Adolescent Quality of Life in Australia

  • A. H. Lee
  • L. B. Meuleners
  • M. L. Fraser
Reference work entry


Although the majority of adolescent  quality of life (QOL) research has focused on chronic diseases, the QOL measure can be highly useful in providing a broader understanding of the health and well-being of the general adolescent population. Adolescent QOL is a relatively new field so researchers face several challenges. Adolescents are a unique group and the unique dimensions that make up their QOL are only just emerging. Several generic assessments of adolescent QOL are being produced but predominantly in Europe and North America. One particular Australian based longitudinal study has contributed to the understanding of adolescent QOL. Encouragingly, it reported that Australian adolescents, both with and without a chronic disease, describe their QOL positively. It also provided initial validation for adolescent QOL in Australia to comprise of five dimensions, namely, “physical health,” “environment,” “social,” “psychological” and “opportunities for growth and development,” and showed that these dimensions are interdependent. The longitudinal nature of the study also revealed the dynamic nature of QOL and that potentially modifiable variables of adolescent “control” and “opportunities” could have a significant positive impact on QOL. Research would be enhanced by the development of pertinent adolescent QOL measures based on the most recent modification and validation of internationally developed instruments. Aboriginal and Torres Strait Islanders and rural or remote adolescents are at particular risk of poor QOL and these groups should be targeted for improvement. It is recommended that QOL research be used for developing policy, health intervention programs, monitoring the QOL status of the general adolescent population and identifying those at risk of low QOL.


Torres Strait Islander Western Australia Child Health Questionnaire Australian Adolescent General Adolescent Population 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


