Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition

We aimed to investigate the association between caregiver social status and health-related quality of life (HRQoL) in children with neurological impairment (NI) on home enteral nutrition (HEN). This was an ancillary study of a multicenter, cross-sectional study which explored HRQoL in 75 NI children...

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Main Authors: Valeria Dipasquale, Marco Ventimiglia, Simone Maria Calogero Gramaglia, Barbara Parma, Caterina Funari, Angelo Selicorni, Chiara Armano, Silvia Salvatore, Claudio Romano
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/6/1928
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author Valeria Dipasquale
Marco Ventimiglia
Simone Maria Calogero Gramaglia
Barbara Parma
Caterina Funari
Angelo Selicorni
Chiara Armano
Silvia Salvatore
Claudio Romano
author_facet Valeria Dipasquale
Marco Ventimiglia
Simone Maria Calogero Gramaglia
Barbara Parma
Caterina Funari
Angelo Selicorni
Chiara Armano
Silvia Salvatore
Claudio Romano
author_sort Valeria Dipasquale
collection DOAJ
description We aimed to investigate the association between caregiver social status and health-related quality of life (HRQoL) in children with neurological impairment (NI) on home enteral nutrition (HEN). This was an ancillary study of a multicenter, cross-sectional study which explored HRQoL in 75 NI children on HEN. All the caregivers from the original cohort were contacted, and data on education level, occupation and marital status were collected. The association between social status and HRQoL was investigated using a multiple Poisson Generalized Linear Model. In total, 93 caregivers were included, responsible for the care of 71 children. The caregivers of four children of the original cohort did not answer the questionnaire. Mothers with high-level education presented lower HRQoL in comparison to mothers with low-level (β: −5.97; 95% CI −11.51, −0.10; <i>p</i> = 0.027) or medium-level education (β: 4.85; 95% CI −9.87, 0.53; <i>p</i> = 0.044). The analysis of the subgroup of cases in which the main caregiver was represented by both parents gave similar findings, with education level of the father being negatively correlated with HRQoL. Our data showed that higher education level may negatively affect quality of life of caregivers of NI children. This could be helpful in identifying at-risk families and addressing supportive efforts.
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spelling doaj.art-5f49cc27a2ae4908870af0f93ead63602023-11-21T22:45:12ZengMDPI AGNutrients2072-66432021-06-01136192810.3390/nu13061928Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral NutritionValeria Dipasquale0Marco Ventimiglia1Simone Maria Calogero Gramaglia2Barbara Parma3Caterina Funari4Angelo Selicorni5Chiara Armano6Silvia Salvatore7Claudio Romano8Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyInflammatory Bowel Disease Unit, “Villa Sofia-Cervello” Hospital, 90146 Palermo, ItalyPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyDepartment of Pediatrics, Sant’Anna Hospital, 22042 Como, ItalyDepartment of Pediatrics, Sant’Anna Hospital, 22042 Como, ItalyDepartment of Pediatrics, Sant’Anna Hospital, 22042 Como, ItalyPediatric Department, “F. Del Ponte” Hospital, Insubria University, 21100 Varese, ItalyPediatric Department, “F. Del Ponte” Hospital, Insubria University, 21100 Varese, ItalyPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, 98124 Messina, ItalyWe aimed to investigate the association between caregiver social status and health-related quality of life (HRQoL) in children with neurological impairment (NI) on home enteral nutrition (HEN). This was an ancillary study of a multicenter, cross-sectional study which explored HRQoL in 75 NI children on HEN. All the caregivers from the original cohort were contacted, and data on education level, occupation and marital status were collected. The association between social status and HRQoL was investigated using a multiple Poisson Generalized Linear Model. In total, 93 caregivers were included, responsible for the care of 71 children. The caregivers of four children of the original cohort did not answer the questionnaire. Mothers with high-level education presented lower HRQoL in comparison to mothers with low-level (β: −5.97; 95% CI −11.51, −0.10; <i>p</i> = 0.027) or medium-level education (β: 4.85; 95% CI −9.87, 0.53; <i>p</i> = 0.044). The analysis of the subgroup of cases in which the main caregiver was represented by both parents gave similar findings, with education level of the father being negatively correlated with HRQoL. Our data showed that higher education level may negatively affect quality of life of caregivers of NI children. This could be helpful in identifying at-risk families and addressing supportive efforts.https://www.mdpi.com/2072-6643/13/6/1928childrenenteral nutritionhealth-related quality of lifehome enteral nutritionneurological impairmentsocial status
spellingShingle Valeria Dipasquale
Marco Ventimiglia
Simone Maria Calogero Gramaglia
Barbara Parma
Caterina Funari
Angelo Selicorni
Chiara Armano
Silvia Salvatore
Claudio Romano
Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
Nutrients
children
enteral nutrition
health-related quality of life
home enteral nutrition
neurological impairment
social status
title Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
title_full Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
title_fullStr Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
title_full_unstemmed Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
title_short Caregiver Social Status and Health-Related Quality of Life in Neurologically Impaired Children on Home Enteral Nutrition
title_sort caregiver social status and health related quality of life in neurologically impaired children on home enteral nutrition
topic children
enteral nutrition
health-related quality of life
home enteral nutrition
neurological impairment
social status
url https://www.mdpi.com/2072-6643/13/6/1928
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