title: Health-related quality of life of children and adolescents with functional disabilities in a northern Swedish county.
abstract: OBJECTIVE
  Health-related quality of life (HRQoL) studies in children and adolescents with disabilities tend to report lower self-reported health than in the typical population. However, reports are not always consistent and HRQoL appears to vary depending on diagnosis, cultural setting and clinical context. The aim of this study was to explore HRQoL in children and adolescents with various disabilities in Västerbotten County, Sweden.
  
  
  METHODS
  A total of 175 children and adolescents [57 girls, 118 boys; mean age 11.7 years (range 7-17 years)] divided into four different diagnostic groups (intellectual disabilities, autism spectrum disorders, movement disorders and hearing disabilities) participated in the study. The EuroQol Five Dimensions Health Questionnaire, Youth version (EQ-5D-Y) was used as HRQoL measure.
  
  
  RESULTS
  Significant differences in various EQ-5D-Y dimensions between the different diagnostic groups were found, but no differences in overall health status. HRQoL in children and adolescents with hearing disabilities was found similar to the typical child population in Sweden whereas children and adolescents with other diagnoses reported evidently more problems.
  
  
  CONCLUSIONS
  Findings suggest that there is an increased risk for children with functional disabilities other than hearing disabilities in northern Sweden to experience difficulties in various health domains and lowered general health.
authors.affiliation: Department of Psychology, Umeå University, 901 87, Umeå, Sweden, erik.domellof@psy.umu.se.
authors.forename: Erik
authors.initials: E
authors.lastname: Domellöf
authors.forename: Ludmilla
authors.initials: L
authors.lastname: Hedlund
authors.forename: Pia
authors.initials: P
authors.lastname: Ödman
mesh_terms: D000293:Adolescent; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000175:diagnosis / Q000523:psychology; D019988:Children with Disabilities / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006311:Hearing Disorders / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis / Q000523:psychology; D008297:Male; D009069:Movement Disorders / Q000175:diagnosis / Q000523:psychology; D011788:Quality of Life; D012923:Social Class; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology