Well-being of children with chronic illness. A population-based study in a Swedish primary care district

L Westbom1

  • 1Department of Community Health Sciences, University of Lund, Dalby, Sweden.

Insights

Chronically ill children experience lower well-being and more emotional problems. Enhancing teacher knowledge of childhood disorders and their psychosocial impact is crucial for better support.

Area of Science:

  • Pediatric Health
  • Child Psychology
  • Public Health

Background:

  • 8% of children in Dalby primary care district were identified as chronically ill.
  • Previous research highlighted the need to understand the impact of chronic illness on children's well-being.
  • Parental questionnaires were utilized to assess the psychosocial effects of chronic conditions.

Purpose of the Study:

  • To investigate the impact of chronic illness on the well-being of children in school and pre-school settings.
  • To compare the experiences of chronically ill children with their healthy peers.
  • To identify specific challenges faced by chronically ill children, including social interactions and emotional health.

Main Methods:

  • A comparative study involving 98 index children (chronically ill) and 168 control children (healthy).
  • Parental questionnaires were administered to gather data on children's comfort, well-being, and school experiences.
  • Socio-demographic variables were analyzed to ensure comparability between responders and non-responders.

Main Results:

  • Chronically ill children reported lower comfort and well-being in school and pre-school compared to controls.
  • Children with physical disabilities were more likely to receive special remedial education.
  • Chronically ill children experienced more bullying, fewer peer contacts, and increased emotional problems.

Conclusions:

  • Significant psychosocial challenges exist for chronically ill children in educational and healthcare settings.
  • There is a need for increased teacher awareness and knowledge regarding chronic childhood disorders and their consequences.
  • Improved recognition and support for the psychosocial needs of chronically ill children within schools and child health services are advocated.

Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Concepts of Health and Illness01:29

Concepts of Health and Illness

Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Dimensions of Health and Illness01:21

Dimensions of Health and Illness

The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...