Factors Affecting Health-Related Quality of Life of School-Going Children and Its Perceived Impact on Educational Outcomes

Authors

  • Neha M.Phil. Scholar, Institute of Agricultural Extension, Education and Rural Development, University of Agriculture Faisalabad, Punjab, Pakistan.
  • Dr. Babar Shahbaz Director/Professor, Institute of Agricultural Extension, Education and Rural Development, University of Agriculture Faisalabad, Punjab, Pakistan.
  • Dr. Rao Sabir Sattar Assistant Professor, Institute of Agricultural Extension, Education and Rural Development, University of Agriculture Faisalabad, Punjab, Pakistan.
  • Muhammad Khushnood Ashraf Lecturer, Institute of Agricultural Extension, Education and Rural Development, University of Agriculture Faisalabad, Punjab, Pakistan.

DOI:

https://doi.org/10.62843/jssr.v6i2.727

Keywords:

Health-Related Quality of Life, HRQoL, Children, Educational Outcomes, Environmental Conditions, Socioeconomic Status, Parental Perception

Abstract

This study investigated the factors affecting Health-Related Quality of Life (HRQoL) of school-going children aged 6–14 years and its impact on educational outcomes, as perceived by mothers in Tehsil Faisalabad of city Faisalabad, Pakistan. The study was conducted in the Colony Punjab Government Servant Housing Society. The total residential units in the society was 1200 out of which sample of 120 household mothers were selected by using purposive sampling technique. Using a cross-sectional quantitative design, data were collected from 120 respondents through structured questionnaire employing a 5-point Likert scale. Four major factors were examined: health-related factors, socioeconomic status, environmental conditions and educational outcomes. Findings revealed that among health-related factors, regular physical activity was rated most influential (Mean = 4.27), followed by eating habits (Mean = 4.20) and adequate sleep (Mean = 4.17). Regarding socioeconomic status, availability of proper clothing and school materials received the highest agreement (Mean = 4.07), while limited family income was least acknowledged (Mean = 3.00). Among environmental factors, access to safe drinking water ranked highest (Mean = 4.34), while reduced outdoor activity due to poor environmental conditions ranked lowest (Mean = 3.67). In terms of educational impact, parents most strongly agreed that good physical health improves school performance (Mean = 4.32), while poor nutrition affecting learning ability received comparatively lower agreement (Mean = 3.67). However, for future research Integrated school-based health screening programs and community-level nutrition awareness campaigns are recommended to improve children's HRQoL. Local authorities should also ensure safe environmental conditions and incorporate mental health awareness into school curricula to enhance children's academic performance.

Author Biography

  • Neha, M.Phil. Scholar, Institute of Agricultural Extension, Education and Rural Development, University of Agriculture Faisalabad, Punjab, Pakistan.

    Corresponding Author: nehashoukat8@gmail.com

References

Afridi, A. A., Motwani, K., Khawaja, S., Khoja, A. A., Fatmi, Z., Azam, I., & Kadir, M. M. (2013). Self-perceived health among school-going adolescents in Pakistan: Influence of individual, parental and lifestyle factors. Global Journal of Health Science, 5(4), 71–81. https://doi.org/10.5539/gjhs.v5n4p71

Bonell, C., Humphrey, N., Fletcher, A., Moore, L., Anderson, R., & Campbell, R. (2014). Why schools should promote students' health and wellbeing. BMJ, 348, g3078. https://doi.org/10.1136/bmj.g3078

Darling-Churchill, K. E., & Lippman, L. (2016). Early childhood social and emotional development: Advancing the field of measurement. Journal of Applied Developmental Psychology, 45, 1–7. https://doi.org/10.1016/j.appdev.2016.02.002

Darlington-Bernard, A., Salque, C., Masson, J., Darlington, E., Carvalho, G. S., & Carrouel, F. (2023). Defining life skills in health promotion at school: A scoping review. Frontiers in Public Health, 11, 1296609. https://doi.org/10.3389/fpubh.2023.1296609

Halfon, N., Larson, K., Lu, M., Tullis, E., & Russ, S. (2014). Lifecourse health development: Past, present and future. Maternal and Child Health Journal, 18(2), 344–365. https://doi.org/10.1007/s10995-013-1346-2

Kieling, C., Baker-Henningham, H., Belfer, M., et al. (2011). Child and adolescent mental health worldwide: Evidence for action. The Lancet, 378(9801), 1515–1525. https://doi.org/10.1016/S0140-6736(11)60827-1

Kolucki, B., Lemmi, V., Redmond, G., et al. (2018). Advancing Child Well-being: The Global Reference Group on Children Affected by HIV and AIDS. UNICEF.

