scholarly journals EQ-5D Brazilian population norms

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Marisa Santos ◽  
Andrea L. Monteiro ◽  
Bráulio Santos

Abstract Background The EQ-5D-3L is a widely used generic health-related quality of life measure commonly applied to describe health outcomes and to measure disease burden. The aim of this study was to generate Brazilian population norms, stratified by age and gender, based on Brazilian preference weights for EQ-5D-3L. Methods A multicenter cross-sectional study was conducted in three Brazilian urban areas. The final sample consisted of 5774 respondents, aged from 18 to 64 years. Amongst other information, respondents were asked to self-report their health status using the EQ-5D-3L descriptive system and visual analog scale (EQ-VAS). Data on socio-demographic characteristics was obtained through specific questionnaires. The Brazilian TTO scoring algorithm was used to derive the utility values. Multivariate logistic regression models were fitted to analyze the influence of age, sex, education status and sample site on the presence of any problem for each dimension of EQ5D. Results Mean values were computed for both weighted index scores and self-rated health status (EQ-VAS), and stratified by gender and age groups. Health status declines with age, ranging between 0.87 for the youngest group 18–29 year-olds and 0.76 for 60–64-year-old. Men reported higher scores (0.85) than the woman (0.79). Lower education levels were associated with lower EQ-5D index score in most age groups. Conclusion This study provides EQ-5D reference values for the Brazilian population. These values can be used by local decision-makers and researchers in economic evaluations and population health studies.

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Valentina Prevolnik Rupel ◽  
Marko Ogorevc

Abstract Background The study aims to present Slovenian EQ-5D-5L population norms for different age and gender subgroups that can be used as reference values in future studies concerning health status. The secondary aim is to compare those norms with population norms from some other countries in Europe and elsewhere. Methods The cross-sectional survey was conducted between November 2019 and February 2020 via online panel. 1071 adults aged 18+ were included in the survey. The general population was sampled using quota sampling in terms of age, gender, and NUTS2 region. In the study, the EQ-5D-5L Slovenian online version was used. Descriptive statistics was used to present health status by age groups and genders for the EQ-5D-5L descriptive system, EQ VAS and the EQ-5D-5L index score. The latter was derived from Slovenian EQ-3D-3L tariff, transformed to five levels using the crosswalk methodology. Results The mean EQ VAS score in the Slovenian population was 79.9, mean utility index was 0.808. 28.2% of the population did not have problems on any dimension and 3.9% of the population had problems on all dimensions. Persons residing in Western Slovenia had, on average, 0.016 higher utility score, compared to Eastern Slovenia. Effect of gender was not significant. Age was negatively associated with both utility index and EQ VAS score. Education was positively correlated to health status. Problems on dimensions were generally increasing with age, except for anxiety/depression dimension, where youngest group (ages 18–29) reported more anxiety/depression compared to older counterparts. Self-reported anxiety/depression was more pronounced in women. Conclusions Similarly to other countries, the health generally deteriorates with age, except for the anxiety/depression dimension where the share of respondents reporting no problems was lowest in the youngest age group. The open question for the future remains, whether population norms from this online sample differ significantly from the actual EQ-5D-5L health status data of the Slovenian general population.


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e016217 ◽  
Author(s):  
M Shafiqur Rahman ◽  
Syed Hanifi ◽  
Fatema Khatun ◽  
Mohammad Iqbal ◽  
Sabrina Rasheed ◽  
...  

