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Quality of Life Research

, Volume 17, Issue 8, pp 1049–1054 | Cite as

Health related quality of life in 10-year-old schoolchildren

  • Camilla Laaksonen
  • Minna Aromaa
  • Olli J. Heinonen
  • Leena Koivusilta
  • Pasi Koski
  • Sakari Suominen
  • Tero Vahlberg
  • Sanna Salanterä
Article

Abstract

Objective

The purpose of this study was to investigate the health related quality of life (HRQL) in a total cohort of general school children.

Methods

The study population consisted of the children starting 4th grade (age 9–10) in Finnish primary schools in autumn 2004 (n = 1,346) and their parents in a city of 175,000 inhabitants. Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ 4.0) was used for assessment of HRQL. The response rate was 81% for the children (n = 1,091). Most children had parents who participated (n = 999).

Results

The children reported highest HRQL mean values in physical (85.00, SD 10.95) and social (84.71, SD 14.28), and lowest in school (78.89, SD 14.53) and emotional (75.43, SD 15.67), functioning scales. Girls reported significantly lower emotional (t = −2.43, P = 0.02) functioning than boys. Child self reports show lower social (t = −2.57, P = 0.01) and school (t = −3.44, P = 0.0006) functioning, and higher emotional (t = 5.82, P < 0.0001) and physical (t = 4.79, P < 0.0001) functioning than their parent-proxy assessments.

Conclusions

Interventions aiming at supporting the emotional and school functioning of the school children are recommended. Parents may overestimate the social and school functioning and underestimate the physical and emotional functioning compared to their children’s own perceptions.

