Health-related quality of life in rural children living in four European countries: the GABRIEL study

Stöcklin, Anna-Laura; Loss, Georg; von Mutius, Erika Renate Marie; Weber, Juliane; Genuneit, Jon; Horak, Elisabeth; Sozanska, Barbara; Danielewicz, Hanna; Cullinan, Paul; Heederick, Dick; Braun-Fahrländer, Charlotte; Boznanskik, Andrzej; Buchele, Gisela; Phil, William Cookson; Debinska, Anna; Depner, Martin; Ege, Markus; Frey, Urs Peter; Fuchs, Oliver; Hyvarinen, Anne; ... (2013). Health-related quality of life in rural children living in four European countries: the GABRIEL study. International journal of public health, 58(3), pp. 355-66. Springer 10.1007/s00038-012-0410-9

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OBJECTIVE Measuring children's health-related quality of life (HRQOL) is of growing importance given increasing chronic diseases. By integrating HRQOL questions into the European GABRIEL study, we assessed differences in HRQOL between rural farm and non-farm children from Germany, Austria, Switzerland and Poland to relate it to common childhood health problems and to compare it to a representative, mostly urban German population sample (KIGGS). METHODS The parents of 10,400 school-aged children answered comprehensive questionnaires including health-related questions and the KINDL-R questions assessing HRQOL. RESULTS Austrian children reported highest KINDL-R scores (mean: 80.9; 95 % CI [80.4, 81.4]) and Polish children the lowest (74.5; [73.9, 75.0]). Farm children reported higher KINDL-R scores than non-farm children (p = 0.002). Significantly lower scores were observed in children with allergic diseases (p < 0.001), with sleeping difficulties (p < 0.001) and in overweight children (p = 0.04). The German GABRIEL sample reported higher mean scores (age 7-10 years: 80.1, [79.9, 80.4]; age 11-13 years: 77.1, [74.9, 79.2]) compared to the urban KIGGS study (age 7-10 years: 79.0, [78.7-79.3]; age 11-13 years: 75.1 [74.6-75.6]). Socio-demographic or health-related factors could not explain differences in HRQOL between countries. CONCLUSIONS Future increases in chronic diseases may negatively impact children's HRQOL.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Unit Childrens Hospital > Forschungsgruppe Pneumologie (Pädiatrie)

UniBE Contributor:

Fuchs, Oliver and Latzin, Philipp


300 Social sciences, sociology & anthropology > 360 Social problems & social services
600 Technology > 610 Medicine & health








André Schaller

Date Deposited:

19 Mar 2014 18:25

Last Modified:

05 Jan 2015 19:06

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