A cross-sectional validation study of EQ-5D among the Malaysian adult population

Shafie, Asrul Akmal; Hassali, Mohamed Azmi; Liau, Siow Yen

doi:10.1007/s11136-010-9774-6

Cited by 56 publications

(48 citation statements)

References 20 publications

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“…A large ceiling effect (a large proportion of the population tending to report good health, which here refers to reporting no problems in any EQ-5D dimensions) as found in our study (87%) has also been observed in other studies including Chinese populations, in China (Wang et al, 2005), as well as in US (Fu & Kattan, 2006;Lubetkin et al, 2005) and Canada (Leung et al, 2007). This was also the case in a study in Japan (Tsuchiya et al, 2002) and in Malaysia (Shafie et al, 2010).…”

Section: Discussionsupporting

confidence: 89%

“…EQ-5D population health studies have been performed mostly in Europe (Burström, Johannesson, & Diderichsen, 2001;Kind, Dolan, Gudex, & Williams, 1998;König et al, 2009;Sorensen, Davidsen, Gudex, Pedersen, & Bronnum-Hansen, 2009;Szende & Williams, 2004), USA (Fryback, Dunham, Palta, Hanmer, Buechner, & Cherepanov, 2007;Lubetkin, Jia, Franks, & Gold, 2005;Luo, Johnson, Shaw, Feeny, & Coons, 2005), Canada (Leung, Luo, So, & Quan, 2007) and Asia (Kil, Lee, Yun, An, & Jo, 2008;Shafie, Hassali, & Liau, 2010;Ting, Tarn, Ching, Liou, Shaw, & Chiou, 2007;Tsuchiya, & et al, 2002), including China (Sun et al, 2010;Wang, David, Mullahy, & Mullahy, 2005). Studies among other Chinese populations have also been performed in Singapore (Luo, Chew, Fong, Koh, Ng, & Yoon, 2003), the USA (Lubetkin et al, 2007;Luo et al, 2005) and Canada (Leung et al, 2007).…”

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confidence: 99%

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Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

et al. 2011

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Purpose: to measure, describe and analyse regional differences in health-related quality of life measured by EQ-5D in China. Data were obtained via face-to-face interviews on a national representative sample (n=120,703, 15-103 years). The EQ-5D instrument was used to measure health status. Results: Rural areas had worse health status than urban areas. Health status was worst in western areas and best in eastern areas, and such disparities were profounder in rural areas. In urban areas, health status was best in middle-sized cities. In rural areas, health status increased with the economic development level of a county. Conclusion: Our study enhances understanding of the urban-rural differences and east-middle-west differences in health and sheds light on inequalities in health status between different city categories in the urban areas and county categories in the rural areas.

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Section: Discussionsupporting

confidence: 89%

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confidence: 99%

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

et al. 2011

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“…Evidence also showed that GDP per capita and healthcare expenditure is correlated most with the EQ VAS score. 19 However, Shafie et al 12 showed that the health status was positively associated with education, but had no significant association with income. The study has some limitations.…”

Section: Discussionmentioning

confidence: 99%

“…8 The EQ-5D instrument has widely been used in North America, Europe, and a few low-and middle-income countries in Asia and Africa. [9][10][11][12][13][14][15] In Bangladesh, a few studies have used the EQ-5D instrument for measuring health status. This instrument was employed by Saleh et al 16 to measure the health-related quality of life among patients with type 2 diabetes and used Shaheen and Lindholm 17 to measure the quality of life among pregnant women with chronic energy deficiency in rural Bangladesh.…”

