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Health Related Quality of Life (HRQoL) in Swedish adolescents: Changes over time and associated factors: Two cross sectional cohorts among sixth grade students in Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2015 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Objectives: To Assess the change of HRQoL among sixth grade students in Sweden over time and to study the effects of different socioeconomic and demographic characteristics (household socioeconomic status, parents’ education, living in small vs. large cities, migration status) on their HRQoL. Design: A school-based cross-sectional study was conducted in 2005-6 and 2009-10. HRQoL was self-reported by sixth grade students while other socioeconomic and demographic characteristics were collected from parents. Logistic regression was used to analyse the association between socioeconomic and demographic factors, and reported problems in the EQ5Dy instrument. Results: This study include 11009 participants; 6649 from the first cohort and 4560 from the second. In the second cohort, children reported more overall problems than in the first cohort (32% vs. 27.2%, OR: 1.26, 95%CI: 1.16-1.37). Children of unemployed parents reported more overall problems (OR: 1.62, 95%CI: 1.04-2.51). Children of ‘high education level’ parents showed more anxiety ‘worriedness, sadness, or unhappiness’ than children of ‘medium education level’ parents (OR: 0.82, 95%CI: 0.71-0.94), and ‘low education level’ parents (OR: 0.64, 95%CI: 0.46-0.9). Migration status was not associated with worse HRQoL. Girls live in small municipalities reported higher overall problems (OR: 1.37, 95%CI: 1.05-1.8), higher pain (OR: 1.49, 95%CI: 1.12-1.98), and lower ability to perform usual activity (OR: 3.76, 95%CI: 2.07-6.83) compared with those live in large municipalities. Conclusions: Special attention should be given to the current deterioration in HRQoL in the Swedish adolescents. More attention should be given to health inequalities highlighted in this study especially girls living in small municipalities. 

Place, publisher, year, edition, pages
2015. , 25 p.
, Centre for public health report series, ISSN 1651-341x ; 2015:15
Keyword [en]
HRQoL, Health inequity, Parents’ education, socioeconomic status, immigrants, Municipality population size
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-104411OAI: diva2:819510
Educational program
Master's Programme in Public Health
2015-05-26, Umeå, 13:30 (English)
Available from: 2016-04-07 Created: 2015-06-10 Last updated: 2016-04-07Bibliographically approved

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