Health status of the advanced elderly in six european countries: results from a representative survey using EQ-5D and SF-12

König, Hans-Helmut; Heider, Dirk; Lehnert, Thomas; Riedel-Heller, Steffi G.; Angermeyer, Matthias C.; Vilagut Saiz, Gemma, 1975-; Bruffaerts, Ronny; Haro Abad, Josep Maria; De Girolamo, Giovanni; de Graaf, Ron; Kovess, Viviane; Alonso Caballero, Jordi; ESEMeD/MHEDEA 2000 investigators

Health status of the advanced elderly in six european countries: results from a representative survey using EQ-5D and SF-12

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dc.contributor.author König, Hans-Helmutca
dc.contributor.author Heider, Dirkca
dc.contributor.author Lehnert, Thomasca
dc.contributor.author Riedel-Heller, Steffi G.ca
dc.contributor.author Angermeyer, Matthias C.ca
dc.contributor.author Vilagut Saiz, Gemma, 1975-ca
dc.contributor.author Bruffaerts, Ronnyca
dc.contributor.author Haro Abad, Josep Mariaca
dc.contributor.author De Girolamo, Giovannica
dc.contributor.author de Graaf, Ronca
dc.contributor.author Kovess, Vivianeca
dc.contributor.author Alonso Caballero, Jordica
dc.contributor.author ESEMeD/MHEDEA 2000 investigatorsca
dc.date.accessioned 2015-06-12T07:37:33Z
dc.date.available 2015-06-12T07:37:33Z
dc.date.issued 2010ca
dc.description.abstract Background: Due to demographic change, the advanced elderly represent the fastest growing population group in Europe. Health problems tend to be frequent and increasing with age within this cohort. Aims of the study: To describe and compare health status of the elderly population in six European countries and to analyze the impact of socio-demographic variables on health. Methods: In the European Study of the Epidemiology of Mental Disorders (ESEMeD), representative non-institutionalized population samples completed the EQ-5D and Short Form-12 (SF-12) questionnaires as part of personal computer-based home interviews in 2001-2003. This study is based on a subsample of 1659 respondents aged ≥ 75 years from Belgium (n = 194), France (n = 168), Germany (n = 244), Italy (n = 317), the Netherlands (n = 164) and Spain (n = 572). Descriptive statistics, bivariate- (chi-square tests) and multivariate methods (linear regressions) were used to examine differences in population health. Results: 68.8% of respondents reported problems in one or more EQ-5D dimensions, most frequently pain/discomfort (55.2%), followed by mobility (50.0%), usual activities (36.6%), self-care (18.1%) and anxiety/depression (11.6%). The proportion of respondents reporting any problems increased significantly with age in bivariate analyses (age 75-79: 65.4%; age 80-84: 69.2%; age ≥ 85: 81.1%) and differed between countries, ranging from 58.7% in the Netherlands to 72.3% in Italy. The mean EQ VAS score was 61.9, decreasing with age (age 75-79: 64.1; age 80-84: 59.8; age ≥ 85: 56.7) and ranging from 60.0 in Italy to 72.9 in the Netherlands. SF-12 derived Physical Component Summary (PCS) and Mental Component Summary (MCS) scores varied little by age and country. Age and low educational level were associated with lower EQ VAS and PCS scores. After controlling for socio-demographic variables and reported EQ-5D health states, mean EQ VAS scores were significantly higher in the Netherlands and Belgium, and lower in Germany than the grand mean. Conclusions: More than two thirds of the advanced elderly report impairment of health status. Impairment increases rapidly with age but differs considerably between countries. In all countries, health status is significantly associated with socio-demographic variables.en
dc.description.sponsorship The ESEMeD project was funded by the European Commission (Contracts QLG5-1999-01042; SANCO 2004123), the Piedmont Region (Italy), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028-02), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, and other local agencies and by an unrestricted educational grant from GlaxoSmithKlineen
dc.format.mimetype application/pdfca
dc.identifier.citation Konig HH, Heider D, Lehnert T, Riedel-Heller SG, Angermeyer MC, Matschinger H et al. Health status of the advanced elderly in six european countries: results from a representative survey using EQ-5D and SF-12. Health and quality of life outcomes. 2010;8:143. DOI: 10.1186/1477-7525-8-143ca
dc.identifier.doi http://dx.doi.org/10.1186/1477-7525-8-143
dc.identifier.issn 1477-7525ca
dc.identifier.uri http://hdl.handle.net/10230/23795
dc.language.iso engca
dc.publisher BioMed Centralca
dc.relation.ispartof Health and quality of life outcomes. 2010;8:143
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/2004123
dc.relation.projectID info:eu-repo/grantAgreement/ES/1PN/SAF2000-158-CE
dc.rights © 2010 König et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.accessRights info:eu-repo/semantics/openAccessca
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other Persones grans -- Salut i higieneca
dc.subject.other Persones grans -- Aspectes socials -- Estadístiquesca
dc.title Health status of the advanced elderly in six european countries: results from a representative survey using EQ-5D and SF-12en
dc.type info:eu-repo/semantics/articleca
dc.type.version info:eu-repo/semantics/publishedVersionca

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