Self-reported health status of the general adult US population as assessed by the EQ-5D and Health Utilities Index

Self-reported health status of the general adult US population as assessed by the EQ-5D and Health Utilities Index
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DOI:
10.1097/01.mlr.0000182493.57090.c1
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发表时间:
2005-11-01
期刊:
影响因子:
3
通讯作者:
Coons, SJ
Coons, SJ
中科院分区:
医学3区
文献类型:
--
作者:
Luo, N;Johnson, JA;Coons, SJ

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目的:本研究的目的是描述自我报告的健康状况的一般成年美国人口使用3个多属性的偏好为基础的措施:EQ-5D,健康效用指数马克2(HUI 2),马克3(HUI 3)。方法:我们调查了一般成年美国人口使用概率样本与西班牙裔和非西班牙裔黑人的过采样。本次家访调查的受访者自行完成EQ-5D和HUI 2/3问卷。总体健康指数得分的目标人群和选定的亚组估计,这些措施的结构效度进行了评估,通过测试先验hypothesis.Results:完成问卷调查,收集了4048名受访者(响应率:59.4%)。大多数受访者为女性(52.0%);样本的平均年龄为45岁,其中14.8%为65岁或以上。通过EQ-5D、HUI 2和HU 13评估的美国普通成人人群的指数评分(标准误)分别为0.87(0.01)、0.86(0.01)和0.81(0.01)。一般来说,年轻,男性和西班牙裔或非西班牙裔黑人成年人有较高(更好)的指数得分比老年人,女性和其他种族/民族的成年人;指数得分较高的教育程度和家庭收入。3个总体偏好指数强相关(皮尔逊相关系数:0.67-0.87),但系统不同,这些指数之间的组内相关系数范围从0.59到0.77。
Objective: This study aimed to describe the self-reported health status of the general adult U.S. population using 3 multi-attribute preference-based measures: the EQ-5D, Health Utilities Index Mark 2 (HUI2), and Mark 3 (HUI3).Methods: We surveyed the general adult U.S. population using a probability sample with oversampling of Hispanics and non-Hispanic blacks. Respondents to this home-visit survey self-completed the EQ-5D-and HUI2/3 questionnaires. Overall health index scores of the target population and selected subgroups were estimated and construct validity of these measures was assessed by testing a priori hypotheses.Results: Completed questionnaires were collected from 4048 respondents (response rate: 59.4%). The majority of the respondents were women (52.0%); the mean age of the sample was 45 years, with 14.8% being 65 or older. Index scores (standard errors) for the general adult U.S. population as assessed by the EQ-5D, HUI2, and HU13 were 0.87 (0.01), 0.86 (0.01), and 0.81 (0.01), respectively. Generally, younger, male and Hispanic or non-Hispanic black adults had higher (better) index scores than older, female and other racial/ ethnic adults; index scores were higher with higher educational attainment and household income. The 3 overall preference indices were strongly correlated (Pearson's r: 0.67-0.87), but systematically different, with intraclass correlation coefficients between these indices ranging from 0.59 to 0.77.