Puder Jardena, Pinto Ana Margarida, Bonvin Antoine, Bodenman Patrick, Munsch Simone, Kriemler Susi, Marques-Vidal Pedro
Service of Endocrinology, Diabetes and Metabolism, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.
BMC Public Health. 2013 Apr 25;13:384. doi: 10.1186/1471-2458-13-384.
Minority groups have a lower health-related quality of life (HRQOL), but there is little information if this finding also applies to children. In this study, we compared HRQOL between young children with and without migrant parents.
Two cross-sectional studies of culturally diverse preschool populations in Switzerland: Ballabeina (40 preschools, 258 girls and 232 boys aged 4 to 6 years) and Youp'là Bouge (58 child care centers, 453 girls and 522 boys aged 2 to 4 years). Most children were born in Switzerland (Ballabeina: 92.3%; Youp'là Bouge: 93.7%). Number of migrant parents was considered as the main exposure. HRQOL was measured using the 23-item Pediatric Quality of Life Inventory.
Children of migrant parents had a significantly lower HRQOL total score (mean ± SD, Ballabeina: 84.2 ± 9.1; 82.7 ± 9.6 and 81.7 ± 11.7 for children with none, one or two migrant parents, respectively; Youp'là Bouge: 83.8 ± 8.6; 82.9 ± 9.5; 80.7 ± 11.7, all p < 0.05). Similar results were found in Ballabeina and Youp'là Bouge for social, school and physical functioning (all p < 0.05), but not for emotional functioning. The differences in HRQOL measures were partly mediated by children's place of birth, parental education, paternal occupational level, children's BMI, screen time and physical activity in one study (Ballabeina), but not in the other (Youp'là Bouge).
In preschoolers, children of migrant parents have lower HRQOL than children of non-migrant parents. These differences are only partly mediated by other sociocultural characteristics or lifestyle behavior. These families may need assistance to prevent further inequalities.
少数群体的健康相关生活质量（HRQOL）较低，但关于这一发现是否也适用于儿童的信息却很少。在本研究中，我们比较了有和没有移民父母的幼儿的HRQOL。
对瑞士文化多元的学龄前儿童群体进行了两项横断面研究：Ballabeina（40所幼儿园，258名女孩和232名4至6岁男孩）和Youp'là Bouge（58个儿童保育中心，453名女孩和522名2至4岁男孩）。大多数儿童出生在瑞士（Ballabeina：92.3%；Youp'là Bouge：93.7%）。移民父母的数量被视为主要暴露因素。使用23项儿童生活质量量表测量HRQOL。
有移民父母的儿童的HRQOL总分显著较低（平均值±标准差，Ballabeina：无移民父母、有一位移民父母和有两位移民父母的儿童分别为84.2±9.1、82.7±9.6和81.7±11.7；Youp'là Bouge：83.8±8.6、82.9±9.5、80.7±11.7，所有p<0.05）。在Ballabeina和Youp'là Bouge中，社交、学校和身体功能方面也发现了类似结果（所有p<0.05），但情感功能方面没有。在一项研究（Ballabeina）中，HRQOL测量的差异部分由儿童的出生地、父母教育程度、父亲职业水平、儿童BMI、屏幕时间和身体活动介导，但在另一项研究（Youp'là Bouge）中并非如此。
在学龄前儿童中，有移民父母的儿童的HRQOL低于非移民父母的儿童。这些差异仅部分由其他社会文化特征或生活方式行为介导。这些家庭可能需要援助以防止进一步的不平等。
