Skip to main content
Top
Gepubliceerd in:

01-09-2010

Sociodemographic and neighbourhood determinants of health-related quality of life among grade-five students in Canada

Auteurs: X. Y. Wu, A. Ohinmaa, P. J. Veugelers

Gepubliceerd in: Quality of Life Research | Uitgave 7/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

To describe the health-related quality of life (HRQOL) of grade-five students in Alberta, Canada, and to assess how this correlates with sociodemographic and neighbourhood characteristics.

Methods

In 2008, we conducted a comprehensive population-based survey among 3,421 grade-five students aged primarily 10–11 years from 148 schools and their parents that included questions on sociodemographic and neighbourhood factors. The HRQOL of the students was assessed using the EQ-5D Canadian English child version (EQ-5D-Y). We applied multilevel multivariable linear regression to examine the independent importance of sociodemographic and neighbourhood factors for the EQ-5D-Y index and EQ-5D-Y Visual Analogue Scale (VAS) score.

Results

In five EQ-5D-Y dimensions, problems with ‘walking’, ‘looking after myself’, ‘usual activities’, ‘pain or discomfort’ and ‘worried, sad or unhappy’ were reported by 8.1% (n = 288), 6.5% (n = 215), 11.8% (n = 431), 46.0% (n = 1600), and 37.7% (n = 1292) of students, respectively. Their mean EQ-5D-Y index was 0.86 and mean EQ-5D-Y VAS was 80.4. Children from families reporting higher educational attainment reported higher HRQOL both in terms of a higher EQ-5D-Y index and in terms of a higher EQ-5D-Y VAS. Also, children residing in neighbourhood characterized as providing good satisfaction and facilities reported higher HRQOL.

