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Determinants of adolescents’ Health-Related Quality of Life and psychological distress during the COVID-19 pandemic

Author

Listed:
  • Roxane Dumont
  • Viviane Richard
  • Hélène Baysson
  • Elsa Lorthe
  • Giovanni Piumatti
  • Stephanie Schrempft
  • Ania Wisniak
  • Rémy P Barbe
  • Klara M Posfay-Barbe
  • Idris Guessous
  • Silvia Stringhini
  • on behalf of the Specchio-COVID19 study group

Abstract

Background: We examined the determinants of adolescents’ Health-Related Quality of Life (HRQoL) and psychological distress (self-reported and parent-reported) during the COVID-19 pandemic, using a random sample of the population of Geneva, Switzerland. Methods: Data was drawn from participants aged 14–17 years, who participated with their families to a serosurvey conducted in November and December 2020. Adolescents’ HRQoL was evaluated using the validated adolescent-reported KIDSCREEN-10 and parent-reported KINDL® scales. Psychological distress was assessed with self-reported sadness and loneliness, and using the KINDL® emotional well-being scale. Using generalized estimating equations, we examined the role of socio-demographic, family and behavioural characteristics in influencing adolescents’ mental health status and wellbeing. Results: Among 240 adolescents, 11% had a low HRQoL, 35% reported sadness and 23% reported loneliness. Based on parents’ perception, 12% of the adolescents had a low HRQoL and 16% a low emotional well-being. Being a girl (aOR = 3.20; 95%CI: 1.67–6.16), increased time on social media (aOR = 2.07; 95%CI: 1.08–3.97), parents’ average to poor mood (aOR = 2.62; 95%CI: 1.10–6.23) and average to poor household financial situation (aOR = 2.31; IC95%: 1.01–6.10) were associated with an increased risk of sadness. Mismatches between adolescents’ and their parents’ perception of HRQoL were more likely for girls (aOR = 2.88; 95%CI: 1.54–5.41) and in households with lower family well-being (aOR = 0.91; 95%CI: 0.86–0.96). Conclusions: A meaningful proportion of adolescents experienced low well-being during the second wave of COVID-19, and average well-being was lower than pre-pandemic estimates. Adolescents living in underprivileged or distressed families seemed particularly affected. Monitoring is necessary to evaluate the long-term effects of the pandemic on adolescents.

Suggested Citation

  • Roxane Dumont & Viviane Richard & Hélène Baysson & Elsa Lorthe & Giovanni Piumatti & Stephanie Schrempft & Ania Wisniak & Rémy P Barbe & Klara M Posfay-Barbe & Idris Guessous & Silvia Stringhini & on , 2022. "Determinants of adolescents’ Health-Related Quality of Life and psychological distress during the COVID-19 pandemic," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0272925
    DOI: 10.1371/journal.pone.0272925
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    References listed on IDEAS

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    1. Luis Rajmil & Michael Herdman & Ulrike Ravens-Sieberer & Michael Erhart & Jordi Alonso, 2014. "Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(1), pages 95-105, February.
    2. Karynna Okabe-Miyamoto & Dunigan Folk & Sonja Lyubomirsky & Elizabeth W Dunn, 2021. "Changes in social connection during COVID-19 social distancing: It’s not (household) size that matters, it’s who you’re with," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-16, January.
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