Eliza Lai-Yi Wong1, Annie Wai-Ling Cheung2, Amy Yuen-Kwan Wong2, Richard Huan Xu2, Juan M Ramos-Goñi3, Oliver Rivero-Arias4. 1. The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. Electronic address: lywong@cuhk.edu.hk. 2. The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. 3. Axentiva Solutions, Tacoronte, Spain. 4. National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Abstract
OBJECTIVES: To establish a normative profile of health-related quality of life (HRQoL) for Hong Kong (HK) Chinese residents aged 18 years and above and to examine the relationship between socioeconomic characteristics and health conditions and the preference-based health index. METHODS: We recruited 1014 representative Cantonese-speaking residents across 18 geographical districts. The normative profiles of HRQoL were derived using established HK value sets. Mean values were computed by sex, age group, and educational attainment to obtain the EQ-5D HK normative profile for the general HK population. To explore the relationships among potential covariates (socioeconomic characteristics and health conditions) and the HK health index, a multivariable homoscedastic Tobit regression model was employed for the analysis. RESULTS: The mean index value was 0.919 using the EQ-5D-5L HK value set. Younger ages reported greater problems with anxiety or depression than did older ages, whereas older ages reported greater problems with pain or discomfort than did younger ages. Persons with higher educational attainment and those who reported higher life satisfaction reported significantly higher health index scores (P < .05). On the contrary, receiving government allowance and having experienced a serious illness were significantly associated (P < .05) with a lower health index. CONCLUSIONS: The norm values fully represent the societal preferences of the HK population, and knowledge of societal preferences can enable policy makers to allocate resources and prioritize service planning. The study was conducted with the EuroQol International EQ-5D-5L Valuation Protocol and therefore enabled us to compare the EQ-5D-5L values with other countries to facilitate understanding of societal preferences in different jurisdictions.
OBJECTIVES: To establish a normative profile of health-related quality of life (HRQoL) for Hong Kong (HK) Chinese residents aged 18 years and above and to examine the relationship between socioeconomic characteristics and health conditions and the preference-based health index. METHODS: We recruited 1014 representative Cantonese-speaking residents across 18 geographical districts. The normative profiles of HRQoL were derived using established HK value sets. Mean values were computed by sex, age group, and educational attainment to obtain the EQ-5D HK normative profile for the general HK population. To explore the relationships among potential covariates (socioeconomic characteristics and health conditions) and the HK health index, a multivariable homoscedastic Tobit regression model was employed for the analysis. RESULTS: The mean index value was 0.919 using the EQ-5D-5L HK value set. Younger ages reported greater problems with anxiety or depression than did older ages, whereas older ages reported greater problems with pain or discomfort than did younger ages. Persons with higher educational attainment and those who reported higher life satisfaction reported significantly higher health index scores (P < .05). On the contrary, receiving government allowance and having experienced a serious illness were significantly associated (P < .05) with a lower health index. CONCLUSIONS: The norm values fully represent the societal preferences of the HK population, and knowledge of societal preferences can enable policy makers to allocate resources and prioritize service planning. The study was conducted with the EuroQol International EQ-5D-5L Valuation Protocol and therefore enabled us to compare the EQ-5D-5L values with other countries to facilitate understanding of societal preferences in different jurisdictions.
Authors: Carlos K H Wong; Rosa S Wong; Jason P Y Cheung; Keith T S Tung; Jason C S Yam; Michael Rich; King-Wa Fu; Prudence W H Cheung; Nan Luo; Chi Ho Au; Ada Zhang; Wilfred H S Wong; Jiang Fan; Cindy L K Lam; Patrick Ip Journal: Health Qual Life Outcomes Date: 2021-05-12 Impact factor: 3.186
Authors: Cindy Lam; Weng Yee Chin; Carlos King Ho Wong; Kalun Or; Daniel Yee Tak Fong; Jason Pui Yin Cheung; David Vai Kiong Chao; Eliza L Y Wong; Paul Kind Journal: BMJ Open Date: 2020-12-15 Impact factor: 2.692