Section: Key Messagesmentioning

confidence: 99%

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Sultana

Sarker

Mahumud

et al. 2016

Int J Health Policy Manag

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Background: Measuring health status by using standardized and validated instrument has become a growing concern over the past few decades throughout the developed and developing countries. The aim of the study was to investigate the overall self-reported health status along with potential inequalities by using EuroQol 5 dimensions (EQ-5D) instrument among low-income people of Bangladesh. Methods: A cross-sectional household survey was conducted in Chandpur district of Bangladesh. Bangla version of the EQ-5D questionnaire was employed along with socio-demographic information. EQ-5D questionnaire composed of 2-part measurements: EQ-5D descriptive system and the visual analogue scale (VAS). For measuring health status, UK-based preference weights were applied while higher score indicated better health status. For facilitating the consistency with EQ-5D score, VASs were converted to a scale with scores ranging from 0 to 1. Multiple logistic regression models were also employed to examine differences among EQ-5D dimensions. Results: A total of 1433 respondents participated in the study. The mean EQ-5D and VAS score was 0.76 and 0.77, respectively. The females were more likely to report any problem than the males (P < 0.001). Compared to the younger, elderly were more than 2-3 times likely to report any health problem in all EQ-5D dimensions (OR [odds ratio] = 3.17 for mobility, OR = 3.24 for self-care). However, the respondents of the poorest income group were significantly suffered more from every EQ-5D dimension than the richest income quintile. Conclusion: Socio-economic and demographic inequalities in health status was observed in the study. Study suggests to do further investigation with country representative sample to measure the inequalities of overall health status. It would be helpful for policy-maker to find a new way aiming to reduce such inequalities. Keywords: Health Status, EQ-5D, Visual Analogue Scale (VAS), Inequality, Population Implications for policy makers • The findings of the study can help policy-makers to find out the related factors of socio-economic and demographic inequalities in health status.• It also can help policy-makers to find a new path way aiming to reduce such inequalities by making need-based supply side efficiency. Implications for publicStudy found that potential inequalities in health status exist among different socio-economic and demographic groups. Hence, factors affecting the health status should be assessed in order to improve the community health. Key MessagesBackground Bangladesh has made notable gains across a range of social and health indicators, and has further experienced enhanced economic growth over the last 3 decades. According to article 15a in the constitution of Bangladesh, advocacy for human rights is considered as a fundamental priority as health and education. Moreover, Bangladesh has authorized most international agreements and declarations like Alma-Ata Declaration, Millennium Development Goals (MDGs), etc.

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“…A higher score indicates better functioning, less pain or greater well-being. Shafie et al (2011) reported a moderately positive convergent validity between PCS and MCS with EuroQoL-5 dimensions in a study among 596 Malaysian adults.…”

Section: Twelve-item Short Form (Sf-12)mentioning

confidence: 98%

Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia

Ibrahim

Din

Ahmad

et al. 2013

Asia-Pacific Psychiatry

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Introduction: This study aimed to examine the role of social support and depression in predicting the quality of life among the elderly living in a rural Federal Land Development Authority (FELDA) community in Malaysia. Methods: A total of 162 elderly settlers of FELDA Sungai Tengi, aged 60 years and above, were selected by universal sampling method in this cross-sectional study. Three standardized instruments -the 12-item Short Form (SF-12), 15-item Geriatric Depression Scale (GDS-15) and Medical Outcome Study Social Support (MOS-Social Support) -were used to assess for quality of life, depression and social support. Results: Quality of life of the elderly people in this community was high, especially in terms of physical components as compared to mental components. The mean scores for emotional role in the SF-12 was relatively the highest (90.74 Ϯ 21.59) with social functioning being the lowest (30.35 Ϯ 22.29). The results also showed that the mean value was higher for physical component summary (74.40) as compared to mental component summary (51.51). Approximately 23.5% suffered mild depression and only 2.5% had severe depression. Discussion: This study showed that the elderly FELDA settlers have a high quality of life, mainly on the physical components of life and low rate of severe depression, a positive indicator of their psychological well-being. Social support in the form of emotional/informational support, and depression were significant factors related to their good quality of life.

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A cross-sectional validation study of EQ-5D among the Malaysian adult population

Abstract: This study has demonstrated acceptable construct validity of the EQ-5D among the Malaysian population.

Cited by 56 publications

References 20 publications

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008

Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia

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