Acceptable health and ageing: results of a cross-sectional study from Hungary
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RESEARCH
Acceptable health and ageing: results of a cross‑sectional study from Hungary Márta Péntek1,2 , Job van Exel3,4* , László Gulácsi1,2 , Valentin Brodszky1 , Zsombor Zrubka1,2 , Petra Baji1 , Fanni Rencz1,5 and Werner B. F. Brouwer3,4
Abstract Background: We aimed to investigate the acceptability of imperfect health states in relation to age in Hungary and analyse its determinants. Results are contrasted to age-matched actual population health scores and to findings from a previous study in The Netherlands. Methods: A cross-sectional online survey was performed. The same survey questions were applied as in a previous study in The Netherlands in order to enable inter-country comparisons. The descriptive system of the EQ-5D-3L health status questionnaire was used to assess the acceptability of moderate and severe health problems at ages from 30 to 80 by 10-year age-groups. Descriptive statistics were performed and linear regression analysis was used to investigate the determinants of acceptability. Results: Altogether 9281 (female 32.8%) were involved with mean age 36.0 years and EQ-5D-3L index score of 0.852 (SD 0.177). Acceptability of health problems increased with age, differed per health domain and with severity of the problems. Except for ‘Self-care’, moderate health problems were acceptable by the majority from age 70 and acceptability scores were lower than EQ-5D-3L population norms from that age. The lowest average acceptability age was found in the ‘Anxiety/depression’ and dimension the highest in the ‘Self-care’ dimension. Respondents’ age, current health, and lifestyle were significant determinants (R2: 0.041–0.130). With a few minor exceptions in some health dimensions, acceptability levels and patterns were strikingly similar to the Dutch findings. Conclusion: In Hungary, acceptability of health problems increases with age and the majority found severe problems never acceptable. Views on acceptability of health problems seem to be fairly generalizable across European countries with different health and economic indicators. Keywords: Acceptability, Ageing, Health-related quality of life, EQ-5D-3L, Hungary, The Netherlands Background Acceptability has become an increasingly important topic in healthcare. Patients’ preferences for and acceptability of different types of diagnostics, drug administration methods and disease management modes have been studied in various diseases as these can significantly *Correspondence: [email protected] 3 Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Bayle Building, Office J8‑51, PO Box 1738, 3000 DR Rotterdam, The Netherlands Full list of author information is available at the end of the article
influence patients’ agreement and compliance with, as well as uptake of and participation in care [1–3]. Acceptability of health states and health changes, for instance in relation to progression of age, have been investigated less frequently, although these may also be relevant in the context of individual and so
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