Conclusions

Public health initiatives to improve HRQOL among children are suggested to take into account the influence of different sociodemographic and neighbourhood characteristics such that priority is given to those residing in towns, rural areas and dissatisfying neighbourhoods with poor access to recreational facilities and stores for fresh products.
Literatuur
1.
go back to reference König, H. H., Bernert, S., Angermeyer, M. C., Matschinger, H., Martinez, M., Vilagut, G., et al. (2009). Comparison of population health status in six European countries. Medical Care, 47(2), 255–261.CrossRefPubMed König, H. H., Bernert, S., Angermeyer, M. C., Matschinger, H., Martinez, M., Vilagut, G., et al. (2009). Comparison of population health status in six European countries. Medical Care, 47(2), 255–261.CrossRefPubMed
2.
go back to reference Pappa, E., Kontodimopoulos, N., Papadopoulos, A. A., & Niakas, D. (2009). Assessing the socio-economic and demographic impact on health-related quality of life: Evidence from Greece. International Journal of Public Health, 54(4), 241–249.CrossRefPubMed Pappa, E., Kontodimopoulos, N., Papadopoulos, A. A., & Niakas, D. (2009). Assessing the socio-economic and demographic impact on health-related quality of life: Evidence from Greece. International Journal of Public Health, 54(4), 241–249.CrossRefPubMed
3.
go back to reference Robert, S. A., Cherepanov, D., Palta, M., Dunham, N. C., Feeny, D., & Fryback, D. G. (2009). Socioeconomic status and age variations in health-related quality of life: Results from the national health measurement study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64(3), 378–389.CrossRefPubMed Robert, S. A., Cherepanov, D., Palta, M., Dunham, N. C., Feeny, D., & Fryback, D. G. (2009). Socioeconomic status and age variations in health-related quality of life: Results from the national health measurement study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 64(3), 378–389.CrossRefPubMed
4.
go back to reference Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRefPubMed Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRefPubMed
5.
go back to reference Kind, P., Dolan, P., Gudex, C., et al. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316, 736–741.PubMed Kind, P., Dolan, P., Gudex, C., et al. (1998). Variations in population health status: Results from a United Kingdom national questionnaire survey. BMJ, 316, 736–741.PubMed
6.
go back to reference Varni, J. W., Seid, M., Smith Knight, T., Burwinkle, T., Brown, J., & Szer, I. S. (2002). The PedsQL in pediatric rheumatology: Reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory Generic Core Scales and Rheumatology Module. Arthritis and Rheumatism, 46(3), 714–725.CrossRefPubMed Varni, J. W., Seid, M., Smith Knight, T., Burwinkle, T., Brown, J., & Szer, I. S. (2002). The PedsQL in pediatric rheumatology: Reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory Generic Core Scales and Rheumatology Module. Arthritis and Rheumatism, 46(3), 714–725.CrossRefPubMed
7.
go back to reference Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.CrossRefPubMed Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.CrossRefPubMed
8.
go back to reference Willems, D. C., Joore, M. A., Nieman, F. H., Severens, J. L., Wouters, E. F., & Hendriks, J. J. (2009). Using EQ-5D in children with asthma, rheumatic disorders, diabetes, and speech/language and/or hearing disorders. International Journal of Technology Assessment in Health Care, 25(3), 391–399.CrossRefPubMed Willems, D. C., Joore, M. A., Nieman, F. H., Severens, J. L., Wouters, E. F., & Hendriks, J. J. (2009). Using EQ-5D in children with asthma, rheumatic disorders, diabetes, and speech/language and/or hearing disorders. International Journal of Technology Assessment in Health Care, 25(3), 391–399.CrossRefPubMed
9.
go back to reference Stolk, E. A., Busschbach, J. J., & Vogels, T. (2000). Performance of the EuroQol in children with imperforate anus. Quality of Life Research, 9(1), 29–38.CrossRefPubMed Stolk, E. A., Busschbach, J. J., & Vogels, T. (2000). Performance of the EuroQol in children with imperforate anus. Quality of Life Research, 9(1), 29–38.CrossRefPubMed
10.
go back to reference Michel, G., Bisegger, C., Fuhr, D. C., Abel, T., & The KIDSCREEN group. (2009). Age and gender differences in health-related quality of life of children and adolescents in Europe: A multilevel analysis. Quality of Life Research, 18(9), 1147–1157. Michel, G., Bisegger, C., Fuhr, D. C., Abel, T., & The KIDSCREEN group. (2009). Age and gender differences in health-related quality of life of children and adolescents in Europe: A multilevel analysis. Quality of Life Research, 18(9), 1147–1157.
