Factors Associated with Discrepancy of Child-Adolescent/Parent Reported Quality of Life in the Era of COVID-19

Elodie Jeanbert; Cédric Baumann; Anja Todorović; Cyril Tarquinio; Hélène Rousseau; Stéphanie Bourion-Bédès

doi:10.3390/ijerph192114359

Factors Associated with Discrepancy of Child-Adolescent/Parent Reported Quality of Life in the Era of COVID-19

Int J Environ Res Public Health. 2022 Nov 2;19(21):14359. doi: 10.3390/ijerph192114359.

Authors

Elodie Jeanbert^{1

2}, Cédric Baumann^{1

2}, Anja Todorović¹, Cyril Tarquinio¹, Hélène Rousseau², Stéphanie Bourion-Bédès^{1

3}

Affiliations

¹ UR4360 APEMAC, Health Adjustment, Measurement and Assessment, Interdisciplinary Approaches, School of Public Health, Faculty of Medicine, University of Lorraine, 54000 Nancy, France.
² Methodology, Data Management and Statistics Unit, University Hospital of Nancy, 54000 Nancy, France.
³ Versailles Hospital, University Department of Child and Adolescent Psychiatry, 78157 Versailles-Le-Chesnay, France.

Abstract

Billions of children/adolescents experienced unprecedented changes in their daily lives that impacted their health-related quality of life (HRQoL) during the first wave of the coronavirus disease 2019. The purpose of this study was to describe child-parent discrepancies in reporting on HRQoL and explore factors associated with such discrepancies at the end of the first lockdown in France. A cross-sectional study was conducted among French school-aged children from 8 to 18 years and their parents living in the Grand Est region in France during the first wave of the epidemic. The impact of individual, self-reported health status and environmental data on discrepant parent-child reports of HRQoL was assessed by multinomial multivariable logistic regression models. A total of 471 parent-child pairs were included. Among 50% of the discordant pairs, parents underestimated HRQoL more frequently than they overestimated it. Home location, social support score, children's education level, parents' education level, tensions and conflicts with neighbors reported by children, whether they had access to a garden, and parents' professional activity were significantly associated with parental overestimation (_adjustedOR from 2.08 to 11.61; p < 0.05). Factors associated with parental underestimation were children's education level, SF12 score, home location, the child's gender, parent's level of education, the presence of noise in the residence reported by children, whether a household member was infected with COVID-19, whether they had access to a garden, and family structure (_adjustedOR from 1.60 to 4.0; p < 0.05). This study revealed differences between child-reported and parent-reported HRQoL. The COVID-19 pandemic accentuated the discrepancies in observable dimensions and attenuated them in unobservable dimensions of HRQoL but did not impact the directional discrepancy; parents underestimated their child's HRQoL more. These discrepancies appear to be explained by parent and child sociodemographic factors.

Keywords: KIDSCREEN-27; child self-report; discrepancy; mental health; parent proxy report; quality of life; well-being.

MeSH terms

Adolescent
COVID-19* / epidemiology
Child
Communicable Disease Control
Cross-Sectional Studies
Humans
Pandemics
Quality of Life*
Surveys and Questionnaires

Grants and funding

This research received no external funding.