Madrasa student’s health-related quality of life and its associated factors: A cross-sectional study from Bangladesh

The evidence clearly shows that education greatly impacts people’s well-being. Bangladesh has two main education systems—general and traditional religious schooling. The current study aimed to measure madrasa students' quality of life and determine the factors influencing it. This was a cross-sectional study on a group of madrasa students in the Mirpur area of Dhaka, Bangladesh. Data were collected using two-stage stratified random sampling between April and May 2022. The final sample size was 373. The health-related quality of life (HRQoL) was calculated using the KIDSCREEN-10 index, and the median split was used to categorize the score into ‘good’ and ‘poor’ categories. A p &lt; 0.05 was considered statistically significant for all statistical tests. Among the participants, most (56%) reported having a good HRQoL. The median age (IQR) of the participants was 10.0 (8.0–12.0) years. Most of the participants were male (91%) and were not orphans (95%). The current study also found that a higher feeling of safety (AOR 3.7; 95% CI 1.3–10.4; p = 0.016) increased the odds of having good HRQoL. However, having a present illness decreased the odds (AOR 0.6; 95% CI 0.4–0.9; p = 0.10) of having a good HRQoL. The key results show that the majority reported a good HRQoL. Promoting students’ physical, mental, and social well-being through health education, anti-bullying initiatives, regular school health screening, and institutional &amp; community involvement can help to improve the overall HRQoL of madrasa students.已有确凿研究证据表明，教育对个体的福祉具有显著影响。孟加拉国现有两大主流教育体系：普通教育体系与传统宗教学校教育体系。本研究旨在评估孟加拉国伊斯兰经学院（madrasa）学生的生命质量，并探究影响其生命质量的相关因素。本研究为横断面研究，研究对象为孟加拉国达卡市米尔布尔区域的伊斯兰经学院学生。研究于2022年4月至5月期间，采用两阶段分层随机抽样方法开展数据收集，最终纳入有效样本373例。健康相关生命质量（health-related quality of life, HRQoL）采用KIDSCREEN-10量表（KIDSCREEN-10 index）进行评估，通过中位数拆分法将得分划分为‘良好’与‘较差’两类。所有统计检验均以p<0.05作为具有统计学显著性的判定标准。参与研究的学生中，多数（56%）报告自身HRQoL状况良好。参与者的年龄中位数为10.0岁（四分位间距（interquartile range, IQR）：8.0~12.0）。绝大多数参与者为男性（91%），且非孤儿（95%）。本研究同时发现，更高的安全感可显著提升拥有良好HRQoL的概率（调整后优势比（adjusted odds ratio, AOR）=3.7；95%置信区间（confidence interval, CI）：1.3~10.4；p=0.016）。然而，当前罹患疾病则会降低拥有良好HRQoL的概率（AOR=0.6；95%CI：0.4~0.9；p=0.10）。本研究核心结果显示，多数参与者的HRQoL状况良好。通过开展健康教育、反霸凌行动、常规学校健康筛查，并推动机构与社区参与，可促进学生的躯体、心理与社会福祉，进而有助于改善伊斯兰经学院学生的整体HRQoL。