Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students.

This study aimed to determine the factors associated with the avoidance of dental preventive care in high school students and their parents in the framework of The Youth and Parents Risk Factor Behavior Survey in Slovakia, the ongoing cross-sectional school-based survey of students and their parents or legal representatives. The data were collected using two separate standardized questionnaires: (i) the questionnaire for students (n = 515) and (ii) the questionnaire for parents (n = 681). The study group included 57 high school students (54.4% males) who did not visit the dentist for preventive care in the previous year. The control group included 458 students (35.8% males) who visited a dentist for preventive care at least once in the previous year. A significantly higher number of males (54.4%), older adolescents, and young adults (21.8%; 20.0%) were not visiting dental preventive care regularly. Incomplete family (56.1%), stressful situations at home (17.5%), and feeling unwell were the factors contributing to the avoidance of dental preventive care. More than 34.5% of adolescents and young adults were not visiting either dental preventive care or pediatric preventive care (adjusted odds ratio (AOR) = 5.14; 95% confidence interval (CI) = 2.40, 10.99). Children of divorced mothers and mothers with household income lower than EUR 900 had significantly higher dental care avoidance in bivariate analysis. A significantly higher percentage of fathers from the exposed group were not visiting dental preventive care regularly (47.8%, p < 0.05). The results of the study can be used as an educational intervention step focusing on the parental influence on adolescent and young adults' behavior and as a challenge for the improvement of dental preventive care in older adolescents and young adults.

The Prevalence of Insulin Resistance and the Associated Risk Factors in a Sample of 14-18-Year-Old Slovak Adolescents.

The prevalence of cardiometabolic risk factors has increased in Slovakian adolescents as a result of serious lifestyle changes. This cross-sectional study aimed to assess the prevalence of insulin resistance (IR) and the associations with cardiometabolic and selected lifestyle risk factors in a sample of Slovak adolescents. In total, 2629 adolescents (45.8% males) aged between 14 and 18 years were examined in the study. Anthropometric parameters, blood pressure (BP), and resting heart rate were measured; fasting venous blood samples were analyzed; and homeostasis model assessment (HOMA)-insulin resistance (IR) was calculated. For statistical data processing, the methods of descriptive and analytical statistics for normal and skewed distribution of variables were used. The mean HOMA-IR was 2.45 ± 1.91, without a significant sex differences. IR (cut-off point for HOMA-IR = 3.16) was detected in 18.6% of adolescents (19.8% males, 17.6% females). IR was strongly associated with overweight/obesity (especially central) and with almost all monitored cardiometabolic factors, except for total cholesterol (TC) and systolic BP in females. The multivariate model selected variables such as low level of physical fitness, insufficient physical activity, breakfast skipping, a small number of daily meals, frequent consumption of sweetened beverages, and low educational level of fathers as significant risk factors of IR in adolescents. Recognizing the main lifestyle risk factors and early IR identification is important in terms of the performance of preventive strategies. Weight reduction, regular physical activity, and healthy eating habits can improve insulin sensitivity and decrease the incidence of metabolic syndrome, type 2 diabetes, and cardiovascular disease (CVD).

Long-term trends of potential years of life lost due to main causes of death in the Slovak population, 2004-2013.

The aim of this study was to evaluate trends of potential years of life lost (PYLL) rates in the Slovak population and analyze the average annual percent change (AAPC) of PYLL rates regarding the most common causes of death between 2004 and 2013. National mortality and demographic data were obtained from the Statistical Office of the Slovak Republic, and 378,535 causes of death within the period were analyzed. The PYLL values in both genders and each disease category were added up across all age groups to form annual values. For the trend analysis, the AAPC indicator was proposed. The PYLL rate is age-standardized and expressed as a sum of all deaths per 100,000. In the period 2004-2013, the highest mean PYLL rates were observed in neoplasms in the whole population (2,103 per 100,000), as well as in females (2,088 per 100,000), with a permanent high significant increase of AAPC of PYLL in both genders. The second highest mean PYLL rate in the ten-year period was related to circulatory system diseases in total (1,922 per 100,000) as well as in females (1,449 per 100,000). In males, circulatory system diseases had the highest PYLL rate (2,397 per 100,000). The PYLL rates trend regarding external causes of morbidity and mortality showed the most notable decrease in the assessed period and the AAPC of PYLL showed significant negative values both in males (-2.5%; p < 0.001) and females (-4%; p < 0.001). Our results should contribute in developing intervention programs aimed at reducing the burden of premature mortality since the main causes of premature death are associated to well-known and preventable risk factors.

