Volume 44 Issue 7
Jul.  2023
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LIANG Junyan, YOU Hua, ZHAO Shiqi, LIU Li. The impact of health-related quality of life for children and adolescents aged 8-15 years in Nanjing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(7): 1003-1007. doi: 10.16835/j.cnki.1000-9817.2023.07.010
Citation: LIANG Junyan, YOU Hua, ZHAO Shiqi, LIU Li. The impact of health-related quality of life for children and adolescents aged 8-15 years in Nanjing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(7): 1003-1007. doi: 10.16835/j.cnki.1000-9817.2023.07.010

The impact of health-related quality of life for children and adolescents aged 8-15 years in Nanjing

doi: 10.16835/j.cnki.1000-9817.2023.07.010
  • Received Date: 2023-05-24
  • Rev Recd Date: 2023-06-10
  • Available Online: 2023-07-25
  • Publish Date: 2023-07-25
  •   Objective  To investigate the impact of COVID-19 infection and health-related behaviors on the health-related quality of life of children and adolescents aged 8-15 years in Nanjing, so as to provide a theoretical basis for improving HRQoL in children and adolescents.  Methods  From December 2022 to January 2023, a total of 2 398 students aged 8-15 years from the third grade of primary school to junior middle school in Nanjing were selected by multistage random cluster sampling. The 3-level EuroQol 5-dimension Questionnaire Youth Vension (EQ-5D-Y-3L) was completed by the respondents on their own, and the parents assisted in completing the rest of the questionnaire.  Results  The EuroQol-index(EQ-index) and Visual Analogue Scale (VAS) scores of being infected individuals were lower than those of uninfected and previously infected (P < 0.05). The proportion of being infected individuals reporting difficulty on "Pain/Discomfort" was higher than that of uninfected and previously infected individuals, and the proportion of reporting difficulty on "Mobility" was also higher than that of uninfected individuals (P < 0.05). Lack of parental companionship(OR=10.19, 95%CI=3.12-33.22), irregular breakfast consumption (OR=10.63, 95%CI=3.20-35.25), and excessive screen time (OR=8.24, 95%CI=3.02-22.51) increased the risk of difficulty on "Mobility" in being infected individuals (P < 0.05). Irregular breakfast consumption (OR=1.93, 95%CI=1.31-2.84) and consumption of sweetened beverages and snacks (OR=1.56, 95%CI=1.17-2.10) increased the risk of having lower EQ-index in previously infected individuals compared to uninfected individuals. Furthermore, consumption of sweetened beverages and snacks (OR=1.57, 95%CI=1.21-2.05) and excessive screen time (OR=1.49, 95%CI=1.12-1.98) also increased the risk of VAS scores being lower in previously infected individuals compared to uninfected individuals (P < 0.05).  Conclusion  The COVID-19 infection impairs HRQoL, and unhealthy behaviors deteriorate its negative impact. Healthy behaviors and lifestyles should be advocated to reduce the impact of COVID-19 infection on HRQoL.
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