GRUMPY OLD MEN OR HAPPY YOUNG WOMEN- THE COMPARATIVE HEALTH STATUS OF SWEDEN AND THE UK
Author(s)
Bingefors K1, Isacson D1, Koltowska-Haggstrom M2, Kind P31Uppsala University, Uppsala, Sweden; 2 Pfizer Health AB, Stockholm, Sweden; 3 Outcomes Research Group, York, United Kingdom
OBJECTIVES: Comparison of population health is a matter of concern for national governments and for international agencies. This paper reports on the analysis of data collected by in national surveys conducted in Sweden (S) and England & Wales (EW) using the same health status questionnaire, administered by post during 2002 and 2003. METHODS: Data were collected from 1945 respondents in Sweden and 1001 in England & Wales. Both datasets were weighted to be representative of their respective national populations. RESULTS: Age-standardised EQ-5Dvas was systematically higher for men than for women in both surveys, however this position is reversed for women aged 70+ in the EW survey. Differences in age/gender-standardised EQ-5Dvas between the 2 national surveys were small (typically <5). Despite this apparent convergence, the age-standardised rates of reported problem on the 5 EQ-5D dimensions varied significantly both by gender and by survey. The rates of problem on usual activities, for example, were 2.3% and 6.2% for men and women aged 20-44 in the Swedish survey. The corresponding rates in the EW survey were 12.1% and 13.1%. Within-survey regression models were constructed using EQ-5Dvas as the dependent variable and recoding the 5 dimensions to 0/1 dummy variables (no problem/any problem). Both models appear to fit the data reasonably well (r2 > 0.450) with roughly equivalent constants (87.9 and 89.5) however, the value decrements given by the beta coefficients indicate large differences in the importance associated with each dimension. The highest decrements in the Swedish survey are for mobility (15.7) and pain/discomfort (12.0). The highest decrements in the EW survey are for usual activities (11.4) and anxiety/depression (9.5). CONCLUSION: The study explores some possible causes of the differences (and similarities) noted in the analysis and proposes a series of standard tables for use in reporting data on comparative population health.
Conference/Value in Health Info
2005-11, ISPOR Europe 2005, Florence, Italy
Value in Health, Vol. 8, No.6 (November/December 2005)
Code
PIH6
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Geriatrics, Reproductive and Sexual Health