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Factors Associated With Early Elementary Child Health-Related Quality of Life: The Generation R Study

Yueyue You1,2, Amy van Grieken2, Fernando Estévez-López3

  • 1The Generation R Study Group, Erasmus Medical Center, Rotterdam, Netherlands.

Frontiers in Public Health
|February 14, 2022
PubMed

Insights

Socioeconomic factors and child health issues significantly impact health-related quality of life (HRQOL) in young children. Early public health interventions should focus on disadvantaged children and those with health problems to improve HRQOL.

Area of Science:

  • Pediatric Health
  • Public Health
  • Quality of Life Research

Background:

  • Health-related quality of life (HRQOL) is crucial for child development.
  • Understanding factors influencing HRQOL in early childhood is essential for targeted interventions.

Purpose of the Study:

  • To identify factors associated with HRQOL in 5-6 year old children.
  • To examine the influence of socio-demographic, lifestyle, and health factors on children's HRQOL.

Main Methods:

  • Analysis of 4,202 children from the population-based Generation R Study.
  • Measurement of physical and psychosocial HRQOL using the Child Health Questionnaire Parent Form 28 (CHQ-PF28).
  • Multivariate regression analyses to assess associations between various factors and HRQOL.

Main Results:

  • Lower physical HRQOL was linked to non-western ethnic background and maternal unemployment.
  • Lower psychosocial HRQOL was associated with older age, male sex, single-parent families, and low parental education.
  • Lower physical and psychosocial HRQOL were reported by children with chronic conditions, emotional/behavioral problems, or from families with high "pathological functioning" and low income.

Conclusions:

  • Adverse socioeconomic and family circumstances, along with child health problems, are associated with reduced HRQOL.
  • Public health initiatives should prioritize improving HRQOL for children from low socioeconomic backgrounds and those with health issues from an early age.
Abstract

Keywords:
HRQOLchronic conditionsearly elementary school age childrenhealth-related lifestyle behaviorssocio-demographic characteristicssocioeconomic status

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