Background and objectivesmHealth offers a new opportunity to ensure access to qualified healthcare providers. Therefore, to better understand its potential in Bangladesh, it is important to understand how young people use mobile phones for healthcare. Here we examine the knowledge, attitudes and intentions to use mHealth services among young population.DesignPopulation based cross sectional household survey.Setting and participantsA total of 4909 respondents, aged 18 years and above, under the Chakaria Health and Demographic Surveillance System (HDSS) area, were interviewed during the period November 2012 to April 2013.MethodsParticipants younger than 30 years of age were defined as young (or generation Y). To examine the level of knowledge about and intention towards mHealth services in generation Y compared with their older counterparts, the percentage of the respective outcome measure from a 2×2 contingency table and adjusted odds ratio (aOR), which controls for potential confounders such as mobile ownership, sex, education, occupation and socioeconomic status, were estimated. The aOR was estimated using both the Cochran–Mantel–Haenszel approach and multivariable logistic regression models controlling for confounders.ResultsGeneration Y had significantly greater access to mobile phones (50%vs40%) and better knowledge about its use for healthcare (37.8%vs27.5%;aOR 1.6 (95% CI1.3 to 2.0)). Furthermore, the level of knowledge about two existing mHealth services in generation Y was significantly higher compared with their older counterparts, with aOR values of 3.2 (95% CI 2.6 to 5.5) and 1.5 (95% CI 1.1 to 1.8), respectively. Similarly, generation Y showed significantly greater intention towards future use of mHealth services compared with their older counterparts (aOR 1.3 (95% CI 1.1 to 1.4)). The observed associations were not modified by sociodemographic factors.ConclusionThere is a greater potential for mHealth services in the future among young people compared with older age groups. However, given the low overall use of mHealth, appropriate policy measures need to be formulated to enhance availability, access, utilisation and effectiveness of mHealth services.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.


2018 ◽  
Vol 12 (05) ◽  
pp. 373-379 ◽  
Author(s):  
Stéphanie Jupsa-Mbiandou ◽  
Samuel Fosso ◽  
Edimo Billé ◽  
Tito T Mélachio-Tanekou ◽  
Gideon Ajeagah-Aghaindum ◽  
...  

Introduction: Blastocystis spp. is a protist found in humans. Although usually the most frequent protozoa found in stool samples of both symptomatic and healthy subjects, its pathogenic or rather opportunistic role is yet to be clearly elucidated. To attempt to fill this gap, a cross-sectional study was conducted to compare the frequency of Blastocystis spp. in HIV positive (HIV+) versus HIV negative (HIV-) individuals in four health facilities of the Center Region of Cameroon. Methodology: Stool samples were collected from 283 HIV positive and 245 HIV negative subjects and analyzed using direct diagnostic tests. Results: A total of 46 (8.7%) individuals were found infected with Blastocystis spp., including 6.7% HIV positive and 11.0% HIV negative. This species was more frequent in urban and semi-urban areas than in rural areas, but evenly distributed among genders and age groups as well as among all sectors of activity. The prevalence of Blastocystis spp. (11.3%) was higher in HIV+ patients with a CD4 count ≥ 500 cells / mm3, but no significant difference was found among HIV clinical stages. Likewise prevalence, the mean number of cysts per gram of stool was similar between HIV positive and HIV negative individuals. People infected with Blastocystis spp. showed diverse clinical signs, but only flatulence was significantly more prevalent. The frequencies of these clinical signs were not related to HIV status. Conclusion: No clear relationship links the infection with Blastocystis spp. to HIV, although its presence was associated with digestive disorder, suggesting that this parasite might not be opportunist.


2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Mrs. Sudha A Rao ◽  
Dr. Komala M

Youth is the significant phase of life, characterized by rapid and intense physical, physiological, psychological, behavioral changes with changing patterns of social interactions and relationships. The developmental changes that occur in the transitional period from adolescence to adulthood may cause varying degree of disturbances, resulting in problem behaviours (PB). A cross sectional study was conducted to assess the prevalence and association of socio-demographical factors with problem behaviours. The sample comprised of 800 youth both boys and girls of 18 to 24 years of age, drawn randomly from various educational institutions within Bangalore, a capital city of Karnataka state, India. Self-developed questionnaire was used to collect socio-demographical information and Achenbach System of Empirically Based Assessment-Adult Self-Report for ages 18-59 was administered to assess the problem behaviours. The findings revealed that the prevalence of internalizing problem behaviours (IPB) was found to be 59% whereas the prevalence of externalizing problem behaviours (EPB) was found to be 47% and the prevalence (inclusive of those in the borderline) of overall problem behaviours (OPB) was found to be 25% among youth in Bangalore city. Clinical IPB was most common in boys (43.5%) than girls (32.1%) and significant association was found between genders and internalizing problem behaviours among youth. Comparatively more boys (27.6%) than girls (25.7%) were found to in the clinical level of EPB, but no significant association was found between genders and EPB. Prevalence of clinical IPB, EPB and OPB in youth shows peak around 18-20 years of age (50.5%, 36.4% and 18.7%) followed by steady decline by 22-24 years of age (32.3%, 21.65% and 6.0% ) respectively. Significant association between age groups and IPB, EPB, OPB was observed. Other socio-demographic factors like education, mother tongue, family monthly income were not found to be significantly associated with IPB, EPB and OPB among youth. There is a need for mental health care services to college students to handle the problem behaviours in more effective way and to enhance their quality of life. As preventive strategies, youth need educational awareness on problem behaviours and training in life skills education to understand the situation and to avoid further damage to the learning.


2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Keshab Prasad Timalsina

The elderly abuse in a family is one of the most challenging problems in a society. The present study aims to assess the prevalence of elderly abuse in the family environment of JureliTole of Bakaiya Rural Municipality. The study also presents various risk factors that influence the prevalence of Elderly abuse. A descriptive cross-sectional study was carried out among 103 elders taken from household survey by using census method. The data were collected through a face-to-face structured interview schedule. The descriptive and regression analysis of the collected data showed that the prevalence of elderly abuse was 46.6% in the study population. This study measured significant association (p<0.05) of overall abuse against the elder with only two socio-demographic variables (literacy status and health status) among the variables (gender, age groups, living with or without spouse, literacy status, health status, dependency status, and income level). The results showed that the elders with/without spouse had the highest odds ratio to be abused (2.19 times) followed by gender (1.64 times), and health status (1.25 times). Although this study found lower prevalence than many previous studies, it is still significant and needs to be prevented. Based on the study, it can be said that living without a spouse, with poor health, and being female are the major predictive descriptors for elderly abuse.The policies and programs are needed for the prevention of elderly abuse which may require collective action from social, health and justice sectors. 


2021 ◽  
Vol 4 (3) ◽  
pp. 12787-12816
Author(s):  
Paulo Afonso Mei ◽  
Amanda Sasse ◽  
Ana Lara Navarrete Fernandez ◽  
Bárbara Neiva Perri ◽  
Breno Alexander Bispo ◽  
...  

Introduction: The new coronavirus infection (COVID-19) has caused distress and repercussions in mental and physical health of individuals. Depression, anxiety and worsening of sleep quality have been reported in several recent articles that surveyed populations all over the globe. Our work meant to access, through a cross-sectional study, these disorders in the Brazilian population, through the application of an online questionnaire conducted on the second trimester of 2020. Materials and Methods: We applied an online questionnaire, filled with questions regarding social, economic, financial, educational and health status, as well as questions from the Hospital Anxiety and Depression Scale (HAD), and from the Pittsburgh Sleep Quality Index (PSQI).Results: We collected 2,695 valid answers, from April 24th to May 31st, 2020. Age ranged from 18 to 79 years, mean of 31.3. Women were 76.3%, men 23.7%. Symptoms of Anxiety were found in 56.5%, of depression in 46.1%, and of bad sleep in 49.2%. Some groups were more prone than others to one or more of those conditions, such as: younger people, women, mestizos, people with lesser years of education, of lower income or whose income dropped significantly during the pandemic, caregivers, students, sedentary or people practicing less physical activity, people who followed more hours of news of COVID-19 and those less engaged in social and instrumental activities.Conclusion: anxiety, depression and bad sleep quality were significantly high in our survey. Mental and sleep health is heterogeneously affected among individuals, depending on social, economic, financial, educational and health status.


