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Estimation of Health-Related Quality of Life Losses Owing to a Technological Disaster in Brazil Using EQ-5D-3L: A Cross-Sectional Study.
Andrade, Mônica Viegas; Noronha, Kenya Valéria Micaela de Souza; Santos, André Soares; de Souza, Aline; Guedes, Gilvan Ramalho; Campolina, Bernardo; Cavalcante, Anderson; Magalhães, Aline Souza; Duarte, Denise; Kind, Paul.
Afiliação
  • Andrade MV; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. Electronic address: mviegas@cedeplar.ufmg.br.
  • Noronha KVMS; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Santos AS; Center for Development and Regional Planning, Department of Economics and Center for Health Technology Assessment of the Universidade Federal de Minas Gerais Teaching Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • de Souza A; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Guedes GR; Department of Demography, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Campolina B; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Cavalcante A; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Magalhães AS; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Duarte D; Department of Economics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Department of Statistics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Kind P; School of Medicine, University of Leeds, Leeds, England, UK.
Value Health Reg Issues ; 26: 66-74, 2021 Dec.
Article em En | MEDLINE | ID: mdl-34119775
OBJECTIVES: In 2015, a dam collapsed at Samarco iron ore mine in the municipality of Mariana, Brazil, and contaminated more than 600 km of watercourses and destroyed almost 1600 acres of vegetation. Nineteen people died and more than 600 families lost their homes. This study aimed to estimate health-related quality of life (HRQoL) losses owing to this disaster. METHODS: We collected data from a probabilistic sample of 459 individuals aged 15 years or older. Household face-to-face interviews were conducted in December 2018. Pre-event data were not available for this population, so respondents were asked to evaluate at present and in retrospect their health status using EQ-5D-3L. The Minas Gerais societal value sets for EQ-5D-3L health preferences, estimated in 2011, were used to calculate utility losses. The health loss estimation from EQ-5D will form the basis for the calculation of compensation payments for the victims. RESULTS: Approximately 74% of the study population suffered some HRQoL loss. On average, EQ-5D index values decreased from 0.95 to 0.76. The greatest effects were observed for the anxiety/depression dimension, followed by pain/discomfort. Before the tragedy, the proportion of individuals with severe anxiety/depression and pain/discomfort was equal to 1% rising to 23% and 11%, respectively. CONCLUSIONS: Catastrophic losses owing to the Samarco disaster were found. The EQ-5D-3L instrument showed feasibility and sensitiveness to measure HRQoL losses owing to a negative health shock in a low-income Brazilian population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Desastres Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Value Health Reg Issues Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Desastres Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Value Health Reg Issues Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos