5 至 7 岁儿童的健康相关生活质量及其与社会经济地位和心理健康的关系:一项横断面研究。

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-11-20 DOI:10.1007/s11136-024-03834-6
Eva-Grethe Befus, Eirin Mølland, Sølvi Helseth, Thomas Westergren, Eirik Abildsnes, Milada Hagen, Sandra Nolte, Kristin Haraldstad
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引用次数: 0

摘要

目的:评估幼儿的社会经济地位(SES)、心理健康和与健康相关的生活质量(HRQoL)对于做出明智的医疗保健决策和确定干预领域至关重要。本研究旨在调查 5-7 岁儿童的社会经济地位、心理健康和 HRQoL 之间的潜在关联:本研究收集了2019年至2023年期间621名5-7岁一年级儿童的母亲报告健康评估,作为 "正确起步™"项目的一部分。在线问卷用于支持公共卫生护士评估儿童的健康状况。评估内容包括 HRQoL(KIDSCREEN-27,5 个分量表)和心理健康(力量与困难问卷 (SDQ),4 个分量表)。社会人口特征、性别、母亲教育程度和收入均来自挪威统计局。数据采用多元稳健回归法进行分析:与欧洲标准(8-11 岁)相比,母亲报告的 KIDSCREEN-27 平均得分在正常范围内。然而,在 KIDSCREEN-27 的每个维度上,母亲报告的得分都远远低于平均水平。有心理健康问题,即在 SDQ 问题总分中处于第 80 和 90 百分位数,与 KIDSCREEN-27 分数低 2.1-10.7 分有关(p 结论:我们的研究结果提供了重要的见解:我们的研究结果为了解幼儿的社会经济地位、心理健康和 HRQoL 之间的关系提供了重要启示。鉴于一年级儿童的心理健康问题与 HRQoL 之间存在密切联系,因此对两者进行评估至关重要,以便及早采取干预措施、改善关爱环境和提供培养支持。
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Health-related quality of life and its association with socioeconomic status and mental health in 5- to 7-year-old children: a cross-sectional study.

Purpose: Assessing socioeconomic status (SES), mental health, and health-related quality of life (HRQoL) in young children is crucial for making informed health care decisions and identifying areas of intervention. The present study aimed to investigate potential associations between SES, mental health, and HRQoL in 5-7-year-old children.

Method: The present study included mother-reported health assessments for 621 children aged 5-7 years in Grade 1 collected between 2019 and 2023 as part of the Starting Right™ project. Online questionnaires were used to support public health nurses in assessing children's health status. HRQoL (KIDSCREEN-27, 5 subscales) and mental health [Strength and Difficulties Questionnaire (SDQ), 4 subscales] were assessed. Sociodemographic characteristics, sex, maternal education, and income were obtained from Statistics Norway. The data were analyzed using multiple robust regression.

Results: Mother-reported mean scores for the KIDSCREEN-27 were within the normal range compared with European norms (8-11 years). However, for each KIDSCREEN-27 dimension, there were individuals whose mothers reported scores that were substantially lower than average. Having mental health problems, defined as being in the 80th and 90th percentiles of the SDQ Total problem score, was associated with 2.1-10.7-point lower KIDSCREEN-27 scores (p < 0.001-0.021), which was most noticeable in the KIDSCREEN-27 school environment subscale. Weak but significant positive associations were found between SES and HRQoL.

Conclusion: Our results provide important insights into the associations between SES, mental health, and HRQoL in young children. Given the strong association between mental health problems and HRQoL in Grade 1 children, the assessment of both is essential, so that early interventions, an improved caring environment, and nurturing support can be initiated.

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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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