Rajmil Luis, Alonso Jordi, Berra Silvina, Ravens-Sieberer Ulrike, Gosch Angela, Simeoni Marie-Claude, Auquier Pascal
Catalan Agency for Health Technology Assessment and Research, Barcelona, Spain.
J Adolesc Health. 2006 May;38(5):511-8. doi: 10.1016/j.jadohealth.2005.05.022.
To check if the expected association is observed between children and adolescents' self-perceived health-related quality of life (HRQL) and the use of health care services.
The data come from the pilot test of a European measure of HRQL for children and adolescents (KIDSCREEN). Children answered the KIDSCREEN 52-item pilot version. Visits to a health professional in the past four weeks and hospitalisation in the past 12 months were collected from parents. A logistic regression model was adjusted to analyse the relationship between the use of health services and HRQL.
A total of 2526 children and their parents were included in the analysis. Factors associated to visits in the past four weeks were poor physical well-being (odds ratio [OR] 1.83; 95% confidence interval [CI] 1.42-2.35), and poor school environment (OR 1.32; 95% CI 1.02-1.71). Low scores on moods and emotions was the associated factor to hospitalization in the past 12 months (OR 2.13; 95% CI 1.29-3.81).
Children and adolescents are a feasible source for their self-assessment of HRQL. They should be taken into account in health care needs studies.
检验儿童和青少年自我感知的健康相关生活质量（HRQL）与医疗服务使用之间是否存在预期关联。
数据来自一项针对儿童和青少年的欧洲HRQL测量工具（KIDSCREEN）的预试验。儿童回答了KIDSCREEN 52项预试验版本。从家长处收集过去四周内看健康专业人员的情况以及过去12个月内的住院情况。调整逻辑回归模型以分析医疗服务使用与HRQL之间的关系。
共有2526名儿童及其家长纳入分析。与过去四周内就诊相关的因素有身体健康状况差（比值比[OR] 1.83；95%置信区间[CI] 1.42 - 2.35）以及学校环境差（OR 1.32；95% CI 1.02 - 1.71）。情绪和情感得分低是过去12个月内住院的相关因素（OR 2.13；95% CI 1.29 - 3.81）。
儿童和青少年是进行HRQL自我评估的可行信息来源。在医疗保健需求研究中应考虑他们的意见。
