The association of survey language (Spanish vs. English) with Health Utilities Index and EQ-5D index scores in a United States population sample
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
To explore whether variations in the EQ-5D, Health Utilities Index (HUI) Mark II (HUI2), and HUI Mark III (HUI3) index scores were associated with the survey language (Spanish vs. English) in the US Valuation of the EQ-5D Health States study.
The EQ-5D, HUI2, and HUI3 index scores were compared across three language/ethnic groups (i.e., non-Hispanics surveyed in English [NHE], Hispanics surveyed in English [HE], and Hispanics surveyed in Spanish [HS]) using multiple regression models.
Of the 4,033 respondents, 568 elected to be surveyed in Spanish. After controlling for socioeconomic and health-related variables, the mean difference (standard error) in EQ-5D, HUI2, and HUI3 index scores between HS and NHE were 0.014 (0.011), 0.050 (0.012), and 0.071 (0.020), respectively. After controlling for potential confounding variables, HS were less likely than NHE to report problems/disabilities in HUI2/3 health attributes of vision, speech, self-care, emotion, pain, and cognition (range of odds ratios: 0.31–0.45, P < 0.01 for all). No important differences were found in EQ-5D dimensions between any groups or in any of the index scores between HE and NHE.
Health researchers studying health status of culturally diverse populations should be aware that different preference-based health indices may lead to different results.
- Idler, E. L., & Kasl, S. V. (1995). Self-ratings of health: Do they also predict change in functional ability? Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 50, S344–S353.
- Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37. CrossRef
- McCallum, J., Shadbolt, B., & Wang, D. (1994). Self-rated health and survival: A 7-year follow-up study of Australian elderly. American Journal of Public Health, 84, 1100–1105. CrossRef
- Fylkesnes, K. (1993). Determinants of health care utilization—visits and referrals. Scandinavian Journal of Social Medicine, 21, 40–50.
- Ren, X. S., & Amick, B. C., 3rd. (1996). Race and self assessed health status: The role of socioeconomic factors in the USA. Journal of Epidemiology and Community Health, 50, 269–273. CrossRef
- Shetterly, S. M., Baxter, J., Mason, L. D., et al. (1996). Self-rated health among Hispanic vs non-Hispanic white adults: The San Luis Valley health and aging study. American Journal of Public Health, 86, 1798–1801. CrossRef
- Agyemang, C., Denktaş, S., Bruijnzeels, M., et al. (2006). Validity of the single-item question on self-rated health status in first generation Turkish and Moroccans versus native Dutch in the Netherlands. Public Health, 120, 543–550. CrossRef
- Leung, B., Luo, N., So, L., et al. (2007). Comparing three measures of health status (perceived health with Likert-type scale, EQ-5D, and number of chronic conditions) in Chinese and white Canadians. Medical Care, 45, 610–617. CrossRef
- Kandula, N. R., Lauderdale, D. S., & Baker, D. W. (2007). Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: The role of language and nativity. Annals of Epidemiology, 17, 191–198. CrossRef
- Borrell, L. N., & Dallo, F. J. (2008). Self-rated health and race among Hispanic and non-Hispanic adults. Journal of Immigrant and Minority Health, 10, 229–238. CrossRef
- Finch, B. K., Hummer, R. A., Reindl, M., et al. (2002). Validity of self-rated health among Latino(a)s. American Journal of Epidemiology, 15(155), 755–759. CrossRef
- Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33, 337–343. CrossRef
- Torrance, G. W., Feeny, D. H., Furlong, W. J., et al. (1996). Multiattribute utility function for a comprehensive health status classification system. Health Utilities Index Mark 2. Medical Care, 34, 702–722. CrossRef
- Feeny, D., Furlong, W., Torrance, G. W., et al. (2002). Multiattribute and single-attribute utility functions for the health utilities index mark 3 system. Medical Care, 40, 113–128. CrossRef
- Gold, M. R., Patrick, D. L., Torrance, G. W., et al. (1996). Identifying and valuing outcomes. In M. R. Gold, J. E. Siegel, L. B. Russell, & M. C. Weinstein (Eds.), Cost-effectiveness in health and medicine (pp. 82–134). New York, NY: Oxford University Press.
- Drummond, M. F., O’Brien, B. J., & Stoddart, G. L., et al. (1997). Cost-utility analysis. In Methods for the economic evaluation of health care programmes. (2nd ed., pp. 139–199). Oxford: Oxford University Press.
- Barofsky, I. (2000). The role of cognitive equivalence in studies of health-related quality-of-life assessments. Medical Care, 38(9 Suppl), II125–II129.
- Szende, A., & Williams, A. (Eds.). (2004). Measuring self-reported population health: An international perspective based on EQ-5D. Budapest: SpringMed Publishing Ltd.
- Cohen, S. B. (2003). Design strategies and innovations in the Medical Expenditure Panel Survey. Medical Care, 41, III5–III12.
- National Population Health Survey [Statistics Canada web site]. Available at: http://www.statcan.ca/english/concepts/nphs. Accessed 28 June 2008.
- Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the US general population. Quality of Life Research, 14, 2187–2196. CrossRef
- Fu, A. Z., & Kattan, M. W. (2006). Racial and ethnic differences in preference-based health status measure. Current Medical Research and Opinion, 22, 2439–2448. CrossRef
- Gaskin, D. J., & Frick, K. D. (2008). Race and ethnic disparities in valuing health. Medical Decision Making: An International Journal of the Society for Medical Decision Making, 28, 12–20. CrossRef
- Angel, R., & Guarnaccia, P. J. (1989). Mind, body, and culture: Somatization among Hispanics. Social Science and Medicine, 28, 1229–1238. CrossRef
- Franzini, L., & Fernandez-Esquer, M. E. (2004). Socioeconomic, cultural, and personal influences on health outcomes in low income Mexican-origin individuals in Texas. Social Science and Medicine, 59, 1629–1646. CrossRef
- Hayes, R. P., & Baker, D. W. (1998). Methodological problems in comparing English-speaking and Spanish-speaking patients’ satisfaction with interpersonal aspects of care. Medical Care, 36, 230–236. CrossRef
- Morales, L. S., Cunningham, W. E., Brown, J. A., et al. (1999). Are Latinos less satisfied with communication by health care providers? Journal of General Internal Medicine, 14, 409–417. CrossRef
- Weech-Maldonado, R., Fongwa, M. N., Gutierrez, P., et al. (2008). Language and regional differences in evaluations of Medicare managed care by Hispanics. Health Services Research, 43, 552–568. CrossRef
- Shaw, J. W., Johnson, J. A., & Coons, S. J. (2005). US valuation of the EQ-5D health states: Development and testing of the D1 valuation model. Medical Care, 43, 203–220. CrossRef
- Szende, A., Oppe, M., & Devlin, N. (Eds.). (2007). EQ-5D value sets: Inventory, comparative review and user guide. Dordrecht: Springer.
- Luo, N., Johnson, J. A., Shaw, J. W., et al. (2007). A comparison of EQ-5D index scores derived from the US and UK population-based scoring functions. Medical Decision Making: An International Journal of the Society for Medical Decision Making, 27, 321–326.
- Pickard, A. S., Neary, M. P., & Cella, D. (2007). Estimation of minimally important differences in EQ-5D utility and VAS scores in cancer. Health and Quality of Life Outcomes, 5, 70. CrossRef
- Horsman, J., Furlong, W., Feeny, D., et al. (2003). The Health Utilities Index (HUI): Concepts, measurement properties and applications. Health and Quality of Life Outcomes, 1, 54. CrossRef
- Translation process [The EuroQol Group web site]. Available at: http://www.euroqol.org. Accessed 28 June 2008.
- Questionnaire development, translations and support [Health Utilities Inc. web site]. Available at: http://www.healthutilities.com. Accessed 28 June 2008.
- Profile of general demographic characteristics: 2000 [U.S. Census Bureau web site]. http://censtats.census.gov/data/US/01000.pdf. Accessed 28 June 2008.
- Hawthorne, G., Richardson, J., & Day, N. A. (2001). A comparison of the assessment of quality of life (AQoL) with four other generic utility instruments. Annals of Medicine, 33, 358–370. CrossRef
- Pickard, A. S., Johnson, J. A., & Feeny, D. H. (2005). Responsiveness of generic health-related quality of life measures in stroke. Quality of Life Research, 14, 207–219. CrossRef
- Bjorner, J. B., Kreiner, S., Ware, J. E., et al. (1998). Differential item functioning in the Danish translation of the SF-36. Journal of Clinical Epidemiology, 51, 1189–1202. CrossRef
- Herdman, M., Fox-Rushby, J., & Badia, X. (1998). A model of equivalence in the cultural adaptation of HRQoL instruments: The universalist approach. Quality of Life Research, 7, 323–335.
- Stewart, A. L., & Nápoles-Springer, A. (2000). Health-related quality-of-life assessments in diverse population groups in the United States. Medical Care, 38((9 Suppl)), II102–II124.
- Sullivan, P. W., & Ghushchyan, V. (2006). Mapping the EQ-5D index from the SF-12: US general population preferences in a nationally representative sample. Medical Decision Making: An International Journal of the Society for Medical Decision Making, 26, 401–409. CrossRef
- Li, L., & Fu, A. Z. (2009). Some methodological issues with the analysis of preference-based EQ-5D index score. Health Services & Outcomes Research Methodology. doi: 10.1007/s10742-009-0053-3.
- The association of survey language (Spanish vs. English) with Health Utilities Index and EQ-5D index scores in a United States population sample
Quality of Life Research
Volume 18, Issue 10 , pp 1377-1385
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Health preference
- Health status
- Quality of life
- Industry Sectors
- Author Affiliations
- 1. Department of Epidemiology and Public Health & Centre for Health Services Research, Yong Loo Lin School of Medicine, National University of Singapore, 16 Medical Drive, Block MD3, Singapore, 117597, Singapore
- 2. Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Singapore
- 3. Department of Public Health Sciences, University of Alberta, Edmonton, AB, Canada
- 4. Patient-Reported Outcomes Consortium, Critical Path Institute, Tucson, AZ, USA