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德国儿童和青少年的健康相关生活质量:KiGGS研究结果:首次随访(KiGGS第一轮)

[Health-related quality of life in children and adolescents in Germany: results of the KiGGS study: first follow-up (KiGGS Wave 1)].

作者信息

Ellert U, Brettschneider A-K, Ravens-Sieberer U

机构信息

Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62, 12101, Berlin, Deutschland,

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Jul;57(7):798-806. doi: 10.1007/s00103-014-1978-4.

Abstract

In recent years, there has been a change in the health and disease spectrum among children and adolescents, with an increase in mental health problems and a shift from acute to chronic illness. In this phase, the health-related quality of life (HRQoL) has increased in importance as a dimension of subjective health. The aim of this study is to describe the HRQoL of children and adolescents measured with the internationally standardized screening instrument KIDSCREEN-10. In the follow-up of the KiGGS study in 2009-2012 (KiGGS Wave 1), 2,567 parents of children aged 7-10 years and 4,878 adolescents aged 11 years or older completed the KIDSCREEN-10 questionnaire. In all, 94% of parents of 7- to 10-year-old girls and boys estimate the HRQoL of their children to be "very good" or "good." Of the 11- to 17-year-old adolescents, 96% report their HRQoL as "very good" or "good." Somatic diseases and pain as well as mental health problems and a low social status are included in the HRQoL in only a limited way. Potential differences in HRQoL by social status were not confirmed in multivariate models. The HRQoL of the examined children and adolescents is predominantly very good or good. Interventions to improve the HRQoL of children and adolescents with diseases and psychopathological problems are necessary, regardless of their social status.

摘要

近年来,儿童和青少年的健康与疾病谱发生了变化,心理健康问题增多,疾病模式从急性病转变为慢性病。在此阶段,与健康相关的生活质量(HRQoL)作为主观健康的一个维度,其重要性日益凸显。本研究旨在描述使用国际标准化筛查工具KIDSCREEN - 10对儿童和青少年的HRQoL进行测量的情况。在2009 - 2012年德国儿童青少年健康监测与促进研究(KiGGS)的随访(KiGGS第一轮)中,2567名7至10岁儿童的家长和4878名11岁及以上青少年完成了KIDSCREEN - 10问卷。总体而言,7至10岁女孩和男孩的家长中,94%认为自己孩子的HRQoL为“非常好”或“好”。在11至17岁的青少年中,96%报告自己的HRQoL为“非常好”或“好”。躯体疾病、疼痛、心理健康问题以及社会地位较低对HRQoL的影响有限。多变量模型未证实社会地位对HRQoL存在潜在差异。所调查儿童和青少年的HRQoL总体上非常好或良好。无论社会地位如何,都有必要对患有疾病和存在心理病理问题的儿童和青少年采取干预措施,以提高他们的HRQoL。

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