IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0190363.html
   My bibliography  Save this article

Risk and protective factors of health-related quality of life in children and adolescents: Results of the longitudinal BELLA study

Author

Listed:
  • Christiane Otto
  • Anne-Catherine Haller
  • Fionna Klasen
  • Heike Hölling
  • Monika Bullinger
  • Ulrike Ravens-Sieberer
  • on behalf of the BELLA study group

Abstract

Aims: Cross-sectional studies demonstrated associations of several sociodemographic and psychosocial factors with generic health-related quality of life (HRQoL) in children and adolescents. However, little is known about factors affecting the change in child and adolescent HRQoL over time. This study investigates potential psychosocial risk and protective factors of child and adolescent HRQoL based on longitudinal data of a German population-based study. Methods: Data from the BELLA study gathered at three measurement points (baseline, 1-year and 2-year follow-ups) were investigated in n = 1,554 children and adolescents aged 11 to 17 years at baseline. Self-reported HRQoL was assessed by the KIDSCREEN-10 Index. We examined effects of sociodemographic factors, mental health problems, parental mental health problems, as well as potential personal, familial, and social protective factors on child and adolescent HRQoL at baseline as well as over time using longitudinal growth modeling. Results: At baseline, girls reported lower HRQoL than boys, especially in older participants; low socioeconomic status and migration background were both associated with low HRQoL. Mental health problems as well as parental mental health problems were negatively, self-efficacy, family climate, and social support were positively associated with initial HRQoL. Longitudinal analyses revealed less increase of HRQoL in girls than boys, especially in younger participants. Changes in mental health problems were negatively, changes in self-efficacy and social support were positively associated with the change in HRQoL over time. No effects were found for changes in parental mental health problems or in family climate on changes in HRQoL. Moderating effects for self-efficacy, family climate or social support on the relationships between the investigated risk factors and HRQoL were not found. Conclusion: The risk factor mental health problems negatively and the resource factors self-efficacy and social support positively affect the development of HRQoL in young people, and should be considered in prevention programs.

