Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM)/ RSUP DR Sardjito, Jalan Farmako Sekip Utara, Yogyakarta, 55281, Indonesia.
Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada (UGM), Yogyakarta, Indonesia.
BMC Pediatr. 2022 Feb 22;22(1):103. doi: 10.1186/s12887-022-03161-0.
Assessing health-related quality of life (HRQOL) and its determinants in children may provide a comprehensive view of child health. The study aimed to assess the HRQOL in Indonesian children and its determinants.
We conducted a community-based cross-sectional study in the Sleman District of Yogyakarta Special Province, Indonesia, from August to November 2019. We recruited children aged 2 to 18 years old using the Sleman Health and Demography Surveillance System sample frame. We used the validated Indonesian version of Pediatric Quality of life Inventory™ (Peds QL™) 4.0 Generic core scale, proxy-reports, and self-reports, to assess the HRQOL.
We recruited 633 proxies and 531 children aged 2-18 years. The mean total score of self-report and proxy-report were 89.9+ 8.5 and 93.3 + 6.4. There was a fair to moderate correlation between self-reports and proxy-reports, with intra-class correlation ranging from 0.34 to 0.47, all p < 0.001. Half of the children (49.4% from proxy-report and 50.1% from self-report) reported having acute illness during the last month. Based on proxy-reports, multivariate regression analysis demonstrated lower HRQOL for children with acute health problems, younger age, history of low birth weight, abnormal delivery, lower fathers' educational level, and government-paid insurance for low-income families.
Sociodemographic determinants of a child's HRQOL, acute health problems, and low birth weight were associated with lower HRQOL in the general pediatric population. In low- and middle-income countries where acute infections and low birth weight are still prevalent, its prevention and appropriate interventions should improve child health.
评估儿童健康相关生活质量（HRQOL）及其决定因素可以全面了解儿童健康。本研究旨在评估印度尼西亚儿童的 HRQOL 及其决定因素。
我们在印度尼西亚日惹特区斯莱曼区进行了一项基于社区的横断面研究，时间为 2019 年 8 月至 11 月。我们使用 Sleman 健康和人口监测系统样本框架招募了 2 至 18 岁的儿童。我们使用经过验证的印度尼西亚版儿科生活质量量表（PedsQL）4.0 通用核心量表、代理报告和自我报告来评估 HRQOL。
我们招募了 633 名代理和 531 名 2-18 岁的儿童。自我报告和代理报告的总分均值分别为 89.9+8.5 和 93.3+6.4。自我报告和代理报告之间存在中度至中度相关性，内类相关系数在 0.34 至 0.47 之间，所有 p 值均<0.001。一半的儿童（代理报告为 49.4%，自我报告为 50.1%）报告在过去一个月内患有急性疾病。根据代理报告，多变量回归分析表明，患有急性健康问题、年龄较小、有低出生体重史、异常分娩、父亲受教育程度较低以及低收入家庭的政府支付保险的儿童 HRQOL 较低。
儿童 HRQOL 的社会人口学决定因素、急性健康问题和低出生体重与普通儿科人群的 HRQOL 较低有关。在急性感染和低出生体重仍然普遍存在的中低收入国家，应预防和采取适当的干预措施来改善儿童健康。
