Abstract：
OBJECTIVE: Health-related quality of life (HRQL) should be used more extensively in monitoring the health of school-aged children. The presented study aimed to evaluate trends in KIDSCREEN-10 indices, considering mean scores and the level of social inequalities.
METHODS: 3,937 children aged 13 participated in three Health Behavior in School-aged Children (HBSC) cross-sectional surveys conducted in Poland between 2010-2018. Subgroups were distinguished according to gender, health status, and three social factors (family affluence, neighbourhood social capital, and local deprivation).
RESULTS: The average KIDSCREEN-10 index value was equal to: 22.36±4.54; 25.41±6.75; and 24.74±6.53 in 2010, 2014, and 2018,respectively. However, in 2018 no deterioration was recorded in boys, in poorer families or in regions with high social capital. The improvement in HRQL in 2014 was accompanied by an increase in disparities in health status and family wealth, as well as a decrease in disparities in local deprivation. An especially high increase in Glass index values was recorded for neighbourhood social capital (increasing from 0.542 in 2010 to 0.938 in 2018). The multivariate general linear model revealed the main effect of the year of the study, gender, chronic disease status, and the three social factors, as well as six significant 2-way interactions.
CONCLUSIONS: Changes in the well-being of adolescents should be tracked over time using HRQL indices with proven psychometric properties. The level of social inequalities faced by young people should be included in policies and when designing interventions. The relevant initiatives should be targeted at different populations in order to properly address the needs of different groups of children and adolescents.
METHODS: 3,937 children aged 13 participated in three Health Behavior in School-aged Children (HBSC) cross-sectional surveys conducted in Poland between 2010-2018. Subgroups were distinguished according to gender, health status, and three social factors (family affluence, neighbourhood social capital, and local deprivation).
RESULTS: The average KIDSCREEN-10 index value was equal to: 22.36±4.54; 25.41±6.75; and 24.74±6.53 in 2010, 2014, and 2018,respectively. However, in 2018 no deterioration was recorded in boys, in poorer families or in regions with high social capital. The improvement in HRQL in 2014 was accompanied by an increase in disparities in health status and family wealth, as well as a decrease in disparities in local deprivation. An especially high increase in Glass index values was recorded for neighbourhood social capital (increasing from 0.542 in 2010 to 0.938 in 2018). The multivariate general linear model revealed the main effect of the year of the study, gender, chronic disease status, and the three social factors, as well as six significant 2-way interactions.
CONCLUSIONS: Changes in the well-being of adolescents should be tracked over time using HRQL indices with proven psychometric properties. The level of social inequalities faced by young people should be included in policies and when designing interventions. The relevant initiatives should be targeted at different populations in order to properly address the needs of different groups of children and adolescents.
摘要：
目的：健康相关生活质量（HRQL）应更广泛地用于监测学龄儿童的健康状况。这项研究旨在评估KIDSCREEN-10指数的趋势，考虑平均得分和社会不平等程度。
方法：3,937名13岁儿童参加了2010-2018年在波兰进行的三项学龄儿童健康行为（HBSC）横断面调查。根据性别区分亚组，健康状况,和三个社会因素(家庭富裕，邻里社会资本，和当地剥夺)。
结果：2010年、2014年和2018年KIDSCREEN-10指数值分别为：22.36±4.54；25.41±6.75；24.74±6.53。然而,2018年，男孩没有恶化的记录，在贫困家庭或社会资本高的地区。2014年HRQL的改善伴随着健康状况和家庭财富差距的增加，以及当地贫困差距的减少。邻里社会资本的Glass指数值增幅特别高（从2010年的0.542增加到2018年的0.938）。多元一般线性模型揭示了研究年份的主要影响，性别,慢性疾病状态，和三个社会因素，以及六个重要的双向互动。
结论：应使用具有已证实的心理测量特性的HRQL指数跟踪青少年幸福感随时间的变化。年轻人面临的社会不平等程度应纳入政策和设计干预措施。相关举措应针对不同人群，以适当满足不同儿童和青少年群体的需求。
方法：3,937名13岁儿童参加了2010-2018年在波兰进行的三项学龄儿童健康行为（HBSC）横断面调查。根据性别区分亚组，健康状况,和三个社会因素(家庭富裕，邻里社会资本，和当地剥夺)。
结果：2010年、2014年和2018年KIDSCREEN-10指数值分别为：22.36±4.54；25.41±6.75；24.74±6.53。然而,2018年，男孩没有恶化的记录，在贫困家庭或社会资本高的地区。2014年HRQL的改善伴随着健康状况和家庭财富差距的增加，以及当地贫困差距的减少。邻里社会资本的Glass指数值增幅特别高（从2010年的0.542增加到2018年的0.938）。多元一般线性模型揭示了研究年份的主要影响，性别,慢性疾病状态，和三个社会因素，以及六个重要的双向互动。
结论：应使用具有已证实的心理测量特性的HRQL指数跟踪青少年幸福感随时间的变化。年轻人面临的社会不平等程度应纳入政策和设计干预措施。相关举措应针对不同人群，以适当满足不同儿童和青少年群体的需求。
