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dc.contributor.authorMikkelsen, Hilde Elisabeth Timenes
dc.contributor.authorHaraldstad, Kristin
dc.contributor.authorHelseth, Sølvi
dc.contributor.authorSkarstein, Siv
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorRohde, Gudrun E.
dc.date.accessioned2020-11-16T09:49:53Z
dc.date.accessioned2021-02-11T11:47:26Z
dc.date.available2020-11-16T09:49:53Z
dc.date.available2021-02-11T11:47:26Z
dc.date.issued2020-11-02
dc.identifier.citationMikkelsen HET, Haraldstad K, Helseth S, Skarstein S, Småstuen MC, Rohde G. Health‑related quality of life is strongly associated with self‑efficacy, self‑esteem, loneliness, and stress in 14–15‑year‑old adolescents: a cross‑sectional study. Health and Quality of Life Outcomes. 2020;18en
dc.identifier.issn1477-7525
dc.identifier.urihttps://hdl.handle.net/10642/9527
dc.description.abstractBackground: To enhance and better understand health-related quality of life (HRQOL) in adolescents, it is important to study factors associated with HRQOL. The present study aimed to assess possible associations between sociodemographic variables, self-efcacy, self-esteem, pain, sleep, loneliness, stress and HRQOL in 14 to 15-year-old adolescents. Methods: A cross-sectional study was performed among 696 adolescents (14–15 years) in a school-based setting. Sociodemographic variables, self-efcacy, self-esteem, pain, sleep, loneliness and stress were analyzed. The variables were all assessed with well-validated instruments. HRQOL was analyzed using KIDSCREEN 27. Analyses included Chisquare, independent t-tests, Mann–Whitney U tests, linear regression analyses and hierarchical regression analyses. The results from linear regression models were expressed as standardized beta. Results: The adolescents generally reported high levels of HRQOL. However, girls scored signifcantly worse on HRQOL, self-efcacy, self-esteem, pain, sleep, loneliness and stress compared to boys. Using hierarchical regression analyses we found that Self-efcacy (beta=0.11–0.24), Self-esteem: (beta=0.12–0.21), Loneliness: (beta=−0.24 to −0.45) and Stress: (beta=−0.26 to −0.34) revealed the strongest associations with the HRQOL dimensions. Sociodemographic-, pain- and sleep related covariates were all signifcantly associated with some of the KIDSCREEN subscales, however their efect on the outcome was smaller than for the psychosocial variables listed above. Being a girl, not living with both parents, not having both parents working, being absent from school more than 4 days, having pain and having lack of enough sleep were all independently negatively associated with HRQOL. Conclusions: HRQOL is strongly associated with self-efcacy, self-esteem, loneliness and stress in 14 to 15-year-old adolescents. Our fndings indicate that positive psychosocial factors such as self-efcacy and self-esteem might play a bufer role for negative psychosocial factors (e.g. stress) in adolescents. Further, our results show that girls score signifcantly worse on factors that are associated to HRQOL compared to boys. To improve HRQOL in school-based populations of adolescents, we suggest that future interventions should aim to strengthen self-efcacy and self-esteem. We recommend gender specifc interventions.en
dc.description.sponsorshipThis study is part of the first author’s doctoral thesis at the University of Agder and was financially supported by the Norwegian Ministry of Education and Research.en
dc.language.isoenen
dc.publisherBMCen
dc.relation.ispartofseriesHealth and Quality of Life Outcomes;18, Article number: 352 (2020)
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0) Licenseen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHealth related life qualityen
dc.subjectAdolescentsen
dc.subjectSelf-efficacyen
dc.subjectSelf-esteemen
dc.subjectLonelinessen
dc.subjectStressen
dc.titleHealth‑related quality of life is strongly associated with self‑efficacy, self‑esteem, loneliness, and stress in 14–15‑year‑old adolescents: a cross‑sectional studyen
dc.typeJournal article
dc.typePeer revieweden
dc.date.updated2020-11-16T09:49:53Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://doi.org/10.1186/s12955-020-01585-9
dc.identifier.cristin1844514
dc.source.journalHealth and Quality of Life Outcomes


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