Longitudinal relationship between quality of life and negative life events among adolescents during COVID-19 pandemic: a cross-lagged panel analysis

作者全名："Liu, Yang; Deng, Liya; Zhang, Ronghuinan; Pu, Yang; Yan, Jie; Wang, Hong"

作者地址："[Liu, Yang; Deng, Liya; Zhang, Ronghuinan; Pu, Yang; Yan, Jie; Wang, Hong] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Chongqing, Peoples R China"

通信作者："Wang, H (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Chongqing, Peoples R China."

来源：ENVIRONMENTAL HEALTH AND PREVENTIVE MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001104279400001

JCR分区：Q1

影响因子：4

年份：2023

卷号：28

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Quality of life; Negative life events; Cross-lagged panel analysis; COVID-19; Sex difference; Children and adolescents

摘要："Background: The negative association of quality of life (QoL) and negative life evens (NLEs) among adolescents has been proved by cross-sectional studies, without exploring sex differences. This study aimed to explore the longitudinal associations between QoL and NLEs among adolescents during novel coronavirus disease 2019 (COVID-19) pandemic and whether there are sex or age differences.Methods: A stratified cluster sampling was used to select 1421 students in primary school and middle school in Chongqing, China. From November 2020 (T0) to December 2021 (T2), the Adolescent Self-Rating Life Events Checklist and the Adolescent Quality of Life Scale were used to collect 3 waves of data. The correlations between study variables were conducted by the Pearson correlation analyses. The direction and strength of the longitudinal associations were analyzed using cross-lagged panel analyses.Results: Results showed significant changes in both variables during COVID-19 pandemic (P < 0.001). Cross-sectional analyses showed stable negative correlations between NLEs and QoL stratified by sex or by age (P < 0.001). Sex and age differences in longitudinal relationships were shown by cross-lagged panel analyses. For males, NLEs had a short-term bi-directional association with QoL [beta(A-D) = -(0.091-0.340), P < 0.05]; for females, QoL had a short-term correlation with NLEs [beta(A) = -0.119), beta(C) = -0.109), P < 0.001]. In the youngest age group, NLEs had a short-term bi-directional correlation with QoL [beta(A-D) = -(0.098-0.428), P < 0.05]. There was a short-term association between total QoL and NLEs among students except the 14 similar to 15 year group [beta(A) = -(0.071-0.149), beta(C) = -(0.086-0.119), P < 0.05], the long-term association between total QoL and NLEs was only significant in adolescents aged 14 similar to 15 years (beta(E) = -0.132, P < 0.05). The strength of NLEs was slightly higher than that of total QoL, but lower than that of QoL in each dimension.Conclusion: There were negative longitudinal relationships between NLEs and QoL during COVID-19 pandemic, and the strength of the associations varied across sex or age. Strengthening QoL in different dimensions may be a promising way to reduce NLEs during the pandemic among adolescents, and interventions should be tailored according different sex and ages."

基金机构：Social and Humanities Sciences Research Planning Fund Project of the Ministry of Education [17YJA840015]

基金资助正文：<B>Funding</B> This study was supported by the Social and Humanities Sciences Research Planning Fund Project of the Ministry of Education (17YJA840015) .