Measurements of health utility value in COVID‐19 olfactory dysfunction

Author(s):  
Mena Said ◽  
Sophie S Jang ◽  
Thanh Luong ◽  
Jeffrey D. Bernstein ◽  
Adam S. DeConde ◽  
...  
Author(s):  
Anisha Sekaran ◽  
Mohith Shamdas ◽  
Robert J. Barry ◽  
Alastair K. Denniston ◽  
Philip I. Murray

2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world.Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio-demographic factors and extracting the health utility of these individuals. Health utility was measured using Time Trade-off method and also to determine the effects of the socio-demographic factors on the health utility a two-limit censored regression model was applied.Results: The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively. Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts.Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before.


2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio -demographic factors and extracting the health utility of these individuals . Health utility was measured using Time Trade-off method and also to determine the effects of the socio -demographic factors on the health utility a two-limit censored regression model was applied. Findings : The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively . Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts . Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before .


2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Bakhtiar Piroozi ◽  
Fariba Jahanbin ◽  
Hossein Safari ◽  
Amjad Mohamadi-Bolbanabad ◽  
...  

Abstract Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio -demographic factors and extracting the health utility of these individuals . Health utility was measured using Time Trade-off method and also to determine the effects of the socio -demographic factors on the health utility a two-limit censored regression model was applied. Findings : The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively . Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts . Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before .


2019 ◽  
Vol 21 (5) ◽  
pp. 402-406 ◽  
Author(s):  
Shekhar K. Gadkaree ◽  
Jennifer C. Fuller ◽  
Natalie S. Justicz ◽  
Adeeb Derakhshan ◽  
Suresh Mohan ◽  
...  

2020 ◽  
Author(s):  
Cyrus Alinia ◽  
Safura Yaghmaei ◽  
Farman Zahir Abdullah ◽  
Asad Ahmadi ◽  
Nasrin Samadi ◽  
...  

Abstract Background: The main aim of the study was extract the health utility value of coronavirus 2019 (COVID-19) disease.Methods: In a cross-sectional study in Iran, 320 randomly selected treated patients from COVID-19 is studied. To collect the required data, we applied a questionnaire that included socio-demographic factors, clinical characteristics, and questions on the patients’ Health-Related Quality of Life (HRQoL). Time trade-off (TTO) approach is used to measure the lost HRQoL attributed to COVID-19. Besides, we applied a two-limit Tobit regression model to determine the effects of the socio-demographic factors on the patients’ health utility and used the visual analogue scale approach to estimate the perceived total current health status.Results: The overall mean (SE) and median (IQR) of the health utility values were 0.863 (0.01) and 0.909 (0.21), respectively. This values for those who were willing to trade time in exchange for perfect health estimated at 0.793 (0.01) and 0.848 (0.17), respectively. The lowest amount of utility value were belonged to the elderly (mean (SE) = 0.742 (0.04); median (IQR) = 0.765 (0.42)) and those lived in rural (mean (SE)) = 0.804 (0.03); median (IQR) = 0.877 (0.30)). The univariate analysis shows that age, location living, and household size factors have a statistically significant effect on the health utility. The regression model's findings indicate that the participants' age and hospitalization status were the key determinants of COVID-19 health utility value.Conclusion: COVID-19 is associated with a substantial and measurable diminution in HRQoL. This diminution in HRQoL can be directly compared with that induced by systemic health states.


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030561
Author(s):  
Xiaodong Guan ◽  
Mengyuan Fu ◽  
Fanghui Lin ◽  
Dawei Zhu ◽  
Daniel Vuillermin ◽  
...  

ObjectivesTo explore the economic burden, prevalence of catastrophic healthcare expenditure (CHE) and the quality of life (QoL) of Chinese patients with visual impairment (VI) associated with eye diseases.DesignA questionnaire survey from March to May 2016 by structured face-to-face interviews of patients with VI.Participants302 patients who were diagnosed with moderate VI or worse in both eyes (visual acuity <6/18) were included, and 298 patients (98.7%) who completed the survey questionnaires were eligible for the study.Outcome measuresThe economic burden was estimated by calculating participants’ direct costs covered in 2015 and the definition of CHE was out-of-pocket (OOP) costs exceeding 30% of annual household income. QoL was weighed by health utility value using time-trade-off valuation techniques.ResultsAnnual average direct costs per patient caused by VI were US$6988.6±US$10 834.3, and 70.3% were direct medical costs of which only 26.9% were reimbursable by medical insurance. 32.2% of households that suffered from CHE, in particular, were less wealthy patients with VI living in rural areas and without medical insurance. The health utility value was rated at 0.65 on average, and patients with VI aged 51–57, living alone and insured by commercial medical insurance had relatively less QoL.ConclusionOur study explored the economic burden and QoL of VI associated with patients with eye diseases in China, indicating a substantial economic burden and poor QoL. Preferential medical insurance policies should be designed in relation to people with VI to further reduce the health inequalities, avoid CHE and promote QoL.


2015 ◽  
Vol 25 (5) ◽  
pp. 491-495 ◽  
Author(s):  
Daisuke Fujisawa ◽  
Hironobu Inoguchi ◽  
Haruki Shimoda ◽  
Kazuhiro Yoshiuchi ◽  
Shinichiro Inoue ◽  
...  

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