{"title":"伊朗人口经质量调整后的预期寿命标准。","authors":"Abdoreza Mousavi, Rajabali Daroudi, Samira Alipour, Ali Akbari Sari, Fakhraddin Daastari","doi":"10.1186/s12963-025-00366-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Quality-Adjusted Life Expectancy (QALE) is a well-established approach for evaluating health expectancy, combining health-related quality of life (HRQoL) with life expectancy (LE) to produce a cohesive summary score. This study offers QALE estimates for the Iranian population, categorized by age group and sex.</p><p><strong>Methods: </strong>To establish QALE population norms, we integrated age- and sex-specific EQ-5D-3 L utility scores with the national life tables of the Iranian population, sourced from the World Health Organization. The utility scores were derived from data gathered through the EQ-5D questionnaire survey, collected from 27,704 participants during the eighth round of the nationwide Stepwise approach to surveillance (STEPS) conducted in 2021. EQ-5D health status was converted into utility scores using the existing value set provided through a face-to-face time trade-off method for the Iranian general population.</p><p><strong>Results: </strong>The utility score for men decreased from 0.95 in the 18-19 age group to 0.76 in the 85 + age group, while for women, it declined from 0.91 to 0.66 over the same age range. Although women have a higher life expectancy than men, the reverse is true for QALE. QALE at birth is 68.29 QALYs for men and 66.69 QALYs for women.</p><p><strong>Conclusions: </strong>This study presents Quality-Adjusted Life Expectancy (QALE) population norms for Iran. These norms can be used in economic assessments of health interventions and population health studies.</p>","PeriodicalId":51476,"journal":{"name":"Population Health Metrics","volume":"23 1","pages":"5"},"PeriodicalIF":3.2000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827415/pdf/","citationCount":"0","resultStr":"{\"title\":\"Quality-adjusted life expectancy norms for the Iranian population.\",\"authors\":\"Abdoreza Mousavi, Rajabali Daroudi, Samira Alipour, Ali Akbari Sari, Fakhraddin Daastari\",\"doi\":\"10.1186/s12963-025-00366-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Quality-Adjusted Life Expectancy (QALE) is a well-established approach for evaluating health expectancy, combining health-related quality of life (HRQoL) with life expectancy (LE) to produce a cohesive summary score. This study offers QALE estimates for the Iranian population, categorized by age group and sex.</p><p><strong>Methods: </strong>To establish QALE population norms, we integrated age- and sex-specific EQ-5D-3 L utility scores with the national life tables of the Iranian population, sourced from the World Health Organization. The utility scores were derived from data gathered through the EQ-5D questionnaire survey, collected from 27,704 participants during the eighth round of the nationwide Stepwise approach to surveillance (STEPS) conducted in 2021. EQ-5D health status was converted into utility scores using the existing value set provided through a face-to-face time trade-off method for the Iranian general population.</p><p><strong>Results: </strong>The utility score for men decreased from 0.95 in the 18-19 age group to 0.76 in the 85 + age group, while for women, it declined from 0.91 to 0.66 over the same age range. Although women have a higher life expectancy than men, the reverse is true for QALE. QALE at birth is 68.29 QALYs for men and 66.69 QALYs for women.</p><p><strong>Conclusions: </strong>This study presents Quality-Adjusted Life Expectancy (QALE) population norms for Iran. These norms can be used in economic assessments of health interventions and population health studies.</p>\",\"PeriodicalId\":51476,\"journal\":{\"name\":\"Population Health Metrics\",\"volume\":\"23 1\",\"pages\":\"5\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827415/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Population Health Metrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12963-025-00366-0\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Population Health Metrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12963-025-00366-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Quality-adjusted life expectancy norms for the Iranian population.
Background: Quality-Adjusted Life Expectancy (QALE) is a well-established approach for evaluating health expectancy, combining health-related quality of life (HRQoL) with life expectancy (LE) to produce a cohesive summary score. This study offers QALE estimates for the Iranian population, categorized by age group and sex.
Methods: To establish QALE population norms, we integrated age- and sex-specific EQ-5D-3 L utility scores with the national life tables of the Iranian population, sourced from the World Health Organization. The utility scores were derived from data gathered through the EQ-5D questionnaire survey, collected from 27,704 participants during the eighth round of the nationwide Stepwise approach to surveillance (STEPS) conducted in 2021. EQ-5D health status was converted into utility scores using the existing value set provided through a face-to-face time trade-off method for the Iranian general population.
Results: The utility score for men decreased from 0.95 in the 18-19 age group to 0.76 in the 85 + age group, while for women, it declined from 0.91 to 0.66 over the same age range. Although women have a higher life expectancy than men, the reverse is true for QALE. QALE at birth is 68.29 QALYs for men and 66.69 QALYs for women.
Conclusions: This study presents Quality-Adjusted Life Expectancy (QALE) population norms for Iran. These norms can be used in economic assessments of health interventions and population health studies.
期刊介绍：
Population Health Metrics aims to advance the science of population health assessment, and welcomes papers relating to concepts, methods, ethics, applications, and summary measures of population health. The journal provides a unique platform for population health researchers to share their findings with the global community. We seek research that addresses the communication of population health measures and policy implications to stakeholders; this includes papers related to burden estimation and risk assessment, and research addressing population health across the full range of development. Population Health Metrics covers a broad range of topics encompassing health state measurement and valuation, summary measures of population health, descriptive epidemiology at the population level, burden of disease and injury analysis, disease and risk factor modeling for populations, and comparative assessment of risks to health at the population level. The journal is also interested in how to use and communicate indicators of population health to reduce disease burden, and the approaches for translating from indicators of population health to health-advancing actions. As a cross-cutting topic of importance, we are particularly interested in inequalities in population health and their measurement.
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