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Association between health-related quality of life and children's unintentional injuries
Hamid Soori1, Kambiz Abachizadeh
1Safety Promotion & Injury Prevention Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Children with lower health-related quality of life (HRQOL) experienced more unintentional injuries. This study highlights a significant association between decreased HRQOL and increased injury risk in schoolchildren, warranting further investigation.
Area of Science:
- Pediatric Health
- Injury Prevention
- Quality of Life Research
Background:
- Unintentional injuries are a significant concern for child health.
- Health-related quality of life (HRQOL) is an important indicator of well-being in children.
- Understanding factors associated with childhood injuries is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the relationship between health-related quality of life (HRQOL) and the occurrence of unintentional injuries in children.
- To determine if lower HRQOL is associated with a higher risk of unintentional injuries among primary schoolchildren.
Main Methods:
- A cross-sectional study involving 3375 children aged 6-10 years from primary schools in Iran.
- Health-related quality of life (HRQOL) was assessed using the TACQOL parent form.
- Parental interviews collected data on injury incidence, causes, and descriptions over the past 12 months.
Main Results:
- A significant inverse relationship was observed between HRQOL and injury occurrence (P<0.001).
- Children in lower HRQOL groups had a significantly higher adjusted odds ratio for injury compared to the very high HRQOL group.
- Injured children reported lower median total HRQOL and most domain scores compared to uninjured children.
Conclusions:
- This study establishes a preliminary association between reduced health-related quality of life and increased risk of unintentional injuries in primary schoolchildren.
- Further research with robust analytical designs is recommended to confirm these findings and explore underlying mechanisms.
Objective:
To examine the association between health-related quality of life (HRQOL) and unintentional injuries among children.
Methods:
Overall, 3375 children aged 6-10 years were randomly selected from primary schools in Iran. HRQOL was measured by 56 items taken from seven domains of TNO AZL child quality of life (TACQOL) parent form. Parents were interviewed to collect information about incidence, cause and a brief description of injury within the past 12 months prior to the study.
Results:
The response rate was 3375 of 3792 (89%). There was a significant trend for increasing occurrence of injury with decreasing of HRQOL (P<0.001). Adjusted OR for injury was significantly higher in very low (2.38, 95% CI: 1.45-3.86), low (2.18, 95% CI: 1.34-3.56), medium (1.73, 95%CI: 1.06-2.83) HRQOL groups compared to reference group (very high HRQOL). The median of total HRQOL (P<0.001) and all its domains (P=0.017) (except autonomous functioning) was less in injured group compared to the uninjured one.
Conclusion:
This study found an association between HRQOL and unintentional injury among primary schoolchildren. This is a preliminary finding and so further investigations with a well-defined analytical design needs to be done.
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