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Med Care. 2007 Jul;45(7):610-7.

Comparing three measures of health status (perceived health with Likert-type scale, EQ-5D, and number of chronic conditions) in Chinese and white Canadians.

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  • 1Department of Community Health Sciences, The Center for Health and Policy Studies, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, Canada.

Abstract

BACKGROUND:

Measures of perceived health status may be vulnerable to ethnic and sociodemographic characteristics. The purpose of this study was to compare self-reported health status in Chinese and whites using 3 measures: physical and mental health status with the 5-point Likert-type scale, the EQ-5D together with a modified health index scale (0-100), and number of chronic conditions.

METHODS:

A cross-sectional telephone survey of Chinese and white Canadians was conducted in a large city in Alberta, Canada.

RESULTS:

We analyzed 830 Chinese and 789 white respondents. Chinese, compared with whites, reported better health status using the EQ-5D health index (0.94 vs. 0.86) and had fewer chronic conditions surveyed (51.9% vs. 79.2% had one or more conditions). However, Chinese rated their health status fair or poor more often than whites (27.3% vs. 9.7% for physical health and 24.0% vs. 5.0% for mental health) and both groups rated similarly on the health index scale (80.0 for Chinese vs. 77.9 for white).

CONCLUSIONS:

Health status measurements performed inconsistently across ethnic populations. The EQ-5D health index was consistent with the number of chronic conditions, whereas results from the 5-point Likert-type scale and the health index scale were not consistent with the number of chronic conditions. Perceived health status differed by the measures used and ethnicity.

PMID:
17571009
[PubMed - indexed for MEDLINE]
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