggested to implement and evaluate the entry health examination program.
authors.affiliation: Department of Nursing, National Taipei College of Nursing, Pei-Tou, 11219 Taipei City, Taiwan. rea@ntcn.edu.tw
authors.forename: Rea-Jeng
authors.initials: RJ
authors.lastname: Yang
authors.forename: Jiunn-Jye
authors.initials: JJ
authors.lastname: Sheu
authors.forename: Huey-Shys
authors.initials: HS
authors.lastname: Chen
authors.forename: Kuan-Chia
authors.initials: KC
authors.lastname: Lin
authors.forename: Hsiu-Li
authors.initials: HL
authors.lastname: Huang
mesh_terms: D002648:Child; D002669:Child Welfare / Q000145:classification / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009017:Morbidity; D010808:Physical Examination; D015995:Prevalence; D012572:School Health Services / Q000706:statistics & numerical data*; D017678:Sex Distribution; D013624:Taiwan / Q000453:epidemiology; D014507:Urbanization