Suggested Citation

  • Christiane Otto & Anne-Catherine Haller & Fionna Klasen & Heike Hölling & Monika Bullinger & Ulrike Ravens-Sieberer & on behalf of the BELLA study group, 2017. "Risk and protective factors of health-related quality of life in children and adolescents: Results of the longitudinal BELLA study," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-17, December.
    • Handle: RePEc:plo:pone00:0190363
    DOI: 10.1371/journal.pone.0190363
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0190363
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0190363&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0190363?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Michael Erhart & Veronika Ottova & Tanja Gaspar & Helena Jericek & Christina Schnohr & Mujgan Alikasifoglu & Antony Morgan & Ulrike Ravens-Sieberer, 2009. "Measuring mental health and well-being of school-children in 15 European countries using the KIDSCREEN-10 Index," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(2), pages 160-166, September.
    2. Angela Plass-Christl & Anne-Catherine Haller & Christiane Otto & Claus Barkmann & Silke Wiegand-Grefe & Heike Hölling & Michael Schulte-Markwort & Ulrike Ravens-Sieberer & Fionna Klasen, 2017. "Parents with mental health problems and their children in a German population based sample: Results of the BELLA study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-14, July.
    3. Corinna Bisegger & Bernhard Cloetta & Ursula von Bisegger & Thomas Abel & Ulrike Ravens-Sieberer, 2005. "Health-related quality of life: gender differences in childhood and adolescence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 50(5), pages 281-291, October.
    4. Kristin Haraldstad & Knut‐Andreas Christophersen & Hilde Eide & Gerd K Nativg & Sølvi Helseth, 2011. "Predictors of health‐related quality of life in a sample of children and adolescents: a school survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(21‐22), pages 3048-3056, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Marija Milic & Tatjana Gazibara & Tatjana Pekmezovic & Darija Kisic Tepavcevic & Gorica Maric & Aleksandra Popovic & Jasmina Stevanovic & Karamchand Hukumchand Patil & Hagai Levine, 2020. "Tobacco smoking and health-related quality of life among university students: Mediating effect of depression," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    2. Christin Scheiner & Christian Seis & Nikolaus Kleindienst & Arne Buerger, 2023. "Psychopathology, Protective Factors, and COVID-19 among Adolescents: A Structural Equation Model," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    3. Cho, Esther Yin-Nei & Yu, Fuk-Yuen, 2020. "A review of measurement tools for child wellbeing," Children and Youth Services Review, Elsevier, vol. 119(C).
    4. Eunkyo Kang & Ye Eun Rhee & Soojeong Kim & Jihye Lee & Young Ho Yun, 2021. "Quality of Life and Depression in the General Korean Population: Normative Data and Associations of the 12-Item Short Form Health Survey (SF-12) and the McGill Quality of Life Questionnaire (MQOL) wit," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(4), pages 1673-1687, August.
    5. Susanne Schwager & Uwe Berger & Anni Glaeser & Bernhard Strauss & Katharina Wick, 2019. "Evaluation of “Healthy Learning. Together”, an Easily Applicable Mental Health Promotion Tool for Students Aged 9 to 18 Years," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
    6. Raúl Jiménez Boraita & Josep María Dalmau Torres & Esther Gargallo Ibort & Daniel Arriscado Alsina, 2023. "Analysis of the Lifestyle and Psychological Well-being of Adolescents: Age-related Differences," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(1), pages 109-134, February.
    7. Anagha Killedar & Thomas Lung & Stavros Petrou & Armando Teixeira-Pinto & Alison Hayes, 2020. "Estimating Age- and Sex-Specific Utility Values from the CHU9D Associated with Child and Adolescent BMI z-Score," PharmacoEconomics, Springer, vol. 38(4), pages 375-384, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eman Mohammad Hourani & Sawsan Mohammad Hammad & Abeer Shaheen & Huda Musa Amre, 2017. "Health-Related Quality of Life Among Jordanian Adolescents," Clinical Nursing Research, , vol. 26(3), pages 337-353, June.
    2. Bihan Tang & Yang Ge & Chen Xue & Peng Kang & Yuan Liu & Xu Liu & Zhipeng Liu & Wenya Yu & Lulu Zhang, 2015. "Health Status and Risk Factors among Adolescent Survivors One Month after the 2014 Ludian Earthquake," IJERPH, MDPI, vol. 12(6), pages 1-11, June.
    3. Jing Wang & Wenjing Jin & Liping Shi & Yaoguo Geng & Xueli Zhu & Wanying Hu, 2022. "Health-Related Quality of Life in Children: The Roles of Age, Gender and Interpersonal Trust," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    4. Sabolova, Klara & Birdsey, Nicola & Stuart-Hamilton, Ian & Cousins, Alecia L., 2020. "A cross-cultural exploration of children’s perceptions of wellbeing: Understanding protective and risk factors," Children and Youth Services Review, Elsevier, vol. 110(C).
