Houben-van Herten Marieke, Bai Guannan, Hafkamp Esther, Landgraf Jeanne M, Raat Hein
Socio-economic and Spatial Statistics, Statistics Netherlands, Heerlen, the Netherlands.
Department of Public Health, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
PLoS One. 2015 May 1;10(5):e0125083. doi: 10.1371/journal.pone.0125083. eCollection 2015.
Health related quality of life is the functional effect of a medical condition and/or its therapy upon a patient, and as such is particularly suitable for describing the general health of children. The objective of this study was to identify and confirm potential determinants of health-related quality of life in children aged 4-11 years in the general population in the Netherlands. Understanding such determinants may provide insights into more targeted public health policy.
As part of a population based cross sectional study, the Child Health Questionnaire (CHQ) Parental Form 28 was used to measure health-related quality of life in school-aged children in a general population sample. Parents of 10,651 children aged 4-11 years were interviewed from January 2001 to December 2009.
Multivariate and regression analyses demonstrated a declined CHQ Physical Summary score for children who had >1 conditions, disorders or acute health complaints and who were greater consumers of healthcare; children with a non-western immigrant background; and children whose parents did not work. Lower CHQ Psychosocial Summary score was reported for children who had >1 conditions, disorders or acute health complaints, boys, children of single parents and obese children.
The best predictors of health-related quality of life are variables that describe use of health care and the number of disorders and health complaints. Nonetheless, a number of demographic, socio-economic and family/environmental determinants contribute to a child's health-related quality of life as well.
健康相关生活质量是疾病状况和/或其治疗方法对患者产生的功能影响，因此特别适合用于描述儿童的总体健康状况。本研究的目的是识别并确认荷兰普通人群中4至11岁儿童健康相关生活质量的潜在决定因素。了解这些决定因素可能有助于制定更具针对性的公共卫生政策。
作为一项基于人群的横断面研究的一部分，儿童健康问卷（CHQ）家长版28用于测量普通人群样本中学龄儿童的健康相关生活质量。2001年1月至2009年12月期间，对10651名4至11岁儿童的家长进行了访谈。
多变量和回归分析表明，患有超过1种疾病、病症或急性健康问题且医疗保健消费较多的儿童；有非西方移民背景的儿童；以及父母没有工作的儿童，其CHQ身体总结评分较低。患有超过1种疾病、病症或急性健康问题的儿童、男孩、单亲家庭的儿童和肥胖儿童的CHQ心理社会总结评分较低。
健康相关生活质量的最佳预测因素是描述医疗保健使用情况以及疾病和健康问题数量的变量。尽管如此，一些人口统计学、社会经济和家庭/环境决定因素也会对儿童的健康相关生活质量产生影响。
