Health-related quality of life and mental health in children and adolescents with strabismus - results of the representative population-based survey KiGGS.
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ABSTRACT: BACKGROUND:To estimate the effect of strabismus (squinting) on mental health and health-related quality of life aspects in children and adolescents. METHODS:Data from the German Health Interview and Examination Survey for Children and Adolescents KiGGS (2003-2006 baseline survey; N =?14,835, aged 3 to 17?years, 49% girls) were examined. The presence of strabismus was derived by parental questionnaire, and health-related quality of life and mental health were investigated with the KINDL-R and Strengths and Difficulties Questionnaire. Associations between strabismus and outcomes were analyzed using multivariable linear and logistic regression models. RESULTS:Of 12,989 children without missing data, 579 children (4.5% of the sample) were reported to have strabismus. Children with strabismus had lower scores in the parent-reported KINDL-R total scale (adjusted beta?=?-?1.02; 95%CI: -1.86 to -?0.18; p =?0.018) and sub-scale 'friends' (adjusted beta?=?-?2.18; 95%CI: -3.56 to -0.80; p =?0.002) compared to children without strabismus. The presence of strabismus was also associated with more mental health problems like 'hyperactivity/inattention' (adjusted OR?=?1.50; 95%CI: 1.14 to 1.98; p =?0.005), and 'peer problems' (adjusted OR?=?1.35; 95%-CI: 1.05 to 1.74; p?=?0.018) as reported by parents. CONCLUSIONS:Strabismus in children and adolescents is associated with lower health-related quality of life.
SUBMITTER: Schuster AK
PROVIDER: S-EPMC6505127 | biostudies-literature | 2019 May
REPOSITORIES: biostudies-literature
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