Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS)

Hans Helmut König; Sebastian Neumann-Böhme; Iryna Sabat; Jonas Schreyögg; Aleksandra Torbica; Job van Exel; Pedro Pita Barros; Tom Stargardt; André Hajek

doi:10.1007/s11136-022-03334-5

Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS)

Hans Helmut König^*, Sebastian Neumann-Böhme, Iryna Sabat, Jonas Schreyögg, Aleksandra Torbica, Job van Exel, Pedro Pita Barros, Tom Stargardt, André Hajek

^*Corresponding author for this work

Health Economics (HE)

Research output: Contribution to journal › Article › Academic › peer-review

7 Citations (Scopus)

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Abstract

Purpose: To investigate health-related quality of life (HRQoL) over the course of the COVID-19 pandemic in seven European countries and its association with selected sociodemographic as well as COVID-19-related variables. Methods: We used longitudinal data from nine quarterly waves collected between April 2020 and January 2022 (sample size per wave ranging from N = 7025 to 7300) of the European COvid Survey (ECOS), a representative survey of adults in Germany, United Kingdom, Denmark, Netherlands, France, Portugal and Italy. HRQoL was measured using the EQ-5D-5L. The association of self-reported COVID-19 infection, perceived health risk from COVID-19, selected sociodemographic variables and the COVID-19 stringency index with HRQoL was analyzed by logistic and linear fixed effects regressions. Results: On average across all nine waves, the proportion of respondents reporting any problems in at least one of the EQ-5D dimensions ranged between 63.8% (Netherlands) and 71.0% (Denmark). Anxiety/depression was the most frequently affected EQ-5D dimension in four countries (Portugal: 52.0%; United Kingdom: 50.2%; Italy: 49.2%; France: 49.0%), whereas pain/discomfort ranked first in three countries (Denmark: 58.3%; Germany: 55.8%; Netherlands: 49.0%). On average across all nine waves, the EQ-VAS score ranged from 70.1 in the United Kingdom to 78.4 in Portugal. Moreover, the EQ-5D-5L index ranged from.82 in Denmark to.94 in France. The occurrence of COVID-19 infection, changes in the perceived risk to one’s own health from COVID-19, the occurrence of income difficulties and an increase in the COVID-19 stringency index were associated with increased likelihood of problems in EQ-5D dimensions, reduced EQ-VAS score and reduced EQ-5D-5L index. Conclusions: Across seven European countries, we found large proportions of respondents reporting problems in HRQoL dimensions throughout the pandemic, especially for anxiety/depression. Various sociodemographic and COVID-19-related variables were associated with HRQoL in longitudinal analysis.

Original language	English
Pages (from-to)	1631-1644
Number of pages	14
Journal	Quality of Life Research
Volume	32
Issue number	6
Early online date	5 Feb 2023
DOIs	https://doi.org/10.1007/s11136-022-03334-5
Publication status	Published - Jun 2023

Bibliographical note

Funding Information:
This project has received funding from the German Research Foundation (DFG) under project number 466310982 and the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 721402, the work was supported by funding under the Excellence Strategy by the German federal and state governments, as well as by the University of Hamburg, Erasmus School of Health Policy & Management and Nova School of Business and Economics Lisbon–Chair BPI | “Fundação La Caixa” on Health Economics. Open Access funding enabled and organized by Projekt DEAL.

Publisher Copyright: © 2023, The Author(s).

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König, H. H., Neumann-Böhme, S., Sabat, I., Schreyögg, J., Torbica, A., van Exel, J., Barros, P. P., Stargardt, T., & Hajek, A. (2023). Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS). Quality of Life Research, 32(6), 1631-1644. https://doi.org/10.1007/s11136-022-03334-5

