The impact of childhood conditions and concurrent morbidities on child health and well-being - PubMed (original) (raw)
Review
The impact of childhood conditions and concurrent morbidities on child health and well-being
E Waters et al. Child Care Health Dev. 2008 Jul.
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.
Similar articles
- Health-related quality of life in children with neurofibromatosis type 1: contribution of demographic factors, disease-related factors, and behavior.
Krab LC, Oostenbrink R, de Goede-Bolder A, Aarsen FK, Elgersma Y, Moll HA. Krab LC, et al. J Pediatr. 2009 Mar;154(3):420-5, 425.e1. doi: 10.1016/j.jpeds.2008.08.045. Epub 2008 Oct 31. J Pediatr. 2009. PMID: 18950800 - [QOL research in child health. Present state and issues].
Matsuda T, Noguchi M, Umeno Y, Kato N. Matsuda T, et al. Nihon Koshu Eisei Zasshi. 2006 Nov;53(11):805-17. Nihon Koshu Eisei Zasshi. 2006. PMID: 17228750 Review. Japanese. - Child care and the well-being of children.
Bradley RH, Vandell DL. Bradley RH, et al. Arch Pediatr Adolesc Med. 2007 Jul;161(7):669-76. doi: 10.1001/archpedi.161.7.669. Arch Pediatr Adolesc Med. 2007. PMID: 17606830 Review.
Cited by
- Chronic health problems and health-related quality of life in Chinese children and adolescents: a population-based study in Hong Kong.
Lee SL, Cheung YF, Wong HS, Leung TH, Lam TH, Lau YL. Lee SL, et al. BMJ Open. 2013 Jan 3;3(1):e001183. doi: 10.1136/bmjopen-2012-001183. BMJ Open. 2013. PMID: 23293240 Free PMC article. - Health-Related Quality of Life in Children: The Roles of Age, Gender and Interpersonal Trust.
Wang J, Jin W, Shi L, Geng Y, Zhu X, Hu W. Wang J, et al. Int J Environ Res Public Health. 2022 Nov 21;19(22):15408. doi: 10.3390/ijerph192215408. Int J Environ Res Public Health. 2022. PMID: 36430127 Free PMC article. - Determinants of health-related quality of life in school-aged children: a general population study in the Netherlands.
Houben-van Herten M, Bai G, Hafkamp E, Landgraf JM, Raat H. Houben-van Herten M, et al. PLoS One. 2015 May 1;10(5):e0125083. doi: 10.1371/journal.pone.0125083. eCollection 2015. PLoS One. 2015. PMID: 25933361 Free PMC article. - Hair Cortisol and Health-Related Quality of Life in Children with Mental Disorder.
Claire Buchan M, Whitney S, Leatherdale ST, Mielke JG, Gonzalez A, Ferro MA. Claire Buchan M, et al. Chronic Stress (Thousand Oaks). 2021 Oct 12;5:24705470211047885. doi: 10.1177/24705470211047885. eCollection 2021 Jan-Dec. Chronic Stress (Thousand Oaks). 2021. PMID: 34870055 Free PMC article. - Clinical severity and quality of life in children and adolescents with Rett syndrome.
Lane JB, Lee HS, Smith LW, Cheng P, Percy AK, Glaze DG, Neul JL, Motil KJ, Barrish JO, Skinner SA, Annese F, McNair L, Graham J, Khwaja O, Barnes K, Krischer JP. Lane JB, et al. Neurology. 2011 Nov 15;77(20):1812-8. doi: 10.1212/WNL.0b013e3182377dd2. Epub 2011 Oct 19. Neurology. 2011. PMID: 22013176 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials