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Quality of Life Research
Gepubliceerd in: Quality of Life Research 7/2019

29-03-2019

Racial/ethnic disparities in health-related quality of life and health status across pre-, early-, and mid-adolescence: a prospective cohort study

Auteurs: Jan L. Wallander, Chris Fradkin, Marc N. Elliott, Paula M. Cuccaro, Susan Tortolero Emery, Mark A. Schuster

Gepubliceerd in: Quality of Life Research | Uitgave 7/2019

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Abstract

Purpose

To examine (1) racial/ethnic disparities in health-related quality of life (HRQOL) and overall health status among Black, Latino, and White youth during adolescence; (2) whether socioeconomic status (SES) and family contextual variables influence disparities; and (3) whether disparities are consistent from pre- to early- to mid-adolescence.

Methods

A population sample of 4823 Black (1755), Latino (1812), and White (1256) youth in three US metropolitan areas was prospectively assessed in a longitudinal survey conducted on three occasions, in 5th, 7th, and 10th grades, when youth reported their HRQOL using the PedsQL™ short-form Total, Physical and Psychosocial scales and youth and parents separately reported on youth’s overall health status. Parents reported their education and household income to index SES, family structure, and use of English at home.

Results

Based on analysis conducted separately at each grade, marked racial/ethnic disparities were observed across all measures of HRQOL and health status, favoring White and disfavoring Black, and especially Latino youth. More strongly present in 5th and 7th grade, HRQOL disparities decreased by 10th grade. Most disparities between White and Black youth disappeared when adjusting for SES. However, even after adjusting for SES, family structure, and English use, overall health status disparities disfavoring Latino youth remained across all three assessments.

Conclusions

Racial/ethnic disparities in adolescent HRQOL and health are substantial. These disparities appear consistent from pre- to early-adolescence but diminish for HRQOL by mid-adolescence. As disparities appear influenced by SES and other family contextual variables differently in different racial/ethnic groups, efforts to reduce health disparities in youth should address culturally specific conditions impinging on health.
vorige artikel Associations between health-related quality of life and physical fitness in 4–7-year-old Spanish children: the MOVIKIDS study
volgende artikel Effect of neighborhood and individual social capital in early childhood on oral health-related quality of life: a 7-year cohort study
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Metagegevens
Titel
Racial/ethnic disparities in health-related quality of life and health status across pre-, early-, and mid-adolescence: a prospective cohort study
Auteurs
Jan L. Wallander
Chris Fradkin
Marc N. Elliott
Paula M. Cuccaro
Susan Tortolero Emery
Mark A. Schuster
Publicatiedatum
29-03-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02157-1

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