Danish population health measured by the EQ-5D-5L

Morten B. Jensen*, Cathrine E. Jensen, Claire Gudex, Kjeld M. Pedersen, Sabrina S. Sørensen, Lars H. Ehlers

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Abstract

Aims: The aims of this study were to provide Danish population norms for the EQ-5D-5L and to assess the measurement properties of the instrument in a Danish population setting. Methods: We used data from the Danish 5L valuation study in which a representative sample of the Danish population completed the EQ-5D-5L and answered socio-demographic questions. We generated population norms for the five EQ-5D-5L dimensions, corresponding utility scores and the EQ-5D visual analogue scale (EQ VAS) according to age and sex. Measurement properties of ceiling effects, known-group construct validity and convergent validity were assessed. Results: The mean EQ-5D-5L utility score for the 1014 respondents completing the EQ-5D-5L was 0.90 (standard deviation (SD)=0.16). No significant differences emerged across age groups (minimum mean utility score=0.88 (SD=0.19); maximum mean utility score=0.93 (SD=0.11)) or sex (mean utility score for women=0.89 (SD=0.17); mean utility score for men=0.91 (SD=0.15)). Statistical differences were found across educational level, occupational status, income and living situation. Similar patterns were observed for the EQ VAS. Generally, respondents most often reported problems with pain and discomfort, but young women most often reported problems with anxiety/depression. There was a significant strong correlation between EQ-5D-5L utility and the EQ VAS and a significant correlation between overall health and each of the five EQ-5D-5L dimensions. The overall ceiling effect for the EQ-5D-5L was 39% (compared to 56% for the EQ-5D-3L). Conclusions: Danish population norms for the EQ-5D-5L are now available. We found fewer ceiling effects for the EQ-5D-5L compared to the EQ-5D-3L, and we provide evidence for convergent and known-group validity of the EQ-5D-5L.

OriginalsprogEngelsk
TidsskriftScandinavian Journal of Public Health
Vol/bind51
Udgave nummer2
Sider (fra-til)241-249
ISSN1403-4948
DOI
StatusUdgivet - mar. 2023

Bibliografisk note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship and/or publication of this article: The Danish EQ-5D-5L valuation study has received funding from the EuroQol Research Foundation, The Danish Health Foundation (Helsefonden), Aase og Ejnar Danielsens Fond, the North Denmark Region, and the Department of Business and Management at Aalborg University.

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