Mastorci Francesca, Piaggi Paolo, Doveri Cristina, Trivellini Gabriele, Casu Anselmo, Pozzi Marta, Vassalle Cristina, Pingitore Alessandro
Clinical Physiology Institute, National Research Council, Pisa, Italy.
Department of Information Engineering, University of Pisa, Pisa, Italy.
Front Pediatr. 2021 Apr 29;9:611136. doi: 10.3389/fped.2021.611136. eCollection 2021.
Coronavirus disease 2019 (COVID-19) outbreak represented an experience of social isolation potentially leading to changes in the health quality of life. The aim of this study is to investigate the health-related quality of life during quarantine in early adolescents. Data were collected from 1,289 adolescents (mean age, 12.5; male, 622), at the beginning of the school year (September 2019, Standard Condition, SC) as part of the AVATAR project and during Phase 1 of the Italian lockdown (mid-late April 2020) (COVID-19 Quarantine, CQ) using an online questionnaire. In the CQ period, with respect to SC, adolescents showed lower perception in the dimensions, such as psychological ( = 0.001), physical well-being ( = 0.001), mood/emotion ( = 0.008), autonomy ( = 0.001), and financial resources ( = 0.018). Relationship with the family ( = 0.021) and peers ( = 0.001), as well as the perception of bullying ( = 0.001) were reduced. In lifestyle, adolescents developed higher adherence to the Mediterranean diet ( = 0.001). Adolescents living in the village had greater reduction in both autonomy ( = 0.002) and peer relationships ( = 0.002). Moreover, the perception of physical well-being was lower in those living in the city instead of those living in the countryside ( = 0.03), in an apartment instead of a detached house ( = 0.002), and in those who did not have green space ( = 0.001). Gender effect emerged for the psychological ( = 0.007) and physical well-being ( = 0.001), mood/emotion ( = 0.001), and self-perception ( = 0.001). The study showed that health-related quality of life during quarantine changed in its psychosocial dimensions, from mood and self-esteem to social relationships, helping to define the educational policies at multiple points in the promotion process of health.
2019年冠状病毒病（COVID-19）疫情是一段社会隔离经历，可能导致生活健康质量发生变化。本研究旨在调查青少年早期隔离期间与健康相关的生活质量。作为AVATAR项目的一部分，在学年开始时（2019年9月，标准状况，SC）以及意大利封锁的第一阶段（2020年4月中下旬）（COVID-19隔离期，CQ），通过在线问卷收集了1289名青少年（平均年龄12.5岁；男性622名）的数据。在CQ期间，与SC相比，青少年在心理（P = 0.001）、身体健康（P = 0.001）、情绪/情感（P = 0.008）、自主性（P = 0.001）和经济资源（P = 0.018）等维度上的感知较低。与家人（P = 0.021）和同伴（P = 0.001）的关系以及受欺凌的感知（P = 0.001）有所减少。在生活方式方面，青少年对地中海饮食的依从性更高（P = 0.001）。生活在乡村的青少年在自主性（P = 0.002）和同伴关系（P = 0.002）方面的下降幅度更大。此外，生活在城市而非农村的青少年（P = 0.03）、居住在公寓而非独立房屋的青少年（P = 0.002）以及没有绿色空间的青少年（P = 0.001），其身体健康感知较低。在心理（P = 0.007）、身体健康（P = 0.001）、情绪/情感（P = 0.001）和自我认知（P = 0.001）方面出现了性别效应。该研究表明，隔离期间与健康相关的生活质量在其心理社会维度上发生了变化，从情绪和自尊到社会关系，有助于在健康促进过程的多个点上确定教育政策。
