The Predictive Influence of Self-Efficacy and Socioeconomic Factors on the Physical and Mental Health-Related Quality of Life of Adolescents and Young Adults with Sickle Cell Disease
Bibliographic Data
| ID | 19588487 |
|---|---|
| Authors | Akinpelu Tomiwa (University of Ibadan, corresponding author) |
| Year | 2025 |
| Volume | 8 |
| Issue | 2 |
| Pages | 98-113 |
| Publication date | 2025-06-11 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | African Journal of Social Sciences and Humanities Research (JOURNAL) |
| Journal identifiers | ISSN: 2689-5129 • E-ISSN: 2689-5129 |
| Publisher | African - British Journals (PUBLISHER) |
| DOI | 10.52589/ajsshr-gjvajzmn |
| OpenAlex | W4411193835 |
| Language | EN |
| References cited | 54 |
Sickle cell disease (SCD), an inherited disorder of haemoglobin, is associated with severe physical and psychological burdens, both of which are influenced by a wide range of cognitive and socio-environmental factors. The current study aimed to establish the predictive influence of self-efficacy and family socioeconomic factors on the physical and mental health-related quality of life (HRQoL) of adolescents and young adults (AYA) with SCD. A cross-sectional study design was adopted, involving a sample of 116 AYAs with SCD, aged 16 to 24, recruited from two health facilities in South-West Nigeria. Participants completed assessments of SCD self-efficacy using the Sickle Cell Self-Efficacy Scale (SCSES) and HRQoL using the physical and mental component summary measures of the Short-Form 36 (SF-36). Family socioeconomic factors and socioeconomic status were evaluated using a Family Socioeconomic Status Scale adopted for the study. Multiple regression analysis indicated a significant joint influence of self-efficacy and socioeconomic factors on both physical and mental HRQoL, accounting for 64% variance in physical HRQoL and 66% variance in mental HRQoL. All evaluated variables, except home sanitation, independently predicted physical HRQoL, while all variables, except education and occupation, independently predicted mental HRQoL. Family possession, family-specific factors, and home sanitation were the most significant socioeconomic predictors of both physical and mental HRQoL. Moderation analysis indicated that socioeconomic status significantly moderated the influence of self-efficacy on mental HRQoL but not on physical HRQoL. The study highlights the need for exploring comprehensive and multi-faceted approaches in the management of SCD that go beyond medical treatment to address the broader social and psychological factors that influence physical and mental HRQoL
Developmental psychology · Disease · Environmental health · Mental health · Population · Psychiatry · Psychotherapist · Self-efficacy · Socioeconomic status · Clinical Psychology · Health and Wellbeing Research · Health disparities and outcomes · Hemoglobinopathies and Related Disorders · Medicine · Psychology · Social Psychology · Gerontology · Internal Medicine
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| Highly cited | No |
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