How do determinants of health relate to children's quality of life? A cross-sectional study in Izmir, Turkey
Makaleler > Tam Makale · 2023
Yazarlar: Hilal Düzel, Işıl ERGİN, İsabel Raika DURUSOY
PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2023, cilt 24, ss e54-8
DOI: 10.1017/S1463423623000397
Özet
<p>Aim: This study aims to determine health-related quality of life (QoL) and the related factors</p><p>from the perspective of social determinants of health among children. Background: Childhood</p><p>is the most intense period of life, and environmental factors surrounding children, as well as</p><p>individual lifestyle factors, are related to the child’s physical and mental well-being. To our</p><p>knowledge, there is a lack of studies evaluating the relationship between determinants of health</p><p>and the QoL of healthy children in general. Methods: This cross-sectional study was executed in</p><p>the Bayrakli district of Izmir city. Stratified clustered sampling was used including 24 schools</p><p>and 3367 7th-grade children, and 1284 students were targeted (50% prevalence, 95% CI, %5</p><p>margins of error, 2.25 design effect, and 20% replacement). The response rate was 84.9%</p><p>(n = 1090). The Turkish KID-KINDL Health-Related Quality of Life Questionnaire for</p><p>Children was used to assess QoL. Independent variables were examined in four layers using</p><p>Dahlgren’s Determinants of Health Model: basic characteristics, lifestyle factors, family</p><p>characteristics, and life conditions. Results: The mean QoL score was 71.3 ± 12.6. Our study</p><p>explained 31.7% of the variance in QoL. Higher QoL scores were associated with better health</p><p>status, perceived academic achievement, normal/thin body perception, physical activity (PA),</p><p>and adequate sleep duration. Living with both parents and having fewer siblings positively</p><p>influenced QoL. Moreover, the presence of structural problems in the household and poorer</p><p>health perceptions were associated with lower QoL scores (P < 0.05) This study highlighted the</p><p>multifaceted nature of QoL in Turkish children, revealing the importance of various</p><p>determinants of health. The results show that in order to improve the general well-being of this</p><p>population, interventions and policies are required that concentrate on elements including</p><p>health status, academic accomplishment, body perception, physical activity, family structure,</p><p>and living situations.</p>