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Disability weights for infectious diseases in four European countries : comparison between countries and across respondent characteristics

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Maertens de Noordhout, Charline, Devleesschauwer, Brecht, Salomon, Joshua A, Turner, Heather, Cassini, Alessandro, Colzani, Edoardo, Speybroeck, Niko, Polinder, Suzanne, Kretzschmar, Mirjam E, Havelaar, Arie H and Haagsma, Juanita A (2018) Disability weights for infectious diseases in four European countries : comparison between countries and across respondent characteristics. European Journal of Public Health, 28 (1). pp. 124-133. doi:10.1093/eurpub/ckx090

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Official URL: http://dx.doi.org/10.1093/eurpub/ckx090

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Abstract

Background
In 2015, new disability weights (DWs) for infectious diseases were constructed based on data from four European countries. In this paper, we evaluated if country, age, sex, disease experience status, income and educational levels have an impact on these DWs.

Methods
We analyzed paired comparison responses of the European DW study by participants’ characteristics with separate probit regression models. To evaluate the effect of participants’ characteristics, we performed correlation analyses between countries and within country by respondent characteristics and constructed seven probit regression models, including a null model and six models containing participants’ characteristics. We compared these seven models using Akaike Information Criterion (AIC).

Results
According to AIC, the probit model including country as covariate was the best model. We found a lower correlation of the probit coefficients between countries and income levels (range rs: 0.97–0.99, P < 0.01) than between age groups (range rs: 0.98–0.99, P < 0.01), educational level (range rs: 0.98–0.99, P < 0.01), sex (rs = 0.99, P < 0.01) and disease status (rs = 0.99, P < 0.01). Within country the lowest correlations of the probit coefficients were between low and high income level (range rs = 0.89–0.94, P < 0.01).

Conclusions
We observed variations in health valuation across countries and within country between income levels. These observations should be further explored in a systematic way, also in non-European countries. We recommend future researches studying the effect of other characteristics of respondents on health assessment.

Item Type: Journal Article
Divisions: Faculty of Science > Statistics
Journal or Publication Title: European Journal of Public Health
Publisher: Oxford University Press
ISSN: 1101-1262
Official Date: February 2018
Dates:
DateEvent
February 2018Published
11 September 2017Available
Volume: 28
Number: 1
Page Range: pp. 124-133
DOI: 10.1093/eurpub/ckx090
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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