Dataset Information

Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.

ABSTRACT:

Objective

We examined the association of different chronic physical and mental conditions, individually or comorbidly on health-related quality of life (QoL) in Chinese children aged ?14 years in Hong Kong.

Design

Population-based cross-sectional survey.

Participants

Approximately 7500 Chinese children aged <14 years in Hong Kong.

Interventions

Nil.

Primary and secondary outcome measures

Various health concepts of validated Chinese version of Child Health Questionnaire (CHQ), a health-related QoL questionnaire in children.

Result

There was significant association of physical and mental health conditions, either individually or comorbidly, on the various concepts of CHQ. Children with mental health problems were apparently more affected than those with physical health problems. Chronic renal disease and congenital malformation were the physical health conditions associated with the lowest scores in CHQ concepts in children aged 5-10 years and aged 10-14 years, respectively. Behavioural problem was the mental health condition associated with the lowest score in CHQ concepts in both age groups.

Conclusions

Our study shows important information concerning the prevalence of different health conditions and its association, either individually or comorbidly on the QoL in a representative sample of Chinese children in HK.

SUBMITTER: Lee SL

PROVIDER: S-EPMC3549227 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.

Lee S L SL Cheung Y F YF Wong H S W HS Leung T H TH Lam T H TH Lau Y L YL

BMJ open 20130103 1

<h4>Objective</h4>We examined the association of different chronic physical and mental conditions, individually or comorbidly on health-related quality of life (QoL) in Chinese children aged ≤14 years in Hong Kong.<h4>Design</h4>Population-based cross-sectional survey.<h4>Participants</h4>Approximately 7500 Chinese children aged <14 years in Hong Kong.<h4>Interventions</h4>Nil.<h4>Primary and secondary outcome measures</h4>Various health concepts of validated Chinese version of Child Health Ques ...[more]

PMID: 23293240

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Project description:ObjectivesTo evaluate the effect of hypertension and related comorbidities on the health-related quality of life (HRQoL) using EuroQol 5-dimensions instrument with five-level scale (EQ-5D-5L) Hong Kong (HK) version.DesignData were analysed by a secondary data analysis based on a cross-sectional study assessing experience on public specialist outpatient service.SettingA representative sample was recruited from 26 specialist outpatient clinics in HK.ParticipantsA total of 4528 patients with hypertension aged 18 or above who responded to the survey.InterventionEQ-5D-5L HK was applied to assess the HRQoL. The five-dimension descriptive system and the utility index of EQ-5D-5L were treated as the dependent variable in the current study. Regression modelling was applied to estimate the effect of hypertension and related comorbidities on health-related quality of life.ResultsMore respondents were women (53.9%), aged ≥65 years old (60.1%), and with primary educational attainment or below (52.3%). A total of 1466 respondents (32.4%) also reported suffering from diabetes, heart disease (20.8%), vision problem (1.7%) and cancer (1.5%). In the ordinal least squares model, utility decreased most when patients reported having physical disability associated with hypertension (beta=-0.395, SE=0.047), and 0.128, 0.064, 0.05 and 0.048 for mental problem, cancer, vision problem and heart problem. In the Tobit model, the utility reduced most for comorbidity of physical disability, and then mental problem, cancer, vision problem, heart problem and diabetes. For first part of two-part model, respondents coliving with mental problem were 10% less likely to report a full health. For the second part of two-part model, the respondents with physical disability had 0.294 lower in utility.ConclusionsRespondents with hypertension reported a low EQ-5D utility score. Respondents were women, with a high education, fully employed and living with families reported better HRQoL. There is a significant effect of comorbidity influence on the decreased HRQoL, particularly those with physical disability and mental problem.

Dataset Information

Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.

Objective

Design

Participants

Interventions

Primary and secondary outcome measures

Result

Conclusions

Publications

Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.

Similar Datasets

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