LIFE QUALITY IN IRAQI CHILDREN AND ADOLESCENTS LIVING IN AREAS OF ARMED CONFLICT
DOI:
https://doi.org/10.17770/sie2020vol6.4816Keywords:
factor analysis, Iraq, PedsQL, quality of life, school studentsAbstract
The aim of the paper was to analyze the quality of life (QL) of Iraqi children and adolescents, and identify which aspects of functioning had the greatest impact on the overall assessment of the well-being in this population group. Participants were healthy children aged 5–18 years (n=150, 50% females) who studied in Baghdad schools. QL was assessed using PedsQL questionnaire by four scales – physical (PF), emotional (EF), social (SF), and school functioning (SchF). Samples were compared using the Kruskal–Wallis test. An exploratory factor analysis was performed to understand the structure of QL. The QL of Iraqi children was moderate. The highest level of PF, SF, and SchF had persons aged 13–18 years (p<0.05). Females had a higher level of QL (p<0.05), regardless of age. It was established that the data was convenient for factor analysis (KMO=0.753, χ2=110.047; p=0.000). The results showed that the varimax method presents the best fit. Factor analysis supported the 2-component model that explained 73.86% of the total variance.
References
An unbearable reality. (2017), 44. Retrieved from http://www.resourcecentre.savethechildren.net/library/unbearable-reality-impact-war-and-displacement-childrens-mental-health-iraq
Arabiat, D., Elliott, B., Draper, P., & Al Jabery, M. (2011). Cross-cultural Validation of the Pediatric Quality of Life InventoryTM 4.0 (PedsQLTM) generic core scale into Arabic Language. Scandinavian Journal of Caring Sciences, 25(4), 828–833. DOI: https://doi.org/10.1111/j.1471-6712.2011.00889.x
Başgül, Ş. S., Üneri, Ö. Ş., & Çakin-Memik, N. (2011). Parents’ perception of the quality of life of children with intellectual disabilities. Turkish Journal of Pediatrics, 53(5), 541–546.
Bolton, P. (2013). Mental health in Iraq: Issues and challenges. Lancet, Mar 16; 381(9870), 879–81. DOI: https://doi.org/10.1016/S0140-6736(13)60637-6
Caocci, G., Efficace, F., Ciotti, F., Roncarolo, M. G., Vacca, A., Piras, E., … & La Nasa, G. (2011). Prospective Assessment of Health-Related Quality of Life in Pediatric Patients with Beta-Thalassemia following Hematopoietic Stem Cell Transplantation. Biology of Blood and Marrow Transplantation, 17(6), 861–866. DOI: https://doi.org/10.1016/j.bbmt.2010.09.011
Ji, Y., Chen, S., Li, K., Xiao, N., Yang, X., Zheng, S., & Xiao, X. (2011). Measuring health-related quality of life in children with cancer living in mainland China: feasibility, reliability and validity of the Chinese mandarin version of PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module. Health and Quality of Life Outcomes, 9(1), 103. DOI: https://doi.org/10.1186/1477-7525-9-103
Klatchoian, D. A., Len, C. A., Terreri, M. T. R. A., Silva, M., Itamoto, C., Ciconelli, R. M., … & Hilário, M. O. E. (2008). Qualidade de vida de crianças e adolescentes de São Paulo: confiabilidade e validade da versão brasileira do questionário genérico Pediatric Quality of Life InventoryTM versão 4.0. Jornal de Pediatria, 84(4), 308–315. DOI: https://doi.org/10.1590/S0021-75572008000400005
Lisiecka, K., Cieślik, M., Kolisetska, A., Wyszomierska, J., Stachowicz M., ... & Wąsik, J. (2016). Constructive and destructivemethods of copying with anger at students – measurement trial in an international perspective. Physical Activity Rev, 4, 200–3. DOI: https://doi.org/10.16926/par.2016.04.25
Pavlova, I. (2015). Life quality and health of children and youth of Ukraine. Slobozhanskyi Herald of Science and Sport, 46(2), 148–153. DOI: https://doi.org/10.15391/snsv.2015-2.029
Pavlova, I., Vynogradskyi, B., Ripak, I., Zikrach, D., & Borek, Z. (2016). Prognostication of health-related life quality of ukrainian residents due to physical activity level. Journal of Physical Education and Sport, 16(2) 418–423. DOI: https://doi.org/10.7752/jpes.2016.02065
Petersen, S., Hägglöf, B., Stenlund, H., & Bergström, E. (2009). Psychometric properties of the Swedish PedsQL, Pediatric Quality of Life Inventory 4.0 generic core scales. Acta Paediatrica, 98(9), 1504–1512. DOI: https://doi.org/10.1111/j.1651-2227.2009.01360.x
Raj, M., Sudhakar, A., Roy, R., Champaneri, B., Joy, T. M., & Kumar, R. K. (2017). Health-related quality of life in Indian children: A community-based cross-sectional survey. The Indian Journal of Medical Research, 145(4), 521. DOI: https://doi.org/10.4103/IJMR.IJMR_447_16
Rajmil, L., Alonso, J., Berra, S., Ravens-Sieberer, U., Gosch, A., Simeoni, M. C., & Auquier, P. (2006). Use of a children questionnaire of health-related quality of life (KIDSCREEN) as a measure of needs for health care services. Journal of Adolescent Health, 38(5), 511–518. DOI: https://doi.org/10.1016/j.jadohealth.2005.05.022
Rawaf, S., Hassounah, S., Dubois, E., Abdalrahman, B., Raheem, M., Jamil, H., & Majeed, A. (2014). Living conditions in Iraq: 10 years after the US-led invasion. Journal of the Royal Society of Medicine, 107(5), 187–193. DOI: https://doi.org/10.1177/0141076814530684
Sasi, V., Kamala, S., Padmaraj, R., & Felix, J. W. (2016). Quality of life in children with chronic kidney disease – a parental report. Asia Pacific Journal of Research, 1(37), 39–42.
Upton, P., Lawford, J., & Eiser, C. (2008). Parent–child agreement across child health-related quality of life instruments: a review of the literature. Quality of Life Research, 17(6), 895–913. DOI: https://doi.org/10.1007/s11136-008-9350-5
Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5, 43. DOI: https://doi.org/10.1186/1477-7525-5-43
Varni, J. W., Seid, M., & Rode, C. A. (1999). The PedsQL: measurement model for the pediatric quality of life inventory. Medical Care, 37(2), 126–139.
Viira, R., & Koka, A. (2011). Health-related quality of life of Estonian adolescents: reliability and validity of the PedsQLTM 4.0 Generic Core Scales in Estonia. Acta Paediatrica, 100(7), 1043–1047. DOI: https://doi.org/10.1111/j.1651-2227.2011.02193.x
Wallander, J. L., & Koot, H. M. (2016). University of California issues, and future directions. Clinical Psychology Review, 45, 131–143. DOI: 10.1016/j.cpr.2015.11.007
World Health Organization. Iraq Health Profile. (2011). Retrieved from https://www.who.int/gho/countries/irq.pdf
Ziaian, T., Anstiss, H. de, Antoniou, G., Puvimanasinghe, T., & Baghurst, P. (2016). Sociodemographic Predictors of Health-Related Quality of Life and Healthcare Service Utilisation among Young Refugees in South Australia. Open Journal of Psychiatry, 06(01), 8–19. DOI: https://doi.org/10.4236/ojpsych.2016.61002