Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets.

Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets.
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DOI:
10.1007/s11136-010-9673-x
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发表时间:
2010-10
影响因子:
3.5
通讯作者:
Robert, Stephanie A.
Robert, Stephanie A.
中科院分区:
医学2区
文献类型:
--
作者:
Cherepanov, Dasha;Palta, Mari;Fryback, Dennis G.;Robert, Stephanie A.

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本研究的目的是描述自我报告的健康相关的生活质量(HRQoL)的性别差异,并检查是否差异是由男女之间的社会人口和社会经济地位(SES)的差异解释。数据来自四项美国全国代表性调查:美国EuroQol EQ-5D健康状况调查(USVEQ)评估、医疗支出小组调查(MEPS)、国家健康测量研究(NHMS)和加拿大/美国联合健康调查(JENUH)。使用SF-6D、EQ-5D、HUI 2、HUI 3和QWB-SA评分作为结局的数据集内和数据集间回归,在调整和不调整社会人口学和SES指标的情况下估计性别差异。在调整前,女性的HRQoL评分低于男性。调整年龄,种族,婚姻状况,教育和收入减少,但没有消除性别差异,除了HUI 3。根据婚姻状况或收入进行调整对估计的性别差异影响最大。在美国,HRQoL存在明显的性别差异。这些差异的部分原因是社会人口和社会经济地位的差异。
The purpose of this study was to describe gender differences in self-reported health-related quality-of-life (HRQoL) and to examine whether differences are explained by sociodemographic and socioeconomic status (SES) differentials between men and women. Data were from four US nationally representative surveys: US Valuation of the EuroQol EQ-5D Health States Survey (USVEQ), Medical Expenditure Panel Survey (MEPS), National Health Measurement Study (NHMS) and Joint Canada/US Survey of Health (JCUSH). Gender differences were estimated with and without adjustment for sociodemographic and SES indicators using regression within and across data sets with SF-6D, EQ-5D, HUI2, HUI3 and QWB-SA scores as outcomes. Women have lower HRQoL scores than men on all indexes prior to adjustment. Adjusting for age, race, marital status, education and income reduced but did not remove the gender differences, except with HUI3. Adjusting for marital status or income had the largest impact on estimated gender differences. There are clear gender differences in HRQoL in the United States. These differences are partly explained by sociodemographic and SES differentials.
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