SF‐6D utility scores for alcohol use disorder status and alcohol consumption risk levels in the US population

Carolina Barbosa; Jeremy W. Bray; William N. Dowd; Alan Barnosky; Eve Wittenberg

doi:10.1111/add.15224

journal article Aug 27, 2020

SF‐6D utility scores for alcohol use disorder status and alcohol consumption risk levels in the US population

Carolina Barbosa

Jeremy W. Bray William N. Dowd

Alan Barnosky Eve Wittenberg

Addiction Vol. 116 No. 5 pp. 1034-1042 · Wiley

View at Publisher Save 10.1111/add.15224

Abstract

AbstractAimsTo estimate US population health utilities for subgroups defined by alcohol use disorder (AUD) status and consumption level.DesignCross‐sectional survey.SettingCommunity settings in the United States (i.e. excluding institutional settings).ParticipantsA total of 36,042 adults (age 18+) in non‐institutional settings in the United States.MeasurementsWe used 12‐item Short Form Survey (SF‐12) data from the National Epidemiologic Survey on Alcohol and Related Conditions–III to calculate mean Short Form–6 dimension (SF‐6D) utility scores across World Health Organization alcohol consumption risk levels—very high risk, high risk, medium risk, low risk and an additional abstinent level—for three groups: (1) the general population (n = 36,042), (2) individuals with life‐time AUD (n = 9925) and (3) individuals with current AUD (n = 5083), and assessed minimally important differences (MIDs) between consumption levels. Each group is a subset of the previous group.FindingsThe general population's mean SF‐6D utility was higher than that of individuals with life‐time or current AUD across all consumption risk levels (0.79 versus 0.76 for both AUD groups). For all groups, SF‐6D utilities increased as consumption risk level decreased to non‐abstinent levels, and reducing consumption from very high risk to any lower level was associated with a statistically significant and meaningful improvement in utility. For individuals with life‐time or current AUD, becoming abstinent from high‐, medium‐ and low‐risk levels was associated with significantly and meaningfully worse utilities.ConclusionsHigher alcohol consumption risk levels appear to be associated with lower health index scores for the general population and individuals with a history of alcohol use disorder, meaning that higher alcohol consumption is associated with worse health‐related quality of life.

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Details

Published: Aug 27, 2020
Vol/Issue: 116(5)
Pages: 1034-1042
License: View

Authors

C

Carolina Barbosa

RTI International Chicago IL USA

J

Jeremy W. Bray

Bryan School of Business and Economics University of North Carolina Greensboro NC USA

W

William N. Dowd

Research Triangle Park RTI International NC USA

A

Alan Barnosky

Research Triangle Park RTI International NC USA

E

Eve Wittenberg

Harvard T.H. Chan School of Public Health Boston MA USA

Funding

National Institute on Alcohol Abuse and Alcoholism Award: R01AA024423

Cite This Article

Carolina Barbosa, Jeremy W. Bray, William N. Dowd, et al. (2020). SF‐6D utility scores for alcohol use disorder status and alcohol consumption risk levels in the US population. Addiction, 116(5), 1034-1042. https://doi.org/10.1111/add.15224

SF‐6D utility scores for alcohol use disorder status and alcohol consumption risk levels in the US population

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