Abstract
Introduction: Health-related quality of life (HRQL) measures are used increasingly in evaluations of clinical and population-based outcomes and in economic analyses. We investigate the influence of demographic, socioeconomic, and chronic disease factors on the HRQL of a representative U.S. sample. Methods: We examined data from 13,646 adults in the 2000 Medical Expenditure Panel Survey, a nationally representative sample of the U.S. general population, who completed a self-administered questionnaire containing the EQ-5D, a preference-based measure. We assessed the relationships between EQ-5D scores and sociodemographic variables, including age, sex, race/ethnicity, income and education, and six common chronic conditions. Results: In fully adjusted models, EQ-5D scores decreased with increasing category of age and were lower for persons with a lower income and educational attainment as well as each of the six conditions. Although the EQ-5D scores were lower for females and Whites compared with Blacks such differences were not of a magnitude considered to be clinically important. Conclusions: In the U.S., sociodemographic factors and clinical conditions are strongly associated with scores on the EQ-5D. Population health studies and risk-adjustment models should account and adjust for these factors when assessing the performance of health programs and clinical care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2187-2196 |
| Number of pages | 10 |
| Journal | Quality of Life Research |
| Volume | 14 |
| Issue number | 10 |
| DOIs | |
| State | Published - Dec 2005 |
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Keywords
- Chronic disease
- Health status
- Population health
- Socioeconomic status
ASJC Scopus subject areas
- Rehabilitation
- Nursing(all)
Cite this
Relationship among sociodemographic factors, clinical conditions, and health-related quality of life : Examining the EQ-5D in the U.S. general population. / Lubetkin, Erica I.; Jia, Haomiao; Franks, Peter; Gold, Marthe R.
In: Quality of Life Research, Vol. 14, No. 10, 12.2005, p. 2187-2196.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Relationship among sociodemographic factors, clinical conditions, and health-related quality of life
T2 - Examining the EQ-5D in the U.S. general population
AU - Lubetkin, Erica I.
AU - Jia, Haomiao
AU - Franks, Peter
AU - Gold, Marthe R.
PY - 2005/12
Y1 - 2005/12
N2 - Introduction: Health-related quality of life (HRQL) measures are used increasingly in evaluations of clinical and population-based outcomes and in economic analyses. We investigate the influence of demographic, socioeconomic, and chronic disease factors on the HRQL of a representative U.S. sample. Methods: We examined data from 13,646 adults in the 2000 Medical Expenditure Panel Survey, a nationally representative sample of the U.S. general population, who completed a self-administered questionnaire containing the EQ-5D, a preference-based measure. We assessed the relationships between EQ-5D scores and sociodemographic variables, including age, sex, race/ethnicity, income and education, and six common chronic conditions. Results: In fully adjusted models, EQ-5D scores decreased with increasing category of age and were lower for persons with a lower income and educational attainment as well as each of the six conditions. Although the EQ-5D scores were lower for females and Whites compared with Blacks such differences were not of a magnitude considered to be clinically important. Conclusions: In the U.S., sociodemographic factors and clinical conditions are strongly associated with scores on the EQ-5D. Population health studies and risk-adjustment models should account and adjust for these factors when assessing the performance of health programs and clinical care.
AB - Introduction: Health-related quality of life (HRQL) measures are used increasingly in evaluations of clinical and population-based outcomes and in economic analyses. We investigate the influence of demographic, socioeconomic, and chronic disease factors on the HRQL of a representative U.S. sample. Methods: We examined data from 13,646 adults in the 2000 Medical Expenditure Panel Survey, a nationally representative sample of the U.S. general population, who completed a self-administered questionnaire containing the EQ-5D, a preference-based measure. We assessed the relationships between EQ-5D scores and sociodemographic variables, including age, sex, race/ethnicity, income and education, and six common chronic conditions. Results: In fully adjusted models, EQ-5D scores decreased with increasing category of age and were lower for persons with a lower income and educational attainment as well as each of the six conditions. Although the EQ-5D scores were lower for females and Whites compared with Blacks such differences were not of a magnitude considered to be clinically important. Conclusions: In the U.S., sociodemographic factors and clinical conditions are strongly associated with scores on the EQ-5D. Population health studies and risk-adjustment models should account and adjust for these factors when assessing the performance of health programs and clinical care.
KW - Chronic disease
KW - Health status
KW - Population health
KW - Socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=27944486133&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27944486133&partnerID=8YFLogxK
U2 - 10.1007/s11136-005-8028-5
DO - 10.1007/s11136-005-8028-5
M3 - Article
C2 - 16328899
AN - SCOPUS:27944486133
VL - 14
SP - 2187
EP - 2196
JO - Quality of Life Research
JF - Quality of Life Research
SN - 0962-9343
IS - 10
ER -