Evidence map›Paper›PMID 33619049›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Inequalities in health-related quality of life: repeated cross-sectional study of trends in general practice survey data.

Vishalie Shah, Jonathan Stokes, Matt Sutton

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Vishalie ShahCentre for Health Economics, University of York, York; Health Organisation, Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
Jonathan StokesHOPE, Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
Matt SuttonHOPE, Centre for Primary Care and Health Services Research, University of Manchester, Manchester.

Funding

Medical Research Council MR/T027517/1
6 · The paper itself

Abstract

backgroundAfter decades of steady progress, life expectancy at birth has stalled in England. Inequalities are also rising, and life expectancy has fallen for females living in the most deprived areas. However, less attention has been given to trends in other measures of population health, particularly health-related quality of life (HRQoL).

aimTo examine trends and inequalities in HRQoL in England between 2012 and 2017. DESIGN AND

settingThe authors used nationally representative survey data on 3.9 million adults to examine HRQoL (measured by EQ-5D-5L overall score, plus each of the five health domains - mobility, selfcare, usual activity, pain/discomfort, and anxiety/depression).

methodThe study explored trends across time, and inequalities by sex, age, and deprivation.

resultsAlthough HRQoL seemed steady overall between 2012 and 2017, there is evidence of increasing inequality across population subgroups. There was a rise in sex disparity over time, the female-male gap in EQ-5D-5L increased from -0.009 in 2012 to -0.016 in 2017. Trends for the youngest females and those living in the most deprived areas were of the greatest concern. Females in the most deprived regions suffered a 1.3% decrease in HRQoL between 2012 and 2017, compared with a 0.5% decrease for males. The key contribution to the decline in HRQoL, particularly in females, was a 1.5% increase in reported levels of anxiety/depression between 2012 and 2017.

conclusionDeveloping interventions to address these worrying trends should be a policy priority. A particular focus should be on mental health in younger populations, especially for females and in deprived areas.

Indexed as

General PracticeQuality of LifeAdultCross-Sectional StudiesEnglandFemaleHumansInfant, NewbornMaleSurveys and Questionnairesmental healthpopulation healthpublic healthquality of lifesocioeconomic factors

Identifiers

PMID33619049
PMCPMC7909931

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.