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Canadian Journal of Public Health

, Volume 91, Issue 6, pp 465–470 | Cite as

Measuring Population Health: Correlates of the Health Utilities Index Among English and French Canadians

  • Jacek A. Kopec
  • J. Ivan Williams
  • Teresa To
  • Peter C. Austin
Article

Abstract

This study used cross-sectional data from the 1994/95 National Population Health Survey (NPHS) in Canada. The objective of the study was to examine the relationship between several established correlates of health status in the general population and the Health Utilities Index (HUI), a multidimensional, preference-based measure of health status. Analyses were carried out separately for the English-speaking (n=9,853) and French-speaking (n=1,519) respondents. The index correlated strongly with selfratings of health status and functional disability and varied as expected according to age, sex, and income. Subjects classified to different categories of chronic conditions reported different levels of health, as predicted. The HUI was also associated with the use of drugs and recent history of hospitalization. No major differences in the findings were observed between the two cultural groups. The results should be treated with caution due to the cross-sectional design and other methodological limitations of the study.

Résumé

Cette étude est basée sur un échantillon de données provenant de l’Enquête nationale sur la santé de la population de 1994–95 au Canada. L’enquête avait pour objectif d’examiner la relation entre divers corrélats acceptés pour l’état de santé de la population en général et de l’Indice de l’état de santé (IES) qui est une mesure multidimensionnelle de l’état de santé basée sur la préférence. Les analyses étaient effectuées séparément pour les personnes interrogées anglophones (n = 9 853) et francophones (n = 1 519). L’indice correspondait nettement aux autoévaluations de l’état de la santé et de l’invalidité fonctionnelle et, conformément aux attentes, différait d’après l’âge, le sexe et le revenu. Comme prévu, les sujets classés dans des catégories différentes d’états chroniques signalaient des degrés de santé différents. L’IES était également associé à l’usage de médicaments et aux hospitalisations récentes. Aucune différence majeure n’a été constatée entre les deux groupes culturels. Les résultats devraient être traités avec prudence étant donné qu’ils étaient basés sur un échantillon et que l’étude avait d’autres restrictions méthodologiques.

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Copyright information

© The Canadian Public Health Association 2000

Authors and Affiliations

  • Jacek A. Kopec
    • 1
    • 2
    • 3
    • 4
  • J. Ivan Williams
    • 3
    • 4
  • Teresa To
    • 3
    • 4
    • 5
  • Peter C. Austin
    • 3
    • 4
  1. 1.Department of Health Care and EpidemiologyUniversity of British ColumbiaVancouverCanada
  2. 2.Arthritis Research Centre of CanadaVancouverCanada
  3. 3.Department of Public Health SciencesUniversity of TorontoTorontoCanada
  4. 4.Institute for Clinical Evaluative SciencesSunnybrook and Women’s College Health Sciences CentreTorontoCanada
  5. 5.Hospital for Sick ChildrenTorontoCanada

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