martes, 23 de julio de 2013

Evidence of spillover of illness among hous... [Med Decis Making. 2013] - PubMed - NCBI

Evidence of spillover of illness among hous... [Med Decis Making. 2013] - PubMed - NCBI
Med Decis Making. 2013 Feb;33(2):235-43. doi: 10.1177/0272989X12464434. Epub 2012 Oct 25.

Evidence of spillover of illness among household members: EQ-5D scores from a US sample.


Center for Health Decision Science, Harvard School of Public Health, Boston, MA 02115, USA.



The effects of illness extend beyond the individual to caregivers and family members. This study identified evidence of spillover of illness onto household members' health-related quality of life.


Medical Expenditures Panel Survey (MEPS) data from 2000-2003 were analyzed using multivariable regression to identify spillover of household members' chronic conditions onto individuals' health-related quality of life as measured by the EuroQol-5D (EQ-5D) score (N = 24,188). Spillover was assessed by disease category, timing of occurrence (preexisting or new conditions), and age of the household member (adult or child).


Controlling for an individual's own health conditions and other known predictors of EQ-5D scores, the authors found that the odds of an individual reporting full health (an EQ-5D score of 1.0, relative to <1 .0="" 0.48-0.86="" 0.61-0.96="" 0.62-0.82="" 0.64-0.79="" 0.65-0.95="" 0.65-0.97="" 0.71="" 0.75-0.93="" 0.75-0.97="" 0.81-0.96="" 95="" adults="" also="" among="" an="" and="" be="" capture="" caregiver="" children="" chronic="" condition="" conditions="" confidence="" dimensions="" eq-5d="" existing="" for="" full="" fully="" health="" household.="" household="" in="" including="" individual="" interval="" lacks="" lower="" may="" members.="" members="" mental="" meps="" musculoskeletal="" nervous="" newly="" occurring="" odds="" of="" p="" presence="" ratio="" reporting="" respiratory="" s="" sensory="" severity="" spillover="" status="" system="" the="" to="" unsuited="" utility="" were="" with="">


Evidence from a US sample suggests that individuals who live with chronically ill household members have lower EQ-5D scores than those who live either alone or with healthy household members. Averting spillover effects may confer substantial additional benefit at the population level for interventions that prevent or alleviate conditions that incur such effects.

[PubMed - in process]
[Available on 2014/2/1]

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