Health of girls-victims of military conflict

V.A. Dynnik


Background. To study peculiarities of physical and sexual development and menstrual function in girls from the military conflict area in the Eastern part of the country who receive treatment in the State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”. Materials and methods. 192 girls aged 7–17 years who had been admitted to various departments of the institute were included in the study. An anthropometric study was conducted using common techniques and centile tables. Sexual development was identified by intensity of secondary sexual characteristics according to J. Tanner classification. A time of menarche and peculiarities of the menstrual function development were eva­luated. Results. Reproductive potential of girls from the military conflict area shows a high level of deviations manifesting in deterioration in physical development, impaired sexual maturation, and abnormal menstrual function. Whereas, it appears to be poorer in girls-victims of the military conflict in the Eastern Ukraine than in girls from the general population. Peculiarities of physical and sexual development and abnormal menstrual function were identified in girls from the immediate armed conflict area, grey area, and in displaced persons. Conclusions. Studying and understanding the problems of children-victims of the military conflict, dynamic evaluation of their physical, sexual, and menstrual function development are necessary to create effective support programs for them. This will enable to start treatment measures aimed at restoration of their reproductive potential and prevention of reproductive losses in the future.


physical development; sexual development; menstrual function; girls; military conflict


Buslaeva ME, Makarova VA. Problems of social adaptation of refugee and migrant children in the context of professional training of students. Pedagogical Education in Russia. 2016;1:155-161. (in Russian).

Doocy S, Sirois A, Tileva M, Storey JD, Burnham G. Chronic disease and disability among Iraqi populations displaced in Jordan and Syria. Int J Health Plann Manage. 2013 Jan-Mar;28(1):e1-e12. doi: 10.1002/hpm.2119.

Zhukov SV, Korolyuk EG. The pathogenetic model of formation of a health in level teenagers being compelled immigrants who are under conditions of chronic social stress. Journal of New Medical Technologies. 2010;17(1):71-73. (in Russian).

Korolyuk EG, Zhukov SV, Aronov AB, Mihailova SI. Gender aspects of the metabolic characteristics of the health of children in conditions of chronic social stress. Journal of New Medical Technologies. 2012;19(1):53-54. (in Russian).

Bilukha OO, Jayasekaran D, Burton A, et al. Nutritional status of women and child refugees from Syria-Jordan, April-May 2014. MMWR Morb Mortal Wkly Rep. 2014 Jul 25;63(29):638-9. PMID: 25055188.

Gurkin JuA, Feoktistova SS, Shapkayc VA. The problem of providing gynecological care for girls from dare migrants. Pediatr. 2015;6(1):68-70. (in Russian).

Borisova ZK, Ryzhova NK, Garevskaya YuA. The disease incidence among adolescent girls connected with reproductive health. Meditsinskii al'manakh. 2009;4(9):111-114. (in Russian).

State Statistical Service of Ukraine. Institute of Demography and Social Research named after M.V. Ptukha of the National Academy of Sciences of Ukraine. Distribution of permanent population by sex, age groups and type of settlements. Available from:

Tanner JM, Davies PS. Clinical longitudinal standards for height and height velocity for North American children. J Pediatr. 1985 Sep;107(3):317-29. PMID: 3875704.

Jeharsae R, Sangthong R, Wichaidit W, Chongsuvivatwong V. Grovth and development of children aged 1-5 years in lov-intensity armed conflict areas in Southern Thailand: a community-based survey. Confl Health. 2013;7:8. doi: 10.1186/1752-1505-7-8.

Rafieva ZKh, Abdurakhmanova FM. Physical and sexual development in girls exposed to psychoemotional stress. Rossiyskiy vestnik akushera-ginekologa. 2008;8(6):64-66. (in Russian).

Adams Hillard PJ. Menstruation in adolescents: what's normal, what's not. Ann N Y Acad Sci. 2008;1135:29-35. doi: 10.1196/annals.1429.022.

Peacock A, Alvi NS, Mushtaq T. Period problems: disorders of menstruation in adolescents. Arch Dis Child. 2012 Jun;97(6):554-60. doi: 10.1136/adc.2009.160853.

United Nations Children's Fund Unicef (UNICEF). The state of the world's children 2011: adolescence-an age of opportunity. New York, USA: Hatteras Press; 2011. 140 p.

Karapanou O, Papadimitriou A. Determinants of menarche. Reprod Biol Endocrinol. 2010 Sep 30;8:115. doi: 10.1186/1477-7827-8-115.

Rubin C, Maisonet M, Kieszak S, et al. Timing of maturation and predictors of menarche in girls enrolled in a contemporary British cohort. Paediatr Perinat Epidemiol. 2009 Sep;23(5):492-504. doi: 10.1111/j.1365-3016.2009.01055.x.

Talma H, Schjonbeck Y, van Dommelen P, Bakker B, van Buuren S, HiraSing RA. Trends in menarcheal age betveen 1955 and 2009 in the Netherlands. PLoS One. 2013 Apr 8;8(4):e60056. doi: 10.1371/journal.pone.0060056.

Lebets IS, Tolmacheva SR, Shevchenko NS. Modern approaches to the treatment of systemic lupus erythematosus in adolescents. Zdorov'ye Rebenka. 2012;6(41):91-94. (in Russian).

Zernyuk AD, Gurkin YuA, Polikarpova AYu, Medvedeva IV, Atamova EM. Analysis of gynecological morbidity in girls suffering from chronic decompensated extragenital diseases. Pediatr. 2015;6(2):25-31. (in Russian).

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