11.
go back to reference Ravens-Sieberer, U., Erhart, M., Wille, N., Bullinger, M., & BELLA study group. (2008). Health-related quality of life in children and adolescents in Germany: Results of the BELLA study. European Child and Adolescent Psychiatry, 17(Suppl 1), 148–156.CrossRefPubMed Ravens-Sieberer, U., Erhart, M., Wille, N., Bullinger, M., & BELLA study group. (2008). Health-related quality of life in children and adolescents in Germany: Results of the BELLA study. European Child and Adolescent Psychiatry, 17(Suppl 1), 148–156.CrossRefPubMed
12.
go back to reference Bisegger, C., Cloetta, B., von Rueden, U., Abel, T., Ravens-Sieberer, U., & European Kidscreen Group. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial- und Praventivmedizin, 50(5), 281–291.CrossRefPubMed Bisegger, C., Cloetta, B., von Rueden, U., Abel, T., Ravens-Sieberer, U., & European Kidscreen Group. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial- und Praventivmedizin, 50(5), 281–291.CrossRefPubMed
13.
go back to reference von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., & Ravens-Sieberer, U. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: Results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRef von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., & Ravens-Sieberer, U. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: Results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRef
14.
go back to reference Laaksonen, C., Aromaa, M., Heinonen, O. J., Koivusilta, L., Koski, P., Suominen, S., et al. (2008). Health related quality of life in 10-year-old schoolchildren. Quality of Life Research, 17(8), 1049–1054.CrossRefPubMed Laaksonen, C., Aromaa, M., Heinonen, O. J., Koivusilta, L., Koski, P., Suominen, S., et al. (2008). Health related quality of life in 10-year-old schoolchildren. Quality of Life Research, 17(8), 1049–1054.CrossRefPubMed
15.
go back to reference Felder-Puig, R., Baumgartner, M., Topf, R., Gadner, H., & Formann, A. K. (2008). Health-related quality of life in Austrian elementary school children. Medical Care, 46(4), 432–439.CrossRefPubMed Felder-Puig, R., Baumgartner, M., Topf, R., Gadner, H., & Formann, A. K. (2008). Health-related quality of life in Austrian elementary school children. Medical Care, 46(4), 432–439.CrossRefPubMed
16.
go back to reference Veugelers, P., Sithole, F., Zhang, S., & Muhajarine, N. (2008). Neighborhood characteristics in relation to diet, physical activity and overweight of Canadian children. International Journal of Pediatric Obesity, 3(3), 152–159.CrossRefPubMed Veugelers, P., Sithole, F., Zhang, S., & Muhajarine, N. (2008). Neighborhood characteristics in relation to diet, physical activity and overweight of Canadian children. International Journal of Pediatric Obesity, 3(3), 152–159.CrossRefPubMed
17.
go back to reference Mujahid, M. S., Diez Roux, A. V., Morenoff, J. D., Raghunathan, T. E., Cooper, R. S., Ni, H., et al. (2008). Neighborhood characteristics and hypertension. Epidemiology, 19(4), 590–598.CrossRefPubMed Mujahid, M. S., Diez Roux, A. V., Morenoff, J. D., Raghunathan, T. E., Cooper, R. S., Ni, H., et al. (2008). Neighborhood characteristics and hypertension. Epidemiology, 19(4), 590–598.CrossRefPubMed
18.
go back to reference Truong, K. D., & Ma, S. (2006). A systematic review of relations between neighborhoods and mental health. The Journal of Mental Health Policy and Economics, 9(3), 137–154.PubMed Truong, K. D., & Ma, S. (2006). A systematic review of relations between neighborhoods and mental health. The Journal of Mental Health Policy and Economics, 9(3), 137–154.PubMed
19.
go back to reference EuroQol Group. (1990). EuroQol EQ-5D: A new facility for the measurement of health-related quality of life. Health Policy, 19, 199–208. EuroQol Group. (1990). EuroQol EQ-5D: A new facility for the measurement of health-related quality of life. Health Policy, 19, 199–208.
20.
go back to reference Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343.CrossRefPubMed Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343.CrossRefPubMed
21.
go back to reference Brooks, R., & EuroQol Group. (1996). EuroQol: The current state of play. Health Policy, 37, 53–72.CrossRefPubMed Brooks, R., & EuroQol Group. (1996). EuroQol: The current state of play. Health Policy, 37, 53–72.CrossRefPubMed
