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Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status
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Zeitschriftentitel: | Child: Care, Health and Development |
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Personen und Körperschaften: | , , , |
In: | Child: Care, Health and Development, 41, 2015, 6, S. 1216-1226 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Wiley
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Schlagwörter: |
author_facet |
Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. |
---|---|
author |
Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. |
spellingShingle |
Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. Child: Care, Health and Development Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status Public Health, Environmental and Occupational Health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health |
author_sort |
loh, d. a. |
spelling |
Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. 0305-1862 1365-2214 Wiley Public Health, Environmental and Occupational Health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1111/cch.12252 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Physical functioning and psychological resilience in adulthood is shaped during adolescence. Self‐reported health‐related quality of life (<jats:styled-content style="fixed-case">HRQoL</jats:styled-content>) assessments during this life phase are important first‐hand accounts of their well‐being. This study aimed, firstly, to identify differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity, socio‐economic status and weight status; and secondly, to examine associations between weight status and <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among an urban sample of multi‐ethnic adolescents in Kuala Lumpur, <jats:styled-content style="fixed-case">M</jats:styled-content>alaysia.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A cross‐sectional study involving 652 adolescents (aged 13 years) was conducted in <jats:styled-content style="fixed-case">K</jats:styled-content>uala <jats:styled-content style="fixed-case">L</jats:styled-content>umpur. Weight and height were measured. Body mass index <jats:italic>z</jats:italic>‐scores were categorized according to the <jats:styled-content style="fixed-case">I</jats:styled-content>nternational <jats:styled-content style="fixed-case">O</jats:styled-content>besity <jats:styled-content style="fixed-case">T</jats:styled-content>ask <jats:styled-content style="fixed-case">F</jats:styled-content>orce criteria. <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> was assessed using the <jats:styled-content style="fixed-case">M</jats:styled-content>alay version of the <jats:styled-content style="fixed-case">P</jats:styled-content>ediatric <jats:styled-content style="fixed-case">Q</jats:styled-content>uality of <jats:styled-content style="fixed-case">L</jats:styled-content>ife <jats:styled-content style="fixed-case">I</jats:styled-content>nventory 4.0 <jats:styled-content style="fixed-case">G</jats:styled-content>eneric <jats:styled-content style="fixed-case">C</jats:styled-content>ore <jats:styled-content style="fixed-case">S</jats:styled-content>cales. Univariate analyses of differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity (<jats:styled-content style="fixed-case">M</jats:styled-content>alays, <jats:styled-content style="fixed-case">C</jats:styled-content>hinese and <jats:styled-content style="fixed-case">I</jats:styled-content>ndians), maternal education level and weight status were performed. Complex samples general linear model was used to examine the associations between <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> and weight status, adjusted for confounders.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Female adolescents reported significantly lower emotional functioning scores (mean, 95% confidence interval: 59.25, 57.33–61.17). When the three main ethnic groups were studied, <jats:styled-content style="fixed-case">M</jats:styled-content>alay adolescents scored significantly lower emotional functioning scores (59.00, 57.13–60.87) compared with their <jats:styled-content style="fixed-case">C</jats:styled-content>hinese peers. Adolescents with tertiary‐educated mothers reported lower emotional functioning scores (57.45, 53.85–61.06) compared with those with primary‐educated mothers. Obese adolescents reported poorer <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> scores with significantly impaired physical and social functioning after controlling for confounders.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These findings detected disparities in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among the adolescents when gender, ethnicity, maternal education level and weight status were considered. Further studies should address these health inequalities by implementing gender‐specific and culturally appropriate measures to attain optimal well‐being and avoid potential burden of disease.</jats:p></jats:sec> Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status Child: Care, Health and Development |
doi_str_mv |
10.1111/cch.12252 |
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2015 |
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Wiley |
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Child: Care, Health and Development |
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title |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_unstemmed |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_full |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_fullStr |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_full_unstemmed |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_short |
Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_sort |
disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
topic |
Public Health, Environmental and Occupational Health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health |
url |
http://dx.doi.org/10.1111/cch.12252 |
publishDate |
2015 |
physical |
1216-1226 |
description |
<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Physical functioning and psychological resilience in adulthood is shaped during adolescence. Self‐reported health‐related quality of life (<jats:styled-content style="fixed-case">HRQoL</jats:styled-content>) assessments during this life phase are important first‐hand accounts of their well‐being. This study aimed, firstly, to identify differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity, socio‐economic status and weight status; and secondly, to examine associations between weight status and <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among an urban sample of multi‐ethnic adolescents in Kuala Lumpur, <jats:styled-content style="fixed-case">M</jats:styled-content>alaysia.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A cross‐sectional study involving 652 adolescents (aged 13 years) was conducted in <jats:styled-content style="fixed-case">K</jats:styled-content>uala <jats:styled-content style="fixed-case">L</jats:styled-content>umpur. Weight and height were measured. Body mass index <jats:italic>z</jats:italic>‐scores were categorized according to the <jats:styled-content style="fixed-case">I</jats:styled-content>nternational <jats:styled-content style="fixed-case">O</jats:styled-content>besity <jats:styled-content style="fixed-case">T</jats:styled-content>ask <jats:styled-content style="fixed-case">F</jats:styled-content>orce criteria. <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> was assessed using the <jats:styled-content style="fixed-case">M</jats:styled-content>alay version of the <jats:styled-content style="fixed-case">P</jats:styled-content>ediatric <jats:styled-content style="fixed-case">Q</jats:styled-content>uality of <jats:styled-content style="fixed-case">L</jats:styled-content>ife <jats:styled-content style="fixed-case">I</jats:styled-content>nventory 4.0 <jats:styled-content style="fixed-case">G</jats:styled-content>eneric <jats:styled-content style="fixed-case">C</jats:styled-content>ore <jats:styled-content style="fixed-case">S</jats:styled-content>cales. Univariate analyses of differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity (<jats:styled-content style="fixed-case">M</jats:styled-content>alays, <jats:styled-content style="fixed-case">C</jats:styled-content>hinese and <jats:styled-content style="fixed-case">I</jats:styled-content>ndians), maternal education level and weight status were performed. Complex samples general linear model was used to examine the associations between <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> and weight status, adjusted for confounders.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Female adolescents reported significantly lower emotional functioning scores (mean, 95% confidence interval: 59.25, 57.33–61.17). When the three main ethnic groups were studied, <jats:styled-content style="fixed-case">M</jats:styled-content>alay adolescents scored significantly lower emotional functioning scores (59.00, 57.13–60.87) compared with their <jats:styled-content style="fixed-case">C</jats:styled-content>hinese peers. Adolescents with tertiary‐educated mothers reported lower emotional functioning scores (57.45, 53.85–61.06) compared with those with primary‐educated mothers. Obese adolescents reported poorer <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> scores with significantly impaired physical and social functioning after controlling for confounders.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These findings detected disparities in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among the adolescents when gender, ethnicity, maternal education level and weight status were considered. Further studies should address these health inequalities by implementing gender‐specific and culturally appropriate measures to attain optimal well‐being and avoid potential burden of disease.</jats:p></jats:sec> |
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author | Loh, D. A., Moy, F. M., Zaharan, N. L., Mohamed, Z. |
author_facet | Loh, D. A., Moy, F. M., Zaharan, N. L., Mohamed, Z., Loh, D. A., Moy, F. M., Zaharan, N. L., Mohamed, Z. |
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description | <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Physical functioning and psychological resilience in adulthood is shaped during adolescence. Self‐reported health‐related quality of life (<jats:styled-content style="fixed-case">HRQoL</jats:styled-content>) assessments during this life phase are important first‐hand accounts of their well‐being. This study aimed, firstly, to identify differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity, socio‐economic status and weight status; and secondly, to examine associations between weight status and <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among an urban sample of multi‐ethnic adolescents in Kuala Lumpur, <jats:styled-content style="fixed-case">M</jats:styled-content>alaysia.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A cross‐sectional study involving 652 adolescents (aged 13 years) was conducted in <jats:styled-content style="fixed-case">K</jats:styled-content>uala <jats:styled-content style="fixed-case">L</jats:styled-content>umpur. Weight and height were measured. Body mass index <jats:italic>z</jats:italic>‐scores were categorized according to the <jats:styled-content style="fixed-case">I</jats:styled-content>nternational <jats:styled-content style="fixed-case">O</jats:styled-content>besity <jats:styled-content style="fixed-case">T</jats:styled-content>ask <jats:styled-content style="fixed-case">F</jats:styled-content>orce criteria. <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> was assessed using the <jats:styled-content style="fixed-case">M</jats:styled-content>alay version of the <jats:styled-content style="fixed-case">P</jats:styled-content>ediatric <jats:styled-content style="fixed-case">Q</jats:styled-content>uality of <jats:styled-content style="fixed-case">L</jats:styled-content>ife <jats:styled-content style="fixed-case">I</jats:styled-content>nventory 4.0 <jats:styled-content style="fixed-case">G</jats:styled-content>eneric <jats:styled-content style="fixed-case">C</jats:styled-content>ore <jats:styled-content style="fixed-case">S</jats:styled-content>cales. Univariate analyses of differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity (<jats:styled-content style="fixed-case">M</jats:styled-content>alays, <jats:styled-content style="fixed-case">C</jats:styled-content>hinese and <jats:styled-content style="fixed-case">I</jats:styled-content>ndians), maternal education level and weight status were performed. Complex samples general linear model was used to examine the associations between <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> and weight status, adjusted for confounders.