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We recently found that male sex, large family size, urinary incontinence and hydrocephalus were all associated with poorer self-reported quality of life (QOL) among 62 children aged 10–14 with spina bifida from Eastern Uganda.1 A limitation of this study was the absence of corresponding QOL scores for unaffected Ugandan children. We therefore conducted a survey to establish reference values for self-reported QOL among healthy Ugandan schoolchildren aged 10–14.
A total of 141 healthy schoolchildren from 12 schools in Mbale district participated in a short interview to ascertain ‘health related quality of life’ using the objective Health Utilities Index (HUI3) tool,2 and a subjective measure of QOL using a visual analogue scale (VAS).3 Children were asked a single question, ‘how happy is your life?’ The interviewer indicated the 0 end of the scale (with a sad face pictured) representing ‘very bad’ and the 10 end of the scale (with a smiling face) representing ‘very good’; the child was asked to …
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