Cited by 1,059Health Systems, Economic Evaluations, Quality of LifeHealth and Medical StudiesMusculoskeletal pain and rehabilitation

Variations in population health status: results from a United Kingdom national questionnaire survey

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Kind, P., Dolan, P., Gudex, C., Williams, A.·1998·BMJ

Abstract

Abstract Objective: To measure the health of a representative sample of the population of the United Kingdom by using the EuroQoL EQ-5D questionnaire. Design: Stratified random sample representative of the general population aged 18 and over and living in the community. Setting: United Kingdom. Subjects: 3395 people resident in the United Kingdom. Main outcome measures: Average values for mobility, self care, usual activities, pain or discomfort, and anxiety or depression. Results: One in three respondents reported problems with pain or discomfort. There were differences in the perception of health according to the respondent9s age, social class, education, housing tenure, economic position, and smoking behaviour. Conclusions: The EQ-5D questionnaire is a practical way of measuring the health of a population and of detecting differences in subgroups of the population. Key messages Measurement of health outcome requires the observation of states of health Patients9 involvement in recording and assessing their own state of health is a major element in the process of evaluating the impact of health care The EuroQoL EQ-5D questionnaire highlights variations in states of health which are consistent with previously published results High degrees of pain are reported in the general population. A category for pain is absent and thus undetected in the survey of disability by the Office of Population Censuses and Surveys

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  • The EQ-5D can suffer from ceiling effects, particularly when used in general population surveys but also in some patient population settings.

    “Substantial use of the instrument has shown that it can suffer from ceiling effects, particularly when used in general population surveys but also in some patient population settings [2–8].”

    From Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) (2011) · cites this paper as [6]

    Table 1 (Key messages; page not specified) reports that 43.1% of respondents had a problem in any EQ-5D dimension, meaning 56.9% reported no problems across all five—a concentration at the best descriptive health state consistent with a ceiling effect in this general-population survey. The paper does not report a ceiling effect in patient populations; its EQ-5D questionnaire section mentions use in patient groups without giving that finding. (LLM, conf=0.85)

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Research works printed but not linked: 2

  1. [1]1. BMJ VOLUME 316 7 MARCH 1998 on 22 August 2023 by guest. Protected by copyright. http://www.bmj.com/ BMJ: first published as 10.1136/bmj.316.7133.736 on 7 March 1998. Downloaded from
  2. [19]19. Kish L. Survey sampling. New York: Wiley, 1965.

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Authors
Kind, P., Dolan, P., Gudex, C., & Williams, A.
Affiliations
University of York (GB)
Venue
BMJ
Publisher
BMJ
Published
1998-03-07
Volume
316
Issue
7133
Pages
736-741
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2081557449
Cited by
1,059
References
27
Citations by year
2026: 5 · 2025: 14 · 2024: 17 · 2023: 18 · 2022: 27 · 2021: 21 · 2020: 28 · 2019: 22 · 2018: 31 · 2017: 43 · 2016: 54 · 2015: 52 · 2014: 68 · 2013: 47 · 2012: 51
FWCI
61.42
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
population health status, EQ-5D, health-related quality of life, pain and discomfort, mobility (physical function), self-care, usual activities, anxiety and depression, socioeconomic inequalities in health, age differences, smoking, housing tenure, health outcome measurement
MeSH terms
Adolescent, Adult, Aged, Analysis of Variance, Educational Status, Female, United Kingdom, Persons with Disabilities, Health Status, Health Surveys, Humans, Male, Marriage, Middle Aged, Surveys and Questionnaires, Smoking, Social Class, Socioeconomic Factors, Sex Distribution

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