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Female adolescents reported significantly lower emotional functioning scores (mean, 95% confidence interval: 59.25, 57.33–61.17). When the three main ethnic groups were studied, <jats:styled-content style="fixed-case">M</jats:styled-content>alay adolescents scored significantly lower emotional functioning scores (59.00, 57.13–60.87) compared with their <jats:styled-content style="fixed-case">C</jats:styled-content>hinese peers. Adolescents with tertiary‐educated mothers reported lower emotional functioning scores (57.45, 53.85–61.06) compared with those with primary‐educated mothers. Obese adolescents reported poorer <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> scores with significantly impaired physical and social functioning after controlling for confounders.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These findings detected disparities in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among the adolescents when gender, ethnicity, maternal education level and weight status were considered. Further studies should address these health inequalities by implementing gender‐specific and culturally appropriate measures to attain optimal well‐being and avoid potential burden of disease.</jats:p></jats:sec> |
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spelling | Loh, D. A. Moy, F. M. Zaharan, N. L. Mohamed, Z. 0305-1862 1365-2214 Wiley Public Health, Environmental and Occupational Health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1111/cch.12252 <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Physical functioning and psychological resilience in adulthood is shaped during adolescence. Self‐reported health‐related quality of life (<jats:styled-content style="fixed-case">HRQoL</jats:styled-content>) assessments during this life phase are important first‐hand accounts of their well‐being. This study aimed, firstly, to identify differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity, socio‐economic status and weight status; and secondly, to examine associations between weight status and <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among an urban sample of multi‐ethnic adolescents in Kuala Lumpur, <jats:styled-content style="fixed-case">M</jats:styled-content>alaysia.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A cross‐sectional study involving 652 adolescents (aged 13 years) was conducted in <jats:styled-content style="fixed-case">K</jats:styled-content>uala <jats:styled-content style="fixed-case">L</jats:styled-content>umpur. Weight and height were measured. Body mass index <jats:italic>z</jats:italic>‐scores were categorized according to the <jats:styled-content style="fixed-case">I</jats:styled-content>nternational <jats:styled-content style="fixed-case">O</jats:styled-content>besity <jats:styled-content style="fixed-case">T</jats:styled-content>ask <jats:styled-content style="fixed-case">F</jats:styled-content>orce criteria. <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> was assessed using the <jats:styled-content style="fixed-case">M</jats:styled-content>alay version of the <jats:styled-content style="fixed-case">P</jats:styled-content>ediatric <jats:styled-content style="fixed-case">Q</jats:styled-content>uality of <jats:styled-content style="fixed-case">L</jats:styled-content>ife <jats:styled-content style="fixed-case">I</jats:styled-content>nventory 4.0 <jats:styled-content style="fixed-case">G</jats:styled-content>eneric <jats:styled-content style="fixed-case">C</jats:styled-content>ore <jats:styled-content style="fixed-case">S</jats:styled-content>cales. Univariate analyses of differences in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> according to gender, ethnicity (<jats:styled-content style="fixed-case">M</jats:styled-content>alays, <jats:styled-content style="fixed-case">C</jats:styled-content>hinese and <jats:styled-content style="fixed-case">I</jats:styled-content>ndians), maternal education level and weight status were performed. Complex samples general linear model was used to examine the associations between <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> and weight status, adjusted for confounders.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Female adolescents reported significantly lower emotional functioning scores (mean, 95% confidence interval: 59.25, 57.33–61.17). When the three main ethnic groups were studied, <jats:styled-content style="fixed-case">M</jats:styled-content>alay adolescents scored significantly lower emotional functioning scores (59.00, 57.13–60.87) compared with their <jats:styled-content style="fixed-case">C</jats:styled-content>hinese peers. Adolescents with tertiary‐educated mothers reported lower emotional functioning scores (57.45, 53.85–61.06) compared with those with primary‐educated mothers. Obese adolescents reported poorer <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> scores with significantly impaired physical and social functioning after controlling for confounders.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These findings detected disparities in <jats:styled-content style="fixed-case">HRQoL</jats:styled-content> among the adolescents when gender, ethnicity, maternal education level and weight status were considered. Further studies should address these health inequalities by implementing gender‐specific and culturally appropriate measures to attain optimal well‐being and avoid potential burden of disease.</jats:p></jats:sec> Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status Child: Care, Health and Development |
spellingShingle | Loh, D. A., Moy, F. M., Zaharan, N. L., Mohamed, Z., Child: Care, Health and Development, Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status, Public Health, Environmental and Occupational Health, Developmental and Educational Psychology, Pediatrics, Perinatology and Child Health |
title | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_full | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_fullStr | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_full_unstemmed | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_short | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_sort | disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
title_unstemmed | Disparities in health‐related quality of life among healthy adolescents in a developing country – the impact of gender, ethnicity, socio‐economic status and weight status |
topic | Public Health, Environmental and Occupational Health, Developmental and Educational Psychology, Pediatrics, Perinatology and Child Health |
url | http://dx.doi.org/10.1111/cch.12252 |