Institute of Health Sciences, University of Oulu, P.O. Box 5000, Oulu 90014, Finland.
Eur J Pediatr. 2013 Sep;172(9):1197-206. doi: 10.1007/s00431-013-2015-6. Epub 2013 May 8.
The present study investigates the prevalence and type of chronic conditions at 7 years of age-with special reference to atopic conditions-and their longitudinal associations with self-reported health and life satisfaction in adolescence. The data were obtained from Northern Finland Birth Cohort 1986 (NFBC 1986), which is a longitudinal 1-year birth cohort from an unselected, regionally defined population (n = 9,432). The present study investigated a sample of 8,036 children with data of chronic conditions at 7 years of age and a sample of 6,680 children with data of chronic conditions at 16 years of age. According to parents' report the prevalence of CC at 7 years of age was 14.8 % among boys and 13.2 % among girls, these figures being at 16 years of age 20.7 and 19.4 %, respectively. Atopic conditions were the most common chronic conditions at 7 years of age (12.7 % vs. other chronic conditions 4.7 %). Childhood chronic condition was associated with subsequent self-reported health in adolescence, but not with subsequent self-reported life satisfaction. Chronic condition at 7 years of age increased the risk of reporting health as "poor" even if the chronic condition was no longer prevalent at 16 years of age. Atopic conditions seemed to be linked with self-reported poor/moderate health more often than other chronic conditions among girls. Conclusion Childhood chronic conditions seem to affect adolescent's subjective health, but fortunately, they do not affect adolescents' subjective well-being to such an extent that it could lower their life satisfaction.
本研究调查了 7 岁时慢性疾病的患病率和类型-特别关注特应性疾病-及其与青少年时期自我报告的健康和生活满意度的纵向关联。该数据来自芬兰北部出生队列 1986 年(NFBC 1986 年),这是一个来自未选择的区域定义人群的 1 年出生队列(n=9432)。本研究调查了 7 岁时有慢性疾病数据的 8036 名儿童样本和 16 岁时有慢性疾病数据的 6680 名儿童样本。根据父母的报告,7 岁时 CC 的患病率在男孩中为 14.8%,在女孩中为 13.2%,这两个数字在 16 岁时分别为 20.7%和 19.4%。特应性疾病是 7 岁时最常见的慢性疾病(12.7%比其他慢性疾病 4.7%)。儿童期慢性疾病与青少年时期的后续自我报告健康相关,但与后续自我报告的生活满意度无关。即使在 16 岁时不再流行,7 岁时的慢性疾病也会增加报告健康状况“较差”的风险。特应性疾病似乎比其他慢性疾病更常与女孩自我报告的较差/中度健康相关。结论儿童期慢性疾病似乎会影响青少年的主观健康,但幸运的是,它们不会对青少年的主观幸福感产生如此大的影响,以至于降低他们的生活满意度。