Langford, R., Bonell, C. P., Jones, H. E., et al. (2015). The WHO Health Promoting School framework for improving the health and well-being of students and staff. Cochrane Database of Systematic Reviews, 2015(4), CD008958. https://doi.org/10.1002/14651858.CD008958.pub2

Marmot, M., Allen, J., Boyce, T., Goldblatt, P., & Morrison, J. (2020). Health Equity in England: The Marmot Review 10 Years On. Institute of Health Equity.

OECD. (2023). PISA 2022 Results: The State of Learning and Equity in Education. PISA OECD Publishing.

Patalay, P., & Fitzsimons, E. (2016). Correlates of mental illness and wellbeing in children: Are they the same? Results from the UK Millennium Cohort Study. Journal of the American Academy of Child & Adolescent Psychiatry, 55(9), 771-783. https://doi.org/10.1016/j.jaac.2016.05.019

Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345–365. https://doi.org/10.1111/jcpp.12381

Rajmil, L., Herdman, M., de Sanmamed, M. J. F., Detmar, S., Bruil, J., Ravens-Sieberer, U., ... & Auquier, P. (2004). Generic health-related quality of life instruments in children and adolescents: a qualitative analysis of content. Journal of adolescent Health, 34(1), 37-45. https://doi.org/10.1016/S1054-139X(03)00249-0

Ravens-Sieberer, U., Devine, J., Bevans, K., Riley, A. W., Moon, J., Salsman, J. M., & Forrest, C. B. (2014). Subjective well-being measures for children were developed within the PROMIS project: presentation of first results. Journal of Clinical Epidemiology, 67(2), 207–218. https://doi.org/10.1016/j.jclinepi.2013.08.018

Reiss, F. (2013). Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Social Science & Medicine (1982), 90, 24–31. https://doi.org/10.1016/j.socscimed.2013.04.026

Rodriguez-Ayllon, M., Cadenas-Sánchez, C., Estévez-López, F., Muñoz, N. E., Mora-Gonzalez, J., Migueles, J. H., Molina-García, P., Henriksson, H., Mena-Molina, A., Martínez-Vizcaíno, V., Catena, A., Löf, M., Erickson, K. I., Lubans, D. R., Ortega, F. B., & Esteban-Cornejo, I. (2019). Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: A systematic review and meta-analysis. Sports Medicine (Auckland, N.Z.), 49(9), 1383–1410. https://doi.org/10.1007/s40279-019-01099-5

Saunders, T. J., Gray, C. E., Poitras, V. J., Chaput, J.-P., Janssen, I., Katzmarzyk, P. T., Olds, T., Connor Gorber, S., Kho, M. E., Sampson, M., Tremblay, M. S., & Carson, V. (2016). Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Physiologie Appliquee, Nutrition et Metabolisme [Applied Physiology, Nutrition, and Metabolism], 41(6 Suppl 3), S283-93. https://doi.org/10.1139/apnm-2015-0626

Siddique, M., Ayub, A., & Hussain, H. (2015). Health related quality of life in school going adolescents of Khyber pakhtun-khwa Pakistan. Journal of Ayub Medical College, Abbottabad: JAMC, 27(3), 594–597. https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/278

UNICEF. (2023). The State of the World’s Children 2023 | UNICEF. In www.unicef.org. https://www.unicef.org/reports/state-worlds-children-2023

United Nations. (2015). Transforming Our World: The 2030 Agenda for Sustainable Development. In United Nations. https://sdgs.un.org/2030agenda

von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., & Ravens-Sieberer, U. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: Results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135. https://jech.bmj.com/content/60/2/130.info

World Health Organization. (2023). Improving the health and well-being of children and adolescents. WHO.

Wu, X., Ohinmaa, A., Veugelers, P. J., & Maximova, K. (2024). Health-related quality of life in relation to health behaviour patterns among Canadian children. Children, 11(3), 346. https://doi.org/10.3390/children11030346

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Published

2026-04-30

How to Cite

Factors Affecting Health-Related Quality of Life of School-Going Children and Its Perceived Impact on Educational Outcomes. (2026). Journal of Social Sciences Review, 6(2), 56-65. https://doi.org/10.62843/jssr.v6i2.727