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abstract = "Purpose: To investigate health-related quality of life (HRQoL) over the course of the COVID-19 pandemic in seven European countries and its association with selected sociodemographic as well as COVID-19-related variables. Methods: We used longitudinal data from nine quarterly waves collected between April 2020 and January 2022 (sample size per wave ranging from N = 7025 to 7300) of the European COvid Survey (ECOS), a representative survey of adults in Germany, United Kingdom, Denmark, Netherlands, France, Portugal and Italy. HRQoL was measured using the EQ-5D-5L. The association of self-reported COVID-19 infection, perceived health risk from COVID-19, selected sociodemographic variables and the COVID-19 stringency index with HRQoL was analyzed by logistic and linear fixed effects regressions. Results: On average across all nine waves, the proportion of respondents reporting any problems in at least one of the EQ-5D dimensions ranged between 63.8% (Netherlands) and 71.0% (Denmark). Anxiety/depression was the most frequently affected EQ-5D dimension in four countries (Portugal: 52.0%; United Kingdom: 50.2%; Italy: 49.2%; France: 49.0%), whereas pain/discomfort ranked first in three countries (Denmark: 58.3%; Germany: 55.8%; Netherlands: 49.0%). On average across all nine waves, the EQ-VAS score ranged from 70.1 in the United Kingdom to 78.4 in Portugal. Moreover, the EQ-5D-5L index ranged from.82 in Denmark to.94 in France. The occurrence of COVID-19 infection, changes in the perceived risk to one{\textquoteright}s own health from COVID-19, the occurrence of income difficulties and an increase in the COVID-19 stringency index were associated with increased likelihood of problems in EQ-5D dimensions, reduced EQ-VAS score and reduced EQ-5D-5L index. Conclusions: Across seven European countries, we found large proportions of respondents reporting problems in HRQoL dimensions throughout the pandemic, especially for anxiety/depression. Various sociodemographic and COVID-19-related variables were associated with HRQoL in longitudinal analysis.",

author = "K{\"o}nig, {Hans Helmut} and Sebastian Neumann-B{\"o}hme and Iryna Sabat and Jonas Schrey{\"o}gg and Aleksandra Torbica and {van Exel}, Job and Barros, {Pedro Pita} and Tom Stargardt and Andr{\'e} Hajek",

note = "Funding Information: This project has received funding from the German Research Foundation (DFG) under project number 466310982 and the European Union{\textquoteright}s Horizon 2020 research and innovation programme under the Marie Sk{\l}odowska-Curie grant agreement No 721402, the work was supported by funding under the Excellence Strategy by the German federal and state governments, as well as by the University of Hamburg, Erasmus School of Health Policy & Management and Nova School of Business and Economics Lisbon–Chair BPI | “Funda{\c c}{\~a}o La Caixa” on Health Economics. Open Access funding enabled and organized by Projekt DEAL. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

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doi = "10.1007/s11136-022-03334-5",

language = "English",

volume = "32",

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König, HH, Neumann-Böhme, S, Sabat, I, Schreyögg, J, Torbica, A, van Exel, J, Barros, PP, Stargardt, T & Hajek, A 2023, 'Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS)', Quality of Life Research, vol. 32, no. 6, pp. 1631-1644. https://doi.org/10.1007/s11136-022-03334-5

Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS). / König, Hans Helmut; Neumann-Böhme, Sebastian; Sabat, Iryna et al.
In: Quality of Life Research, Vol. 32, No. 6, 06.2023, p. 1631-1644.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic

T2 - evidence from the European COvid Survey (ECOS)

AU - König, Hans Helmut

AU - Neumann-Böhme, Sebastian

AU - Sabat, Iryna

AU - Schreyögg, Jonas

AU - Torbica, Aleksandra

AU - van Exel, Job

AU - Barros, Pedro Pita

AU - Stargardt, Tom

AU - Hajek, André

N1 - Funding Information: This project has received funding from the German Research Foundation (DFG) under project number 466310982 and the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 721402, the work was supported by funding under the Excellence Strategy by the German federal and state governments, as well as by the University of Hamburg, Erasmus School of Health Policy & Management and Nova School of Business and Economics Lisbon–Chair BPI | “Fundação La Caixa” on Health Economics. Open Access funding enabled and organized by Projekt DEAL. Publisher Copyright: © 2023, The Author(s).

