Skip to main content
Top
Published in: Quality of Life Research 11/2018

Open Access 01-11-2018

Population health status based on the EQ-5D-Y-3L among adolescents in Sweden: Results by sociodemographic factors and self-reported comorbidity

Authors: Mimmi Åström, Carina Persson, Margareta Lindén-Boström, Ola Rolfson, Kristina Burström

Published in: Quality of Life Research | Issue 11/2018

Login to get access

Abstract

Purpose

The EQ-5D-Y-3L is a generic health-related quality of life (HRQoL) measure developed for youth from 8 years old. The aim of this study is to present population health status, based on the EQ-5D-Y-3L, among adolescents in Sweden, by sex, age, self-reported comorbidity and parents’ occupational status.

Methods

Data were obtained from a cross-sectional total survey among students, aged 13–18 years, in a Swedish County year 2014. The survey included EQ-5D-Y-3L, questions regarding self-reported health, disease, functional impairment and mental distress. Parents’ occupational status was used as a proxy for socio-economic status.

Results

A total of 6574 participants answered all the EQ-5D-Y-3L dimensions (mean age was 15.9 years, same proportion of boys and girls). Girls reported more problems than boys in the dimensions ‘doing usual activities’, ‘having pain or discomfort’ and ‘feeling worried, sad or unhappy’, and lower mean VAS score. Respondents with one or both parents unemployed reported more problems with usual activities, pain/discomfort and in the mood dimension than those with both parents employed. Those with comorbidity had in general more problems in all dimensions and lower mean VAS score. The highest impact on VAS score was found for adolescents who reported that they always felt depressed.