Australian Institute of Health and Welfare


 confirmatory factor analysis


child health questionnaire


comprehensive quality of life scale – school version


 exploratory factor analysis


 health-related quality of life


quality of life


quality of life profile- adolescent version


structural equation modeling


Western Australia


World Health Organization


  1. Australian Institute of Health and Welfare. (2000). Australia's Health 2000 – The Seventh Biennial Health Report of the Australian Institute of Health and Welfare. AIHW, Canberra.Google Scholar
  2. Australian Institute of Health and Welfare. (2003). Australia's Young People: Their Health and Wellbeing, cat. no. PHE 50. AIHW, Canberra.Google Scholar
  3. Australian Institute of Health and Welfare. (2005a). 2004 National Drug Strategy Household Survey – Detailed Findings. Drug statistics series no. 16, cat. no. PHE 66. AIHW, Canberra.Google Scholar
  4. Australian Institute of Health and Welfare. (2005b). A Picture of Australia's children, cat. no. PHE 58. AIHW, Canberra.Google Scholar
  5. Australian Institute of Health and Welfare. (2007). Young Australians: Their Health and Wellbeing 2007, cat. no. PHE 87. AIHW, Canberra.Google Scholar
  6. Bullinger M. (2002). Restor Neurol Neurosci. 20: 93–101.PubMedGoogle Scholar
  7. Bullinger M, Schmidt S, Petersen C, Ravens-Sieberer U. (2006). J Public Health. 14: 343–355.CrossRefGoogle Scholar
  8. Chipuer HM, Bramston P, Pretty G. (2003). Soc Indic Res. 61: 79–95.CrossRefGoogle Scholar
  9. Coste J, Bouee S, Ecosse E, Leplege A, Pouchot J. (2005). Qual Life Res. 14: 641–654.PubMedCrossRefGoogle Scholar
  10. Cummins RA. (1997). Comprehensive Quality of Life Scale – Student (Grades 7–12): ComQol-S5, 5th ed. 5School of Psychology, Deakin University, Melbourne.Google Scholar
  11. Drukker M, Kaplan C, Schneiders J, Feron FJ, van Os J. (2006). BMC Public Health. 6: 133.PubMedCrossRefGoogle Scholar
  12. Eckersley RM, Wierenga A, Wyn J. (2006). Flashpoints & Signpoints: Pathways to Success and Wellbeing for Australia's Young People. Australia 21, Australian Youth Research Centre, VicHealth, Melbourne.Google Scholar
  13. Eiser C, Morse R. (2001). Arch Dis Child. 84: 205–211.PubMedCrossRefGoogle Scholar
  14. Fayers P, Machin D. (2000). Quality of Life: Assessment, Analysis and Interpretation. Wiley, West Sussex, England.Google Scholar
  15. Hui EK. (2000). J Adolesc. 23: 189–203.PubMedCrossRefGoogle Scholar
  16. Hurrelmann K, Richter M. (2006). J Public Health. 14: 20–28.CrossRefGoogle Scholar
  17. Landgraf JM, Maunsell E, Speechley KN, Bullinger M, Campbell S, Abetz L, Ware JE. (1998). Qual Life Res. 7: 433–445.PubMedCrossRefGoogle Scholar
  18. Matza LS, Swensen AR, Flood EM, Secnik K, Leidy NK. (2004). Value Health. 7: 79–92.PubMedCrossRefGoogle Scholar
  19. Meuleners LB, Lee AH. (2003). Pediatr Int. 45: 706–711.PubMedCrossRefGoogle Scholar
  20. Meuleners LB, Lee AH. (2005). Qual Life Res. 14: 1057–1063.PubMedCrossRefGoogle Scholar
  21. Meuleners LB, Lee AH, Binns CW. (2001). Asia Pac J Public Health. 13: 40–44.PubMedGoogle Scholar
  22. Meuleners LB, Lee AH, Binns CW, Lower A. (2003). Qual Life Res. 12: 283–290.PubMedCrossRefGoogle Scholar
  23. Meyers SA, Miller C. (2004). Adolescence. 39: 121–144.PubMedGoogle Scholar
  24. Patrick DL, Edwards TC, Topolski TD. (2002). J Adolesc. 25: 287–300.PubMedCrossRefGoogle Scholar
  25. Rajmil L, Herdman M, Fernandez de Sanmamed MJ, Detmar S, Bruil J, Ravens-Sieberer U, Bullinger M, Simeoni MC, Auquier P. (2004). J Adolesc Health. 34: 37–45.PubMedCrossRefGoogle Scholar
  26. Raphael D, Rukholm E, Brown I, Hill-Bailey P, Donato E. (1996). J Adolesc Health. 19: 366–375.PubMedCrossRefGoogle Scholar
  27. Ravens-Sieberer U, Auquier P, Erhart M, Gosch A, Rajmil L, Bruil J, Power M, Duer W, Cloetta B, Czemy L, Mazur J, Czimbalmos A, Tountas Y, Hagquist C, Kilroe J. (2007). Qual Life Res. 16: 1347–1356.PubMedCrossRefGoogle Scholar
  28. Ravens-Sieberer U, Bullinger M. (1998). Qual Life Res. 7: 399–407.PubMedCrossRefGoogle Scholar
  29. Ravens-Sieberer U, Erhart M, Wille N, Wetzel R, Nickel J, Bullinger M. (2006). Pharmacoeconomics. 24: 1199–1220.PubMedCrossRefGoogle Scholar
  30. Ravens-Sieberer U, Gosch A, Abel T, Auquier P, Bellach BM, Bruil J, Dur W, Power M, Rajmil L. (2001). Soz Praventivmed. 46: 294–302.PubMedCrossRefGoogle Scholar
  31. Ravens-Sieberer U, Gosch A, Rajmil L, Erhart M, Bruil J, Duer W, Auquier P, Power M, Abel T, Czemy L, Mazur J, Czimbalmos A, Tountas Y, Hagquist C, Kilroe J. (2005). Expert Rev Pharmacoecon Outcomes Res. 5: 353–364.Group. TEKPubMedCrossRefGoogle Scholar
  32. Sapin C, Simeoni MC, El Khammar M, Antoniotti S, Auquier P. (2005). J Adolesc Health. 36: 327–336.PubMedCrossRefGoogle Scholar
  33. Schipper H. (1990). Oncology. 4: 51–57.PubMedGoogle Scholar
  34. Schipper H, Clinch J, Olweny J. (1996). Quality of Life Studies: Definitions and Conceptual Issues. Lippincott-Raven, New York.Google Scholar
  35. Smart D, Sanson A. (2005). Fam Matters. 70: 46–53.Google Scholar
  36. Starfield B, Bergner M, Ensminger M, Riley A, Ryan S, Green B, McGauhey P, Skinner A, Kim S. (1993). Pediatrics. 91: 430–435.PubMedGoogle Scholar
  37. Varni JW, Seid M, Rode CA. (1999). Med Care. 37: 126–139.PubMedCrossRefGoogle Scholar
  38. Vingilis ER, Wade TJ, Seeley JS. (2002). Can J Public Health. 93: 193–197.PubMedGoogle Scholar
  39. Vogels T, Verrips GH, Verloove-Vanhorick SP, Fekkes M, Kamphuis RP, Koopman HM, Theunissen NC, Wit JM. (1998). Qual Life Res. 7: 457–465.PubMedCrossRefGoogle Scholar
  40. Wallander JL, Schmitt M, Koot HM. (2001). J Clin Psychol. 57: 571–585.PubMedCrossRefGoogle Scholar
  41. Ware JE, Jr. (2003). Arch Phys Med Rehabil. 84: S43–S51.PubMedCrossRefGoogle Scholar
  42. Waters E, Salmon L, Wake M. (2000). J Pediatr Psychol. 25: 381–391.PubMedCrossRefGoogle Scholar
  43. World Health Organization, Division of Mental Health. (1994). Measurement of Quality of Life in Children. MNH/PSF/94.5. World Health Organization, Geneva.Google Scholar
  44. WHOQOL SRPB Group. (2006). Soc Sci Med. 62: 1486–1497.Google Scholar
  45. Zullig KJ, Valois RF, Drane JW. (2005). Health Qual Life Outcomes. 3: 64.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • A. H. Lee
  • L. B. Meuleners
  • M. L. Fraser

There are no affiliations available

Personalised recommendations