Deteriorating health status in Stockholm 1998-2002:: results from repeated population surveys using the EQ-5D
Deteriorating health status in Stockholm 1998-2002:: results from repeated population surveys using the EQ-5D
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DOI：
10.1007/s11136-007-9243-z
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发表时间：
2007-11-01
影响因子：
3.5
通讯作者：
Rehnberg, Clas
中科院分区：
文献类型：
--
作者：
Burstrom, Kristina;Johannesson, Magnus;Rehnberg, Clas
理由、目标和方法 为了衡量瑞典健康状况的变化，将与健康相关的生活质量通用工具 EQ-5D 纳入 1998 年（n = 4,950）和 2002 年（n = 49,914）横断面邮政公共卫生调查，这是斯德哥尔摩县人口的代表性样本（21-84 岁），两年的答复率约为 63%。 EQ-5D 提供五个健康维度的数据以及总体指数值（1 = 完全健康；0 = 死亡）。结果 随着时间的推移，健康指数在统计上显着下降，男性从 0.858 降至 0.841，女性从 0.833 降至 0.797。 2002年，女性在五个维度中的四个维度中出现的健康问题显着增加，其中焦虑/抑郁（33-43%）和疼痛/不适（47-53%）维度增幅最大。所有年龄段女性的健康指数均显着较低。 2002年，男性在二维方面的健康问题显着增加，其中焦虑/抑郁的增幅最大（24-31%）。随着时间的推移，年轻男性的健康指数显着下降。 结论 随着时间的推移，观察到的健康状况恶化令人担忧。调查健康状况下降的原因应该是研究的重点。
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.