Burström Kristina, Johannesson Magnus, Rehnberg Clas
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Norrbacka, 171 76 Stockholm, Sweden.
Qual Life Res. 2007 Nov;16(9):1547-53. doi: 10.1007/s11136-007-9243-z. Epub 2007 Sep 9.
RATIONALE, AIM AND METHODOLOGY: In order to measure the change in health status in Sweden, the generic health-related quality of life instrument, the EQ-5D, was included in the 1998 (n = 4,950) and 2002 (n = 49,914) cross-sectional postal Public Health Surveys, a representative sample (21-84 years) of the Stockholm County population, with response rates about 63% in both years. The EQ-5D provides data on five dimensions of health as well as an overall index value (1 = full health; 0 = dead).
Over time the health index decreased statistically significantly from 0.858 to 0.841 for men and from 0.833 to 0.797 for women. Women had significantly more health problems in 2002 in four out of the five dimensions, with the largest increase in the dimensions anxiety/depression (33-43%) and pain/discomfort (47-53%). The health index was significantly lower in all age-groups for women. Men had significantly more health problems 2002 in two dimensions, and the largest increase in anxiety/depression (24-31%). The health index decreased significantly over time for younger men.
The observed deterioration in health status over time gives reason for concern. Investigation of reasons for the declining health status should be a research priority.
原理、目的和方法：为了衡量瑞典健康状况的变化，通用的健康相关生活质量工具EQ-5D被纳入1998年（n = 4950）和2002年（n = 49914）的横断面邮政公共卫生调查，这是斯德哥尔摩县人口的代表性样本（21 - 84岁），两年的回复率均约为63%。EQ-5D提供了关于健康五个维度的数据以及一个总体指数值（1 = 完全健康；0 = 死亡）。
随着时间推移，男性的健康指数从0.858显著下降至0.841，女性从0.833下降至0.797。2002年，女性在五个维度中的四个维度存在显著更多的健康问题，其中焦虑/抑郁维度（33 - 43%）和疼痛/不适维度（47 - 53%）的增幅最大。所有年龄组的女性健康指数均显著较低。2002年，男性在两个维度存在显著更多的健康问题，焦虑/抑郁维度的增幅最大（24 - 31%）。年轻男性的健康指数随时间显著下降。
观察到的健康状况随时间的恶化令人担忧。对健康状况下降原因的调查应成为研究重点。