Social Noise Exposure in a Sample of Slovak University Students.

PURPOSE: Social noise exposure is currently an emerging problem in adolescents and young adults. Various leisure time activities may be responsible for hearing impairment (temporary or permanent hearing threshold shift or hearing loss). The study aimed to quantify environmental noise from various sources-voluntary (social) noise (personal music players (PMPs), high-intensity noise exposure events), and road traffic noise and to detect hearing disorders in relation to individual listening to PMPs in the sample of young adults living and studying in Bratislava, the capital city of Slovakia. METHODS: The study included 1003 university students (306 men and 697 women, average age 23.1 ± 2) living in Bratislava for 4 or more years; 347 lived in the student housing facility exposed to road traffic noise (LAeq = 67.6 dB) and 656 in the control one (LAeq = 53.4 dB). Respondents completed a validated ICBEN 5-grade scale "noise annoyance questionnaire". In the exposed group a significant source of annoyance was road traffic noise (p < 0.001), noise from entertainment facilities (p < 0.001), industrial noise (p < 0.001), and noise from neighboring flats (p = 0.003). The exposure to PMPs was objectified by the conversion of the subjective evaluation of the volume setting and duration. With the cooperation of the Ear, Nose and Throat (ENT)specialist, we arranged audiometric examinations on the pilot sample of 41 volunteers. RESULTS: From the total sample of respondents, 79.2% reported the use of a PMP in the course of the last week, and the average time was 285 minutes. There was a significant difference in PMP use between the road traffic noise-exposed (85.6%) and the control group (75.8%) (p = 0.01). Among PMP users 30.7% exceeded the lower action value (LAV) for industry (LAeq,8h = 80 dB). On a pilot sample of volunteers (n = 41), audiometry testing was performed indicating a hearing threshold shift at higher frequencies in 22% of subjects. CONCLUSIONS: The results of the study on a sample of young healthy individuals showed the importance of exposure to social noise as well as to road traffic noise and the need for prevention and intervention.

Long-term trends of potential years of life lost due to main causes of death in the Slovak population, 2004-2013 / Tendências a longo prazo nos anos potenciais de vida perdidos devido às principais causas de óbito na população da Eslováquia, 2004-2013 / Tendencias a largo plazo de los años potenciales perdidos de vida, debido a las principales causas de muerte en la población eslovaca, 2004-2013

The aim of this study was to evaluate trends of potential years of life lost (PYLL) rates in the Slovak population and analyze the average annual percent change (AAPC) of PYLL rates regarding the most common causes of death between 2004 and 2013. National mortality and demographic data were obtained from the Statistical Office of the Slovak Republic, and 378,535 causes of death within the period were analyzed. The PYLL values in both genders and each disease category were added up across all age groups to form annual values. For the trend analysis, the AAPC indicator was proposed. The PYLL rate is age-standardized and expressed as a sum of all deaths per 100,000. In the period 2004-2013, the highest mean PYLL rates were observed in neoplasms in the whole population (2,103 per 100,000), as well as in females (2,088 per 100,000), with a permanent high significant increase of AAPC of PYLL in both genders. The second highest mean PYLL rate in the ten-year period was related to circulatory system diseases in total (1,922 per 100,000) as well as in females (1,449 per 100,000). In males, circulatory system diseases had the highest PYLL rate (2,397 per 100,000). The PYLL rates trend regarding external causes of morbidity and mortality showed the most notable decrease in the assessed period and the AAPC of PYLL showed significant negative values both in males (-2.5%; p < 0.001) and females (-4%; p < 0.001). Our results should contribute in developing intervention programs aimed at reducing the burden of premature mortality since the main causes of premature death are associated to well-known and preventable risk factors.

