Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis

Background: The negative association of quality of life (QoL) and negative life evens (NLEs) among adolescents has been proved by cross-sectional studies, without exploring sex differences. This study aimed to explore the longitudinal associations between QoL and NLEs among adolescents during novel...

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Main Authors: Yang Liu, Liya Deng, Ronghuinan Zhang, Yang Pu, Jie Yan, Hong Wang
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2023-11-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/ehpm/28/0/28_22-00284/_html/-char/en
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author Yang Liu
Liya Deng
Ronghuinan Zhang
Yang Pu
Jie Yan
Hong Wang
author_facet Yang Liu
Liya Deng
Ronghuinan Zhang
Yang Pu
Jie Yan
Hong Wang
author_sort Yang Liu
collection DOAJ
description Background: The negative association of quality of life (QoL) and negative life evens (NLEs) among adolescents has been proved by cross-sectional studies, without exploring sex differences. This study aimed to explore the longitudinal associations between QoL and NLEs among adolescents during novel coronavirus disease 2019 (COVID-19) pandemic and whether there are sex or age differences. Methods: A stratified cluster sampling was used to select 1421 students in primary school and middle school in Chongqing, China. From November 2020 (T0) to December 2021 (T2), the Adolescent Self-Rating Life Events Checklist and the Adolescent Quality of Life Scale were used to collect 3 waves of data. The correlations between study variables were conducted by the Pearson correlation analyses. The direction and strength of the longitudinal associations were analyzed using cross-lagged panel analyses. Results: Results showed significant changes in both variables during COVID-19 pandemic (P < 0.001). Cross-sectional analyses showed stable negative correlations between NLEs and QoL stratified by sex or by age (P < 0.001). Sex and age differences in longitudinal relationships were shown by cross-lagged panel analyses. For males, NLEs had a short-term bi-directional association with QoL [βA–D = −(0.091–0.340), P < 0.05]; for females, QoL had a short-term correlation with NLEs [βA = −0.119), βC = −0.109), P < 0.001]. In the youngest age group, NLEs had a short-term bi-directional correlation with QoL [βA–D = −(0.098–0.428), P < 0.05]. There was a short-term association between total QoL and NLEs among students except the 14∼15 year group [βA = −(0.071–0.149), βC = −(0.086–0.119), P < 0.05], the long-term association between total QoL and NLEs was only significant in adolescents aged 14∼15 years (βE = −0.132, P < 0.05). The strength of NLEs was slightly higher than that of total QoL, but lower than that of QoL in each dimension. Conclusion: There were negative longitudinal relationships between NLEs and QoL during COVID-19 pandemic, and the strength of the associations varied across sex or age. Strengthening QoL in different dimensions may be a promising way to reduce NLEs during the pandemic among adolescents, and interventions should be tailored according different sex and ages.
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spelling doaj.art-15d520cb18ba40778008e0ca8a0212e32023-11-30T06:07:57ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152023-11-0128676710.1265/ehpm.22-00284ehpmLongitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysisYang Liu0Liya Deng1Ronghuinan Zhang2Yang Pu3Jie Yan4Hong Wang5https://orcid.org/0000-0002-2522-1921School of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversitySchool of Public Health, Research Center for Medicine and Social Development, Chongqing Medical UniversityBackground: The negative association of quality of life (QoL) and negative life evens (NLEs) among adolescents has been proved by cross-sectional studies, without exploring sex differences. This study aimed to explore the longitudinal associations between QoL and NLEs among adolescents during novel coronavirus disease 2019 (COVID-19) pandemic and whether there are sex or age differences. Methods: A stratified cluster sampling was used to select 1421 students in primary school and middle school in Chongqing, China. From November 2020 (T0) to December 2021 (T2), the Adolescent Self-Rating Life Events Checklist and the Adolescent Quality of Life Scale were used to collect 3 waves of data. The correlations between study variables were conducted by the Pearson correlation analyses. The direction and strength of the longitudinal associations were analyzed using cross-lagged panel analyses. Results: Results showed significant changes in both variables during COVID-19 pandemic (P < 0.001). Cross-sectional analyses showed stable negative correlations between NLEs and QoL stratified by sex or by age (P < 0.001). Sex and age differences in longitudinal relationships were shown by cross-lagged panel analyses. For males, NLEs had a short-term bi-directional association with QoL [βA–D = −(0.091–0.340), P < 0.05]; for females, QoL had a short-term correlation with NLEs [βA = −0.119), βC = −0.109), P < 0.001]. In the youngest age group, NLEs had a short-term bi-directional correlation with QoL [βA–D = −(0.098–0.428), P < 0.05]. There was a short-term association between total QoL and NLEs among students except the 14∼15 year group [βA = −(0.071–0.149), βC = −(0.086–0.119), P < 0.05], the long-term association between total QoL and NLEs was only significant in adolescents aged 14∼15 years (βE = −0.132, P < 0.05). The strength of NLEs was slightly higher than that of total QoL, but lower than that of QoL in each dimension. Conclusion: There were negative longitudinal relationships between NLEs and QoL during COVID-19 pandemic, and the strength of the associations varied across sex or age. Strengthening QoL in different dimensions may be a promising way to reduce NLEs during the pandemic among adolescents, and interventions should be tailored according different sex and ages.https://www.jstage.jst.go.jp/article/ehpm/28/0/28_22-00284/_html/-char/enquality of lifenegative life eventscross-lagged panel analysiscovid-19sex differencechildren and adolescents
spellingShingle Yang Liu
Liya Deng
Ronghuinan Zhang
Yang Pu
Jie Yan
Hong Wang
Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
Environmental Health and Preventive Medicine
quality of life
negative life events
cross-lagged panel analysis
covid-19
sex difference
children and adolescents
title Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
title_full Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
title_fullStr Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
title_full_unstemmed Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
title_short Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis
title_sort longitudinal relationship between quality of life and negative life events among adolescents during covid 19 pandemic a cross lagged panel analysis
topic quality of life
negative life events
cross-lagged panel analysis
covid-19
sex difference
children and adolescents
url https://www.jstage.jst.go.jp/article/ehpm/28/0/28_22-00284/_html/-char/en
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