Keywords

Child HRQL School child School health 

References

  1. 1.
    Eiser, C., & Morse, R. (2001). Quality-of-life measures in chronic diseases of childhood. Health Technology Assessment, 5(4). Retrieved 5 October 2006 from http://www.ncchta.org.
  2. 2.
    Simeoni, M.-C., Sapin, C., Antoniotti, S., & Auquier, P. (2001). Health-related quality of life reported by french adolescents: A predictive approach of health status? The Journal of Adolescent Health, 28(4), 288–294. doi: 10.1016/S1054-139X(00)00198-1.PubMedCrossRefGoogle Scholar
  3. 3.
    Matza, L. S., Swensen, A. R., Flood, E. M., Secnik, K., & Leidy, N. K. (2004). Assessment of health-related quality of life in children: A review of conceptual, methodological, and regulatory issues. Value in Health, 7(1), 79–92. doi: 10.1111/j.1524-4733.2004.71273.x.PubMedCrossRefGoogle Scholar
  4. 4.
    Seid, M., Varni, J.W., Segall, D., & Kurtin, P.S. (2004). Health-related quality of life as a predictor of pediatric healthcare costs: A two-year prospective cohort analysis. Health and Quality of Life Outcomes 2, 48. Retrieved 8 November 2004 from http://www.hqlo.com.
  5. 5.
    Rajmil, L., Alonso, J., Berra, S., Ravens-Sieberer, U., Gosch, A., Simeoni, M.-C., et al. (2006). Use of a children questionnaire of health-related quality of life (KIDSCREEN) as a measure of needs for health care services. The Journal of Adolescent Health, 38, 511–518. doi: 10.1016/j.jadohealth.2005.05.022.PubMedCrossRefGoogle Scholar
  6. 6.
    Schools on the Move. Retrieved 31 July 2006 from http://www.koulutliikkeelle.fi.
  7. 7.
    University of Turku. Faculty of Medicine, Public Health. Retrieved 15 August 2006 from http://www.med.utu.fi.
  8. 8.
    Peds, Q.L.™ 4.0. Pediatric quality of life inventory. Retrived 6 October 2006 from http://www.pedsql.org/.
  9. 9.
    Good scientific practice and procedures for handling misconduct and fraud in science. (2002). National advisory board on research ethics. Helsinki. Retrieved 28 August 2006 from http://www.pro.tsv.fi/tenk/htk.pdf.
  10. 10.
    WMA Declaration of Helsinki. (2004). Ethical Principles for Medical Research Involving Human Subjects. Retrieved 2 August 2006 from http://www.wma.net/e/policy/b3.htm.
  11. 11.
    Laaksonen, C., Aromaa, M., Heinonen, O. J., Suominen, S., & Salanterä, S. (2007). Paediatric health-related quality of life instrument for primary school children: Cross-cultural validation. Journal of Advanced Nursing, 59(5), 542–550. doi: 10.1111/j.1365-2648.2007.04347.x.PubMedCrossRefGoogle Scholar
  12. 12.
    Varni, J. W., Seid, M., & Rode, C. A. (1999). The PedsQL™: Measurement model for the pediatric quality of life inventory. Medical Care, 37(2), 126–139. doi: 10.1097/00005650-199902000-00003.PubMedCrossRefGoogle Scholar
  13. 13.
    Varni, J. W., Seid, M., & Kurtin, P. S. (2001). The PedsQL™ 4.0: Reliability and validity of the Pediatric Quality of Life Inventory™ version 4.0 Generic Core Scales in healthy and patient populations. Medical Care, 39(8), 800–812. doi: 10.1097/00005650-200108000-00006.PubMedCrossRefGoogle Scholar
  14. 14.
    Varni, J. W., Seid, M., Knight, T. S., Uzark, K., & Szer, I. S. (2002). The PedsQL™ 4.0 Generic Core Scales: Sensitivity, responsiveness, and impact on clinical decision-making. Journal of Behavioral Medicine, 25(2), 175–193. doi: 10.1023/A:1014836921812.PubMedCrossRefGoogle Scholar
  15. 15.
    Varni, J. W., Burwinkle, T. M., Seid, M., & Skarr, D. (2003). The PedsQL 4.0 as a pediatric population health measure: Feasibility, reliability and validity. Ambulatory Pediatrics, 3(6), 329–341. doi:10.1367/1539-4409(2003)003<0329:TPAAPP>2.0.CO;2.PubMedCrossRefGoogle Scholar
  16. 16.
    World Health Organization. (1948). Constitution of the World Health Organization basic document. Geneva: World Health Organization.Google Scholar
  17. 17.
    Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. (2002). The PedsQl in pediatric cancer: Reliability and validity of the Pediatric Quality of life Inventory Generic Core Scales, Multidimensional Fatigue Scale and cancer module. Cancer, 94(7), 2090–2106. doi: 10.1002/cncr.10428.PubMedCrossRefGoogle Scholar
  18. 18.
    Uzark, K., Jones, K., Burwinkle, T. M., & Varni, J. W. (2003). The Pediatric Quality of Life Inventory™ in children with heart disease. Progress in Pediatric Cardiology, 18, 141–148. doi: 10.1016/S1058-9813(03)00087-0.CrossRefGoogle Scholar
  19. 19.
    Varni, J. W., Burwinkle, T. M., Jacobs, J. R., Gottschalk, M., Kaufman, F., & Jones, K. L. (2003). The PedsQL™ in type 1 and type 2 diabetes: Reliability and validity of the Pediatric Quality of Life Inventory TM Generic Core Scales and type 1 diabetes module. Diabetes Care, 26(3), 631–637. doi: 10.2337/diacare.26.3.631.PubMedCrossRefGoogle Scholar
  20. 20.
    Bastiaansen, D., Koot, H. M., Bongers, I. L., Varni, J. W., & Verhulst, F. C. (2004). Measuring quality of life in children referred for psychiatric problems: Psychometric properties of the PedsQL 4.0 generic core scales. Quality of Life Research, 13(2), 489–495. doi: 10.1023/B:QURE.0000018483.01526.ab.PubMedCrossRefGoogle Scholar