O estudo teve como objetivo avaliar as tendências nas taxas de anos potenciais de vida perdidos (APVP) na população eslovaca e a análise da variação percentual anual média (VPAM) nas taxas de APVP de acordo com as causas de óbito mais comuns no período de 2004 a 2013. A mortalidade nacional e os dados demográficos foram obtidos do Escritório de Estatística da República Eslovaca. Foram analisadas 378.535 causas de óbito entre 2004 e 2013. Para constituir os valores anuais, foram tabelados, em todas as faixas etárias, os valores de APVP em ambos gêneros e em cada categoria nosológica. Para a análise de tendências, foi proposto o indicador da VPAM. A taxa de APVP é padronizada para a idade e expressa como a soma de todos os óbitos por 100 mil. No período de 2004 a 2013, as médias mais altas de APVP foram observadas em neoplasias na população geral (2.103 por 100 mil) e na população feminina (2.088 por 100 mil), com um aumento significativo na VPAM dos APVP em ambos os gêneros. A segunda maior média de APVP no período de 10 anos foi devida a doenças cardiovasculares, tanto na população geral (1.922 por 100 mil) quanto na população feminina (1.449 por 100 mil). Na população masculina, as doenças cardiovasculares tiveram a maior taxa de APVP (2.397 por 100 mil). A tendência nas taxas de APVP por causas externas mostraram a redução mais importante no período avaliado, e a VPAM dos APVP comprovou os valores negativos significativos, tanto em homens (-2,5%; p < 0,001) quanto em mulheres (-4%; p < 0,001). Os resultados devem contribuir para o desenvolvimento de intervenções voltadas para a redução da carga de mortalidade prematura, considerando que as principais causas de morte prematura estão associadas a fatores de risco bem conhecidos e preveníveis.

El objetivo de este estudio fue evaluar las tendencias de las tasas de los años potenciales de vida perdidos (PYLL por sus siglas en inglés) en la población eslovaca y el análisis de la variación promedio del porcentaje anual (AAPC por sus siglas en inglés) de las tasas PYLL, de acuerdo con las causas más comunes de muerte, durante el período de 2004-2013. La mortalidad nacional y los datos demográficos se obtuvieron de la Oficina Estadística de la República Eslovaca; se analizaron 378.535 causas de muerte entre 2004 y 2013. Los valores de PYLL en ambos géneros y en cada categoría de enfermedad se contaron en todos los grupos de edad para formar valores anuales. Para el análisis de tendencia, se propuso el indicador AAPC. La tasa de PYLL se encuentra estandarizada por edad y expresada como la suma de todas las muertes por 100.000. En el período 2004-2013, las tasas medias más altas de PYLL se observaron en neoplasias en toda la población (2.103 por 100.000), así como en las mujeres (2.088 por 100.000) con un incremento significativo permanente alto de la AAPC en los PYLL en ambos géneros. La segunda tasa media más alta de PYLL, durante el período de diez años, se debió a las enfermedades del sistema circulatorio en total (1.922 por 100.000), al igual que en las mujeres (1.449 por 100.000). En hombres, las enfermedades del sistema circulatorio tienen la tasa más alta de PYLL (2.397 por 100.000). La tendencia de las tasas de PYLL, debida a causas externas de morbilidad y mortalidad mostró un notable decremento en el período evaluado y la AAPC de PYLL probaron los valores negativos significativos tanto en hombres (-2,5%; p < 0,001) como en mujeres (-4%; p < 0,001). Nuestros resultados deberían contribuir al desarrollo de la intervención en programas que tengan como meta reducir la carga de la mortalidad prematura, considerando que las causas principales de muerte prematura están asociadas a factores de riesgo bien conocidos y prevenibles.

The Economic Burden of Selected Analgesic Drugs Prescription by Dentists in Slovakia

Objective: To analyse economic burden of selected analgesic drugs prescription by dentists in Slovakia over a 24-month period. Material and Methods: In this economic burden study, the data were provided from the largest public health insurance company in Slovakia. It was analysed 23,256 prescriptions of selected analgesic drugs (Acetylsalicylic Acid, Diclofenac, Nimesulide, Tramadol and Metamizole Sodium) by dentists in Slovakia. Results: The highest analgesics prescription by dentists was found in Diclofenac in 2016 with 11.2% prescription increase in 2017. The significant decrease of analgesic drug prescription by dentists in 2017 was observed in Tramadol (-29.9%). The economic burden of selected analgesic drugs by patients were €33,926 in 2017 with 21.3% significant decrease of average percentage differences (APD) in Tramadol and 84.6% significant increase of APD in Metamizole sodium in 2017. Patients participated 65.5% share in payment of selected analgesic drugs and Health Insurance Company participated only 34.5% share in payment of selected analgesic drugs in 2017. It was found increase of percentage analgesic drugs prescription in Diclofenac and Nimesulide and decrease of percentage drug prescription in Metamizole sodium from 1/2016 to 12/2017. Conclusion: Economic burden on analgesic drugs prescribed by dentist was low per Slovak inhabitant in calculated. Diclofenac was most frequent prescribed analgesic drug with the highest economic burden. We recommend prescribing cheaper analgesic drugs with a lower economic burden and with the same effect.

