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Published on: February 11, 2017
Determinants of life satisfaction in Iranian children and adolescents: the CASPIAN-IV study
Roya Kelishadi1, Mostafa Qorbani2,3, Ramin Heshmat3
1Pediatrics Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Higher socioeconomic status, parental consultation, and healthy lifestyle habits like fruit consumption and physical activity are linked to increased life satisfaction (LS) in children and adolescents. Interventions focusing on these factors can improve overall well-being.
Area of Science:
- Pediatric Health
- Adolescent Psychology
- Public Health Surveillance
Background:
- Life satisfaction (LS) in children and adolescents significantly impacts academic performance and future adult life.
- Understanding the determinants of LS is crucial for developing targeted interventions.
Purpose of the Study:
- To examine the determinants of life satisfaction (LS) in a large cohort of Iranian children and adolescents.
- To identify demographic, social, and lifestyle factors associated with LS in the pediatric age group.
Main Methods:
- A multicentric study involving 14,880 participants aged 6-18 years across 30 Iranian provinces.
- Utilized the validated Persian version of the World Health Organization's Global School-based Health Survey (WHO-GSHS) questionnaire.
- Employed multivariate logistic regression to analyze factors associated with life satisfaction, defined as a score of 6 or above on a 0-10 scale.
Main Results:
- A response rate of 90.6% (13,486 students) was achieved.
- Life satisfaction decreased with age, with elementary students reporting the highest satisfaction (86.7%) and high school students the lowest (71.44%).
- Positive associations with LS included higher socioeconomic status, consultation with parents, peer acceptance, regular fruit consumption, physical activity, good self-rated health, and daily tooth brushing. Anxiety and depression were negatively associated with LS.
Conclusions:
- Higher socioeconomic status, parental support, and healthy lifestyle choices (diet, physical activity) are key determinants of life satisfaction in youth.
- Interventions aimed at enhancing lifestyle factors and parental involvement show promise for increasing life satisfaction among children and adolescents.
Background:
Life satisfaction (LS) in children and adolescents is important because of its effects on their school performance and the future adulthood life. In this multicentric study, we examined some determinants of LS in the pediatric age group.
Method:
This multicentric study was a part of the fourth national school-based surveillance program in Iran (2011-2012). It was conducted among 14,880 children and adolescents, aged 6-18 years, living in 30 provinces in Iran. We used the questionnaire of the World Health Organization on Global School-based Health Survey (WHO-GSHS), which was translated to Persian and validated in Iranian children and adolescents. LS was defined by a single question: 'Generally, which score between 0 (the worst) to 10 (the best) do you feel well describes your life at the moment?' The score of six and above was considered as satisfied. Multivariate logistic regression analysis was conducted to investigate the determinants of LS.
Results:
In total, 13,486 students completed the study (response rate 90.6%). Overall, 86.7%, 78.19%, and 71.44 of students were satisfied with their life in elementary, middle, and high schools. Students in middle school (OR 0.83; 95% CI 0.73, 0.96) and high schools (OR 0.63; 95% CI 0.54, 0.72) were less satisfied with their life. Students with moderate (OR 1.36; 95% CI 1.20, 1.54) and good (OR 1.66; 95% CI 1.44, 1.91) socioeconomic status were more satisfied than those with low status. Those who consulted with one (OR 1.56; 95% CI 1.34, 1.81) or both (OR 2.22; 95% CI 1.89, 2.60) of their parents were more satisfied with their life. Students who felt being accepted by their peers were 1.34 (95% CI 1.18, 1.52) times more satisfied with their life. Other associated variables were weekly (OR 1.3; 95% CI 1.12, 1.572) or daily (OR 1.6; 95% CI 01.12, 1.57) fruit consumption, moderate (OR 1.14; 95% CI 1.01, 1.29) and high (OR 1.1; 95% CI 1.02, 1.347) physical activity, good self-rated health (OR 2.11; 95% CI 1.88, 2.37), and daily tooth brushing (OR 1.31; 95% CI 1.18, 1.46). Students with anxiety (OR 0.73; 95% CI 0.65, 0.82) and depression (OR 0.73; 95% CI 0.58, 0.74) were less satisfied with their life.
Conclusion:
Some demographic and lifestyle factors, including higher socioeconomic status, consultation with parents, healthy dietary, and physical activity habits, were associated with higher LS in children and adolescents. Then, interventions that focus on improving lifestyle factors and parents' support could increase LS among children and adolescents.
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