  21. 21.
    Powers, S.W., Patton, S.R., Hommel, K.A., & Hershey, A.D. (2004). Quality of life in pediatric migrane: Characterization of age-related effects using PedsQL 4.0. Cephalalgia, 24(2), 120–127. doi: 10.1111/j.1468-2982.2004.00652.x.
  22. 22.
    Sawyer, M. G., Whitham, J. N., Roberton, D. M., Taplin, J. E., Varni, J. W., & Baghurst, P. A. (2004). The relationship between health-related quality of life, pain and coping strategies in juvenile idiopathic arthritis. Rheumatology (Oxford, England), 43(3), 325–330. doi: 10.1093/rheumatology/keh030.CrossRefGoogle Scholar
  23. 23.
    Varni, J. W., Burwinkle, T. M., & Seid, M. (2006). The PedsQL™ 4.0 as a school population health measure: Feasibility, reliability, and validity. Quality of Life Research, 15(2), 203–215. doi: 10.1007/s11136-005-1388-z.PubMedCrossRefGoogle Scholar
  24. 24.
    Felder-Puig, R., Frey, E., Proksch, K., Varni, J. W., Gadner, H., & Topf, R. (2004). Validation of the German version of the Pediatric Quality of Life Inventory (PedsQL) in childhood cancer patients off treatment and children with epilepsy. Quality of Life Research, 13(1), 223–234. doi: 10.1023/B:QURE.0000015305.44181.e3.PubMedCrossRefGoogle Scholar
  25. 25.
    Upton, P., Eiser, C., Cheung, I., Hutchings, H. A., Jenney, M., Maddocks, A., et al. (2005). Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) generic core scales. Health and Quality of Life Outcomes, 3(1), 22. Retrieved 6 October 2006 from http://www.hqlo.com.
  26. 26.
    Reinfjell, T., Diseth, T.H., Veenstra, M., & Vikan, A. (2006). Measurinh health-related quality of life in young adolescents: reliability and validity in the Norwegian version of the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health and Quality of Life Outcome, 4, 61. Retrieved 6 October 2006 from http://www.hqlo.com.
  27. 27.
    SAS Institute Inc., Cary, NC, USA.Google Scholar
  28. 28.
    Marklund, B., Ahlstedt, S., & Nordström, G. (2006). Health-related quality of life in food hypertensitive schoolchildren and their families: parents’ perceptions. Health and Quality of Life Outcomes, 4, 48. Retrieved 1 February 2007 from http://www.hqlo.com.
  29. 29.
    Russell, K. M. W., Hudson, M., Long, A., & Phipps, S. (2006). Assessment of health-related quality of life in children with cancer. Consistency and agreement between parent and child reports. Cancer, 106(10), 2267–2274. doi: 10.1002/cncr.21871.PubMedCrossRefGoogle Scholar
  30. 30.
    Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescent. Journal of the American Medical Association, 289(14), 1813–1819. doi: 10.1001/jama.289.14.1813.PubMedCrossRefGoogle Scholar
  31. 31.
    Santalahti, P., Aromaa, M., Sourander, A., Helenius, H., & Piha, J. (2005). Have there been changes in children’s psychosomatic symptoms? A 10-year comparison from Finland. Pediatrics, 115(4), e434–e442. doi: 10.1542/peds.2004-1261.PubMedCrossRefGoogle Scholar
  32. 32.
    Rajmil, L., Herdman, M., Fernandez de Sanmamed, M.-J., Detmar, S., Bruil, J., Ravens-Sieberer, U., et al. (2004). Generic health-related quality of life instruments in children and adolescents: A qualitative analysis of content. The Journal of Adolescent Health, 34(1), 37–45. doi: 10.1016/S1054-139X(03)00249-0.PubMedCrossRefGoogle Scholar
  33. 33.
    Robitail, S., Simeoni, M.-C., Ravens-Sieber, U., Bruil, J., Auquier, P., & Kidscreen group. (2007). Children proxies’quality of life agreement depended on the country using the European KIDSCREEN-52 questionnaire. Journal of Clinical Epidemiology, 60, 469–478. doi: 10.1016/j.jclinepi.2006.09.007.PubMedCrossRefGoogle Scholar
  34. 34.
    Eiser, C., & Morse, R. (2001). Can parents rate their child’s health-related quality of life? Results of a systematic review. Quality of Life Research, 10(4), 347–357. doi: 10.1023/A:1012253723272.PubMedCrossRefGoogle Scholar
  35. 35.
    Rew, L., Horner, S. D., Riesch, L., & Cauvin, R. (2004). Computer-assisted survey interviewing of school-age children. ANS. Advances in Nursing Science, 27(2), 129–137.PubMedGoogle Scholar
  36. 36.
    Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5(1), 1–13. doi: 10.1186/1477-7525-5-1.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2008

Authors and Affiliations

  • Camilla Laaksonen
    • 1
  • Minna Aromaa
    • 2
  • Olli J. Heinonen
    • 3
  • Leena Koivusilta
    • 4
  • Pasi Koski
    • 5
  • Sakari Suominen
    • 6
  • Tero Vahlberg
    • 7
  • Sanna Salanterä
    • 1
  1. 1.Department of Nursing ScienceUniversity of TurkuTurkuFinland
  2. 2.Health Care TurkuCity of TurkuFinland
  3. 3.Paavo Nurmi CentreUniversity of TurkuTurkuFinland
  4. 4.Institutions and Social Mechanisms (IASM)University of TurkuTurkuFinland
  5. 5.Centre for Research on Lifelong Learning and Education (CELE)University of TurkuTurkuFinland
  6. 6.Department of Public HealthUniversity of TurkuTurkuFinland
  7. 7.Department of BiostatisticsUniversity of TurkuTurkuFinland

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