The impact of childhood conditions and concurrent morbidities on child health and well‐beingreview
Аннотация: Abstract Background Understanding the impact of illnesses and morbidities experienced by children and adolescents is essential to clinical and population health programme decision making and intervention research. This study sought to: (1) examine the population prevalence of physical and mental health conditions for children and quantify their impact on multiple dimensions of children's health and well‐being; and (2) examine the cumulative effect of concurrent conditions. Methods We conducted a cross‐sectional school‐based epidemiological study of 5414 children and adolescents aged 5–18 years, and examined parental reports of child health and well‐being using the parent‐report Child Health Questionnaire (CHQ) PF50 13 scales are scored on a 0–100 pt scale with clinically meaningful differences of five points and the presence of childhood conditions (illnesses and health problems). Results Asthma, dental, vision and allergies are the most commonly identified health problems for children and adolescents, followed by attention‐ and behaviour‐related problems (asthma 17.9–23.2%, dental 11.9–22.7%, vision 7.2–14.7%, chronic allergies 8.8–13.9%, attention problems 5.1–13.8% and behaviour problems 5.7–12.0%). As the number of concurrent health problems increase, overall health and well‐being decreases substantively with mean differences in CHQ scale scores of 14 points (−7.69 to −21.51) for physical health conditions, and 28 points (−5.15 to −33.81) for mental health conditions. Conclusions Children's health and well‐being decreases linearly with increasing presence and frequency of health problems. Having three or more conditions concurrently significantly burdens children's health and well‐being, particularly for family‐related CHQ domains, with a greater burden experienced for mental health conditions than physical health conditions.
Год издания: 2008
Авторы: E. Waters, Elise Davis, Caroline Nicolas, Melissa Wake, Sing Kai Lo
Издательство: Wiley
Источник: Child Care Health and Development
Ключевые слова: Child and Adolescent Health, Childhood Cancer Survivors' Quality of Life, Obesity, Physical Activity, Diet
Другие ссылки: Child Care Health and Development (HTML)
PubMed (HTML)
PubMed (HTML)
Открытый доступ: closed
Том: 34
Выпуск: 4
Страницы: 418–429