Karg S, Rathmann K, Dadaczynski K. [Mental Health of Children and Adolescents with and without Disabilities and Health-related Impairment: Results of the Representative German Child and Adolescent Health Survey (KiGGS Wave 2)].
DAS GESUNDHEITSWESEN 2021;
83:490-497. [PMID:
33738784 DOI:
10.1055/a-1335-4659]
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Abstract
BACKGROUND AND OBJECTIVE
Children and adolescents with disabilities and health-related impairment belong to a vulnerable population group. There are only few German findings on mental health that distinguish between children and adolescents with and without disabilities and health-related impairment.
MATERIALS AND METHODS
Data were used from the German KiGGS Wave 2 of the Robert Koch-Institute from 2014-2017. A total of 11,830 children and adolescents aged 3-17 years were included using the parent perspective and 5,222 children and adolescents between 11-17 years using their self-assessments. Mental health outcomes were mental health problems (SDQ, parental assessment) and health-related quality of life (kidscreen, self-assessment). Univariate and bivariate analyses were conducted using cross-tables with Chi square tests and multivariate analyses using binary logistic regression models.
RESULTS
In 16.5% of children aged 3-17 years, parents reported mental health problems; 48.4% of the interviewed children and adolescents aged 11-17 years reported a low health-related quality of life. Children with disabilities and health-related impairment had a significantly higher probability of mental health problems (OR: 5.11) and a low health-related quality of life (OR: 1.50).
CONCLUSION
The findings suggest a need for action to strengthen mental health in children and adolescents with disabilities and/or health-related impairment. In this context, the educational settings of kindergarten and school are of great importance.
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