Assessing Quality of Life in First- and Second-Generation Immigrant Children and Adolescents; Highlights from the DIATROFI Food Aid and Healthy Nutrition Promotion Program
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Sample
2.2. Bioethics
2.3. Baseline Assessment
2.3.1. Sociodemographic Characteristics of Students and Their Families
2.3.2. Definition of Student’s Immigration Status
2.3.3. Students’ HRQoL
2.4. Statistical Analysis
3. Results
4. Discussion
Limitations and Strengths
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Total Sample | Students’ Immigration Status | ||||
---|---|---|---|---|---|
Characteristics of Students and Their Family | Non- Immigrant | First- Generation | Second- Generation | p-Value | |
n | 2151 | 1553 | 110 | 488 | |
Students’ characteristics | |||||
Students’ age, years | 8 (3) | 8 (3) | 9 (3) | 8 (3) | 0.085 |
Boys, % | 51.8 | 51.5 | 50 | 52.5 | 0.892 |
Student’s highest educational attainment, % | 0.002 | ||||
Pre-primary school (kindergarten) | 26.5 | 25.0 | 19.4 | 33.0 | |
Primary school | 65.9 | 66.7 | 73.8 | 61.5 | |
Secondary school | 7.6 | 8.4 | 6.8 | 5.5 | |
Family characteristics | |||||
Parental employment status, % | <0.001 | ||||
Both parents are employed | 46.0 | 51.7 | 21.8 | 30.7 | |
One parent is unemployed | 46.1 | 41.3 | 55.1 | 61.3 | |
Both parents are unemployed | 7.9 | 7.0 | 23.1 | 8.0 | |
Paternal educational level, % | <0.001 | ||||
Low | 33.0 | 27.7 | 71.1 | 42.7 | |
Moderate | 41.3 | 43.3 | 16.7 | 40.0 | |
High | 25.7 | 29.1 | 12.2 | 17.3 | |
Maternal educational level, % | <0.001 | ||||
Low | 25.8 | 19.1 | 66.7 | 39.7 | |
Moderate | 32.7 | 33.3 | 21.1 | 33.3 | |
High | 41.4 | 47.6 | 12.2 | 27.0 | |
Family socioeconomic status, % | |||||
Low | 30.9 | 25.1 | 62.0 | 43.0 | |
Moderate | 54.8 | 58.1 | 26.0 | 50.1 | <0.001 |
High | 14.4 | 16.8 | 12.0 | 6.9 | |
Households with ≥3 underage members, % | 28.3 | 28.9 | 26.8 | 26.5 | 0.595 |
Total Sample | Students’ Immigration Status | ||||
---|---|---|---|---|---|
Students’ Quality of Life Measurements | Non- Immigrant | First- Generation | Second- Generation | p-Value | |
n | 2151 | 1553 | 110 | 488 | |
HRQoL, score (range, 0–100) | 91.3 (81–97.8) | 91.7 (82.6–97.8) | 87.5 (73.8–97.8) * | 89.1 (78.3–96.7) * | <0.001 |
Poor HRQoL, % | 25.0 | 22.1 | 42.9 | 30.7 | <0.001 |
Physical function, score (range, 0–100) | 96.9 (84.4–100) | 96.9 (87.5–100) | 90.6 (78.1–100) * | 93.8 (81.3–100) * | <0.001 |
Poor physical function, % | 25.6 | 23.5 | 34.8 | 30.7 | <0.001 |
Emotional function, score (range, 0–100) | 90 (75–100) | 90 (75–100) | 87.5 (70–100) | 87.5 (70–100) | 0.463 |
Poor emotional function, % | 23.0 | 21.9 | 26.1 | 26.1 | 0.163 |
Social function, score (range, 0–100) | 95 (80–100) | 95 (80–100) | 90 (70–100) | 95 (80–100) | 0.055 |
Poor social function, % | 22.4 | 21.1 | 32.6 | 24.5 | 0.020 |
School function, score (range, 0–100) | 90 (80–100) | 95 (80–100) | 87.5 (73.8–97.8) | 90 (75–100) * | <0.001 |
Poor school function, % | 23.8 | 20.3 | 38.5 | 32.1 | <0.001 |
Dependent Variable | Poor HRQoL | Poor Physical Function | Poor Emotional Function | Poor Social Function | Poor School Function | ||
---|---|---|---|---|---|---|---|
Model 1 | Students’ immigration status | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | Model adjusted for |
Non-immigrant | ref | ref | ref | ref | ref | (Crude model) | |
First-generation | 2.65 (1.72, 4.09) *** | 1.74 (1.11, 2.72) ** | 1.26 (0.78, 2.04) | 1.81 (1.15, 2.85) ** | 2.45 (1.58, 3.82) *** | ||
Second-generation | 1.57 (1.23, 2.00) *** | 1.44 (1.13, 1.84) *** | 1.26 (0.98, 1.62) * | 1.21 (0.93, 1.57) | 1.86 (1.45, 2.37) *** | ||
Model 2 | Students’ immigration status | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | |
Non-immigrant | ref | ref | ref | ref | ref | Age, sex | |
First-generation | 2.71 (1.73, 4.24) *** | 1.80 (1.14, 2.84) ** | 1.23 (0.75, 2.02) | 1.86 (1.16, 3) ** | 2.61 (1.64, 4.15) *** | ||
