Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.
Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
PLoS One. 2022 Aug 11;17(8):e0272925. doi: 10.1371/journal.pone.0272925. eCollection 2022.
We examined the determinants of adolescents' Health-Related Quality of Life (HRQoL) and psychological distress (self-reported and parent-reported) during the COVID-19 pandemic, using a random sample of the population of Geneva, Switzerland.
Data was drawn from participants aged 14-17 years, who participated with their families to a serosurvey conducted in November and December 2020. Adolescents' HRQoL was evaluated using the validated adolescent-reported KIDSCREEN-10 and parent-reported KINDL® scales. Psychological distress was assessed with self-reported sadness and loneliness, and using the KINDL® emotional well-being scale. Using generalized estimating equations, we examined the role of socio-demographic, family and behavioural characteristics in influencing adolescents' mental health status and wellbeing.
Among 240 adolescents, 11% had a low HRQoL, 35% reported sadness and 23% reported loneliness. Based on parents' perception, 12% of the adolescents had a low HRQoL and 16% a low emotional well-being. Being a girl (aOR = 3.20; 95%CI: 1.67-6.16), increased time on social media (aOR = 2.07; 95%CI: 1.08-3.97), parents' average to poor mood (aOR = 2.62; 95%CI: 1.10-6.23) and average to poor household financial situation (aOR = 2.31; IC95%: 1.01-6.10) were associated with an increased risk of sadness. Mismatches between adolescents' and their parents' perception of HRQoL were more likely for girls (aOR = 2.88; 95%CI: 1.54-5.41) and in households with lower family well-being (aOR = 0.91; 95%CI: 0.86-0.96).
A meaningful proportion of adolescents experienced low well-being during the second wave of COVID-19, and average well-being was lower than pre-pandemic estimates. Adolescents living in underprivileged or distressed families seemed particularly affected. Monitoring is necessary to evaluate the long-term effects of the pandemic on adolescents.
我们使用瑞士日内瓦的随机人群样本，研究了青少年在 COVID-19 大流行期间的健康相关生活质量（HRQoL）和心理困扰（自我报告和父母报告）的决定因素。
数据来自年龄在 14-17 岁之间的参与者，他们与家人一起参加了 2020 年 11 月至 12 月进行的血清学调查。使用经过验证的青少年报告的 KIDSCREEN-10 和父母报告的 KINDL®量表评估青少年的 HRQoL。使用自我报告的悲伤和孤独感以及 KINDL®情绪健康量表评估心理困扰。使用广义估计方程，我们研究了社会人口统计学、家庭和行为特征在影响青少年心理健康状况和幸福感方面的作用。
在 240 名青少年中，11%的人 HRQoL 较低，35%的人报告悲伤，23%的人报告孤独。根据父母的看法，12%的青少年 HRQoL 较低，16%的青少年情绪健康状况较差。女孩（OR = 3.20；95%CI：1.67-6.16）、社交媒体使用时间增加（OR = 2.07；95%CI：1.08-3.97）、父母情绪平均到较差（OR = 2.62；95%CI：1.10-6.23）和家庭经济状况平均到较差（OR = 2.31；IC95%：1.01-6.10）与悲伤风险增加相关。青少年与父母对 HRQoL 的看法不匹配更可能发生在女孩（OR = 2.88；95%CI：1.54-5.41）和家庭幸福感较低的家庭（OR = 0.91；95%CI：0.86-0.96）。
在 COVID-19 大流行的第二波期间，相当一部分青少年的幸福感较低，平均幸福感低于大流行前的估计。生活在贫困或困难家庭中的青少年似乎受到的影响尤其严重。有必要进行监测，以评估大流行对青少年的长期影响。
