Association of academic performance, general health with health-related quality of life in primary and high school students in China

Health and Quality of Life Outcomes

Huifen Qiao¹  Na Wang²  Shengxiang Qi²  Zhenzhen Qin²  Fei Xu³  Lap Ah Tse⁴ 

[1] Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264, Guangzhou Road, 210029, Nanjing, China;Nanjing Municipal Center for Disease Control and Prevention, 2, Zizhulin, 210003, Nanjing, China;Nanjing Municipal Center for Disease Control and Prevention, 2, Zizhulin, 210003, Nanjing, China;Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China;School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;

关键词: Academic performance;    General health;    Health-related quality of life;    Child Health Utility 9D;    Students;   

DOI  :  10.1186/s12955-020-01590-y

来源: Springer

【 摘 要 】

PurposeTo explore the association of academic performance and general health status with health-related quality of life (HRQoL) in school-aged children and adolescents in China.MethodsIn this cross-sectional study conducted in 2018, students (grade 4–12) were randomly chosen from primary and high schools in Nanjing, China. HRQoL, the outcome measure, was recorded using the Child Health Utility 9D, while self-rated academic performance and general health were the independent variables. Mixed-effects regression models were applied to compute mean difference (MD) and 95% confidence interval (CI) of HRQoL utility score between students with different levels of academic performance and general health.ResultsTotally, 4388 participants completed the study, with a response rate of 97.6%. The mean HRQoL utility score was 0.78 (SD: 0.17). After adjustment for socio-demographic attributes, physical activity, sedentary behavior, dietary patterns, body weight status and class-level clustering effects, students with fair (MD = 0.048, 95% CI 0.019, 0.078) and good (MD = 0.082, 95% CI 0.053, 0.112) self-rated academic performance reported higher HRQoL utility scores than those with poor academic performance, respectively. Meanwhile, students with fair (MD = 0.119, 95% CI 0.083, 0.154) and good (MD = 0.183, 95% CI 0.148, 0.218) self-assessed general health also recorded higher HRQoL utility scores than those with poor health, separately. Consistent findings were observed for participants by gender, school type and residential location.ConclusionsBoth self-rated academic performance and general health status were positively associated with HRQoL among Chinese students, and such relationships were independent of lifestyle-related behaviors and body weight status.

【 授权许可】

CC BY