Second-generation | 1.61 (1.24, 2.10) *** | 1.51 (1.17, 1.96) *** | 1.17 (0.89, 1.54) | 1.23 (0.93, 1.63) | 2.05 (1.57, 2.67) *** | ||
Model 3 | Students’ immigration status | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | |
Non-immigrant | ref | ref | ref | ref | ref | Model 2 + family socioeconomic status | |
First-generation | 2.82 (1.75, 4.53) *** | 1.91 (1.18, 3.10) *** | 1.40 (0.84, 2.36) | 1.94 (1.16, 3.22) ** | 2.52 (1.54, 4.13) *** | ||
Second-generation | 1.68 (1.28, 2.21) *** | 1.60 (1.23, 2.10) *** | 1.22 (0.92, 1.62) | 1.24 (0.92, 1.67) | 2.09 (1.58, 2.77) *** |
Dependent Variable | Poor HRQoL | Poor Physical Function | Poor Emotional Function | Poor Social Function | Poor School Function | ||
---|---|---|---|---|---|---|---|
Model 1 | Parental country of origin in relation to country of residence (Greece) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | Model adjusted for |
Same with country of residence (Greece) for both parents | ref | ref | ref | ref | ref | (Crude model) | |
Different from country of residence (Greece) for one parent | 1.65 (1.15, 2.37) *** | 1.34 (0.93, 1.93) | 2.08 (1.46, 2.97) *** | 1.55 (1.07, 2.25) ** | 1.81 (1.25, 2.61) *** | ||
Different from country of residence (Greece) for both parents | 1.77 (1.37, 2.29) *** | 1.58 (1.22, 2.04) *** | 0.97 (0.73, 1.29) | 1.22 (0.93, 1.61) | 1.99 (1.54, 2.58) *** | ||
Model 2 | Parental country of origin in relation to country of residence (Greece) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | |
Same with country of residence (Greece) for both parents | ref | ref | ref | ref | ref | Age, sex | |
Different from country of residence (Greece) for one parent | 1.76 (1.19, 2.62) *** | 1.46 (0.99, 2.17) * | 1.89 (1.28, 2.78) *** | 1.70 (1.13, 2.56) ** | 2.03 (1.35, 3.04) *** | ||
Different from country of residence (Greece) for both parents | 1.81 (1.38, 2.37) *** | 1.61 (1.23, 2.1) *** | 0.94 (0.7, 1.27) | 1.24 (0.92, 1.67) | 2.19 (1.66, 2.89) *** | ||
Model 3 | Parental country of origin in relation to country of residence (Greece) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | |
Same with country of residence (Greece) for both parents | ref | ref | ref | ref | ref | Model 2 + family socioeconomic status | |
Different from country of residence (Greece) for one parent | 1.90 (1.27, 2.85) *** | 1.59 (1.06, 2.38) ** | 1.91 (1.28, 2.86) *** | 1.82 (1.2, 2.77) *** | 2.18 (1.44, 3.3) *** | ||
Different from country of residence (Greece) for both parents | 1.81 (1.36, 2.42) *** | 1.66 (1.25, 2.21) *** | 1.01 (0.73, 1.38) | 1.19 (0.87, 1.64) | 2.18 (1.63, 2.93) *** |
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Diamantis, D.V.; Stavropoulou, I.; Katsas, K.; Mugford, L.; Linos, A.; Kouvari, M. Assessing Quality of Life in First- and Second-Generation Immigrant Children and Adolescents; Highlights from the DIATROFI Food Aid and Healthy Nutrition Promotion Program. Int. J. Environ. Res. Public Health 2023, 20, 2471. https://doi.org/10.3390/ijerph20032471
Diamantis DV, Stavropoulou I, Katsas K, Mugford L, Linos A, Kouvari M. Assessing Quality of Life in First- and Second-Generation Immigrant Children and Adolescents; Highlights from the DIATROFI Food Aid and Healthy Nutrition Promotion Program. International Journal of Environmental Research and Public Health. 2023; 20(3):2471. https://doi.org/10.3390/ijerph20032471
Chicago/Turabian StyleDiamantis, Dimitrios V., Iliana Stavropoulou, Konstantinos Katsas, Lyndsey Mugford, Athena Linos, and Matina Kouvari. 2023. "Assessing Quality of Life in First- and Second-Generation Immigrant Children and Adolescents; Highlights from the DIATROFI Food Aid and Healthy Nutrition Promotion Program" International Journal of Environmental Research and Public Health 20, no. 3: 2471. https://doi.org/10.3390/ijerph20032471