Health of adolescent girls in Novosibirsk and the Novosibirsk region: features and state

Introduction. Issues of adolescent girls’ health in modern society are becoming increasingly relevant requiring close attention and scientifi c research.

Aim . To assess the reproductive and somatic health of adolescent girls in Novosibirsk and the Novosibirsk region (NR), as well as to analyze the current state of the reproductive healthcare system for minors in the region.

Materials and methods . To assess the reproductive healthcare system, statistical data from the Medical Information and Analytical Center of the NR for 2019–2022 were used. To evaluate the characteristics of reproductive and somatic health, a clinical study with the participation of 127 adolescent girls seeking medical consultation at the Clinical Center for Family Health Care and Reproduction in 2019–2020 was conducted.

Results. The structure of the reproductive healthcare system for minors in the NR provides access to medical care via outpatient and inpatient settings, including specialized offi ces in the network of antenatal clinics, pediatric clinics and multi-fi eld hospitals. Developing routes for the referral of girls with gynecological diseases to medical organizations of various levels in the regions of the Siberian Federal District by 2022 and the annual analysis of service delivery show the availability and diversity of medical care to the children’s population in Novosibirsk and the NR. There was a decrease in the coverage of periodic health examinations for minors, as well as a sharp increase in cases of gynecological diseases among girls with disabilities. Non-infl ammatory diseases prevail in children under 10 years of age, and menstrual disorders – in adolescents. The provision of medical care and surgical treatment of gynecological diseases of adolescents is performed eff ectively, mainly using laparoscopic access. There has been an increase in requests for advice on contraception and sexual behavior, as well as an increase in the use of emergency contraception. A study conducted among adolescent girls revealed low adherence to contraception and a high incidence of menstrual dysfunction. The structure of extragenital pathology is dominated by diseases of the endocrine system, primarily obesity and thyroid disorders. Chronic otorhinolaryngologic, gastrointestinal and hematologic diseases also have an impact on the health of adolescents.

Conclusion. The data obtained indicate the need for further close attention to the reproductive health of minors, including developing eff ective measures for prevention and medical support.

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