Hoeymans N, van Lindert H, Westert G P
Department of Public Health Status and Forecasts, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Qual Life Res. 2005 Apr;14(3):655-63. doi: 10.1007/s11136-004-1214-z.
This study uses the Six-Dimensional EuroQol instrument (EQ-6D) to describe the health status of the Dutch population and investigates sociodemographic differences. The subjects participated in the second Dutch National Survey of General Practice, which was conducted in 2001. Five percent of all listed patients of 104 practices (99% of the Dutch are listed in a general practice) were invited for a health interview. Analyses were prepared for 9685 respondents aged 18 years or more. The EQ-6D is an extended EQ-5D (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) with a cognitive dimension. The EQ-6D construct validity was examined by comparing it with the SF-36, with good results. Most respondents reported no health problems, while 33% reported pain or discomfort. Women and elderly people generally reported more problems; only depression/anxiety was unrelated to age. Educational level was closely related to problems in all dimensions. The cognitive dimension of the EQ-6D, used for the first time in a general population, gave satisfactory results. This paper includes normative data by age and gender for both the EQ-6D and the EQ-5D. We conclude that the EQ-6D is an efficient tool for establishing the health status in the community, so that different population subgroups can be compared.
本研究使用六维度欧洲生活质量量表（EQ - 6D）来描述荷兰人群的健康状况，并调查社会人口学差异。研究对象参与了2001年开展的第二次荷兰全国全科医疗调查。从104家诊所的所有在册患者（99%的荷兰人在全科诊所登记）中抽取5%邀请其进行健康访谈。对9685名18岁及以上的受访者进行了分析。EQ - 6D是在EQ - 5D（移动性、自我护理、日常活动、疼痛/不适、焦虑/抑郁）基础上扩展了一个认知维度。通过与SF - 36对比检验了EQ - 6D的结构效度，结果良好。大多数受访者表示没有健康问题，而33%的受访者报告有疼痛或不适。女性和老年人通常报告的问题更多；只有抑郁/焦虑与年龄无关。教育水平与各个维度的问题都密切相关。EQ - 6D的认知维度首次用于普通人群，结果令人满意。本文包含了EQ - 6D和EQ - 5D按年龄和性别的规范数据。我们得出结论，EQ - 6D是评估社区健康状况的有效工具，可用于比较不同人群亚组。