Author(s):  
Shireen Bhatti ◽  
Muhammad Asif Shaikh

The goal of this study was to evaluate the competition anxiety and self-esteem among male volleyball players. Cross sectional study design, followed by qualitative investigation, was used in the current study. The participants in this study were 20 male volleyball players from the urban areas of the Province of Sindh Public Boys College. Both volleyball players at college and provincial level participated in the volleyball game. The player was between 16 and 20 years of age. Two questionnaires were used in the current study: (1) the Sports Performance Anxiety Test was used to consider performance anxiety and (2) the self-esteem of Rosenberg was used to describe self-esteem and (3) the focus group discussion. The results of the current study showed fluctuation in self-esteem level and anxiety level among players of different age groups regarding participation in volleyball competition. In Focus group discussion, regarding low self-esteem and higher competition anxiety, participants are of the view that low self-esteem and increase in anxiety undoubtedly have a greater negative effect on the team's psychology. Negative attitudes towards oneself, people's evaluation or opinion, fear of failure, risk of competitive climate, fear of adversary, low level of efforts, nervousness, negative feedback, rejection, criticism, nervousness, coach, team mates and high expectations of the audience are the factors that can contribute to low self-esteem and high anxiety. The study proposed some recommendations for future researchers.


Author(s):  
Kristianne Chelsea Altura ◽  
Scott B. Patten ◽  
Jeanne V. A. Williams ◽  
Kirsten M. Fiest ◽  
Nathalie Jetté

ABSTRACT:Objective: To develop a detailed profile of individuals living with migraine in Canada. Such a profile is important for planning and administration of services. Methods: The 2011–2012 Survey of Living with Neurological Conditions in Canada (SLNCC), a cross-sectional community-based survey, was used to examine a representative sample of migraineurs (N = 949) aged 15 years and older. Several health-related variables were examined (e.g., general health, health utility index (HUI) [a measure of health status and health-related quality of life, where dead = 0.00 and perfect health = 1.00], stigma, depression, and social support). Respondents were further stratified by sex, age, and age of migraine onset. Weighted overall and stratified prevalence estimates and odds ratios, both with 95% CIs, were used to estimate associations. Results: Overall, males had poorer health status compared with females (e.g., mean HUI was 0.67 in males vs. 0.82 in females; men had over two times the odds of their migraine limiting educational and job opportunities compared with females). Poorer health-related variables were seen in the older age groups (35–64 years/≥65 years) compared with the 15–34-year age group. There were no differences between those whose migraine symptoms began before versus after the age of 20 years. Conclusions: In this Canadian sample, migraine was associated with worse health-related variables in men compared with women. However, both men and women were significantly affected by migraine across various health-related variables. Thus, it is important to improve clinical and public health interventions addressing the impact of migraine across individuals of all ages, sexes, and sociodemographic backgrounds.


2018 ◽  
Vol 29 (Suppl 4) ◽  
pp. s260-s266 ◽  
Author(s):  
Norman Maldonado ◽  
Blanca Amalia Llorente ◽  
Roberto Magno Iglesias ◽  
Diego Escobar

BackgroundBy 2016, tobacco industry provided the only illicit trade estimates in Colombia and used these to discourage tax increases since the 1990s. To establish the viability of a threefold hike in the excise tax, policy makers needed unbiased estimates of the illicit cigarette.ObjectiveTo estimate the size of illicit cigarette trade in five Colombian cities (63% of the market), analyse characteristics of smokers of illicit cigarettes and compare market share results with one industry-funded survey.MethodsStreet cross-sectional survey with smokers’ self-report on consumption pattern, last purchase information and direct observation of smoker’s packs. Sampling frame: smokers, men and women, 12 years old or older, all income levels, resident in five Colombian cities (Bogotá, Medellín, Cali, Cartagena and Cúcuta) with 1 733 316 smokers in 2013. Sample size 1697, simple random sample by city, sampling weights based on age groups and cities. Confidence level 95%, margin of error 3.5% for Bogotá and Medellín and 5% for the other three cities. Data collection period: 24 August–14 September 2016.ResultsIllicit cigarettes represent 3.5% of consumption in the five cities, a much lower estimate than the industry data. There are significant differences across cities, with Bogotá at the bottom (1.5%) and Cúcuta at the top (22.8%).ConclusionThe low overall penetration of illicit cigarettes in Colombia indicates that the industry’s warnings against tax increases are not justified. The limited importance of tax levels as determinant of consumption of illicit cigarettes is also suggested by the differences across cities, all of them with the same tax regime.


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