Health‐related quality of life (HRQoL) and associated factors in Bangladeshi adolescents during COVID‐19

Author:

Anjum Afifa12ORCID,Mousum Sabrina2,Ratan Zubair Ahmed34ORCID,Salwa Marium2,Khan Md Maruf H.2,Islam Mohammad Tanvir5,Arafat S. M. Yasir6ORCID,Haque M. Atiqul2ORCID

Affiliation:

1. Department of Psychiatry University of Cambridge Cambridge UK

2. Department of Public Health and Informatics Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

3. Department of Biomedical Engineering Khulna University of Engineering and Technology Khulna Bangladesh

4. School of Health & Society, Faculty of The Arts, Social Sciences and Humanities University of Wollongong Wollongong New South Wales Australia

5. Department of Internal Medicine Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

6. Department of Psychiatry Enam Medical College and Hospital Dhaka Bangladesh

Abstract

AbstractBackground and AimsThe COVID‐19 pandemic and its accompanying countermeasures significantly disrupt the health‐related quality of life (HRQoL) of adolescents. We aimed to estimate the status and associated factors related to HRQoL of adolescents during the COVID‐19 pandemic from the community population of Bangladesh.MethodsThis cross‐sectional study followed two‐stage sampling. From eight administrative divisions of Bangladesh, 2030 adolescents were enrolled. The KIDSCREEN‐10 index was used to measure the HRQoL of adolescents. In addition to this, adolescents' data on sociodemographics, mental well‐being, parenting style, insomnia, food insecurity, depression, anxiety and stress, resilient coping, screen‐based activity, and anthropometry were taken for finding out the factors associated with HRQoL of adolescents. The hierarchical multilinear regression was performed to assess the association.ResultsMore than 47% of adolescents were found to have moderate and high HRQoL, while 4.7% of adolescents experienced low HRQoL during data collection. Higher age (B: −0.671), having more siblings (B: −0.316), food insecurity (B: ‒2.010), depression (B: ‒0.321), anxiety (B: ‒0.362), and stress (B: ‒0.150) were found to have significantly negative associations with adolescents' HRQoL during the COVID‐19 pandemic. Whereas, positive parenting (B: 0.409), inconsistent parenting discipline (B: 0.266), good mental health (B: 5.662), resilient coping (B: 0.306) were found to have significant positive relationships.ConclusionsThe findings from this study indicate that over 52% of the adolescents reported a moderate and lower level of HRQoL. In light of these results, it may be beneficial to prioritize interventions targeting psychological factors such as depression, anxiety, and stress.

Publisher

Wiley

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