Evaluation of Tooth Brushing in Slovak Patients with Sclerosis Multiplex

Objective: To analyse issue of teeth brushing according to age, gender and length in Slovak patients with multiple sclerosis disease (MS). Material and Methods: In this descriptive study, the questionnaires were collected in neurologists from December 2016 until September 2017. The study sample consisted of 103 MS patients (44.7% of men) in a mean age of 38.4 ± 9.95 years. The study sample of MS patients was divided into two sub-groups. The first sub-group consisted of MS patients who were restricted in teeth brushing (n=56) and the second group of MS patients, which had no restrictions in teeth brushing (n=47). Descriptive statistics were used to calculate the absolute and relative frequencies, mean and standard deviation. A two-sample ttest was used to compare of the proportion between sub-groups with restrictions and sub-group no restrictions in teeth brushing. The statistically significant level was determined at p<0.05. Results: The significant higher mean age (40.4 ± 10.8 years) was found in MS patients who had restrictions in teeth brushing (p=0.043). Females described often no restrictions in teeth brushing than males (59.6% vs. 40.4%; p<0.05). Length in MS disease (≤3 years) has significant impact on patients in who were not found restrictions in teeth brushing (31.9%; p=0.037). Conclusion: We recommend individual doctor approach to MS patients in older age and using of electric toothbrushes in MS patients who have hand functioning restrictions.

Exposure to Environmental Tobacco Smoke in Relation to Behavioral, Emotional, Social and Health Indicators of Slovak School Children.

Environmental tobacco smoke (ETS) exposure has been shown in general as a major environmental risk factor and deserves attention in vulnerable population groups. The aim of the project is to analyze the relationships among the ETS and behavior and health in 6−15-year-old children in Slovakia. The status of physical and mental health of children in relation to exposure to tobacco smoke was examined in a representative group of 1478 school children. The methods used, included anonymous questionnaires filled in by parents, Columbia Impairment Scale (CIS), Behavior Problem Index (BPI) and anthropometry. The prevalence of ETS exposure is the highest in the capital (27%) and southern cities. A significant association was found between ETS and age, socio-economic status, incompleteness of the family, level of mother’s education and a higher prevalence of respiratory diseases (26.7%). The relationships of ETS with emotional (CIS scores ≥ 16) and behavioral functions (BPI score ≥ 14) were significant in children exposed to mother’s or father’s smoking at home. In the multivariate analysis these associations were not significant; the factors such as income and completeness of the family were dominant. The results showed mostly the predominant impact of social factors on the physical and mental health status of Slovak school children.

Economic Burden of Selected Diagnostic Imaging Methods in Oral Cancer

Objective: To analyse of proportion and economic burden of selected diagnostic imaging methods of oral cancer according to quarters and average percentage differences in the Slovak population in the period 2016-2017. Material and Methods: In this descriptive study, the data were retrieved from the information system of the largest public health insurance company on our request, which archives the cost and proportion of diagnostic imaging methods of oral cancer in Slovak population. It was evaluated 48,995 of selected diagnostic imaging methods (Computed Tomography [CT], Magnetic Resonance Imaging [MRI] and X-Ray) in the period 2016-2017. Results: The most frequently used diagnostic imaging method of oral cancer was magnetic resonance imaging method every quarters in 2016 and 2017 (53.7-54.7%) with slightly increasing trend in period 2016-2017. Mean economic burden of selected diagnostic imaging methods of oral cancer were 1,974,900€ for MRI method, 598,187€ for CT method and 5,394€ for RTG method in 2017. Decreasing trend of economic burden of diagnostic imaging method was found in MRI method and CT method in period 2016-2017. Conclusion: Our economic burden study provides a useful source for public health professional and clinicians in better understanding the economic burden of diagnostic methods in oral cancer.

