Examining boys’ and girls’ health‐related quality of life from the first to the third year of upper secondary school: A prospective longitudinal study

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Abstract

Aim

To examine differences in health‐related quality of life between boys and girls in the first and third years of upper secondary school.

Design

Prospective longitudinal study.

Methods

The KIDSCREEN‐10 was used to assess health‐related quality of life. Differences in health‐related quality of life over time were estimated using a linear mixed‐effects model for correlated measurements.

Results

In the first‐year boys ( N = 168) and girls ( N = 228) reported a mean health‐related quality of life score of 76.3 ( SD 10.7) and 69.8 ( SD 11.5), respectively. In the third year, the mean health‐related quality of life score for boys and girls was 73.5 ( SD 12.4) and 65.7 ( SD 13.3), respectively. Boys had a significant decrease in health‐related quality of life mean score of −2.6 and girls a significant decrease of −3.8 ( p < .001) over the 3‐year period. There was no significant difference between boys’ and girls’ health‐related quality of life changes ( p = .39).

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Most cited references 34

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Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes.

I B Wilson, P D Cleary (1995)

Our model proposes a taxonomy or classification scheme for different measures of health outcome. We divide these outcomes into five levels: biological and physiological factors, symptoms, functioning, general health perceptions, and overall quality of life. In addition to classifying these outcome measures, we propose specific causal relationships between them that link traditional clinical variables to measures of HRQL. As one moves from left to right in the model, one moves outward from the cell to the individual to the interaction of the individual as a member of society. The concepts at each level are increasingly integrated and increasingly difficult to define and measure. AT each level, there are an increasing number of inputs that cannot be controlled by clinicians or the health care system as it is traditionally defined.

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The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances

Ulrike Ravens-Sieberer, Michael Herdman, Janine Devine … (2013)

Purpose The KIDSCREEN questionnaires were developed by a collaborative effort of European pediatric researchers for use in epidemiologic public health surveys, clinical intervention studies, and research projects. The article gives an overview of the development of the tool, summarizes its extensive applications in Europe, and describes the development of a new computerized adaptive test (KIDS-CAT) based on KIDSCREEN experiences. Methods The KIDSCREEN versions (self-report and proxy versions with 52, 27, and 10 items) were simultaneously developed in 13 different European countries to warrant cross-cultural applicability, using methods based on classical test theory (CTT: descriptive statistics, CFA and MAP, internal consistency, retest reliability measures) and item response theory (IRT: Rasch modeling, DIF analyses, etc.). The KIDS-CAT was developed (in cooperation with the US pediatric PROMIS project) based on archival data of European KIDSCREEN health surveys using IRT more extensively (IRC). Results Research has shown that the KIDSCREEN is a reliable, valid, sensitive, and conceptually/linguistically appropriate QoL measure in 38 countries/languages by now. European and national norm data are available. New insights from KIDSCREEN studies stimulate pediatric health care. Based on KIDSCREEN, the Kids-CAT promises to facilitate a very efficient, precise, as well as reliable and valid assessment of QoL. Conclusions The KIDSCREEN has standardized QoL measurement in Europe in children as a valid and cross-cultural comparable tool. The Kids-CAT has the potential to further advance pediatric health measurement and care via Internet application.

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Is Open Access

Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender – a cross-sectional school study in Northern Sweden

Maria Wiklund, Eva-Britt Malmgren-Olsson, Ann Öhman … (2012)

Background Negative trends in adolescent mental and subjective health are a challenge to public health work in Sweden and worldwide. Self-reported mental and subjective health complaints such as pain, sleeping problems, anxiety, and various stress-related problems seem to have increased over time among older adolescents, especially girls. The aim of this study has therefore been to investigate perceived stress, mental and subjective health complaints among older adolescents in Northern Sweden. Methods Data were derived from a cross-sectional school-based survey with a sample consisting of 16–18 year olds (n = 1027), boys and girls, in the first two years of upper secondary school, from different vocational and academic programmes in three public upper secondary schools in a university town in northern Sweden. Prevalence of perceived stress, subjective health complaints, general self-rated health, anxiety, and depression were measured using a questionnaire, including the Hospital Anxiety and Depression Scale (HADS). Results A large proportion of both girls and boys reported health complaints and perceived stress. There was a clear gender difference: two to three times as many girls as boys reported subjective health complaints, such as headache, tiredness and sleeping difficulties and musculoskeletal pain, as well as sadness and anxiety. High pressure and demands from school were experienced by 63.6% of girls and 38.5% of boys. Perceived stress in the form of pressure and demands correlated strongly with reported health complaints (r = 0.71) and anxiety (r = 0.71). Conclusions The results indicate that mental and subjective health complaints are prevalent during adolescence, especially in girls, and furthermore, that perceived stress and demands may be important explanatory factors. Future studies should pay attention to the balance between gender-related demands, perceived control and social support, particularly in the school environment, in order to prevent negative strain and stress-related ill-health. The gender gap in subjective adolescent health needs to be further explored.

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Author and article information

Contributors

Eva Langeland:

ORCID: https://orcid.org/0000-0003-3594-2877

Eva.Langeland@hvl.no

Journal

Journal ID (nlm-ta): Nurs Open

Journal ID (iso-abbrev): Nurs Open

Journal ID (doi): 10.1002/(ISSN)2054-1058

Journal ID (publisher-id): NOP2

Title: Nursing Open

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Electronic): 2054-1058

Publication date (Electronic): 21 August 2019

Publication date Collection: October 2019

Volume: 6

Issue: 4 ( doiID: 10.1002/nop2.v6.4 )

Pages: 1606-1614

Affiliations

[ ¹ ] Department of Health and Caring Science, Faculty of Health and Social Sciences Western Norway University of Applied Sciences Bergen Norway

[ ² ] Department of Health and Functioning, Faculty of Health and Social Sciences Western Norway University of Applied Sciences Bergen Norway

[ ³ ] Section for Innovation, Health, Children and Youth, Department of Health and Care Bergen Municipality Bergen Norway

Author notes

[*] [* ] Correspondence

Eva Langeland, Department of Health and Caring Science, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Inndalsveien 28, 5020 Bergen, Norway.

Email: Eva.Langeland@ 123456hvl.no

Author information

Eva Langeland https://orcid.org/0000-0003-3594-2877

Article

Publisher ID: NOP2366

DOI: 10.1002/nop2.366

PMC ID: 6805264

PubMed ID: 31660189

SO-VID: 6c2aab19-cfd0-439b-801a-0e912e7eb243

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

History

Date received : 20 August 2019

Date accepted : 12 August 2019

Page count

Figures: 1, Tables: 3, Pages: 9, Words: 7181

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component-id nop2366

cover-date October 2019

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:5.7.0 mode:remove_FC converted:22.10.2019

Examining boys’ and girls’ health‐related quality of life from the first to the third year of upper secondary school: A prospective longitudinal study

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Most cited references 34

Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes.

The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances

Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender – a cross-sectional school study in Northern Sweden

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