Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets

被引:163
作者
Cherepanov, Dasha [1 ,2 ]
Palta, Mari [3 ]
Fryback, Dennis G. [3 ]
Robert, Stephanie A. [3 ]
机构
[1] Univ Calif Los Angeles, Sch Publ Hlth, Dept Hlth Serv, POB 90095-1772, Los Angeles, CA 90024 USA
[2] RAND Corp, Santa Monica, CA 90407 USA
[3] Univ Wisconsin, Dept Populat Hlth Sci, Sch Med & Publ Hlth, Madison, WI 53726 USA
基金
美国医疗保健研究与质量局;
关键词
Sex differences; Men's health; Women's health; Quality of life; Outcome assessment; Health status; Gender differences; SF-6D; EQ-5D; HUI2; HUI3; QWB-SA; Population study; PREFERENCE-BASED MEASURE; EQ-5D; MULTIATTRIBUTE; POPULATION; SCORES;
D O I
10.1007/s11136-010-9673-x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
100404 [儿少卫生与妇幼保健学];
摘要
The purpose of this study was to describe gender differences in self-reported health-related quality-of-life (HRQoL) and to examine whether differences are explained by sociodemographic and socioeconomic status (SES) differentials between men and women. Data were from four US nationally representative surveys: US Valuation of the EuroQol EQ-5D Health States Survey (USVEQ), Medical Expenditure Panel Survey (MEPS), National Health Measurement Study (NHMS) and Joint Canada/US Survey of Health (JCUSH). Gender differences were estimated with and without adjustment for sociodemographic and SES indicators using regression within and across data sets with SF-6D, EQ-5D, HUI2, HUI3 and QWB-SA scores as outcomes. Women have lower HRQoL scores than men on all indexes prior to adjustment. Adjusting for age, race, marital status, education and income reduced but did not remove the gender differences, except with HUI3. Adjusting for marital status or income had the largest impact on estimated gender differences. There are clear gender differences in HRQoL in the United States. These differences are partly explained by sociodemographic and SES differentials.
引用
收藏
页码:1115 / 1124
页数:10
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