Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh

Int J Health Policy Manag. 2015;5(5):301–308. doi:10.15171/ijhpm.2016.06

8 Pages Posted: 16 Apr 2016

See all articles by Marufa Sultana

Marufa Sultana

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group; International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Abdur Sarker

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group; Bangladesh Institute of Development Studies (BIDS)

Rashidul Mahumud

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Sayem Ahmed

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Wahid Ahmed

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Sanchita Chakrovorty

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Md Hafizur Rahman

Government of the People's Republic of Bangladesh - Health Economics Unit

Ziaul Islam

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group

Jahangir Khan

Liverpool School of Tropical Medicine; Karolinska Institutet - Informatics, Management and Ethics (LIME)

Date Written: January 14, 2016

Abstract

Background: Measuring health status by using standardized and validated instrument has become a growing concern over the past few decades throughout the developed and developing countries. The aim of the study was to investigate the overall self-reported health status along with potential inequalities by using EuroQol 5 dimensions (EQ-5D) instrument among low-income people of Bangladesh. Methods: A cross-sectional household survey was conducted in Chandpur district of Bangladesh. Bangla version of the EQ-5D questionnaire was employed along with socio-demographic information. EQ-5D questionnaire composed of 2-part measurements: EQ-5D descriptive system and the visual analogue scale (VAS). For measuring health status, UK-based preference weights were applied while higher score indicated better health status. For facilitating the consistency with EQ-5D score, VASs were converted to a scale with scores ranging from 0 to 1. Multiple logistic regression models were also employed to examine differences among EQ-5D dimensions. Results: A total of 1433 respondents participated in the study. The mean EQ-5D and VAS score was 0.76 and 0.77, respectively. The females were more likely to report any problem than the males (P < 0.001). Compared to the younger, elderly were more than 2-3 times likely to report any health problem in all EQ-5D dimensions (OR [odds ratio] = 3.17 for mobility, OR = 3.24 for self-care). However, the respondents of the poorest income group were significantly suffered more from every EQ-5D dimension than the richest income quintile. Conclusion: Socio-economic and demographic inequalities in health status was observed in the study. Study suggests to do further investigation with country representative sample to measure the inequalities of overall health status. It would be helpful for policy-maker to find a new way aiming to reduce such inequalities.

Keywords: Health Status, EQ-5D, Visual Analogue Scale (VAS), Inequality, Population

Suggested Citation

Sultana, Marufa and Sarker, Abdur and Mahumud, Rashidul and Ahmed, Sayem and Ahmed, Wahid and Chakrovorty, Sanchita and Rahman, Md Hafizur and Islam, Ziaul and Khan, Jahangir, Inequalities in Health Status from EQ-5D Findings: A Cross-Sectional Study in Low-Income Communities of Bangladesh (January 14, 2016). Int J Health Policy Manag. 2015;5(5):301–308. doi:10.15171/ijhpm.2016.06, Available at SSRN: https://ssrn.com/abstract=2761762

Marufa Sultana (Contact Author)

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Abdur Sarker

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Bangladesh Institute of Development Studies (BIDS) ( email )

E-17, Agargao, Shere Bangla Nagar
Dhaka, 1207
Bangladesh

Rashidul Mahumud

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Sayem Ahmed

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Wahid Ahmed

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Sanchita Chakrovorty

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Md Hafizur Rahman

Government of the People's Republic of Bangladesh - Health Economics Unit ( email )

Bangladesh

Ziaul Islam

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) - Health Economics and Financing Research Group ( email )

Bangladesh

Jahangir Khan

Liverpool School of Tropical Medicine ( email )

Liverpool
United Kingdom

Karolinska Institutet - Informatics, Management and Ethics (LIME) ( email )

Solnavägen 1
Solna, 171 77
United States

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