Quality of life and well-being problems in secondary schoolgirls in Kenya: Prevalence, associated characteristics, and course predictors

Philip Spinhoven, Garazi Zulaika, Elizabeth Nyothach, Anna Maria van Eijk, David Obor, Eunice Fwaya, Linda Mason, Duolao Wang, Daniel Kwaro and Penelope A Phillips-Howard

PLOS Global Public Health, 2022, vol. 2, issue 12, 1-17

Abstract: Background: Adolescents in sub-Saharan Africa often report low levels of quality of life (QoL) and well-being, but reliable data are limited. This study examines which sociodemographic, health, and behavioral risk factors and adverse adolescent experiences are associated with, and predictive of, QoL in Kenyan secondary schoolgirls. Methods and findings: 3,998 girls at baseline in a randomised controlled trial in Siaya County, western Kenya were median age 17.1 years. Subjectively perceived physical, emotional, social and school functioning was assessed using the Pediatric Quality of Life (QoL) Inventory-23. Laboratory-confirmed and survey data were utilized to assess sociodemographic, health and behavioral characteristics, and adverse adolescent experiences. We identified a group of girls with Low QoL (n = 1126; 28.2%), Average QoL (n = 1445; 36.1%); and High QoL (n = 1427; 35.7%). Significantly higher scores on all well-being indicators in the LQoL compared with HQoL group indicated good construct validity (Odds Ratio’s (ORs) varying from 3.31 (95% CI:2.41–4.54, p

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0001338

DOI: 10.1371/journal.pgph.0001338

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