Relationship Among Sociodemographic Factors, Clinical Conditions, and Health-related Quality of Life: Examining the EQ-5D in the U.S. General Population

Abstract

In the U.S., sociodemographic factors and clinical conditions are strongly associated with scores on the EQ-5D. Population health studies and risk-adjustment models should account and adjust for these factors when assessing the performance of health programs and clinical care.

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

“…Therefore, one needs to be cautious when making international comparisons of population health status. A large ceiling effect (a large proportion of the population tending to report good health, which here refers to reporting no problems in any EQ-5D dimensions) as found in our study (87%) has also been observed in other studies including Chinese populations, in China (Wang et al, 2005), as well as in US (Fu & Kattan, 2006;Lubetkin et al, 2005) and Canada (Leung et al, 2007). This was also the case in a study in Japan (Tsuchiya et al, 2002) and in Malaysia (Shafie et al, 2010).…”

“…Comparison of our results with population studies in other countries showed similar findings, with most problems reported in the pain/discomfort dimension, followed by the anxiety/depression dimension, more problems with increased age and women reporting worse health than men (Burström et al, 2001;Kind et al, 1998;König et al, 2009;Leung et al, 2007;Lubetkin et al, 2005;Sun et al, 2010;Sorensen et al, 2009;Szende & Williams, 2004;).…”

“…EQ-5D population health studies have been performed mostly in Europe (Burström, Johannesson, & Diderichsen, 2001;Kind, Dolan, Gudex, & Williams, 1998;König et al, 2009;Sorensen, Davidsen, Gudex, Pedersen, & Bronnum-Hansen, 2009;Szende & Williams, 2004), USA (Fryback, Dunham, Palta, Hanmer, Buechner, & Cherepanov, 2007;Lubetkin, Jia, Franks, & Gold, 2005;Luo, Johnson, Shaw, Feeny, & Coons, 2005), Canada (Leung, Luo, So, & Quan, 2007) and Asia (Kil, Lee, Yun, An, & Jo, 2008;Shafie, Hassali, & Liau, 2010;Ting, Tarn, Ching, Liou, Shaw, & Chiou, 2007;Tsuchiya, & et al, 2002), including China (Sun et al, 2010;Wang, David, Mullahy, & Mullahy, 2005). Studies among other Chinese populations have also been performed in Singapore (Luo, Chew, Fong, Koh, Ng, & Yoon, 2003), the USA (Lubetkin et al, 2007;Luo et al, 2005) and Canada (Leung et al, 2007).…”

Facilitators and barriers of stroke survivors in the early post-stroke phase

“….' Last but not least, our study sample seems to be an exceedingly positive group that does well, because their HRQoL was almost one-fifth higher than the HRQoL measured in other stroke study populations [29][30][31][32]. It is not simply that the participants had a relatively high HRQoL, it seems also that there might be another explanatory variable for their HRQoL than functional status, as both LH and EH participants had about the same HRQoL at 3 months, despite the LH participants were more severely disabled.…”

Suicide Behaviors and Health-Related Quality of Life: Results from the Korean Community Health Survey of 393,073 Adults

“…Although HRQOL involves a lack of conceptual clarity and measurement feasibility [21,22], epidemiological studies have widely recognized HRQOL measurement as a consideration of disease stage or treatment/intervention effects in patients and as a determinants of disparity in specific conditions (i.e., socioeconomic status, employment, and disease prevalence) in the general population [23][24][25][26][27][28]. As applied to current study, the EQ-5D applied to the current study is a valid generic instrument for health status that captures health in terms of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.…”