Health-related quality of life in rural children living in four European countries: the GABRIEL study

Laura Stöcklin; Georg Loss; Erika von Mutius; Juliane Weber; Jon Genuneit; Elisabeth Horak; Barbara Sozanska; Hanna Danielewicz; Paul Cullinan; Dick Heederick; Charlotte Braun-Fahrländer; GABRIEL study group; Inge Wouters

doi:10.1007/s00038-012-0410-9

Health-related quality of life in rural children living in four European countries: the GABRIEL study

Laura Stöcklin, Georg Loss, Erika von Mutius, Juliane Weber, Jon Genuneit, Elisabeth Horak, Barbara Sozanska, Hanna Danielewicz, Paul Cullinan, Dick Heederick, Charlotte Braun-Fahrländer, GABRIEL study group, Inge Wouters

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: Measuring children's health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS).

METHODS: The parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL.

RESULTS: Austrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI [80.4, 81.4]) and Polish children the lowest (74.5; [73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7-10 years: 80.1, [79.9, 80.4]; age 11-13 years: 77.1, [74.9, 79.2]) compared to the urban KIGGS study (age 7-10 years: 79.0, [78.7-79.3]; age 11-13 years: 75.1 [74.6-75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries.

CONCLUSIONS: Future increases in chronic diseases may negatively impact children's HRQOL.

Original language	English
Pages (from-to)	355-366
Number of pages	12
Journal	International Journal of Public Health
Volume	58
Issue number	3
DOIs	https://doi.org/10.1007/s00038-012-0410-9
Publication status	Published - Jun 2013

Keywords

Adolescent
Austria
Child
Cross-Sectional Studies
Female
Germany
Health Status
Health Surveys
Humans
Male
Poland
Quality of Life
Questionnaires
Rural Health
Rural Population
Switzerland

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Stöcklin, L., Loss, G., von Mutius, E., Weber, J., Genuneit, J., Horak, E., Sozanska, B., Danielewicz, H., Cullinan, P., Heederick, D., Braun-Fahrländer, C., GABRIEL study group, & Wouters, I. (2013). Health-related quality of life in rural children living in four European countries: the GABRIEL study. International Journal of Public Health, 58(3), 355-366. https://doi.org/10.1007/s00038-012-0410-9

@article{74c7e6c2969e4711a3c1379e525cd154,

title = "Health-related quality of life in rural children living in four European countries: the GABRIEL study",

abstract = "OBJECTIVE: Measuring children's health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS).METHODS: The parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL.RESULTS: Austrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI [80.4, 81.4]) and Polish children the lowest (74.5; [73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7-10 years: 80.1, [79.9, 80.4]; age 11-13 years: 77.1, [74.9, 79.2]) compared to the urban KIGGS study (age 7-10 years: 79.0, [78.7-79.3]; age 11-13 years: 75.1 [74.6-75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries.CONCLUSIONS: Future increases in chronic diseases may negatively impact children's HRQOL.",

keywords = "Adolescent, Austria, Child, Cross-Sectional Studies, Female, Germany, Health Status, Health Surveys, Humans, Male, Poland, Quality of Life, Questionnaires, Rural Health, Rural Population, Switzerland",

author = "Laura St{\"o}cklin and Georg Loss and {von Mutius}, Erika and Juliane Weber and Jon Genuneit and Elisabeth Horak and Barbara Sozanska and Hanna Danielewicz and Paul Cullinan and Dick Heederick and Charlotte Braun-Fahrl{\"a}nder and {GABRIEL study group} and Inge Wouters",

year = "2013",

month = jun,

doi = "10.1007/s00038-012-0410-9",

language = "English",

volume = "58",

pages = "355--366",

journal = "International Journal of Public Health",

issn = "1661-8556",

publisher = "Birkhauser Verlag Basel",

number = "3",

}

Stöcklin, L, Loss, G, von Mutius, E, Weber, J, Genuneit, J, Horak, E, Sozanska, B, Danielewicz, H, Cullinan, P, Heederick, D, Braun-Fahrländer, C, GABRIEL study group & Wouters, I 2013, 'Health-related quality of life in rural children living in four European countries: the GABRIEL study', International Journal of Public Health, vol. 58, no. 3, pp. 355-366. https://doi.org/10.1007/s00038-012-0410-9

TY - JOUR

T1 - Health-related quality of life in rural children living in four European countries

T2 - the GABRIEL study

AU - Stöcklin, Laura

AU - Loss, Georg

AU - von Mutius, Erika

AU - Weber, Juliane

AU - Genuneit, Jon

AU - Horak, Elisabeth

AU - Sozanska, Barbara

AU - Danielewicz, Hanna

AU - Cullinan, Paul

AU - Heederick, Dick

AU - Braun-Fahrländer, Charlotte

AU - GABRIEL study group

AU - Wouters, Inge

PY - 2013/6

Y1 - 2013/6

N2 - OBJECTIVE: Measuring children's health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS).METHODS: The parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL.RESULTS: Austrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI [80.4, 81.4]) and Polish children the lowest (74.5; [73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7-10 years: 80.1, [79.9, 80.4]; age 11-13 years: 77.1, [74.9, 79.2]) compared to the urban KIGGS study (age 7-10 years: 79.0, [78.7-79.3]; age 11-13 years: 75.1 [74.6-75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries.CONCLUSIONS: Future increases in chronic diseases may negatively impact children's HRQOL.

AB - OBJECTIVE: Measuring children's health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS).METHODS: The parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL.RESULTS: Austrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI [80.4, 81.4]) and Polish children the lowest (74.5; [73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7-10 years: 80.1, [79.9, 80.4]; age 11-13 years: 77.1, [74.9, 79.2]) compared to the urban KIGGS study (age 7-10 years: 79.0, [78.7-79.3]; age 11-13 years: 75.1 [74.6-75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries.CONCLUSIONS: Future increases in chronic diseases may negatively impact children's HRQOL.

KW - Adolescent

KW - Austria

KW - Child

KW - Cross-Sectional Studies

KW - Female

KW - Germany

KW - Health Status

KW - Health Surveys

KW - Humans

KW - Male

KW - Poland

KW - Quality of Life

KW - Questionnaires

KW - Rural Health

KW - Rural Population

KW - Switzerland

U2 - 10.1007/s00038-012-0410-9

DO - 10.1007/s00038-012-0410-9

M3 - Article

C2 - 23255065

SN - 1661-8556

VL - 58

SP - 355

EP - 366

JO - International Journal of Public Health

JF - International Journal of Public Health

IS - 3

ER -

Health-related quality of life in rural children living in four European countries: the GABRIEL study

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Keywords

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