The Average Annual Percent Change Analyzes of Preventive Dental Care in the Slovak Republic, 2014-2016

Objective: To analyse of the average annual percent change (AAPC) of registered dental patients, patients with preventive dental care and patients requiring dental treatment in the period of 2014-2016 in the Slovak Republic. Material and Methods: Data from registered dental patients (n=14,736,888), patients with preventive dental care (n=8,212,441) and patients requiring dental treatment (n=5,262,323) in the period of 2014-2016 were obtained from the Statistical Office of the Slovak Republic; 28,211,652 dental patients were analysed. The Theil-Sen estimator of trend line based on median and its significance was tested by nonparametric Wilcoxon test using statistical software R package. Results: The significant decrease (-4.11%) of the AAPC rates of registered dental patient (p<0.05) during the entire period (2014-2016) can be observed in age subcategory 15-18 years, while in age subcategory 19+ years the nonsignificant increase (1.08%) of the AAPC rate of registered dental patients in the same period was achieved. In the period of 2014-2016, the highest AAPC rate of patients with preventive dental care with the significant decrease was found in age subcategory 6-14 years (-17.19%; p<0.001). The AAPC rate of patients requiring dental treatment proved the significant negative values in age subcategory 0-5 years (-7.26%; p<0.01), in age subcategory 6-14 years (-9.33%; p<0.001), in age subcategory 15-18 years (-8.81%; p<0.01). Conclusion: The highest decrease AAPC rate of registered dental patients was observed in age subcategory 15-18 years. The statistical significant decrease AAPC rate of patients with preventive dental care was found in children ≤ 18 years. In patients requiring dental treatment (≤ 18 y.) was observed decrease AAPC rate.

Gender and Age Differences in Patients' Satisfaction with Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study

Objective: To analyze the level of quality of healthcare satisfaction/dissatisfaction according to gender and age in terms of time spent with the doctor, communication, general satisfaction, interpersonal and financial aspects, technical quality and access/availability/convenience. Material and Methods: The standardized "Patient Satisfaction Questionnaire" (n=445) was collected in dental clinics in the Slovak Republic in the period of 2014-2015. The study sample was divided into subgroups according to gender (males: n=236; females: n=209) and age (<35 years: n= 243; ≥36 years: n=202). A scale from 1 (maximum dissatisfaction with quality of healthcare) to 5 (maximum satisfaction with quality of healthcare) was evaluated. Results: The highest significant satisfaction level of quality of healthcare (expressed as a mean score) were found in females in the subscale time spent with doctor (<35 y.) (2.90±0.69; p<0.042); the lowest satisfaction level was found in females (<35 y.) in the subscale general satisfaction (2.53±0.36; p=n.s.). Females (≥36y.) were significantly more satisfied with health care quality in the subscale communication than males (2.72±0.34 and 2.62±0.3, respectively; p=0.046). Males (<35 y.) were significantly less satisfied in the subscale technical quality compared to females (2.54±0.27 and 2.65±0.26, respectively; p=0.002). Conclusion: For the future, it is necessary to specify the next reasons for patients' satisfaction/dissatisfaction with dental care.

Association between Sweet Consumption and Oral Health in European Population

Objective: To evaluate the association between frequency sweet consumption of drink (food) and teeth number, prevalence of dental check-ups and teeth pain in European population. Material and Methods: In this descriptive study, the data was evaluated from Eurobarometer database 72.3. It was involved 30.292 of citizens from EU-27 (European Union) countries in Eurobarometer research. The necessary conditions for the including of European countries in our research were complete information about: (i) frequency of sweet consumption (%) in each EU-27 countries, population percentage who has all natural teeth (%) in each EU-27 countries, (iii) prevalence of dental checkups (%) in each EU-27 countries and (iv) frequency teeth pain in each EU-27 countries. Results: The highest proportion of often teeth pain (9.0%) was in Romania. Positive association between often sweet consumption of drink (food) and often teeth pain was found. Negative association between often sweet consumption of drink (food) and inhabitants' percentage who have all natural teeth was found. Negative association between often sweet consumption of drink (food) and prevalence of dental check-ups was observed. Conclusion: Our results about the impact sweet consumption of drink (food) on oral health are applicable in oral health programs. It is necessary to include more world countries (more European citizens) into linear regression model of oral health.

