Patient Preference and Adherence (Sep 2023)
Individualized Implementation of Youth Quality of Life Instrument-Research Version (YQOL-R) Among Chinese Adolescents with Different Weight Status
Abstract
Ying Li,1,2,* Xiao-Yuan Jin,1,* Yi-Qing Weng,1 Todd C Edwards,3 Xiao-Ying Jiang,4 Ying-Ping Chen,5 Yi-Ran Lv,6 Zhao-Chen Wang,7 Hong-Mei Wang,1 Donald L Patrick3 1Department of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310058, People’s Republic of China; 2School of Public Health, Xi’an Medical University, Xi’an, Shaanxi, 710021, People’s Republic of China; 3Department of Health Systems and Population Health, Seattle, WA, 98195, USA; 4The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, People’s Republic of China; 5Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, 310051, People’s Republic of China; 6Qingdao Municipal Hospital, Qingdao, Shandong, 266073, People’s Republic of China; 7Department of Social Medicine of School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310058, People’s Republic of China*These authors contributed equally to this workCorrespondence: Hong-Mei Wang; Zhao-Chen Wang, Email [email protected]; [email protected]: This study implemented the individualized Youth Quality of Life Instrument-Research Version (YQOL-R) to estimate the quality of life (QoL) among Chinese adolescents with three different Body Mass Index (BMI) levels. The study aims to explore and provide a reference for developing individualized QoL (IQoL) measurements in China.Methods: The sample consisted of 822 aged 11– 18 from nine schools. The data collection included all participants’ primary characters (age, sex, annual household income, parental education, and recruitment community) and their self-report QoL. Precisely, based on the generic measurement of YQOL-R, we developed IQoL measurements by asking adolescents’ perceived five most important things to them (IQOLimportance) and the aspects they most want to change (IQOLchange) from 19 facets, respectively. The one-way analysis of variance (ANOVA) was applied to compare total and subscale scores of IQOLimportance, IQOLchange, and YQOL-R among adolescents with three different weight status. Also, the data analysis used multivariable linear regression modeling to test the effects on scores of IQOLimportance and IQOLchange.Results: Overall, the obese adolescents identified “Having good physical health” as the most important (54.03%) and most like-to-change (42.65%); in contrast, the normal-weight group ranked “Being myself” as the top facet of IQOLimportance (52.42%) and “Having good friends” as the top facet of IQOLchange (43.12%). The obese adolescents’ reported IQOLimportance scores are significantly lower than those of the normal-weight group (P=0.039). However, there is no significant difference in IQOLchange score among the three weight-status groups. The multivariable linear regression models indicated that adolescents who are girls (P=0.035), have higher educated fathers (P=0.049), and are overweight/obese (P=0.041) self-reported worse IQOLimportance score; yet, the girls (P=0.023) and older adolescents (P=0.004) answered lower IQOLchange scores. In addition, adolescents who had higher educated mothers (P=0.047; 0.023) and responded with higher total YQOL-R scores (P< 0.001; < 0.001) reported higher IQOLimportance and IQOLchange scores.Conclusion: In the current study, although the self-reported YQOL-R scores from different weight status did not present a significant difference, the obese group reported a statistical trend towards lower IQOLimportance scores than the normal-weight and overweight adolescents. These findings emphasize that IQOLimportance and IQOLchange could capture adolescents’ perspectives with different weight statuses about their lives, which are unique as complementary health outcomes accompanying YQOL-R in health surveys and interventions among Chinese adolescents.Keywords: individualized quality of life, IQoL, Chinese adolescents, youth quality of life instrument-research version, YQOL-R, different weight status, body mass index, BMI
