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Authors: Schuster, Alexander K.
Elflein, Heike
Pokora, Roman
Schlaud, Martin
Baumgarten, Franz
Urschitz, Michael S.
Title: Health-related quality of life and mental health in children and adolescents with strabismus : results of the representative population-based survey KiGGS
Online publication date: 8-Jul-2019
Language: english
Abstract: Background To estimate the effect of strabismus (squinting) on mental health and health-related quality of life aspects in children and adolescents. Methods Data from the German Health Interview and Examination Survey for Children and Adolescents KiGGS (2003–2006 baseline survey; N = 14,835, aged 3 to 17 years, 49% girls) were examined. The presence of strabismus was derived by parental questionnaire, and health-related quality of life and mental health were investigated with the KINDL-R and Strengths and Difficulties Questionnaire. Associations between strabismus and outcomes were analyzed using multivariable linear and logistic regression models. Results Of 12,989 children without missing data, 579 children (4.5% of the sample) were reported to have strabismus. Children with strabismus had lower scores in the parent-reported KINDL-R total scale (adjusted beta = − 1.02; 95%CI: -1.86 to − 0.18; p = 0.018) and sub-scale ‘friends’ (adjusted beta = − 2.18; 95%CI: -3.56 to -0.80; p = 0.002) compared to children without strabismus. The presence of strabismus was also associated with more mental health problems like ‘hyperactivity/inattention’ (adjusted OR = 1.50; 95%CI: 1.14 to 1.98; p = 0.005), and ‘peer problems’ (adjusted OR = 1.35; 95%-CI: 1.05 to 1.74; p = 0.018) as reported by parents. Conclusions Strabismus in children and adolescents is associated with lower health-related quality of life.
DDC: 610 Medizin
610 Medical sciences
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
URN: urn:nbn:de:hebis:77-publ-591317
Version: Published version
Publication type: Zeitschriftenaufsatz
License: CC BY
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Journal: Health and quality of life outcomes
Pages or article number: Art. 81
Publisher: BioMed Central
Publisher place: London
Issue date: 2019
ISSN: 1477-7525
Publisher URL:
Publisher DOI: 10.1186/s12955-019-1144-7
Appears in collections:JGU-Publikationen

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