Conclusions

Sex, age, self-reported comorbidity and parents’ occupational status were associated with HRQoL determined by the EQ-5D-Y-3L in the general population of adolescents. The ability of EQ-5D-Y-3L to distinguish adolescents’ health status based on these factors confirms the instrument’s usefulness in assessment of HRQoL and as guidance for prioritization.
Appendix
Available only for authorised users
Literature
2.
go back to reference Ravens-Sieberer, U., Erhart, M., Wille, N., Wetzel, R., Nickel, J., & Bullinger, M. (2006). Generic health-related quality-of-life assessment in children and adolescents: Methodological considerations. Pharmacoeconomics, 24(12), 1199–1220.CrossRef Ravens-Sieberer, U., Erhart, M., Wille, N., Wetzel, R., Nickel, J., & Bullinger, M. (2006). Generic health-related quality-of-life assessment in children and adolescents: Methodological considerations. Pharmacoeconomics, 24(12), 1199–1220.CrossRef
3.
go back to reference Brazier, J., Ratcliffe, J., Salomon, J. A., & Tsuchiya, A. (2007). Measuring and valuing health benefits for economic evaluation. New York: Oxford University Press. Brazier, J., Ratcliffe, J., Salomon, J. A., & Tsuchiya, A. (2007). Measuring and valuing health benefits for economic evaluation. New York: Oxford University Press.
4.
go back to reference Solans, M., Pane, S., Estrada, M. D., Serra-Sutton, V., Herdman, M., et al. (2008). Health-related quality of life measurement in children and adolescents: A systematic review of generic and disease-specific instruments. Value in Health, 11(4), 742–764.CrossRef Solans, M., Pane, S., Estrada, M. D., Serra-Sutton, V., Herdman, M., et al. (2008). Health-related quality of life measurement in children and adolescents: A systematic review of generic and disease-specific instruments. Value in Health, 11(4), 742–764.CrossRef
5.
go back to reference Appleby, J., Devlin, N., & Parkin, D. (2016). Using patient reported outcomes to improve health care. Chichester: Wiley. Appleby, J., Devlin, N., & Parkin, D. (2016). Using patient reported outcomes to improve health care. Chichester: Wiley.
6.
go back to reference Dawson, J., Doll, H., Fitzpatrick, R., Jenkinson, C., & Carr, A. J. (2010). The routine use of patient reported outcome measures in healthcare settings. BMJ, 340, c186.CrossRef Dawson, J., Doll, H., Fitzpatrick, R., Jenkinson, C., & Carr, A. J. (2010). The routine use of patient reported outcome measures in healthcare settings. BMJ, 340, c186.CrossRef
7.
go back to reference Janssens, A., Thompson Coon, J., Rogers, M., Allen, K., Green, C., Jenkinson, C., et al. (2015). A systematic review of generic multidimensional patient-reported outcome measures for children, part I: Descriptive characteristics. Value in Health, 18(2), 315–333.CrossRef Janssens, A., Thompson Coon, J., Rogers, M., Allen, K., Green, C., Jenkinson, C., et al. (2015). A systematic review of generic multidimensional patient-reported outcome measures for children, part I: Descriptive characteristics. Value in Health, 18(2), 315–333.CrossRef
8.
go back to reference Kane, R. L., & Radosevich, D. M. (2011). Conducting health outcomes research. Sudbury: Jones & Bartlett Learning. Kane, R. L., & Radosevich, D. M. (2011). Conducting health outcomes research. Sudbury: Jones & Bartlett Learning.
9.
go back to reference Riley, A. W. (2004). Evidence that school-age children can self-report on their health. Ambulatory Pediatrics, 4(4), 371–376.CrossRef Riley, A. W. (2004). Evidence that school-age children can self-report on their health. Ambulatory Pediatrics, 4(4), 371–376.CrossRef
10.
go back to reference Ungar, W. J. (2010). Economic evaluation in child health. Oxford: Oxford University Press. Ungar, W. J. (2010). Economic evaluation in child health. Oxford: Oxford University Press.
11.
go back to reference Noyes, J., & Edwards, R. T. (2011). EQ-5D for the assessment of health-related quality of life and resource allocation in children: A systematic methodological review. Value in Health, 14(8), 1117–1129.CrossRef Noyes, J., & Edwards, R. T. (2011). EQ-5D for the assessment of health-related quality of life and resource allocation in children: A systematic methodological review. Value in Health, 14(8), 1117–1129.CrossRef
12.
