Department of Psychosocial Medicine, Tokyo, National Center for Child Health and Development, Setagaya-ku, Japan
Department of Social Medicine, National Center for Child Health and Development, Setagaya-ku, Japan.
BMJ Paediatr Open. 2024 Oct 23;8(1):e002962. doi: 10.1136/bmjpo-2024-002962.
To examine the association between children's quality of life (QOL) and their experience of being heard by family and/or teachers during the COVID-19 pandemic.
A cross-sectional study.
A randomly sampled postal survey of fifth or eighth grade children conducted in December 2020 in Japan.
Responses from child/caregiver dyads (n=700) were adjusted for complex sampling to ensure the sample's national representativeness, incorporating all regions.
Based on the survey results, children were categorised as 'being heard' if they reported being frequently asked about their thoughts regarding the pandemic and having their thoughts and feelings considered by family, teachers or both.
Overall QOL and six QOL subscales measured through the Kid-KINDL Questionnaire (KINDL Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents).
About half (52.9%) of children were heard by both family and teachers, with higher rates in fifth grade (59.9%) than in eighth grade (45.1%). The adjusted prevalence ratio for above median QOL was 4.40-fold (95% CI: 2.80 to 6.94) higher in children heard by both family and teachers than in unheard children. Associations remained significant but were lower in children heard only by family or teachers. QOL subscales showed similar associations, with family, self-esteem and friends being the strongest. Children asked for their thoughts or feelings without adult consideration did not exhibit higher QOL.
'Being heard' during the pandemic was positively associated with higher QOL. Recognising children's right to be heard and promoting environments where they are heard at home and school may improve their well-being.
探讨儿童在 COVID-19 大流行期间被家庭和/或教师倾听的体验与生活质量（QOL）之间的关系。
横断面研究。
2020 年 12 月在日本，对五年级或八年级的儿童进行随机抽样的邮政调查。
对儿童/照顾者对子（n=700）的反应进行了复杂抽样调整，以确保样本具有全国代表性，涵盖所有地区。
根据调查结果，如果儿童报告经常被问及他们对大流行的想法，并且他们的想法和感受被家庭、教师或两者都考虑在内，则将他们归类为“被倾听”。
通过儿童 KINDL 问卷（用于衡量儿童和青少年健康相关生活质量的 KINDL 问卷）测量的总体 QOL 和六个 QOL 分量表。
约一半（52.9%）的儿童同时被家庭和教师倾听，五年级（59.9%）的比例高于八年级（45.1%）。与未被倾听的儿童相比，同时被家庭和教师倾听的儿童的 QOL 中位数以上的调整后的患病率比为 4.40 倍（95%CI：2.80 至 6.94）。在仅被家庭或教师倾听的儿童中，关联仍然显著，但关联度较低。QOL 分量表显示出相似的关联，家庭、自尊和朋友的关联最强。儿童被问及他们的想法或感受而没有成人的考虑，并没有表现出更高的 QOL。
在大流行期间“被倾听”与更高的 QOL 呈正相关。认识到儿童被倾听的权利，并促进他们在家中和学校被倾听的环境，可能会提高他们的幸福感。
