ArticlePopulation health metrics2021
How do Japanese rate the severity of different diseases and injuries?-an assessment of disability weights for 231 health states by 37,318 Japanese respondents.
Article in Population health metrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Estimated disability weights for the severity of health outcomes: a systematic review and meta-analysis.Population health metrics · 2025Pooled it
- Systematic review of health utility losses from injuries and violence.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Why healthy life expectancy estimates diverge: insights from survey-based, administrative, and model-based metrics across Japanese prefectures, 2001-2019: a comparative ecological study.Population health metrics · 2026Article
- Online Pairwise Comparisons Survey on Disability Weight for Chronic Cadmium Poisoning - Shenyang City, Liaoning Province, China, June-August 2022.China CDC weekly · 2026Article
- Disability weights measurement for 148 childhood health statuses in Hunan, China: a study based on face-to-face surveys.Population health metrics · 2025Article
- Health impact and cost-effectiveness of COVID-19 booster vaccination strategies in the early post-Omicron era: a dynamic modelling study.BMJ global health · 2025Article
- Three decades of population health changes in Japan, 1990-2021: a subnational analysis for the Global Burden of Disease Study 2021.The Lancet. Public health · 2025Article
- Newly estimated disability weights for 196 health states in Hubei Province, China.Population health metrics · 2024Article
- Deriving disability weights for the Netherlands: findings from the Dutch disability weights measurement study.Population health metrics · 2024Article
- Disability weights for environmental noise-related health states: results of a disability weights measurement study in Europe.BMJ public health · 2024Article
- Letter to the editor: "Eliciting national and subnational sets of disability weights in mainland China: findings from the Chinese disability weight measurement study".The Lancet regional health. Western Pacific · 2024Article
- Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Disability weight measurement for the severity of different diseases in Wuhan, China.Population health metrics · 2023Article
- Can global or national disability weights represent provincial level?BMC public health · 2023Article
- Estimating disability-adjusted life years for breast cancer and the impact of screening in female populations in China, 2015-2030: an exploratory prevalence-based analysis applying local weights.Population health metrics · 2022Article
- Eliciting national and subnational sets of disability weights in mainland China: Findings from the Chinese disability weight measurement study.The Lancet regional health. Western Pacific · 2022Article
- A systematic literature review of disability weights measurement studies: evolution of methodological choices.Archives of public health = Archives belges de sante publique · 2022Review
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Authors and funding
10 authors at 9 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisability weights (DWs) are weight factors that reflect the severity of health states for estimates of disability-adjusted life years. A new set of global DWs was published for the Global Burden of Diseases and Injuries (GBD) 2013 study, which relied on sampling from various world regions, but included little data for countries in East Asia. This study aimed to measure DWs in Japan using comparable methods, and compare the results with previous estimates from the GBD 2013 DW study.
methodsWe conducted a web-based survey in 2019 to estimate DWs for 231 health states for the Japanese population. The survey included five new health states but otherwise followed the method of the GBD DW measurement study. The survey consisted of 15 paired comparison (PC) questions and 3 population health equivalence questions (PHE) per respondent. We analyzed PC data using probit regression and rescaled results to DW units between 0 (equivalent to full health) and 1 (equivalent to death).
findingsWe considered 37,318 nationally representative respondents. The values of the resulting DWs ranged from 0.707 (95% uncertainty interval (UI) 0.527-0.842) for spinal cord injury at neck level (untreated) to 0.004 (UI 0.001-0.009) for mild anemia. High correlation between Japanese DW and GBD 2013 DW was observed, but there was considerable disagreement. Out of 226 comparable health states, 55 (24.3%) showed more than a factor-of-two difference, of which 41 (74.6%) had a higher value in Japanese DW. Many of the health states with higher DW in the Japan study were injuries, including amputation and fracture, and hearing and vision loss, while mental, behavioral, and substance use disorders generally tended to be lower.
conclusionsThis study has created an empirical basis for assessment of Japanese DWs of health status. The findings from this study based on the Japanese population suggest that there might be contextual differences in rating the severity of health states compared to previous surveys conducted elsewhere.
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