go back to reference Matza, L. S., Patrick, D. L., Riley, A. W., Alexander, J. J., Rajmil, L., Pleil, A. M., et al. (2013). Pediatric patient-reported outcome instruments for research to support medical product labeling: Report of the ISPOR PRO good research practice for the assessment of children and adolescents task force. Value in Health, 16(4), 461–479.CrossRef Matza, L. S., Patrick, D. L., Riley, A. W., Alexander, J. J., Rajmil, L., Pleil, A. M., et al. (2013). Pediatric patient-reported outcome instruments for research to support medical product labeling: Report of the ISPOR PRO good research practice for the assessment of children and adolescents task force. Value in Health, 16(4), 461–479.CrossRef
13.
go back to reference Szende, A., Janssen, B., & Cabases, J. (2014). Self-reported population health: An international perspective based on EQ-5D. New York: Springer Open.CrossRef Szende, A., Janssen, B., & Cabases, J. (2014). Self-reported population health: An international perspective based on EQ-5D. New York: Springer Open.CrossRef
14.
go back to reference Sun, S., Irestig, R., Burström, B., Beijer, U., & Burström, K. (2006). Health-related quality of life (EQ-5D) among homeless persons compared to a general population sample in Stockholm County, 2006. Scandinavian Journal of Public Health, 40(2), 115–125.CrossRef Sun, S., Irestig, R., Burström, B., Beijer, U., & Burström, K. (2006). Health-related quality of life (EQ-5D) among homeless persons compared to a general population sample in Stockholm County, 2006. Scandinavian Journal of Public Health, 40(2), 115–125.CrossRef
15.
go back to reference Ravens-Sieberer, U., Gosch, A., Abel, T., Auguier, P., Bellach, B. M., Bruil, J., et al. (2001). Quality of life in children and adolescents: A European public health perspective. Sozial and Praventivmedizin, 46(5), 294–302.CrossRef Ravens-Sieberer, U., Gosch, A., Abel, T., Auguier, P., Bellach, B. M., Bruil, J., et al. (2001). Quality of life in children and adolescents: A European public health perspective. Sozial and Praventivmedizin, 46(5), 294–302.CrossRef
16.
go back to reference Ravens-Sieberer, U. (2002). Measuring and monitoring quality-of-life in population surveys: Still a challenge for public health research. Sozial and Praventivmedizin, 47(4), 203–204. Ravens-Sieberer, U. (2002). Measuring and monitoring quality-of-life in population surveys: Still a challenge for public health research. Sozial and Praventivmedizin, 47(4), 203–204.
17.
go back to reference Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRef Burström, K., Johannesson, M., & Diderichsen, F. (2001). Swedish population health-related quality of life results using the EQ-5D. Quality of Life Research, 10(7), 621–635.CrossRef
18.
go back to reference Sorensen, J., Davidsen, M., Gudex, C., Pedersen, K. M., & Bronnum-Hansen, H. (2009). Danish EQ-5D population norms. Scandinavian Journal of Public Health, 37(5), 467–474.CrossRef Sorensen, J., Davidsen, M., Gudex, C., Pedersen, K. M., & Bronnum-Hansen, H. (2009). Danish EQ-5D population norms. Scandinavian Journal of Public Health, 37(5), 467–474.CrossRef
19.
go back to reference Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., Devlin, N., et al. (2010). Development of the EQ-5D-Y: A child friendly version of the EQ-5D. Quality of Life Research, 19(6), 875–886.CrossRef Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., Devlin, N., et al. (2010). Development of the EQ-5D-Y: A child friendly version of the EQ-5D. Quality of Life Research, 19(6), 875–886.CrossRef
20.
go back to reference Burström, K., Egmar, A. C., Lugnér, A., Eriksson, M., & Svartengren, M. (2010). A Swedish child-friendly pilot version of the EQ-5D instrument—The development process. European Journal of Public Health, 21(2), 171–177.CrossRef Burström, K., Egmar, A. C., Lugnér, A., Eriksson, M., & Svartengren, M. (2010). A Swedish child-friendly pilot version of the EQ-5D instrument—The development process. European Journal of Public Health, 21(2), 171–177.CrossRef
22.
go back to reference Ravens-Sieberer, U., Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., et al. (2010). Feasibility, reliability, and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research, 19(6), 887–897.CrossRef Ravens-Sieberer, U., Wille, N., Badia, X., Bonsel, G., Burström, K., Cavrini, G., et al. (2010). Feasibility, reliability, and validity of the EQ-5D-Y: Results from a multinational study. Quality of Life Research, 19(6), 887–897.CrossRef
23.
go back to reference Burström, K., Svartengren, M., & Egmar, A.-C. (2010). Testing a Swedish child-friendly pilot version of the EQ-5D instrument—Initial results. European Journal of Public Health, 2(21), 178–183. Burström, K., Svartengren, M., & Egmar, A.-C. (2010). Testing a Swedish child-friendly pilot version of the EQ-5D instrument—Initial results. European Journal of Public Health, 2(21), 178–183.
