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Living Arrangements and Health-Related Quality of Life in Chinese Adolescents Who Migrate from Rural to Urban Schools: Mediating Effect of Social Support

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  • Haiyan Wu

    (Department of Health-Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China
    School of Humanities and Management, Heilongjiang University of Chinese Medicine, Harbin 150040, China)

  • Shan Wu

    (Medical Laboratory Technology, School of Clinical Medical, Ningxia Medical University, Yinchuan 750001, China)

  • Haibo Wu

    (Touying Middle School, Guyuan 756000, China)

  • Qiming Xia

    (The Seventh Middle School, Guyuan 756000, China)

  • Ningxiu Li

    (Department of Health-Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China)

Abstract

Changes in living arrangements (from living with, or not living with family) may affect the health-related quality of life (HRQoL). This study aimed to investigate the impact of living arrangement on HRQoL among adolescents migrating from rural to urban schools, and whether social support, in addition to living with a family, had an impact. A cross-sectional survey of 459 school adolescents was carried out in two public schools in Guyuan County, Ningxia Hui Autonomous Region, China in 2015. The survey contained the following questionnaires: a self-designed questionnaire, the 12-item Short Form Health Survey (SF-12), and the Social Support Rating Scale (SSRS). Of the 459 adolescents sampled (aged 15.41 ± 1.07 years with range of 13 to 18), 61.7% were living with family, and 38.3% were not living with family. Those students not living with families had lower Mental Component Scale (MCS) scores as well as less social support overall. Those students, who were not living with families, also reported more chronic health problems and more alcohol consumption compared to those students living with families. Social support was a statistically significant mediating factor on the effect of living arrangements on MCS. Our findings demonstrated that those students, who were not living with families, tended to have more health-related quality of life issues, but social support partially mediated the relationship between living arrangements and health.

Suggested Citation

  • Haiyan Wu & Shan Wu & Haibo Wu & Qiming Xia & Ningxiu Li, 2017. "Living Arrangements and Health-Related Quality of Life in Chinese Adolescents Who Migrate from Rural to Urban Schools: Mediating Effect of Social Support," IJERPH, MDPI, vol. 14(10), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1249-:d:115659
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    References listed on IDEAS

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    1. Yamano, Takashi & Shimamura, Yasuharu & Sserunkuuma, Dick, 2006. "Living Arrangements and Schooling of Orphaned Children and Adolescents in Uganda," Economic Development and Cultural Change, University of Chicago Press, vol. 54(4), pages 833-856, July.
    2. Gfroerer, J.C. & Greenblatt, J.C. & Wright, D.A., 1997. "Substance use in the US college-age population: Differences according to educational status and living arrangement," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 62-65.
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    Cited by:

    1. Regina L.T. Lee & Wai Tong Chien & Jason Ligot & Jennifer M. Nailes & Keiko Tanida & Sachi Takeuchi & Masanori Ikeda & Sachiyo Miyagawa & Toshisaburo Nagai & Rutja Phuphaibul & Chatsiri Mekviwattanawo, 2020. "Associations Between Quality of Life, Psychosocial Well-being and Health-Related Behaviors Among Adolescents in Chinese, Japanese, Taiwanese, Thai and the Filipino Populations: A Cross-Sectional Surve," IJERPH, MDPI, vol. 17(7), pages 1-20, April.
    2. Dongxiao Gu & Jingjing Guo & Changyong Liang & Wenxing Lu & Shuping Zhao & Bing Liu & Tianyue Long, 2019. "Social Media-Based Health Management Systems and Sustained Health Engagement: TPB Perspective," IJERPH, MDPI, vol. 16(9), pages 1-15, April.

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