Centro de Investigaciones y Estudios sobre Cultura y Sociedad, Consejo Nacional de Investigaciones Científicas y Técnicas, Av. Valparaíso s/n. Ciudad Universitaria, 5000, Córdoba, Argentina.
Escuela de Salud Pública, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Qual Life Res. 2024 Jan;33(1):183-193. doi: 10.1007/s11136-023-03515-w. Epub 2023 Sep 22.
The transition from childhood to adolescence is a period of developmental changes, with social influences. Few previous studies have analyzed changes in health-related quality of life (HRQoL) during childhood and adolescence based on longitudinal studies in high-income countries. This study aimed to describe the evolution of HRQoL scores by gender in a school sample over a 7-year period in Argentina.
Prospective cohort of children attending fourth grade in public schools. HRQoL was measured using the KIDSCREEN-52 questionnaire. Trajectories of HRQoL were estimated for girls and boys through multilevel models, adjusted by socioeconomic status (SES).
The study began in 2014 with a sample of 494 school children, reaching an 85.6% response rate in 2016, 31.4% in 2018, and 41.9% in 2021. Most of the predicted scores are negatively associated with linear age or/and quadratic age, suggesting a decrease in scores over the 7-year follow-up. Interactions between gender and age denote an increase in the differences in scores between girls and boys over time in favor of the latter. For the Index, Physical Well-being, Psychological Well-being, Autonomy, Parent relations, Social support and peers and Financial resources, individuals with medium or high SES have significantly higher scores than those with low SES.
HRQoL scores decrease during the transition period from childhood to adolescence, with girls showing the greatest decrease. There were also socioeconomic inequalities in the evolution of HRQoL in a context characterized by social segregation and economic crisis, possibly aggravated by the COVID-19 pandemic.
从儿童期到青春期的过渡是一个发展变化的时期，受到社会的影响。以前很少有研究基于高收入国家的纵向研究来分析儿童期和青春期期间健康相关生活质量 (HRQoL) 的变化。本研究旨在描述阿根廷一个学校样本中，7 年间基于性别变化的 HRQoL 评分演变。
前瞻性队列研究，研究对象为公立学校四年级的儿童。使用 KIDSCREEN-52 问卷测量 HRQoL。通过多层次模型，根据社会经济地位（SES）调整，对女孩和男孩的 HRQoL 轨迹进行估计。
本研究于 2014 年开始，样本为 494 名在校儿童，2016 年的应答率为 85.6%，2018 年为 31.4%，2021 年为 41.9%。大多数预测评分与线性年龄或/和二次年龄呈负相关，表明在 7 年的随访期间评分下降。性别和年龄之间的相互作用表明，女孩和男孩之间的分数差异随着时间的推移而增加，有利于后者。对于指数、身体幸福感、心理幸福感、自主、父母关系、社会支持和同伴以及经济资源，中高 SES 的个体得分明显高于低 SES 的个体。
在从儿童期到青春期的过渡期间，HRQoL 评分下降，女孩的下降幅度最大。在社会隔离和经济危机的背景下，HRQoL 的演变存在社会经济不平等，可能因 COVID-19 大流行而加剧。
