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中国儿童和青少年的慢性健康问题及与健康相关的生活质量:基于人群的香港研究。

Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.

机构信息

Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, Hong Kong.

出版信息

BMJ Open. 2013 Jan 3;3(1):e001183. doi: 10.1136/bmjopen-2012-001183.

Abstract

OBJECTIVE

We examined the association of different chronic physical and mental conditions, individually or comorbidly on health-related quality of life (QoL) in Chinese children aged ≤14 years in Hong Kong.

DESIGN

Population-based cross-sectional survey.

PARTICIPANTS

Approximately 7500 Chinese children aged <14 years in Hong Kong.

INTERVENTIONS

Nil.

PRIMARY AND SECONDARY OUTCOME MEASURES

Various health concepts of validated Chinese version of Child Health Questionnaire (CHQ), a health-related QoL questionnaire in children.

RESULT

There was significant association of physical and mental health conditions, either individually or comorbidly, on the various concepts of CHQ. Children with mental health problems were apparently more affected than those with physical health problems. Chronic renal disease and congenital malformation were the physical health conditions associated with the lowest scores in CHQ concepts in children aged 5-10 years and aged 10-14 years, respectively. Behavioural problem was the mental health condition associated with the lowest score in CHQ concepts in both age groups.

CONCLUSIONS

Our study shows important information concerning the prevalence of different health conditions and its association, either individually or comorbidly on the QoL in a representative sample of Chinese children in HK.

摘要

目的

本研究旨在探讨香港≤14 岁儿童中,不同的慢性躯体和精神健康状况(单独或合并存在)与健康相关生活质量(QoL)的关系。

设计

基于人群的横断面调查。

参与者

香港约 7500 名年龄<14 岁的汉族儿童。

干预措施

无。

主要和次要观察指标

采用经过验证的中文版儿童健康问卷(CHQ)的多个健康概念,这是一种儿童健康相关 QoL 问卷。

结果

躯体和心理健康状况,无论是单独存在还是合并存在,均与 CHQ 的多个概念显著相关。与躯体健康问题相比,精神健康问题对儿童的影响更为明显。慢性肾脏疾病和先天性畸形是 5-10 岁和 10-14 岁儿童 CHQ 概念中得分最低的躯体健康状况,而行为问题是两个年龄组 CHQ 概念中得分最低的精神健康状况。

结论

本研究提供了重要信息,说明在香港汉族儿童的代表性样本中,不同健康状况的流行情况及其与 QoL 的关系(单独或合并存在)。

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