Health-related quality of life profile of Indonesian children and its determinants: a community-based study

Abstract

Background Assessing health-related quality of life (HRQOL) and its determinants in children may provide a comprehensive view of child health. The study aimed to assess the HRQOL in Indonesian children and its determinants. Methods We conducted a community-based cross-sectional study in the Sleman District of Yogyakarta Special Province, Indonesia, from August to November 2019. We recruited children aged 2 to 18 years old using the Sleman Health and Demography Surveillance System sample frame. We used the validated Indonesian version of Pediatric Quality of life Inventory™ (Peds QL™) 4.0 Generic core scale, proxy-reports, and self-reports, to assess the HRQOL. Results We recruited 633 proxies and 531 children aged 2–18 years. The mean total score of self-report and proxy-report were 89.9+ 8.5 and 93.3 + 6.4. There was a fair to moderate correlation between self-reports and proxy-reports, with intra-class correlation ranging from 0.34 to 0.47, all p < 0.001. Half of the children (49.4% from proxy-report and 50.1% from self-report) reported having acute illness during the last month. Based on proxy-reports, multivariate regression analysis demonstrated lower HRQOL for children with acute health problems, younger age, history of low birth weight, abnormal delivery, lower fathers’ educational level, and government-paid insurance for low-income families. Conclusion Sociodemographic determinants of a child’s HRQOL, acute health problems, and low birth weight were associated with lower HRQOL in the general pediatric population. In low- and middle-income countries where acute infections and low birth weight are still prevalent, its prevention and appropriate interventions should improve child health.

Quality of life in children with chronic kidney disease

“…Higher levels of parental education are believed to increase parents' awareness and knowledge about their children's health and generally support better jobs and incomes, leading to better HRQOL and life expectancy. 22 However, maternal level of knowledge is not always in line with the level of formal education. Knowledge can be obtained from informal education, media, and maternal experience.…”

“…6,24 One other study, however, noted that children living in rural areas had better health-related quality of life than those in urban areas. 22 Perceptions and expectations about health-related quality of life and living facilities differ between rural and urban children. 25 Our differing results may have been due to different research locations as local conditions, community perceptions, and living facilities may differ.…”

Quality of life in 13-year-olds depending on health status, residential neighbourhood deprivation and social capital – results from the Polish HBSC Study 2010–2018

“…Conversely, they can also be a source of stress and a disturbed sense of security [21]. Moreover, the deprivation level of a region's is associated with access to different types of services and resources [22].…”

A Literature Review: Effectiveness of Swedish Foot Massage Therapy on Quality of Sleep in Elderly with Essential Hypertension

“…Bantul is an area that has the most elderly people in the Yogyakarta province. Based on 2013 data, the number of elderly people in Bantul Regency is 162,518 people [1]. With the increasing number of elderly people, the life expectancy of the elderly in Indonesia has also increased from 68.6 years in 2004 to 73 years in 2015 [2].…”