Longitudinal changes in health related quality of life in children with migrant backgrounds

Ester Villalonga-Olives*, Ichiro Kawachi, Josue Almansa, Nicole von Steinbuechel

*Corresponding author for this work

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    Little is known about longitudinal changes in the Health Related Quality of Life (HRQoL) among children with migrant backgrounds.


    The sample comprised 350 children with predominantly migrant backgrounds enrolled in 7 kindergartens in Frankfurt and Darmstadt, Germany. At baseline, the participants' mean age was 4.4 years (SD 0.9). Data collection started in May 2009. Two waves of data were collected one year apart (94% response rate). HRQoL was evaluated with the Kiddy-KINDL. The other variables under study were sex, age, socioeconomic status, country of origin, developmental status (WET) and individual behavior (VBV). Data were collected from the children, parents and teachers. Structural equation modeling (SEM) was used to assess the Wilson and Cleary theoretical framework on changes in HRQoL and Generalized Estimated Equations (GEE) to model the longitudinal trend in HRQoL.


    Overall HRQoL remained stable between baseline and follow-up. SEM model fit was chi 2 = 8.51; df = 5; p = 0.13; SRMR = 0.02 RMSEA = 0.06 and indicated that there were differences in kindergarten activities (p


    Overall HRQoL scores remained stable over follow-up in a sample of migrant children and there were no differences in terms of origin. However, there was heterogeneity in the results depending on the kindergarten activities that the children were assigned to.

    Original languageEnglish
    Article numbere0170891
    Number of pages12
    JournalPLoS ONE
    Issue number2
    Publication statusPublished - 2-Feb-2017


    • TRIALS
    • SCHOOL
    • KINDL

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