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

Research

Matthias C Angermeyer¹  Viviane Kovess²  Hans-Helmut König³  Thomas Lehnert³  Giovanni de Girolamo⁴  Ronny Bruffaerts⁵  Herbert Matschinger⁶  Dirk Heider⁷  Steffi G Riedel-Heller⁷  Gemma Vilagut⁸  Jordi Alonso⁸  Ron de Graaf⁹  Josep M Haro^1,10 

[1] Center for Public Mental Health, Untere Zeile 13, A-3482, Gösing am Wagram, Austria;Department of Epidemiology, School for Public Health (EHESP), Paris Descartes University, 12 Av De Lamballe, F-75016, Paris 16, France;Department of Medical Sociology and Health Economics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, D-20246, Hamburg, Germany;Department of Mental Health, AUSL di Bologna, Viale Pepoli 5, I-40123, Bologna, Italy;Department of Neurosciences, Katholieke Universiteit Leuven, UZ Herestraat 49 - bus 7003, B-3000, Leuven, Belgium;Department of Psychiatry, University of Leipzig, Semmelweisstr. 10, D-04103, Leipzig, Germany;Department of Social Medicine, University of Leipzig, Philipp-Rosenthal-Str. 55, D-04103, Leipzig, Germany;Health Services Research Unit, Institut Municipal d'Investigació Mèdica (IMIM) & CIBER en Espidemiología y Salud Pública (CIBERESP), Carrer del Doctor Aiguader, 88, Edifici PRBB, E-08003, Barcelona, Spain;Netherlands Institute of Mental Health and Addiction, Da Costakade 45, NL-3521, Utrecht, VS, the Netherlands;Sant Joan de Déu-SSM, Fundació Sant Joan de Déu Santa Rosa 39-57, E-08950, Barcelona, Spain;

关键词: Physical Component Summary;    Mental Component Summary;    Sociodemographic Variable;    Mental Component Summary Score;    Physical Component Summary Score;   

DOI  :  10.1186/1477-7525-8-143

 received in 2010-06-22, accepted in 2010-11-29,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundDue 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 studyTo describe and compare health status of the elderly population in six European countries and to analyze the impact of socio-demographic variables on health.MethodsIn 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.Results68.8% 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.ConclusionsMore 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.

【 授权许可】

CC BY   
© König et al; licensee BioMed Central Ltd. 2010. This article is published under license to 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.