Assessing the validity of the Global Activity Limitation Indicator in fourteen European countries.
Assessing the validity of the Global Activity Limitation Indicator in fourteen European countries.
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DOI：
10.1186/1471-2288-15-1
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发表时间：
2015-01-02
影响因子：
4
通讯作者：
Robine JM
中科院分区：
文献类型：
--
作者：
Berger N;Van Oyen H;Cambois E;Fouweather T;Jagger C;Nusselder W;Robine JM
全球活动限制指标(GALI)是欧洲指标健康寿命年(HLY)的基础指标，被广泛用于比较各国人口的健康状况。然而，该项目的可比性受到了质疑。这项研究旨在进一步验证GALI在欧洲成年人群中的有效性。来自欧洲健康访谈调查(EHIS)的数据覆盖了14个欧洲国家和152,787人，用来探讨GALI与其他残疾衡量标准之间的联系，以及GALI是否一致或反映了不同国家的不同残疾情况。当单独考虑每个国家或所有国家时，我们发现GALI与日常生活能力、日常生活工具能力和功能限制的测量显著相关(P <； 0.001)。在日常生活能力方面，关联度最大，在功能限制方面，关联度最低，但仍较高。对于每一项指标，大多数国家的关联度都是相似的。然而，总体而言，GALI在如何反映三项残疾衡量标准(P <； 0.001在所有情况下)方面，各国之间存在很大差异。我们怀疑，各国在结果上的差异可能是由于以下方面的不同：EHIS的实施，对功能和局限性的看法，以及对加利问题的理解。这项研究既确认了这一指标在衡量欧洲人口一般活动限制方面的相关性，也确认了在比较一国与另一国的GALI水平时需要谨慎。本文的在线版本(DOI：10.1186/1471-2288-15-1)包含补充材料，授权用户可以使用。
The Global Activity Limitation Indicator (GALI), the measure underlying the European indicator Healthy Life Years (HLY), is widely used to compare population health across countries. However, the comparability of the item has been questioned. This study aims to further validate the GALI in the adult European population. Data from the European Health Interview Survey (EHIS), covering 14 European countries and 152,787 individuals, were used to explore how the GALI was associated with other measures of disability and whether the GALI was consistent or reflected different disability situations in different countries. When considering each country separately or all combined, we found that the GALI was significantly associated with measures of activities of daily living, instrumental activity of daily living, and functional limitations (P < 0.001 in all cases). Associations were largest for activity of daily living and lowest though still high for functional limitations. For each measure, the magnitude of the association was similar across most countries. Overall, however, the GALI differed significantly between countries in terms of how it reflected each of the three disability measures (P < 0.001 in all cases). We suspect cross-country differences in the results may be due to variations in: the implementation of the EHIS, the perception of functioning and limitations, and the understanding of the GALI question. The study both confirms the relevance of this indicator to measure general activity limitations in the European population and the need for caution when comparing the level of the GALI from one country to another. The online version of this article (doi:10.1186/1471-2288-15-1) contains supplementary material, which is available to authorized users.
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影响因子：
4.4
作者：
Bowling, A
通讯作者：
Bowling, A
影响因子：
4.4
作者：
Jagger C;McKee M;Christensen K;Lagiewka K;Nusselder W;Van Oyen H;Cambois E;Jeune B;Robine JM
通讯作者：
Robine JM
DOI：
10.1007/s00038-006-0035-y
发表时间：
2006-01-01
期刊：
SOZIAL-UND PRAVENTIVMEDIZIN
影响因子：
--
作者：
van Oyen, Herman;Van der Heyden, Johan;Jagger, Carol
通讯作者：
Jagger, Carol
影响因子：
5.4
作者：
VERBRUGGE, LM;JETTE, AM
通讯作者：
JETTE, AM
影响因子：
6.8
作者：
King, G;Murray, CJL;Tandon, A
通讯作者：
Tandon, A