Association of academic performance, general health with health-related quality of life in primary and high school students in China
Abstract Purpose To 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. Methods In this cross-sectional study conducted in 2018, students (grade 4–12) were randomly chosen from primary...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-10-01
|
| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-020-01590-y |
| _version_ | 1828814956071485440 |
|---|---|
| author | Shengxiang Qi Zhenzhen Qin Na Wang Lap Ah Tse Huifen Qiao Fei Xu |
| author_facet | Shengxiang Qi Zhenzhen Qin Na Wang Lap Ah Tse Huifen Qiao Fei Xu |
| author_sort | Shengxiang Qi |
| collection | DOAJ |
| description | Abstract Purpose To 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. Methods In 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. Results Totally, 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. Conclusions Both 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. |
| first_indexed | 2024-12-12T10:35:06Z |
| format | Article |
| id | doaj.art-ed8ba1fb7f3c418cb7df3f77786576f0 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-12T10:35:06Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-ed8ba1fb7f3c418cb7df3f77786576f02022-12-22T00:27:15ZengBMCHealth and Quality of Life Outcomes1477-75252020-10-0118111110.1186/s12955-020-01590-yAssociation of academic performance, general health with health-related quality of life in primary and high school students in ChinaShengxiang Qi0Zhenzhen Qin1Na Wang2Lap Ah Tse3Huifen Qiao4Fei Xu5Nanjing Municipal Center for Disease Control and PreventionNanjing Municipal Center for Disease Control and PreventionNanjing Municipal Center for Disease Control and PreventionSchool of Public Health and Primary Care, The Chinese University of Hong KongNanjing Brain Hospital Affiliated to Nanjing Medical UniversityNanjing Municipal Center for Disease Control and PreventionAbstract Purpose To 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. Methods In 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. Results Totally, 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. Conclusions Both 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.http://link.springer.com/article/10.1186/s12955-020-01590-yAcademic performanceGeneral healthHealth-related quality of lifeChild Health Utility 9DStudents |
| spellingShingle | Shengxiang Qi Zhenzhen Qin Na Wang Lap Ah Tse Huifen Qiao Fei Xu 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 Academic performance General health Health-related quality of life Child Health Utility 9D Students |
| title | Association of academic performance, general health with health-related quality of life in primary and high school students in China |
| title_full | Association of academic performance, general health with health-related quality of life in primary and high school students in China |
| title_fullStr | Association of academic performance, general health with health-related quality of life in primary and high school students in China |
| title_full_unstemmed | Association of academic performance, general health with health-related quality of life in primary and high school students in China |
| title_short | Association of academic performance, general health with health-related quality of life in primary and high school students in China |
| title_sort | association of academic performance general health with health related quality of life in primary and high school students in china |
| topic | Academic performance General health Health-related quality of life Child Health Utility 9D Students |
| url | http://link.springer.com/article/10.1186/s12955-020-01590-y |
| work_keys_str_mv | AT shengxiangqi associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina AT zhenzhenqin associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina AT nawang associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina AT lapahtse associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina AT huifenqiao associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina AT feixu associationofacademicperformancegeneralhealthwithhealthrelatedqualityoflifeinprimaryandhighschoolstudentsinchina |