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Health-related quality of life and impact of socioeconomic status among primary and secondary school students after the third COVID-19 wave in Berlin, Germany

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  • Mascha Kern
  • Toivo Glatz
  • Marcus A Mall
  • Joachim Seybold
  • Tobias Kurth
  • Frank P Mockenhaupt
  • Stefanie Theuring

Abstract

In the earlier phases of the COVID-19 pandemic, studies in Germany and elsewhere found an overall reduction in health-related quality of life (HRQoL) among students. However, there is little evidence on later pandemic stages as well as socioeconomic influencing factors. We aimed to (1) describe HRQoL in a Berlin student cohort at two time points in mid-2021, and to (2) analyze the effects of household income and education. We assessed HRQoL of students from 24 randomly selected primary and secondary schools in Berlin, Germany, with the KIDSCREEN-10 index in June and September 2021. To adjust for non-response bias, inverse probability weighting was applied. The potential effects of both household income and education (lower vs. higher) were estimated in generalized linear mixed models, based on prior assumptions presented in directed acyclic graphs. Our cohort comprised 660 students aged 7–19 years. In June 2021, 11.3% [95% CI = 9.0% - 14.0%] reported low HRQoL, whereas in September 2021, this increased to 13.7% [95% CI = 11.1% - 16.5%], with adolescent girls more frequently reporting low HRQoL at both time points (20% [95% CI = 17.1% - 23.3%] and 29% [95% CI = 25.5% - 32.5%]) compared to boys and younger children. While there was no statistically significant total effect of lower household income on HRQoL, a negative effect of lower household education was statistically significant (β = -2.15, SE 0.95, 95% CI = -4.01 to -0.29, p = 0.024). In summary, students’ HRQoL in mid-2021 was better than that documented in other studies conducted at pandemic onset using KIDSCREEN-10. Female adolescents reported low HRQoL more often, and lower household education significantly reduced children’s HRQoL. Support strategies for psychosocial wellbeing should consider socioeconomically disadvantaged children as important target groups.

Suggested Citation

  • Mascha Kern & Toivo Glatz & Marcus A Mall & Joachim Seybold & Tobias Kurth & Frank P Mockenhaupt & Stefanie Theuring, 2024. "Health-related quality of life and impact of socioeconomic status among primary and secondary school students after the third COVID-19 wave in Berlin, Germany," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-15, May.
    • Handle: RePEc:plo:pone00:0302995
    DOI: 10.1371/journal.pone.0302995
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    References listed on IDEAS

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    1. Agostinelli, Francesco & Doepke, Matthias & Sorrenti, Giuseppe & Zilibotti, Fabrizio, 2022. "When the great equalizer shuts down: Schools, peers, and parents in pandemic times," Journal of Public Economics, Elsevier, vol. 206(C).
    2. Jiayu Zhang & Liu Hong & Gaoming Ma, 2022. "Socioeconomic Status, Peer Social Capital, and Quality of Life of High School Students During COVID-19: A Mediation Analysis," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(5), pages 3005-3021, October.
    3. William Boyce & Torbjorn Torsheim & Candace Currie & Alessio Zambon, 2006. "The Family Affluence Scale as a Measure of National Wealth: Validation of an Adolescent Self-Report Measure," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 78(3), pages 473-487, September.
    4. Kerris Cooper & Kitty Stewart, 2021. "Does Household Income Affect children’s Outcomes? A Systematic Review of the Evidence," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(3), pages 981-1005, June.
    5. Ariel Kalil & Susan Mayer & Rohen Shah, 2020. "Impact of the COVID-19 Crisis on Family Dynamics in Economically Vulnerable Households," Working Papers 2020-143, Becker Friedman Institute for Research In Economics.
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