Musculoskeletal health and capability wellbeing: Associations between the HAQ-DI, ICECAP-A and ICECAP-O measures in a population survey,Musculoskeletal Science and Practice

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Musculoskeletal health and capability wellbeing: Associations between the HAQ-DI, ICECAP-A and ICECAP-O measures in a population survey
Musculoskeletal Science and Practice ( IF 2.3 ) Pub Date : 2021-06-30 , DOI: 10.1016/j.msksp.2021.102420
Márta Péntek ₁ , Gyula Poór ₂ , László Gulácsi ₁ , Zsombor Zrubka ₁ , Valentin Brodszky ₃ , Fanni Rencz ₄ , Ágota Dobos ₅ , Miklós Farkas ₆ , Levente Kovács ₇ , Petra Baji ₃

Affiliation

Background

The capability approach has received increasing attention in wellbeing measurement in the past years, but it has still remained an underexplored area in musculoskeletal (MSK) health.

Objective

We aimed to explore the capability wellbeing in relation to MSK health, by measuring the associations between the Health Assessment Questionnaire Disability Index (HAQ-DI) physical functioning and the ICECAP-A and ICECAP-O capability wellbeing measures.

Design

A cross-sectional survey was performed in 2019 on a representative sample of the Hungarian general adult population.

Method

Capability wellbeing was measured by the ICECAP-A (age-group 18–64) and ICECAP-O (age group 65+) questionnaires. MSK health was defined by the HAQ-DI, the mobility domain of the EQ-5D-3L/-5L health status measures, self-reported walking problems and MSK diagnosis (neck/back/low back defects, hip/knee arthrosis, osteoporosis).

Results

Altogether 2021 individuals (female: 50.1%) participated in the survey with mean (SD) age of 48.7 (17.9) years and HAQ-DI of 0.138 (0.390). ICECAP-A (N = 1568, 77.6%) and ICECAP-O (N = 453, 22.4%) scores were on average (SD) 0.894 (0.126) and 0.828 (0.150), respectively. Spearman correlations between the HAQ-DI and ICECAP-A/-O index scores were moderate (r = −0.303 and −0.496; p < 0.05). Both the ICECAP-A/-O index scores differed significantly (ANOVA test, p < 0.05) across all MSK subgroups. In the ordinary least square regressions, marginal effects of ICECAP-A/-O scores on HAQ-DI were significant (−0.149 and −0.123) when controlling for socio-demographic characteristics.

Conclusions

MSK health problems are associated with lower capability wellbeing. ICECAP-A/-O might capture effects of MSK conditions not measured by the HAQ-DI or the EQ-5D-5L. Further studies should test these associations in disease-specific samples.

中文翻译：

肌肉骨骼健康和能力健康：人口调查中 HAQ-DI、ICECAP-A 和 ICECAP-O 措施之间的关联

背景

在过去几年中，能力方法在幸福感测量中受到越来越多的关注，但它在肌肉骨骼 (MSK) 健康方面仍然是一个未充分探索的领域。

客观的

我们旨在通过测量健康评估问卷残疾指数 (HAQ-DI) 身体机能与 ICECAP-A 和 ICECAP-O 能力健康指标之间的关联，探索与 MSK 健康相关的能力健康。

设计

2019 年对匈牙利一般成年人口的代表性样本进行了横断面调查。

方法

能力幸福感通过 ICECAP-A（18-64 岁年龄组）和 ICECAP-O（65 岁以上年龄组）问卷进行衡量。MSK 健康由 HAQ-DI、EQ-5D-3L/-5L 健康状况测量的活动范围、自我报告的行走问题和 MSK 诊断（颈部/背部/腰背缺陷、髋/膝关节病、骨质疏松症）定义).

结果

共有 2021 人（女性：50.1%）参与了调查，平均 (SD) 年龄为 48.7 (17.9) 岁，HAQ-DI 为 0.138 (0.390)。ICECAP-A (N = 1568, 77.6%) 和 ICECAP-O (N = 453, 22.4%) 得分平均 (SD) 分别为 0.894 (0.126) 和 0.828 (0.150)。HAQ-DI 和 ICECAP-A/-O 指数得分之间的 Spearman 相关性适中（r = -0.303 和 -0.496；p < 0.05）。所有 MSK 亚组的 ICECAP-A/-O 指数得分均有显着差异（ANOVA 检验，p < 0.05）。在普通最小二乘回归中，控制社会人口特征时，ICECAP-A/-O 分数对 HAQ-DI 的边际效应显着（-0.149 和 -0.123）。