Health-Related Quality of Life in Adolescents Attending Secondary School and Its Associated Factors: A Cross-Sectional Study in Kuching and Samarahan Districts in Sarawak, Malaysia

  • Whye Lian Cheah
  • Kelly Allxius Mansin


Introduction: Health-related quality of life (HRQOL) had become an important tool to measure subjective health status of the population. This study aims to measure the Health-Related Quality of Life (HRQOL) and its influencing factors among school-going adolescents in Kuching and Samarahan, Sarawak, East Malaysia.
Method: This was a cross-sectional study design using a self-administered validated questionnaire consist of socio-demographic characteristics, Kessler-10 (K10), Multidimensional Scale of Perceived Social Support (MSPSS) and Pediatric Quality of Life Inventory TM4.0 (PedsQL 4.0). Data were analysed using SPSS Version 23.0.
Results: A total of 715 secondary school students from Kuching and Samarahan districts participated, with 59.7% female, 33% Malay and mean age was 15.47±1.24 years old. A majority (39.2%) had no psychological distress, and only 10.3% scored severe distress. Perceived social support and HRQOL of the students were 5.26±0.88 and 71.07±13.28, respectively. Multiple linear regression models revealed that HRQOL was significantly influenced by gender, ethnicity, religion, monthly household income level of psychological distress and perceived social support.
Conclusion: The overall HRQOL was found to be satisfactory. The main predictors of HRQOL were psychological distress and perceived social support. Family- or school-based intervention should be planned and implemented to improve quality of life among adolescence.


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