Factors Associated with Discrepancy of Child-Adolescent/Parent Reported Quality of Life in the Era of COVID-19

Elodie Jeanbert (), Cédric Baumann, Anja Todorović, Cyril Tarquinio, Hélène Rousseau and Stéphanie Bourion-Bédès
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Elodie Jeanbert: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Cédric Baumann: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Anja Todorović: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Cyril Tarquinio: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France
Hélène Rousseau: Methodology, Data Management and Statistics Unit, University Hospital of Nancy, 54000 Nancy, France
Stéphanie Bourion-Bédès: UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France

IJERPH, 2022, vol. 19, issue 21, 1-16

Abstract: Billions of children/adolescents experienced unprecedented changes in their daily lives that impacted their health-related quality of life (HRQoL) during the first wave of the coronavirus disease 2019. The purpose of this study was to describe child-parent discrepancies in reporting on HRQoL and explore factors associated with such discrepancies at the end of the first lockdown in France. A cross-sectional study was conducted among French school-aged children from 8 to 18 years and their parents living in the Grand Est region in France during the first wave of the epidemic. The impact of individual, self-reported health status and environmental data on discrepant parent–child reports of HRQoL was assessed by multinomial multivariable logistic regression models. A total of 471 parent–child pairs were included. Among 50% of the discordant pairs, parents underestimated HRQoL more frequently than they overestimated it. Home location, social support score, children’s education level, parents’ education level, tensions and conflicts with neighbors reported by children, whether they had access to a garden, and parents’ professional activity were significantly associated with parental overestimation ( adjusted OR from 2.08 to 11.61; p < 0.05). Factors associated with parental underestimation were children’s education level, SF12 score, home location, the child’s gender, parent’s level of education, the presence of noise in the residence reported by children, whether a household member was infected with COVID-19, whether they had access to a garden, and family structure ( adjusted OR from 1.60 to 4.0; p < 0.05). This study revealed differences between child-reported and parent-reported HRQoL. The COVID-19 pandemic accentuated the discrepancies in observable dimensions and attenuated them in unobservable dimensions of HRQoL but did not impact the directional discrepancy; parents underestimated their child’s HRQoL more. These discrepancies appear to be explained by parent and child sociodemographic factors.

Keywords: quality of life; KIDSCREEN-27; child self-report; parent proxy report; discrepancy; well-being; mental health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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