Centro de Investigaciones y Estudios sobre Cultura y Sociedad (CIECS), CONICET, Córdoba, Argentina.
Centro de Investigación Epidemiológica y en Servicios de Salud (CIESS), Escuela de Salud Pública, Facultad de Ciencias Médicas (FCM), Universidad Nacional de Córdoba, Argentina (UNC), Córdoba, Argentina.
Qual Life Res. 2018 Jun;27(6):1463-1471. doi: 10.1007/s11136-018-1849-9. Epub 2018 Apr 3.
The purpose of the study was to assess the differences in health-related quality of life (HRQoL) according to academic performance (AP) in children who attend public schools in the city of Cordoba, Argentina.
Cross-sectional study carried out in a sample of 494 children aged 9-12 years (mean = 9.5; standard deviation [SD] = 0.65; IQR 1) who attended 4th grade of public schools in the city of Córdoba, Argentina in 2014. HRQoL was assessed by self-administration of the KIDSCREEN-52 child version in classroom. AP was established with the final grades in language and mathematics obtained from the school records. Marginal means and SD's of the HRQoL scores were compared between AP groups by calculating the effect size (ES), and linear mixed effect models were used to evaluate the (independent) association of AP with HRQoL.
Statistically significant differences were found in the psychosocial dimensions of the HRQoL between the AP groups. The main differences in HRQoL between children with very good-excellent grades and those with unsatisfactory AP were found in school environment (ES = 0.69), parent relation and home life (ES = 0.61), autonomy (ES = 0.61), self-perception (ES = 0.49), and social acceptance (ES = 0.48). Children with very good-excellent grades scored better in all of these dimensions.
Children with very good-excellent grades in language and mathematics scored better in the psychosocial domains of HRQoL. AP is an important factor in the analysis of the social and psychological aspects of children's health. Further research is required to explore more deeply the direction and characteristics of this association.
本研究旨在评估阿根廷科尔多瓦市公立学校儿童的学业成绩（AP）与健康相关生活质量（HRQoL）之间的差异。
这是一项横断面研究，在 2014 年于阿根廷科尔多瓦市公立学校 4 年级的 494 名 9-12 岁（平均年龄 9.5 岁；标准差 [SD] 0.65；IQR 1）儿童中进行了样本研究。通过在课堂上自我管理 KIDSCREEN-52 儿童版本评估 HRQoL。AP 通过从学校记录中获得的语言和数学的最终成绩确定。通过计算效应量（ES）比较 AP 组之间 HRQoL 评分的边际均值和 SD，使用线性混合效应模型评估 AP 与 HRQoL 的（独立）关联。
在 HRQoL 的心理社会维度上，AP 组之间存在显著差异。在 HRQoL 方面，成绩非常好-优秀与 AP 不理想的儿童之间的主要差异在于学校环境（ES=0.69）、父母关系和家庭生活（ES=0.61）、自主性（ES=0.61）、自我感知（ES=0.49）和社会接纳（ES=0.48）。成绩非常好-优秀的儿童在所有这些维度上的得分都更高。
语言和数学成绩非常好-优秀的儿童在 HRQoL 的心理社会领域得分更高。AP 是分析儿童健康的社会和心理方面的一个重要因素。需要进一步研究以更深入地探讨这种关联的方向和特征。
