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Mothers’ health-related quality of life: Its relationship with children’s health-related quality of life and behavior in low-income families
  1. Rosa Sze Man Wong1,
  2. Vivian Yawei Guo1,
  3. Patrick Ip2,
  4. Carlos King Ho Wong1,
  5. Esther Yee Tak Yu1,
  6. Colman Siu Cheung Fung1 and
  7. Cindy Lo Kuen Lam1
  1. 1.Department of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong, China
  2. 2.Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China
  1. Corresponding author: Cindy Lo Kuen Lam, MD Department of Family Medicine and Primary Care, The University of Hong Kong, 3/F., Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong Kong, China, E-mail: clklam{at}


Objective To examine the association between mothers’ health-related quality of life (HRQOL) and their children’s HRQOL and behavior in low-income families.

Methods Mothers of 278 children aged 6–12 years from low-income families were invited to complete the Child Health Questionnaire Parent Form 50 (CHQ-PF50) and the Strength and Difficulties Questionnaire (SDQ) for their children as well as the 12-item Short-Form Health Survey version 2 (SF-12v2) and the Patient Health Questionnaire-2 (PHQ-2). Multiple linear regressions with mother–child pairs as the unit of analysis were performed to examine the associations between maternal and child variables with adjustment of mother- and child-level confounders.

Results Compared with the general population, low-income mothers had a lower mean SF-12v2 mental component summary score and their children also had lower mean CHQ-PF50 physical and psychosocial summary scores and SDQ total difficulties score. Children of mothers with SF-12v2 scores below the population mean of 50 had significantly worse CHQ-PF50 scores and higher SDQ total difficulties scores. The mother’s PHQ-2 depression status had no association with the child’s CHQ-PF50 scores.

Conclusion Our findings suggest that more attention should be paid to reducing the negative impact of health problems on mothers’ daily roles in childcare in low-income families.

  • Health-related quality of life
  • child health
  • child behavior
  • low income

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See

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