DETERMINANTS OF HEALTH IN PRESCHOOL AND SCHOOL-AGE CHILDREN: CHALLENGES OF RECURRENT TONSILLITIS

The study examines social determinants of health affecting the frequency of recurrent tonsillitis in preschool and school-age children. Based on a survey of 82 respondents from different countries (Germany, United Kingdom, Luxembourg, Ukraine, and Thailand), the impact of family socioeconomic status, living conditions, and childcare organization on morbidity was analyzed. It was found that children from low-income families have a higher incidence of tonsillitis, associated with limited access to medical services and poor living conditions. It was discovered that in children's groups with overcrowded conditions (more than 20 children), the frequency of tonsillitis recurrence reaches 48%. The study confirms the importance of regular preventive examinations, adherence to sanitary and hygienic standards, and raising parental awareness about the necessity of isolating sick children. A set of recommendations for improving preventive measures and reducing the incidence of tonsillitis among children is proposed.