22.
go back to reference Harrison, M. J., Davies, L. M., Bansback, N. J., Ingram, M., Anis, A. H., & Symmons, D. P. (2008). The validity and responsiveness of generic utility measures in rheumatoid arthritis: A review. Journal of Rheumatology, 35(4), 592–602.PubMed Harrison, M. J., Davies, L. M., Bansback, N. J., Ingram, M., Anis, A. H., & Symmons, D. P. (2008). The validity and responsiveness of generic utility measures in rheumatoid arthritis: A review. Journal of Rheumatology, 35(4), 592–602.PubMed
23.
go back to reference Haywood, K. L., Garratt, A. M., Lall, R., Smith, J. F., & Lamb, S. E. (2008). EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence: Reliability, validity and responsiveness. Quality of Life Research, 17(3), 475–483. (Epub 2008 Feb 15).CrossRefPubMed Haywood, K. L., Garratt, A. M., Lall, R., Smith, J. F., & Lamb, S. E. (2008). EuroQol EQ-5D and condition-specific measures of health outcome in women with urinary incontinence: Reliability, validity and responsiveness. Quality of Life Research, 17(3), 475–483. (Epub 2008 Feb 15).CrossRefPubMed
24.
go back to reference Badia, X., Schiaffino, A., Alonso, J., et al. (1998). Using the EuroQol 5D in the Catalan general population: Feasibility and construct validity. Quality of Life Research, 7(4), 311–322.CrossRefPubMed Badia, X., Schiaffino, A., Alonso, J., et al. (1998). Using the EuroQol 5D in the Catalan general population: Feasibility and construct validity. Quality of Life Research, 7(4), 311–322.CrossRefPubMed
25.
go back to reference Bharmal, M., & Thomas, J., I. I. I. (2006). Comparing the EQ-5D and the SF-6D descriptive systems to assess their ceiling effects in the US general population. Value Health, 9, 262–271.CrossRefPubMed Bharmal, M., & Thomas, J., I. I. I. (2006). Comparing the EQ-5D and the SF-6D descriptive systems to assess their ceiling effects in the US general population. Value Health, 9, 262–271.CrossRefPubMed
26.
go back to reference Johnson, J. A., & Pickard, A. S. (2000). Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Medical Care, 38(1), 115–121.CrossRefPubMed Johnson, J. A., & Pickard, A. S. (2000). Comparison of the EQ-5D and SF-12 health surveys in a general population survey in Alberta, Canada. Medical Care, 38(1), 115–121.CrossRefPubMed
27.
go back to reference Johnson, J. A., & Coons, S. J. (1998). Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research, 7(2), 155–166.CrossRefPubMed Johnson, J. A., & Coons, S. J. (1998). Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research, 7(2), 155–166.CrossRefPubMed
28.
go back to reference Macran, S., Weatherly, H., & Kind, P. (2003). Measuring population health: A comparison of three generic health status measures. Medical Care, 41, 218–231.CrossRefPubMed Macran, S., Weatherly, H., & Kind, P. (2003). Measuring population health: A comparison of three generic health status measures. Medical Care, 41, 218–231.CrossRefPubMed
29.
go back to reference Johnson, J. A., Luo, N., Shaw, J. W., Kind, P., & Coons, S. J. (2005). Valuations of EQ-5D health states: Are the United States and United Kingdom different? Medical Care, 43(3), 221–228.CrossRefPubMed Johnson, J. A., Luo, N., Shaw, J. W., Kind, P., & Coons, S. J. (2005). Valuations of EQ-5D health states: Are the United States and United Kingdom different? Medical Care, 43(3), 221–228.CrossRefPubMed
30.
go back to reference Lubetkin, E. I., & Jia, H. (2009). Health-related quality of life, quality-adjusted life years, and quality-adjusted life expectancy in New York City from 1995 to 2006. Journal of Urban Health, 86(4), 551–561.CrossRefPubMed Lubetkin, E. I., & Jia, H. (2009). Health-related quality of life, quality-adjusted life years, and quality-adjusted life expectancy in New York City from 1995 to 2006. Journal of Urban Health, 86(4), 551–561.CrossRefPubMed
31.
go back to reference Simen-Kapeu, A., Kuhle, S., & Veugelers, P. J. (2009). Geographic differences in childhood overweight, physical activity, nutrition and neighborhood facilities: Implications for prevention. Canadian Journal of Public Health (in press). Simen-Kapeu, A., Kuhle, S., & Veugelers, P. J. (2009). Geographic differences in childhood overweight, physical activity, nutrition and neighborhood facilities: Implications for prevention. Canadian Journal of Public Health (in press).
32.
