Top

Quality of Life Research

Gepubliceerd in:

01-11-2007

Deteriorating health status in Stockholm 1998–2002: results from repeated population surveys using the EQ-5D

Auteurs: Kristina Burström, Magnus Johannesson, Clas Rehnberg

Gepubliceerd in: Quality of Life Research | Uitgave 9/2007

Abstract

Rationale, aim and methodology

In order to measure the change in health status in Sweden, the generic health-related quality of life instrument, the EQ-5D, was included in the 1998 (n = 4,950) and 2002 (n = 49,914) cross-sectional postal Public Health Surveys, a representative sample (21–84 years) of the Stockholm County population, with response rates about 63% in both years. The EQ-5D provides data on five dimensions of health as well as an overall index value (1 = full health; 0 = dead).

Results

Over time the health index decreased statistically significantly from 0.858 to 0.841 for men and from 0.833 to 0.797 for women. Women had significantly more health problems in 2002 in four out of the five dimensions, with the largest increase in the dimensions anxiety/depression (33–43%) and pain/discomfort (47–53%). The health index was significantly lower in all age-groups for women. Men had significantly more health problems 2002 in two dimensions, and the largest increase in anxiety/depression (24–31%). The health index decreased significantly over time for younger men.

Conclusion

The observed deterioration in health status over time gives reason for concern. Investigation of reasons for the declining health status should be a research priority.

vorige artikel The predictive validity of health-related quality of life measures: mortality in a longitudinal population-based study

Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343.PubMed

Dolan, P. (1997). Modeling valuations for EuroQol health states. Medical Care, 35, 1095–1108.PubMedCrossRef

Kind, P., Dolan, P., Gudex, C., & Williams, A. (1998). Variations in population health status: results from a United Kingdom national questionnaire survey. British Medical Journal, 316, 736–741.PubMed

Burstrom, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10, 621–635.PubMedCrossRef

Szende A, & Williams A, (Eds.). (2004). Measuring self-reported population health: An international perspective based on the EQ-5D. Rotterdam: EuroQol Group.

Drummond, M. F., O’Brien, B., Stoddart, G. L., & Torrance, G. W. (2005). Methods for the economic evaluation of health care programmes. 3rd edn. New York: Oxford University Press.

Gold, M. R., Siegel, J. E., Russell, L. B., & Weinstein, M. C. (Eds.). (1996). Cost-effectiveness in health and medicine. New York: Oxford University Press.

Meunning, P. A., & Gold, M. S. (2001). Using the years-of-healthy-life measure to calculate QALYs. American Journal of Preventive Medicine, 20, 35–39.CrossRef

SAS Institute Inc. (2000). SAS/STAT Software: User’s Guide, Version 8. 2nd edn. Cary NC: SAS Institute Inc.

10.

Bowling, A. (1995). Measuring disease. Buckingham: Open University press.

11.

Mossey, J. M., & Shapiro, E. (1982). Self-rated health: a predictor of mortality among the elderly. American Journal of Public Health, 72, 800–808.PubMedCrossRef

12.

Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behaviour, 38, 21–37.CrossRef

13.

Burström, B., & Fredlund, P. (2001). Self rated health: Is it a good predictor of subsequent mortality among adults in lower as well as in higher social classes? Journal of Epidemiology and Community Health, 55, 836–840.PubMedCrossRef

14.

The National Board of Health and Welfare. (2005). Folkhälsorapport 2005. [Public Health Report 2005]. Stockholm: National Board of Health and Welfare. (In Swedish).

15.

Sobocki, P., Lekander, I., Borgstrom, F., & Strom, O et al. (2007). The economic burden of depression in Sweden 1997–2005. European Psychiatry, 22(3), 146–152.PubMedCrossRef

16.

The Social Insurance Office. (2005). Sjukersättning och aktivitetsersättning utbetalade i december 2003 och 2004. Statistik 2005:5. [Sickness and activity compensation paid in December 2003 and 2004. Statistics 2005:5]. Stockholm: The Social Insurance Office. (In Swedish).

17.

Stockholm County Council. (2006). Behov av hälso- och sjukvård i Stockholms län utifrån ett befolkningsperspektiv. [Need for health care in Stockholm County based on a population perspektive]. Stockholm: Stockholm County Council, Central Healthcare Purchaser. (In Swedish).

18.

Burstrom, K., Johannesson, M., & Diderichsen, F. (2003). The value of the change in health in Sweden 1980/81 to 1996/97. Health Economics, 12, 637–654.PubMedCrossRef

19.

Stockholm County Council (2002). Årsstatistik 2000–2004 för Stockholms län och landsting. [Statistics 2000–2004 on the Stockholm region]. Stockholm: Stockholm County Council, The office of regional planning and urban transportation. (In Swedish).

20.

Walters, S. J., & Brazier, J. E. (2005). Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Quality of Life Research, 14, 1523–1532.PubMedCrossRef

21.

Sullivan, P. W., Lawrence, W. F., & Ghushchyan, V. (2005). A national catalog of preference-based scores for chronic conditions in the United States. Medical Care, 43, 736–749.PubMedCrossRef

22.

Cutler, D. M., & Richardson, E. (1998). The value of health: 1970–1990. American Economic Review Papers Proceedings, 88, 97–100.

23.

Whitehead, M., Scott-Samuel, A., & Dahlgren, G. (1998). Setting targets to address inequalities in health. Lancet, 351, 1279–1282.PubMedCrossRef

24.

Swedish National Committee for Public Health. (2001). Health on equal terms––national goals for public health. Scandinavian Journal of Public Health, 57, 1–68.

25.

The Swedish Government. (2002). Mål för folkhälsan. [National Goals for Public Health]. Stockholm: Elanders Gotab, (Government Bill 2002/03:35). (In Swedish).

Titel: Deteriorating health status in Stockholm 1998–2002: results from repeated population surveys using the EQ-5D
Auteurs: Kristina Burström
Magnus Johannesson
Clas Rehnberg
Publicatiedatum: 01-11-2007
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 9/2007
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-007-9243-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Rationale, aim and methodology

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 9/2007

Demographic characteristics and quality of life of patients with unexplained complaints: a descriptive study in general practice

Vitamin D status: effects on quality of life in osteoporosis among Turkish women

Psychometric properties of the WHODASII in rehabilitation patients

Assessment of mother and father concern in childhood hydrocephalus

Short-term physical and emotional health outcomes of public sector ART in the Free State province of South Africa

The predictive validity of health-related quality of life measures: mortality in a longitudinal population-based study