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Health-related quality of life in rural children living in four European countries: the GABRIEL study |
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| Authors: | Laura Stöcklin Georg Loss Erika von Mutius Juliane Weber Jon Genuneit Elisabeth Horak Barbara Sozanska Hanna Danielewicz Paul Cullinan Dick Heederick Charlotte Braun-Fahrländer |
| Institution: | 1. Swiss Tropical and Public Health Institute, Socinstrasse 57, P.O. Box 4002, Basel, Switzerland 2. University of Basel, Basel, Switzerland 3. University Children’s Hospital, LMU Munich, Munich, Germany 4. Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany 5. Division of Cardiology and Pulmonology, The Department of Pediatrics and Adolescents, Innsbruck, Austria 6. 1st Department of Paediatrics, Allergology and Cardiology, Wroclaw Medical University, Wroclaw, Poland 7. National Heart and Lung Institute, Imperial College London, London, UK 8. Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands |
| Abstract: | ObjectiveMeasuring children’s health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS).MethodsThe parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL.ResultsAustrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI 80.4, 81.4]) and Polish children the lowest (74.5; 73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7–10 years: 80.1, 79.9, 80.4]; age 11–13 years: 77.1, 74.9, 79.2]) compared to the urban KIGGS study (age 7–10 years: 79.0, 78.7–79.3]; age 11–13 years: 75.1 74.6–75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries.ConclusionsFuture increases in chronic diseases may negatively impact children’s HRQOL. |
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