go back to reference Shaw, J. W., Johnson, J. A., & Coons, S. J. (2005). US valuation of the EQ-5D health states: Development and testing of the D1 valuation model. Medical Care, 43(3), 203–220.CrossRefPubMed Shaw, J. W., Johnson, J. A., & Coons, S. J. (2005). US valuation of the EQ-5D health states: Development and testing of the D1 valuation model. Medical Care, 43(3), 203–220.CrossRefPubMed
33.
34.
go back to reference Ravens-Sieberer, U., Wille, N., et al. (2010). Feasibility, reliability and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research. doi:10.1007/s11136-010-9649-x. Ravens-Sieberer, U., Wille, N., et al. (2010). Feasibility, reliability and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research. doi:10.​1007/​s11136-010-9649-x.
35.
go back to reference Prosser, L., Hammit, J., & Keren, R. (2007). Measuring health preferences for use in cost-utility and cost-benefit analyses of interventions in children. Pharmacoeconomics, 25(9), 713–726.CrossRefPubMed Prosser, L., Hammit, J., & Keren, R. (2007). Measuring health preferences for use in cost-utility and cost-benefit analyses of interventions in children. Pharmacoeconomics, 25(9), 713–726.CrossRefPubMed
36.
go back to reference Yen, I. H., Yelin, E. H., Katz, P., Eisner, M. D., & Blanc, P. D. (2006). Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma. American Journal of Public Health, 96, 873–879. (Epub 2006 March 29).CrossRefPubMed Yen, I. H., Yelin, E. H., Katz, P., Eisner, M. D., & Blanc, P. D. (2006). Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma. American Journal of Public Health, 96, 873–879. (Epub 2006 March 29).CrossRefPubMed
37.
go back to reference Yen, I. H., Yelin, E., Katz, P., Eisner, M. D., & Blanc, P. D. (2008). Impact of perceived neighborhood problems on change in asthma-related health outcomes between baseline and follow-up. Health Place, 14(3), 468–477. (Epub 2007 September 21).CrossRefPubMed Yen, I. H., Yelin, E., Katz, P., Eisner, M. D., & Blanc, P. D. (2008). Impact of perceived neighborhood problems on change in asthma-related health outcomes between baseline and follow-up. Health Place, 14(3), 468–477. (Epub 2007 September 21).CrossRefPubMed
38.
go back to reference Poortinga, W., Dunstan, F. D., & Fone, D. L. (2007). Perceptions of the neighbourhood environment and self rated health: A multilevel analysis of the Caerphilly Health and Social Needs Study. BMC Public Health, 7, 285.CrossRefPubMed Poortinga, W., Dunstan, F. D., & Fone, D. L. (2007). Perceptions of the neighbourhood environment and self rated health: A multilevel analysis of the Caerphilly Health and Social Needs Study. BMC Public Health, 7, 285.CrossRefPubMed
39.
go back to reference Boehmer, T. K., Hoehner, C. M., Deshpande, A. D., Brennan Ramirez, L. K., & Brownson, R. C. (2007). Perceived and observed neighborhood indicators of obesity among urban adults. International Journal of Obesity, 31, 968–977.CrossRefPubMed Boehmer, T. K., Hoehner, C. M., Deshpande, A. D., Brennan Ramirez, L. K., & Brownson, R. C. (2007). Perceived and observed neighborhood indicators of obesity among urban adults. International Journal of Obesity, 31, 968–977.CrossRefPubMed
40.
go back to reference Timperio, A., Salmon, J., Telford, A., & Crawford, D. (2005). Perceptions of local neighborhood environments and their relationship to childhood overweight and obesity. International Journal of Obesity, 29, 170–175.CrossRefPubMed Timperio, A., Salmon, J., Telford, A., & Crawford, D. (2005). Perceptions of local neighborhood environments and their relationship to childhood overweight and obesity. International Journal of Obesity, 29, 170–175.CrossRefPubMed
41.
go back to reference Timperio, A., Crawford, D., Telford, A., & Salmon, J. (2004). Perceptions about the local neighborhood and walking and cycling among children. Preventive Medicine, 38(1), 39–47.CrossRefPubMed Timperio, A., Crawford, D., Telford, A., & Salmon, J. (2004). Perceptions about the local neighborhood and walking and cycling among children. Preventive Medicine, 38(1), 39–47.CrossRefPubMed
Metagegevens
Titel
Sociodemographic and neighbourhood determinants of health-related quality of life among grade-five students in Canada
Auteurs
X. Y. Wu
A. Ohinmaa
P. J. Veugelers
Publicatiedatum
01-09-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 7/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9663-z

Andere artikelen Uitgave 7/2010

Quality of Life Research 7/2010 Naar de uitgave