Department of Economics, The University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
HEU, Centre for Health Economics, The University of The West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
Health Qual Life Outcomes. 2021 Mar 19;19(1):97. doi: 10.1186/s12955-021-01734-8.
The EQ-5D instrument is increasingly used in clinical and resource allocation decision making in developed and developing countries. EQ-5D valuation and population norms studies have been undertaken for Trinidad and Tobago, however no population norms or value sets have been generated for the other Caribbean countries. The aims of this study were to provide population norms for Barbados and Jamaica, and to develop a set of population norms that could be used by the other English-speaking Caribbean countries.
The EQ-5D-5L self-reported health questionnaire was included in surveys of representative samples of adults in Barbados and adults in Jamaica in 2013. EQ-5D health states, mean EQ VAS scores and mean EQ-5D-5L index values (using the Trinidad and Tobago value set) were calculated for demographic groups in both countries based on 2347 respondents from Barbados and 1423 from Jamaica. A set of 'Caribbean' norms were developed by combining the Barbados and Jamaica data with norms recently published for Trinidad and Tobago.
Data were obtained for 2347 and 1423 respondents in Barbados and Jamaica respectively. The mean index and EQ VAS values were 0.943 and 81.9 for Barbados, and 0.948 and 87.8 for Jamaica. The health states most commonly observed in the two countries were similar. Generally the demographic patterns of self-reported health were consistent with those found in other studies. Some differences between the countries were observed in the patterns of rates of reporting problems on the EQ-5D dimensions among age-gender groups specifically for anxiety/depression and pain/discomfort CONCLUSION: This study has produced a set of EQ-5D population norms that can be used as base-line values in clinical and clinico-economic analyses for Barbados and Jamaica and for the English-Speaking Caribbean region.
EQ-5D 工具在发达国家和发展中国家的临床和资源分配决策中越来越多地被使用。特立尼达和多巴哥已经进行了 EQ-5D 评估和人口规范研究，但其他加勒比国家尚未生成人口规范或价值体系。本研究的目的是为巴巴多斯和牙买加提供人口规范，并为其他讲英语的加勒比国家开发一套人口规范。
2013 年，在巴巴多斯和牙买加的代表性成年人调查中纳入了 EQ-5D-5L 自我报告健康问卷。根据 2347 名来自巴巴多斯和 1423 名来自牙买加的受访者，基于人口统计学群体，计算了这两个国家的 EQ-5D 健康状况、平均 EQ VAS 评分和平均 EQ-5D-5L 指数值（使用特立尼达和多巴哥的价值体系）。通过将巴巴多斯和牙买加的数据与最近为特立尼达和多巴哥发布的规范相结合，制定了一套“加勒比”规范。
分别在巴巴多斯和牙买加获得了 2347 名和 1423 名受访者的数据。巴巴多斯的平均指数和 EQ VAS 值分别为 0.943 和 81.9，牙买加分别为 0.948 和 87.8。两国最常见的健康状况相似。一般来说，自我报告健康的人口模式与其他研究中的模式一致。在年龄-性别组中，特别是在焦虑/抑郁和疼痛/不适方面，在报告 EQ-5D 维度问题的发生率方面，两个国家之间观察到了一些差异。
本研究为巴巴多斯和牙买加以及英语加勒比地区的临床和临床经济学分析提供了一套 EQ-5D 人口规范，可以作为基线值使用。
