南京市8~15岁儿童青少年健康相关生命质量影响因素  

The impact of health-related quality of life for children and adolescents aged 8-15 years in Nanjing

作　　者：梁君妍 尤华[1] 赵仕奇 刘黎[2] LIANG Junyan;YOU Hua;ZHAO Shiqi;LIU Li(School of Public Health,Nanjing Medical University,Nanjing(211166),China;不详)

机构地区：[1]南京医科大学公共卫生学院,江苏211166 [2]南京市疾病预防控制中心学校卫生科

出　　处：《中国学校卫生》2023年第7期1003-1007,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(72074122)。

摘　　要：目的 探究南京市8~15岁儿童青少年的健康相关生命质量(HRQoL)受新冠病毒感染和健康相关行为的影响情况,为改善儿童青少年HRQoL提供理论依据。方法 于2022年12月—2023年1月,采用多阶段随机整群抽样方法选取南京市2 398名8~15岁小学三年级至初中三年级学生,由学生自主完成HRQoL的中文版儿童版三水平欧洲五维生命质量测定量表(EQ-5D-Y-3L),家长协助完成其余部分的调查。结果 新冠病毒正感染者的欧洲生命质量(EQ)-指数和视觉模拟量表(VAS)得分均低于未感染者和曾感染者(P值均<0.05)。正感染者报告存在“疼痛或不舒服”的比例大于未感染者和曾感染者,正感染者和曾感染者报告“行动能力”有困难的比例均高于未感染者(P值均<0.05)。缺少父母陪伴(OR=10.19,95%CI=3.12~33.22)、不规律早餐摄入(OR=10.63,95%CI=3.20~35.25)、屏幕时间过长(OR=8.24,95%CI=3.02~22.51)使正感染者存在“行动能力”有困难的风险增加(P值均<0.05)。不规律早餐摄入(OR=1.93,95%CI=1.31~2.84)和含糖饮料及零食摄入(OR=1.56,95%CI=1.17~2.10)加大曾感染者EQ-指数低于未感染者的风险;含糖饮料及零食摄入(OR=1.57,95%CI=1.21~2.05)和屏幕时间过长(OR=1.49,95%CI=1.12~1.98)使曾感染者VAS得分低于未感染者的风险增加(P值均<0.05)。结论 新冠病毒感染会损害儿童青少年的HRQoL,不良健康行为会加重其负面影响。应提倡保持健康的行为和生活方式,减少新冠病毒感染对HRQoL的影响。Objective To investigate the impact of COVID-19 infection and health-related behaviors on the health-related quality of life of children and adolescents aged 8-15 years in Nanjing,so as to provide a theoretical basis for improving HRQoL in children and adolescents.Methods From December 2022 to January 2023,a total of 2398 students aged 8-15 years from the third grade of primary school to junior middle school in Nanjing were selected by multistage random cluster sampling.The 3-level EuroQol 5-dimension Questionnaire Youth Vension(EQ-5D-Y-3L)was completed by the respondents on their own,and the parents assisted in completing the rest of the questionnaire.Results The EuroQol-index(EQ-index)and Visual Analogue Scale(VAS)scores of being infected individuals were lower than those of uninfected and previously infected(P<0.05).The proportion of being infected individuals reporting difficulty on"Pain/Discomfort"was higher than that of uninfected and previously infected individuals,and the proportion of reporting difficulty on"Mobility"was also higher than that of uninfected individuals(P<0.05).Lack of parental companionship(OR=10.19,95%CI=3.12-33.22),irregular breakfast consumption(OR=10.63,95%CI=3.20-35.25),and excessive screen time(OR=8.24,95%CI=3.02-22.51)increased the risk of difficulty on"Mobility"in being infected individuals(P<0.05).Irregular breakfast consumption(OR=1.93,95%CI=1.31-2.84)and consumption of sweetened beverages and snacks(OR=1.56,95%CI=1.17-2.10)increased the risk of having lower EQ-index in previously infected individuals compared to uninfected individuals.Furthermore,consumption of sweetened beverages and snacks(OR=1.57,95%CI=1.21-2.05)and excessive screen time(OR=1.49,95%CI=1.12-1.98)also increased the risk of VAS scores being lower in previously infected individuals compared to uninfected individuals(P<0.05).Conclusion The COVID-19 infection impairs HRQoL,and unhealthy behaviors deteriorate its negative impact.Healthy behaviors and lifestyles should be advocated to reduce the impact of COVID-19 i

关 键 词：健康行为 健康相关生命质量 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] G479[医药卫生—公共卫生与预防医学]