Open Access

Associations between the self-reported happy home lives and health of Canadian school-aged children: An exploratory analysis with stratification by level of relative family wealth


Cite

Figure 1

Adapted Mandala of Health shaded by mean stratum specific odds ratio for odds of the young person reporting a happy home life across the various health-related variables as compared to a referent group in each area of the model (a=lower self-reported family wealth; b= average or higher self-reported family wealth).
Adapted Mandala of Health shaded by mean stratum specific odds ratio for odds of the young person reporting a happy home life across the various health-related variables as compared to a referent group in each area of the model (a=lower self-reported family wealth; b= average or higher self-reported family wealth).

Demographic Characteristics of the 2018 Canadian Health Behaviour in School-aged Children Study (n= 21,745)

n(%)
Age
    ≤112457(11.5)
    124207(19.6)
    134519(21.1)
    144619(21.6)
    ≥155630(26.3)
    Missing313
Grade
    6-813079(60.7)
    9-108462(39.3)
    Other203
    Missing1
Gender
    Male10347(48.0)
    Female10870(50.4)
    Neither term describes me336(1.6)
    Missing192
Race
    White14075(66.1)
    Black767(3.6)
    Latin American205(1.0)
    Indigenous (Metis, Inuit, First Nations)1664(7.8)
    East & Southeast Asian699(3.3)
    East Indian & South Asian563(2.6)
    Arab & West Asian299(1.4)
    Other (including mixed race)3030(14.2)
    Missing443
Relative Family Wealth
    Well off10028(53.1)
    Average7174(38.0)
    Not well off1697(9.0)
    Missing2846
Urban/rural status of municipality
    Rural area (< 1,000)916(4.2)
    Small centre (1,000 — 29,999)11244(51.7)
    Medium centre (30,000 – 99,999)3787(17.4)
    Large urban centre (≥100,000)5798(26.7)
Adults in primary home
    Mother and Father15080(71.1)
    Mother and Partner1174(5.5)
    Mother only3351(15.8)
    Father and Partner255(1.2)
    Father only647(3.1)
    Other714(3.4)
    Missing524

Unadjusted, adjusted and stratum-specific odds of self-reporting a happy home life for the 26 health-related factors that map onto the Mandala of Health

Happy Home Life
Bivariate
Adjusted†
Stratum Specific†
Lower Family Wealth*
Avg/Higher Family Wealth**
Individual FactorsnOR(95% CI)OR(95% CI)ssOR(95% CI)ssOR(95% CI)
Subjective Health Complaints21 745--
Often (daily/weekly)40911.001.001.00-1.00-
Rarely (monthly)16 7812.50(2.33-2.70)2.92(2.70-3.16)4.80(3.83-6.06)2.72(2.49-2.96)
Perception of Own Health21 745--
Poor/Fair3 5881.001.001.00-1.00-
Good/Excellent17 3884.28(3.99-4.59)3.13(2.89-3.40)3.64(2.90-4.57)3.06(2.81-3.34)
Depression20 561--
Experiences symptoms6 2891.001.001.00-1.00-
Does not experience14 2723.19(3.00-3.41)4.15(3.86-4.46)6.13(4.93-7.63)3.94(3.65-4.26)
symptoms--
Perception of Body Image21 745
Too thin or too fat8 6541.001.001.00-1.00-
About the right size13 0911.81(1.70-1.92)1.92(1.79-2.06)2.73(2.22-3.35)1.84(1.71-1.98)
Spirituality19 361-
Not or somewhat important9 9261.001.001.00-1.00-
Important9 4351.33(1.25-1.41)2.08(1.94-2.24)2.97(2.41-3.66)1.99(1.85-2.15)

Health-related items selected to map onto the seven parts of the Mandala of Health

Individual health factors
BodySubjective health complaints
Perception of own health
MindDepression
Body image
SpiritSpirituality scale

Family health factors
Number of adults in the home
Presence of siblings in the home
Living in a foster home
Eating meals as a family
Family support scale

Health factors at individual-family intersections
Personal behaviorBullying others
Age of onset of risky behavior
Physical fights
Dating violence
Use of electronic devices
Psychosocio-economic environmentFamily affluence
Food insecurity
Peer support
Human biologyGender
Age
Physical environmentBedroom to oneself
Size of home
How free time is spent

Community health factors
Social capital scale
Urban/rural comparison
Participation in organised activities
eISSN:
2719-535X
Language:
English