24.
go back to reference Eidt-Koch, D., Mittendorf, T., & Greiner, W. (2008). Cross-sectional validity of the EQ-5D-Y as a generic health outcome instrument in children and adolescents with cystic fibrosis in Germany. BMC Pediatric, 9, 55.CrossRef Eidt-Koch, D., Mittendorf, T., & Greiner, W. (2008). Cross-sectional validity of the EQ-5D-Y as a generic health outcome instrument in children and adolescents with cystic fibrosis in Germany. BMC Pediatric, 9, 55.CrossRef
25.
go back to reference Burström, K., Bartonek, A., Brostrom, E. W., Sun, S., & Egmar, A.-C. (2014). EQ-5D-Y as a health-related quality of life measure in children and adolescents with functional disability in Sweden: Testing feasibility and validity. Acta Paediatrica, 103(4), 426–435.CrossRef Burström, K., Bartonek, A., Brostrom, E. W., Sun, S., & Egmar, A.-C. (2014). EQ-5D-Y as a health-related quality of life measure in children and adolescents with functional disability in Sweden: Testing feasibility and validity. Acta Paediatrica, 103(4), 426–435.CrossRef
26.
go back to reference Bergfors, S., Åström, M., Burström, K., & Egmar, A.-C. (2015). Measuring health-related quality of life with the EQ-5D-Y instrument in children and adolescents with asthma. Acta Paediatrica, 104, 167–173.CrossRef Bergfors, S., Åström, M., Burström, K., & Egmar, A.-C. (2015). Measuring health-related quality of life with the EQ-5D-Y instrument in children and adolescents with asthma. Acta Paediatrica, 104, 167–173.CrossRef
27.
go back to reference Scott, D., Ferguson, G. D., & Jelsma, J. (2017). The use of the EQ-5D-Y health related quality of life outcome measure in children in the Western Cape, South Africa: Psychometric properties, feasibility and usefulness—A longitudinal, analytical study. Health and Quality of Life Outcomes, 15(1), 12.CrossRef Scott, D., Ferguson, G. D., & Jelsma, J. (2017). The use of the EQ-5D-Y health related quality of life outcome measure in children in the Western Cape, South Africa: Psychometric properties, feasibility and usefulness—A longitudinal, analytical study. Health and Quality of Life Outcomes, 15(1), 12.CrossRef
28.
go back to reference Wu, X. Y., Ohinmaa, A., Johnson, J. A., & Veugelers, P. J. (2014). Assessment of children’s own health status using visual analogue scale and descriptive system of the EQ-5D-Y: Linkage between two systems. Quality of Life Research, 23(2), 393–402.CrossRef Wu, X. Y., Ohinmaa, A., Johnson, J. A., & Veugelers, P. J. (2014). Assessment of children’s own health status using visual analogue scale and descriptive system of the EQ-5D-Y: Linkage between two systems. Quality of Life Research, 23(2), 393–402.CrossRef
29.
go back to reference Kim, S. K., Jo, M. W., & Kim, S. H. (2017). A cross sectional survey on health-related quality of life of elementary school students using the Korean version of the EQ-5D-Y. PeerJ, 5, e3115.CrossRef Kim, S. K., Jo, M. W., & Kim, S. H. (2017). A cross sectional survey on health-related quality of life of elementary school students using the Korean version of the EQ-5D-Y. PeerJ, 5, e3115.CrossRef
31.
go back to reference Mossey, J. M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72(8), 800–808.CrossRef Mossey, J. M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72(8), 800–808.CrossRef
32.
go back to reference Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.CrossRef Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.CrossRef
33.
go back to reference Lien, N., Friestad, C., & Klepp, K.-I. (2001). Adolescents’ proxy report of parents’ socioeconomic status: How valid are they? Journal of Epidemiology and Community Health, 55, 731–737.CrossRef Lien, N., Friestad, C., & Klepp, K.-I. (2001). Adolescents’ proxy report of parents’ socioeconomic status: How valid are they? Journal of Epidemiology and Community Health, 55, 731–737.CrossRef
34.
go back to reference Cole, T. J., & Lobstein, T. (2012). Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. International Journal of Pediatric Obesity, 7(4), 284–294.CrossRef Cole, T. J., & Lobstein, T. (2012). Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. International Journal of Pediatric Obesity, 7(4), 284–294.CrossRef
35.
go back to reference Fayers, P. M., & Machin, D. (2007). Quality of life—The assessment, analysis and interpretation of patient-reported outcomes (2nd ed.). Chichester: Wiley. Fayers, P. M., & Machin, D. (2007). Quality of life—The assessment, analysis and interpretation of patient-reported outcomes (2nd ed.). Chichester: Wiley.