    5. Paulo Moreira & Susana Pedras & Márcia Silva & Maria Moreira & Joana Oliveira, 2021. "Personality, Attachment, and Well-Being in Adolescents: The Independent Effect of Attachment After Controlling for Personality," Journal of Happiness Studies, Springer, vol. 22(4), pages 1855-1888, April.
    6. Raúl Jiménez Boraita & Josep María Dalmau Torres & Esther Gargallo Ibort & Daniel Arriscado Alsina, 2023. "Analysis of the Lifestyle and Psychological Well-being of Adolescents: Age-related Differences," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(1), pages 109-134, February.
    7. Agnieszka Magiera & Agnieszka Pac, 2022. "Determinants of Quality of Life among Adolescents in the Małopolska Region, Poland," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    8. Jasmine Ma & Pashupati Mahat & Per Håkan Brøndbo & Bjørn H Handegård & Siv Kvernmo & Anne Cecilie Javo, 2022. "Family correlates of emotional and behavioral problems in Nepali school children," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-17, January.
    9. Mariam M. Elgendi & Sherry H. Stewart & Danika I. DesRoches & Penny Corkum & Raquel Nogueira-Arjona & S. Hélène Deacon, 2022. "Division of Labour and Parental Mental Health and Relationship Well-Being during COVID-19 Pandemic-Mandated Homeschooling," IJERPH, MDPI, vol. 19(24), pages 1-34, December.
    10. Sølvi Helseth & Kirsti Riiser & Bettina Holmberg Fagerlund & Nina Misvær & Kari Glavin, 2017. "Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity—School nurses’ perceptions of the challenges involved," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4716-4725, December.
    11. Jenny Davison & Brendan Bunting & Paul Connolly & Katrina Lloyd & Laura Dunne & Barbara Stewart-Knox, 2022. "Less Screen Time, More Frequent Fruit and Vegetable Intake and Physical Activity are Associated with Greater Mental Wellbeing in Adolescents," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1339-1361, August.
    12. Johanna W. Hoefnagels & Annelieke B. Schoen & Sabine E. I. van der Laan & Lyan H. Rodijk & Cornelis K. van der Ent & Elise M. van de Putte & Geertje W. Dalmeijer & Sanne L. Nijhof, 2022. "The Impact of the COVID-19 Outbreak on Mental Wellbeing in Children with a Chronic Condition Compared to Healthy Peers," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
    13. Rachel Feeney & Laura Desha & Asaduzzaman Khan & Jenny Ziviani & Jan M. Nicholson, 2016. "Speech and Language Difficulties Along with Other Child and Family Factors Associated with Health Related Quality of Life of Australian Children," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 11(4), pages 1379-1397, December.
    14. Veronika Ottova & Ulrike Ravens-Sieberer, 2010. "Social determinants in child health: reflections from the Health Behaviour in School-aged Children survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(6), pages 525-526, December.
    15. De Clercq, B. & Vyncke, V. & Hublet, A. & Elgar, F.J. & Ravens-Sieberer, U. & Currie, C. & Hooghe, M. & Ieven, A. & Maes, L., 2012. "Social capital and social inequality in adolescents’ health in 601 Flemish communities: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 74(2), pages 202-210.
    16. Kouhei Kikuchi & Soushi Suzuki & Peter Nijkamp, 2024. "Bullying Among Pupils at School and a Country’s Educational System: An Efficiency Evaluation of Educational Performance in Europe by Means of an Extended Data Envelopment Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 174(1), pages 249-280, August.
    17. Maria Luisa Pedditzi & Laura Francesca Scalas, 2024. "Psychological Well-Being and Self-Efficacy for Self-Regulated Learning," IJERPH, MDPI, vol. 21(8), pages 1-12, August.
    18. Alina Radicke & Claus Barkmann & Bonnie Adema & Anne Daubmann & Karl Wegscheider & Silke Wiegand-Grefe, 2021. "Children of Parents with a Mental Illness: Predictors of Health-Related Quality of Life and Determinants of Child–Parent Agreement," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    19. Lore Van Damme & Wouter Vanderplasschen & Clare-Ann Fortune & Stijn Vandevelde & Olivier F. Colins, 2021. "Determinants of Female Adolescents’ Quality of Life Before, during and after Detention: a Four-Wave Follow-Up Study Examining a Theory of Individual Quality of Life," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(1), pages 401-434, February.
    20. Wang Pei & Sun Yue & Yang Zhi-Hao & Zhang Ruo-Yu & Wu Bin & Luo Nan, 2021. "Testing measurement properties of two EQ-5D youth versions and KIDSCREEN-10 in China," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(7), pages 1083-1093, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0190363. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.