Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis.


Michel, G; Bisegger, C; Fuhr, DC; Abel, T; 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). pp. 1147-57. ISSN 0962-9343 DOI: https://doi.org/10.1007/s11136-009-9538-3

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Abstract

OBJECTIVES To determine age and gender differences in health-related quality of life (HRQOL) in children and adolescents across 12 European countries using a newly developed HRQOL measure (KIDSCREEN). METHODS The KIDSCREEN-52 questionnaire was filled in by 21,590 children and adolescents aged 8-18 from 12 countries. We used multilevel regression analyses to model the hierarchical structure of the data. In addition, effect sizes were computed to test for gender differences within each age group. RESULTS Children generally showed better HRQOL than adolescents (P < 0.001). While boys and girls had similar HRQOL at young age, girls' HRQOL declined more than boys' (P < 0.001) with increasing age, depending on the HRQOL scale. There was significant variation between countries both at the youngest age and for age trajectories. CONCLUSIONS For the first time, gender and age differences in children's and adolescents' HRQOL across Europe were assessed using a comprehensive and standardised instrument. Gender and age differences exist for most HRQOL scales. Differences in HRQOL across Europe point to the importance of national contexts for youth's well-being.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 19774493
Web of Science ID: 270650900003
URI: http://researchonline.lshtm.ac.uk/id/eprint/406600

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