36.
go back to reference Campbell, M. J., Machin, D., & Walters, S. J. (2007). Medical statistics: A textbook for the health sciences (4th ed.). Chichester: Wiley. Campbell, M. J., Machin, D., & Walters, S. J. (2007). Medical statistics: A textbook for the health sciences (4th ed.). Chichester: Wiley.
37.
go back to reference IBM Corp. (2015). IBM SPSS statistics for windows. Version 23.0. Armonk, NY: IBM Corp. IBM Corp. (2015). IBM SPSS statistics for windows. Version 23.0. Armonk, NY: IBM Corp.
38.
go back to reference Wiklund, M., Malmgren-Olsson, E. B., Öhman, A., Bergström, E., & Fjellman-Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender—A cross-sectional school study in Northern Sweden. BMC Public Health, 12, 993.CrossRef Wiklund, M., Malmgren-Olsson, E. B., Öhman, A., Bergström, E., & Fjellman-Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender—A cross-sectional school study in Northern Sweden. BMC Public Health, 12, 993.CrossRef
39.
go back to reference Koot, H. M., & Wallander, J. L. (2001). Quality of life—In child and adolescent illness. East Sussex: Brunner-Routledge. Koot, H. M., & Wallander, J. L. (2001). Quality of life—In child and adolescent illness. East Sussex: Brunner-Routledge.
40.
go back to reference Bisegger, C., Cloetta, B., & von Rueden, U. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial and Praventivmedizin, 50(5), 281–291.CrossRef Bisegger, C., Cloetta, B., & von Rueden, U. (2005). Health-related quality of life: Gender differences in childhood and adolescence. Sozial and Praventivmedizin, 50(5), 281–291.CrossRef
41.
go back to reference Marmot, M., Ryff, C., Bumpass, L. L., Shipley, M., & Marks, N. F. (1997). Social inequalities in health: Next questions and converging evidence. Social Science & Medicine, 44(6), 901–910.CrossRef Marmot, M., Ryff, C., Bumpass, L. L., Shipley, M., & Marks, N. F. (1997). Social inequalities in health: Next questions and converging evidence. Social Science & Medicine, 44(6), 901–910.CrossRef
42.
go back to reference Case, A., Lubotsky, D., & Paxson, C. (2002). Economic status and health in childhood. The origins of the gradient. The American Economic Review, 92(5), 1308–1334.CrossRef Case, A., Lubotsky, D., & Paxson, C. (2002). Economic status and health in childhood. The origins of the gradient. The American Economic Review, 92(5), 1308–1334.CrossRef
43.
go back to reference Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes (4th ed.). New York: Oxford University Press. Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes (4th ed.). New York: Oxford University Press.
44.
go back to reference Kind, P., Klose, K., Gusi, N., Olivares, P. R., & Greiner, W. (2015). Can adult weights be used to value child health states? Testing the influence of perspective in valuing EQ-5D-Y. Quality of Life Research, 24(10), 19–39.CrossRef Kind, P., Klose, K., Gusi, N., Olivares, P. R., & Greiner, W. (2015). Can adult weights be used to value child health states? Testing the influence of perspective in valuing EQ-5D-Y. Quality of Life Research, 24(10), 19–39.CrossRef
45.
go back to reference Craig, B. M., Greiner, W., Brown, D. S., & Reeve, B. B. (2016). Valuation of child health-related quality of life in the United States. Health Economics, 25(6), 768–777.CrossRef Craig, B. M., Greiner, W., Brown, D. S., & Reeve, B. B. (2016). Valuation of child health-related quality of life in the United States. Health Economics, 25(6), 768–777.CrossRef
46.
go back to reference Ratcliffe, J., Flynn, T., Terlich, F., Stevens, K., Brazier, J., & Sawyer, M. (2012). Developing adolescent-specific health state values for economic evaluation: An application of profile case best-worst scaling to the Child Health Utility 9D. Pharmacoeconomics, 30(8), 713–727.CrossRef Ratcliffe, J., Flynn, T., Terlich, F., Stevens, K., Brazier, J., & Sawyer, M. (2012). Developing adolescent-specific health state values for economic evaluation: An application of profile case best-worst scaling to the Child Health Utility 9D. Pharmacoeconomics, 30(8), 713–727.CrossRef
Metadata
Title
Population health status based on the EQ-5D-Y-3L among adolescents in Sweden: Results by sociodemographic factors and self-reported comorbidity
Authors
Mimmi Åström
Carina Persson
Margareta Lindén-Boström
Ola Rolfson
Kristina Burström
Publication date
01-11-2018
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 11/2018
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-1985-2

Other articles of this Issue 11/2018

Quality of Life Research 11/2018 Go to the issue