Socio-economic inequalities in health-related quality of life among Iranian young people in the middle stage of adolescence: application of Health Equity Assessment Toolkit

BMC Pediatrics

Research

Elham Faghihzadeh¹  Samaneh Youseflu²  Azam Maleki³  Shahnaz Zamani barjasteh⁴ 

[1] Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran;Department of midwifery and reproductive health, Isfahan University of Medical Sciences, Isfahan, Iran;Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran;Zanjan University of Medical Sciences, Zanjan, Iran;

关键词: Health-related quality of life;    Socio-economic;    Inequality;    Adolescence;   

DOI  :  10.1186/s12887-022-03815-z

 received in 2022-06-20, accepted in 2022-12-21,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundOne of the main concerns of public health is the increasing inequality of health status, which has an adverse effect on people’s life.PurposeThe current study aims to analyze the role of socioeconomic inequalities in health-related quality of life (QoL) among Iranian young people in the middle stage of adolescence.MethodsA cross-sectional descriptive study was conducted on 576 young people in the middle stage of adolescence. The samples were selected using the Multi-stage sampling method. Data were collected by a demographic checklist, and KIDSCREEN-52 questionnaire and analyzed by SPSS ver.16. The Health Equity Assessment Toolkit (HEAT) Version 4.0 (beta) was used to assess adolescents’ QoL inequalities in terms of socio-economic subgroups.ResultsThe results show that 27.2 adolescents had low quality of life. The score of physical and autonomy components of QoL was significantly more in male versus school environment in female adolescents. Also, the asset index, father’s, and mother’s education, and family income in female adolescents, and the assets and family income in male adolescents were significantly related to the quality of life (p < 0.05). The risk of lower QOL in the poorest quintile was 1.12 times more than in the richest quintile. The consideration index of Asset in terms of sex was 4.5 and the modified Gini index was more than 0.5 in females and males.ConclusionOur findings highlight the significant effects of socioeconomic inequality on the HRQL of Iranian adolescents. Requires a targeted policy approach to reach the poorest quintile for improving the quality of life of adolescents.

【 授权许可】

CC BY   
© The Author(s) 2023