ArticleHealth and quality of life outcomes2022
Socioeconomic inequalities in HRQoL in England: an age-sex stratified analysis.
Article in Health and quality of life outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
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- Value-Based Pricing of Health Services With Health Equity Considerations.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026Article
- Pro-Rich Inequality in Health-Related Quality of Life Among Primary Care Diabetes Patients: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- Self-reported habitual snoring and health-related quality of life among adults attending community health centers in Shanghai, China: a cross-sectional study.Frontiers in public health · 2026Article
- Socioeconomic inequalities in disease prevalence by age and sex for 17 common long-term conditions in England: retrospective, observational study of electronic primary care records from Clinical Practice Research Datalink (CPRD) Aurum.Journal of epidemiology and community health · 2025Observational
- Sociodemographic factors associated with health-related quality of life in UK healthcare workers: a cross-sectional study.BMC medicine · 2025Article
- The influence of socioeconomic position on patient-reported outcome measures following hip fractures - a register-based observational study on 35,206 patients from the Norwegian hip fracture register 2014-2018.Health and quality of life outcomes · 2025Observational
- A standard gamble study to determine health state utilities associated with seizures in glioma in the UK.Health and quality of life outcomes · 2025Article
- Observational
- Magnitude and Temporal Variations of Socioeconomic Inequalities in the Quality of Life After Early Breast Cancer: Results From the Multicentric French CANTO Cohort.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- The Health Impact of Waiting for Elective Procedures in the NHS in England: A Modeling Framework Applied to Coronary Artery Bypass Graft and Total Hip Replacement.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- The short-term impact ofProceedings. Biological sciences · 2024Article
- Do Socioeconomic Inequalities Exist Within Ophthalmology and Orthoptics in the UK?: A Scoping Review.The British and Irish orthoptic journal · 2024Article
- Decomposition of Quality-Adjusted Life Expectancy Inequalities by Mortality and Health-Related Quality of Life Dimensions.PharmacoEconomics · 2023Article
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5 authors.
Funding
Abstract
backgroundSocioeconomic status is a key predictor of lifetime health: poorer people can expect to live shorter lives with lower average health-related quality-of-life (HRQoL) than richer people. In this study, we aimed to improve understanding of the socioeconomic gradient in HRQoL by exploring how inequalities in different dimensions of HRQoL differ by age.
methodsData were derived from the Health Survey for England for 2017 and 2018 (14,412 participants). HRQoL was measured using the EQ-5D-5L instrument. We estimated mean EQ-5D utility scores and reported problems on five HRQoL dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) for ages 16 to 90+ and stratified by neighbourhood deprivation quintiles. Relative and absolute measures of inequality were assessed.
resultsMean EQ-5D utility scores declined with age and followed a socioeconomic gradient, with the lowest scores in the most deprived areas. Gaps between the most and least deprived quintiles emerged around the age of 35, reached their greatest extent at age 60 to 64 (relative HRQoL of most deprived compared to least deprived quintile: females = 0.77 (95% CI: 0.68-0.85); males = 0.78 (95% CI: 0.69-0.87)) before closing again in older age groups. Gaps were apparent for all five EQ-5D dimensions but were greatest for mobility and self-care.
conclusionThere are stark socioeconomic inequalities in all dimensions of HRQoL in England. These inequalities start to develop from early adulthood and increase with age but reduce again around retirement age.
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