Influence of deprivation on health-related quality of life in children: Cross sectional study, Turkey
Articles > Abstract · 2018
Authors: Hilal ADIGÜZEL, Işıl ERGİN, ZELİHA ASLI ÖCEK, İsabel Raika DURUSOY
European Journal of Public Health, Journal Indexed in SCI Expanded, International, WoS, 2018, vol 28
DOI: 10.1093/eurpub/cky218.224
Summary
Background: The concept of deprivation has come to the forefront in socioeconomic evaluations in child health. Aim: To determine health related quality of life(HRQoL) in children and its association with multidimensional deprivation and relevant determinants. Methods: Cross-sectional study conducted in the Bayraklı district of Izmir city, included 1284 students at 7th grade (aged 12-13) from 24 schools recruited by a multistage stratified cluster sampling.(N = 1090, 84.9%). KID-KINDL HRQoL Scale was used. Health feautures (self rated health, concomittant disease, BMI, physical activity) parental educational status, family income and perception of its adequacy, student’s pocket money and perception of its adequacy and multidimensional deprivation status (with European Child Deprivation Index, UNICEF,2012) were questioned. Univariate analysis followed by linear regression models was conducted. Results: Mean HRQoL score was 71,3±12,6. Girls (48,5%, p = 0,001), children whose parents’ were below high school education(48,4%, p = 0,011), whose family income was below poverty threshold(7.5%, p=,010), and perceived as inadequate (17.8%, p < 0,001) and whose pocket money was below average(47.8%, p = 0,001) and perceived as inadequate(23,8%, p < 0,001) had lower HRQoL scores. Deprivations were most prevalent at household deprivation(38.0%), health care access(24,9%) and leisure time activities(11.4%). Experiencing 2≥ material deprivation was 12.5% and they scored lower in HRQoL (p < 0,001). In linear regression results; the HRQoL scores decreased in girls 3,1 points, with low parental educational level 2,7, with inadequate pocket money 4,7, with deprivation 3,8, with health access deprivation 8,0 points.A pocket money above the average increased HRQoL scores by 1,7 points. Conclusions: The most influential variable for HRQoL in children was found as deprivation for health care access. Pocket money perception and deprivation are indicative variables for socioeconomic deficiencies in children. Key messages: Using deprivation is usefull for evaluating socioeconomic status. Healthcare access is a powerfull determinant for quality in a childs life.