巴西儿童在 COVID-19 大流行期间的生活质量：背景因素和维度分析。

Brazilian children's quality of life during the COVID-19 pandemic: analysis of contextual factors and dimensions.

机构信息

Universidade Federal do Paraná, Matinhos, Curitiba, PR, Brazil.

Centro Universitário de Brusque, Brusque, SC, Brazil.

出版信息

Rev Paul Pediatr. 2024 Sep 23;43:e2023175. doi: 10.1590/1984-0462/2025/43/2023175. eCollection 2024.

DOI:10.1590/1984-0462/2025/43/2023175

PMID:39319993

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11421413/

Abstract

OBJECTIVE

The aim of this study was to investigate the contextual factors associated with the quality of life (QOL) of Brazilian children aged 0-12 years during the strict period of social isolation.

METHODS

This observational cross-sectional study was conducted between July and September 2020 using an online questionnaire on QOL-related family factors and the Pediatric Quality of Life Inventory (PedsQL™). Results were analyzed by multinomial logistic regression analysis.

RESULTS

The sample had 849 children, mostly from the South Region of Brazil (75%), white (83%), with typical development (79%), sedentary (68%), using screen (85%) for >3 h/day (44%). Their mothers were their main caregivers (90%). The following variables were significantly associated with high scores of QOL: typical health status (OR 2.38; 95%CI 1.60-3.55; screen time ≤2 h/day (OR 1.62; 95%CI 1.17-2.24); social distancing considered as "easy" (OR 1.67; 95%CI 1.20-2.32), and stimulation of the child by the family (OR 1.93; 95%CI 1.08-3.45).

CONCLUSIONS

This study indicates that the family context can influence children's QOL, especially during the COVID-19 pandemic and home environment reorganization.

摘要

目的

本研究旨在调查巴西 0-12 岁儿童在严格社会隔离期间生活质量（QOL）相关的情境因素。

方法

这是一项于 2020 年 7 月至 9 月期间进行的观察性横剖研究，采用在线问卷形式调查与 QOL 相关的家庭因素以及儿童生活质量量表（PedsQLTM）。结果采用多项逻辑回归分析进行分析。

结果

样本包括 849 名儿童，主要来自巴西南部（75%）、白人（83%）、发育正常（79%）、久坐（68%）、每天使用屏幕（85%）>3 小时（44%）。他们的母亲是主要照顾者（90%）。以下变量与 QOL 高分显著相关：典型健康状况（OR 2.38；95%CI 1.60-3.55；屏幕时间≤2 小时/天（OR 1.62；95%CI 1.17-2.24）；认为社交距离“容易”（OR 1.67；95%CI 1.20-2.32），以及家庭对儿童的刺激（OR 1.93；95%CI 1.08-3.45）。