부산대학교 도서관

Objectives: This study explores the association between socioeconomic position (SEP) and health‐related quality of life (HRQoL) among Portuguese children according to their weight status. Methods: A total of 1215 primary school‐aged children (mean age 8.78 years) from three Portuguese districts (Lisbon, Porto, Coimbra) were assessed during 2016/2017. Father and mother's education (low, medium, high) and work status (employed, unemployed/retired) were used as SEP indicators. Self‐reported HRQoL was assessed with the KIDSCREEN‐27. Height and weight were objectively measured and body mass index categorized in normal, overweight or obese. Age, sex, and district‐adjusted linear regression models were fitted to estimate associations between SEP indicators and HRQoL dimensions, according to weight status. Results: We found that 24.9% of children were categorized as having overweight/obesity. The mean scores of the Physical Well‐Being, and School Environment dimensions of HRQoL were lower among children classified with overweight/obesity compared to children with normal weight (57.21 vs 54.11, P <.001 and 57.85 vs 56.04, P =.010, respectively). Father's education was significantly associated with all HRQoL dimensions in children with a normal weight, but the same was not observed among children presenting overweight/obesity. An increase in the level of maternal education was also significantly associated with all HRQoL dimensions among children classified with a normal weight, and only for the School Environment dimension among children classified with overweight/obesity. Conclusions: These results suggest the presence of socioeconomic inequalities in self‐reported HRQoL from early age, particularly among children with normal weight. [ABSTRACT FROM AUTHOR]