Socio-demographic indicators of self-reported health based on EQ-5D-3L: a cross-country analysis of population surveys from 18 countries

Szende, Agota; Janssen, Mathieu F.; Cabasés Hita, Juan Manuel; Ramos Goñi, Juan Manuel; Burström, Kristina

Socio-demographic indicators of self-reported health based on EQ-5D-3L: a cross-country analysis of population surveys from 18 countries

dc.contributor.author	Szende, Agota
dc.contributor.author	Janssen, Mathieu F.
dc.contributor.author	Cabasés Hita, Juan Manuel
dc.contributor.author	Ramos Goñi, Juan Manuel
dc.contributor.author	Burström, Kristina
dc.contributor.department	Economía	es_ES
dc.contributor.department	Ekonomia	eu
dc.date.accessioned	2023-02-17T07:10:44Z
dc.date.available	2023-02-17T07:10:44Z
dc.date.issued	2023
dc.date.updated	2023-02-17T07:00:38Z
dc.description.abstract	Background: Generic health-related quality of life instruments, such as the EQ-5D, are increasingly used by countries to monitor population health via general population health surveys. Our aim was to demonstrate analytic options to measure socio-demographic dierences in self-reported health using the EuroQol Group’s archive of EQ-5D-3L population surveys that accumulated over the past two decades. Methods: Analyses captured self-reported EQ-5D-3L data on over 100,000 individuals from 18 countries with nationally representative population surveys. Socio-demographic indicators employed were age, sex, educational level and income. Logistic regression odds ratios and the health concentration index methodology were used in the socio-demographic analysis of EQ-5D-3L data. Results: Statistically significant socio-demographic dierences existed in all countries (p < 0.01) with the EQ VAS based health concentration index varying from 0.090 to 0.157 across countries. Age had generally the largest contributing share, while educational level also had a consistent role in explaining lower levels of self-reported health. Further analysis in a subset of 7 countries with income data showed that, beyond educational level, income itself had an additional significant impact on self-reported health. Among the 5 dimensions of the EQ-5D-3L descriptive system, problems with usual activities and pain/discomfort had the largest contribution to the concentration of overall self-assessed health measured on the EQ VAS in most countries. Conclusion: The EQ-5D-3L was shown to be a powerful multi-dimensional instrument in the analyses of socio-demographic dierences in self-reported health using various analytic methods. It oered a unique insight of inequalities by health dimensions	en
dc.description.sponsorship	This research was supported by the EuroQol Group.	en
dc.format.mimetype	application/pdf	en
dc.format.mimetype	application/msword	en
dc.identifier.citation	Szende, A., Janssen, M. F., Cabases, J., Ramos-Goni, J. M., & Burström, K. (2023). Socio-demographic indicators of self-reported health based on EQ-5D-3L: A cross-country analysis of population surveys from 18 countries. Frontiers in Public Health, 10, 959252. https://doi.org/10.3389/fpubh.2022.959252	en
dc.identifier.doi	10.3389/fpubh.2022.959252
dc.identifier.issn	2296-2565
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/44725
dc.language.iso	eng	en
dc.publisher	Frontiers Media	en
dc.relation.ispartof	Frontiers in Public Health 10(1), 1-9	en
dc.relation.publisherversion	https://doi.org/10.3389/fpubh.2022.959252
dc.rights	© 2023 Szende, Janssen, Cabases, Ramos-Goni and Burström. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.	en
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	EQ-5D-3L	en
dc.subject	EuroQol	en
dc.subject	Health-related quality of life	en
dc.subject	Self-reported health	en
dc.subject	Population	en
dc.subject	Health	en
dc.subject	Health inequalities	en
dc.subject	Equity	en
dc.subject	Sociodemographic indicators	en
dc.title	Socio-demographic indicators of self-reported health based on EQ-5D-3L: a cross-country analysis of population surveys from 18 countries	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
dspace.entity.type	Publication
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