PY - 2023/6

Y1 - 2023/6

N2 - Purpose: To investigate health-related quality of life (HRQoL) over the course of the COVID-19 pandemic in seven European countries and its association with selected sociodemographic as well as COVID-19-related variables. Methods: We used longitudinal data from nine quarterly waves collected between April 2020 and January 2022 (sample size per wave ranging from N = 7025 to 7300) of the European COvid Survey (ECOS), a representative survey of adults in Germany, United Kingdom, Denmark, Netherlands, France, Portugal and Italy. HRQoL was measured using the EQ-5D-5L. The association of self-reported COVID-19 infection, perceived health risk from COVID-19, selected sociodemographic variables and the COVID-19 stringency index with HRQoL was analyzed by logistic and linear fixed effects regressions. Results: On average across all nine waves, the proportion of respondents reporting any problems in at least one of the EQ-5D dimensions ranged between 63.8% (Netherlands) and 71.0% (Denmark). Anxiety/depression was the most frequently affected EQ-5D dimension in four countries (Portugal: 52.0%; United Kingdom: 50.2%; Italy: 49.2%; France: 49.0%), whereas pain/discomfort ranked first in three countries (Denmark: 58.3%; Germany: 55.8%; Netherlands: 49.0%). On average across all nine waves, the EQ-VAS score ranged from 70.1 in the United Kingdom to 78.4 in Portugal. Moreover, the EQ-5D-5L index ranged from.82 in Denmark to.94 in France. The occurrence of COVID-19 infection, changes in the perceived risk to one’s own health from COVID-19, the occurrence of income difficulties and an increase in the COVID-19 stringency index were associated with increased likelihood of problems in EQ-5D dimensions, reduced EQ-VAS score and reduced EQ-5D-5L index. Conclusions: Across seven European countries, we found large proportions of respondents reporting problems in HRQoL dimensions throughout the pandemic, especially for anxiety/depression. Various sociodemographic and COVID-19-related variables were associated with HRQoL in longitudinal analysis.

AB - Purpose: To investigate health-related quality of life (HRQoL) over the course of the COVID-19 pandemic in seven European countries and its association with selected sociodemographic as well as COVID-19-related variables. Methods: We used longitudinal data from nine quarterly waves collected between April 2020 and January 2022 (sample size per wave ranging from N = 7025 to 7300) of the European COvid Survey (ECOS), a representative survey of adults in Germany, United Kingdom, Denmark, Netherlands, France, Portugal and Italy. HRQoL was measured using the EQ-5D-5L. The association of self-reported COVID-19 infection, perceived health risk from COVID-19, selected sociodemographic variables and the COVID-19 stringency index with HRQoL was analyzed by logistic and linear fixed effects regressions. Results: On average across all nine waves, the proportion of respondents reporting any problems in at least one of the EQ-5D dimensions ranged between 63.8% (Netherlands) and 71.0% (Denmark). Anxiety/depression was the most frequently affected EQ-5D dimension in four countries (Portugal: 52.0%; United Kingdom: 50.2%; Italy: 49.2%; France: 49.0%), whereas pain/discomfort ranked first in three countries (Denmark: 58.3%; Germany: 55.8%; Netherlands: 49.0%). On average across all nine waves, the EQ-VAS score ranged from 70.1 in the United Kingdom to 78.4 in Portugal. Moreover, the EQ-5D-5L index ranged from.82 in Denmark to.94 in France. The occurrence of COVID-19 infection, changes in the perceived risk to one’s own health from COVID-19, the occurrence of income difficulties and an increase in the COVID-19 stringency index were associated with increased likelihood of problems in EQ-5D dimensions, reduced EQ-VAS score and reduced EQ-5D-5L index. Conclusions: Across seven European countries, we found large proportions of respondents reporting problems in HRQoL dimensions throughout the pandemic, especially for anxiety/depression. Various sociodemographic and COVID-19-related variables were associated with HRQoL in longitudinal analysis.

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Health-related quality of life in seven European countries throughout the course of the COVID-19 pandemic: evidence from the European COvid Survey (ECOS)

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