Construct validity of SF-6D health state utility values in an employed population

Baxter, Siyan, Sanderson, Kristy ORCID:, Venn, Alison, Otahal, Petr and Palmer, Andrew J. (2015) Construct validity of SF-6D health state utility values in an employed population. Quality of Life Research, 24 (4). pp. 851-870. ISSN 0962-9343

Full text not available from this repository. (Request a copy)


Background: Health utility values permit cost utility analysis in workplace health promotion; however, utility measures of working populations have not been validated. Aim: To investigate construct validity of SF-6D health utility in a public service workforce. Methods: SF-12v2 Health Survey was administered to 3,408 randomly selected public service employees in Australia in 2010. SF-12 scores were converted to SF-6D health utility values. Associations and correlates of SF-6D with health, socio-demographic and work characteristics [comorbidities, body mass index (BMI), Kessler-10 psychological distress (K10), education, salary, effort-reward imbalance (ERI), absenteeism] were explored. Ceiling effects were analysed. Nationally representative employee SF-6D values from the Household, Income and Labour Dynamics in Australia (HILDA) survey (n = 11,234) were compared. All analyses were stratified by sex. Results: Mean (SE) age was 45.7 (0.35) males; 44.5 (0.22) females. Females represented 72 % of the sample. Mean (SE) health utility 0.792 (0.004); 0.771 (0.003) was higher in males. SF-6D demonstrated both a significant inverse association (p < 0.01) and negative correlations (female; male) with K10 (r = −0.63; r = −0.66), comorbidity count (r = −0.40; r = −0.33), ERI (r = −0.37; r = −0.34) and absenteeism (p < 0.005, r = −0.25; r = −0.21). Mean (SE) SF-6D in HILDA was 0.792 (0.002); 0.775 (0.003) males; females. Correlates and associations in all samples were similar. The general employed demonstrated a significant inverse association with age and positive association with salary. SF-6D was independent of BMI. Conclusions: Psychological distress, comorbidity, effort-reward imbalance and absenteeism are negatively associated with employee health. SF-6D is a valid measure of perceived health states in working populations.

Item Type: Article
Uncontrolled Keywords: employee,health utility,sf-12,sf-36,sf-6d,workplace health promotion,public health, environmental and occupational health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2739
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 10 Jul 2021 00:06
Last Modified: 19 Oct 2023 03:01
DOI: 10.1007/s11136-014-0823-4

Actions (login required)

View Item View Item