Impact of Orthodontic Treatment on Oral Health-Related Quality of Life in the Slovak Republic: A Cross-Sectional Study

Objective: To determine the level of Oral Health-related Quality of Life satisfaction in orthodontic patients compared with the control group. Material and Methods: In this cross-sectional study, the standardized questionnaire "Oral Health-related Quality of Life" (OHRQoL) was used. The 37 statements in the questionnaire are divided into four subscales; the total satisfaction score has been evaluated as well. 146 orthodontic patients (42.5% men) aged 8-72 years were divided into four subgroups: (i) patients treated by dental crowns and implants (DCI), (ii) subjects with dental prosthesis (DP), (iii) patients treated by dental braces (DB), and (iv) patients treated by dental retainer (DR). The control group consisted of 49 dental patients without any orthodontic treatment (51.0% men in mean age 20.0±8.2 years). Mean scores and levels of satisfaction (%) were evaluated in all subgroups and in all subscales. Results: The lowest rate of patients OHRQoL satisfaction was observed in the DP subgroup; the highest satisfaction level was found in the DCI subgroup. The highest rate of patient OHRQoL satisfaction in the study group was observed in subscales social well-being and functional limitation, and the highest level of dissatisfaction in a subscale emotional well-being. High significant differences between study and control groups were found in terms of a higher satisfaction level in a control group. Conclusion: The most dissatisfied were the oldest patients with dental prosthesis with the highest level of dissatisfaction in the emotional well-being subscale.

The Analysis of Selected Malocclusion Risk Factors: A Pilot Study

Objective: To analyse selected malocclusion risk factors, their exposure time and overall malocclusion risk scores. Material and Methods: The self-prepared questionnaires were collected at dental practitioners' waiting rooms from 6/2014 to 12/2015. The study group consisted of patients treated by dental braces (n=82; 15.5±4.4 years) and the control group consisted of other patients not treated by dental braces (n=45; 17.6±4.7 years). Data were processed by the statistical program SPSS using descriptive statistics. To verify the hypothesis wad used two sample t-test to compare the average exposure scores and the exposure time between the two groups. To determine associations between categorical variables was used Chi-square test. Statistical significance was set at p-value <0.05. Results: Our results confirmed longer exposure times in all studied malocclusion risk factors, in the case of pacifier sucking the difference was significant (p=0.001). The longest exposure time was found in mouth breathing in the study group (12.2±6.5 years). The lip sucking/chewing cannot be confirmed as a malocclusion risk factor. The study group had higher level of an overall mean risk score (19.8±11.5) compared the control group (16.1±12.1), although not significant. It can be concluded that non-nutritive sucking habits and/or mouth breathing could have damaging effect to normal teeth development. Conclusion: Malocclusions could be preventable, thus we recommend setting up educational programs for dentists and paediatricians as well as for parents focusing on the improvement of oral health knowledge.

The impact of selected environmental, behavioral and psychosocial factors on schoolchildren's somatic and mental health.

Children develop rapidly and many exogenous determinants of health significantly affect their somatic and mental development. There is a subjective perception of cognitive load associated with the educational process. The aim of the study is to assess individual environmental, behavioral and psychosocial factors influencing physical health and to investigate the amount of mental load in children. We investigated 87 schoolchildren (47 girls and 40 boys) aged 10-12 years, who were attending primary school in Bratislava. To assess values of selected factors we used a questionnaire form and personality characteristics were estimated by standardized psycho-diagnostic and IQ tests [range of classic fear, social-situation anxiety and jitters [skala Klasickeho strachu a Socialno-situacnej (in Slovak)] (KSAT), Eyesenck Personality Questionnaire for children (EPQ), Raven's IQ test]. Self-reported perception of mental load was assessed by questionnaire of subjective feelings and states (SFS). Children's body parameters were assessed using anthropometric measurements [height, weight, chest, abdominal and hip girth, Rohrer's index (RI), body mass index (BMI)] and a body fat measurement method (skinfold thickness). The results confirmed a significant relationship between higher parameters of overweight and obesity and irregular breakfast eating (p<0.05), absence of family dining (p<0.05), exposure to tobacco smoke in the family environment (p<0.01) and mother's level of education (p<0.05). Almost 60% of children reported high mental effort and cognitive load associated with the educational process. We note a close relationship between the higher mental load and the score of neuroticism (p<0.01). The physical and mental health of schoolchildren is significantly affected by exogenous factors. Therefore, in terms of protection and promotion of children's health, it is important to evaluate and monitor environmental risk factors and to form their healthy habits.