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On the ability of the SF-6D to capture the consequences of chronic illnesses on subjective well-being: Evidence from France

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  • Tessier, Philippe
  • Wolff, François-Charles

Abstract

Using cross-sectional data from a representative sample of the French population (the 2008 Disability Health survey), this paper examines whether the SF-6D, a widely used preference-based measure of health-related quality of life in economic evaluations, fully captures the variation in subjective well-being (SWB) due to chronic illnesses. We conduct a mediation analysis to disentangle the direct and indirect, through the SF-6D, effects of various chronic conditions on SWB (happiness). Our results show that the SF-6D reflects changes in happiness due to most illnesses except mental illness. Changes in SWB mediated by the SF-6D account for 74% of the total effect. The variation unexplained by the SF-6D is significant and increases substantially in the presence of multimorbidity when a chronic illness is combined with anxiety or depression. Overall, our results suggest that the SF-6D incompletely captures the subjective experience of chronically ill patients, especially those with comorbid conditions.

Suggested Citation

  • Tessier, Philippe & Wolff, François-Charles, 2024. "On the ability of the SF-6D to capture the consequences of chronic illnesses on subjective well-being: Evidence from France," Social Science & Medicine, Elsevier, vol. 354(C).
    • Handle: RePEc:eee:socmed:v:354:y:2024:i:c:s0277953624005392
    DOI: 10.1016/j.socscimed.2024.117086
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    More about this item

    Keywords

    SF-6D; Health-related quality-of-life; Chronic illness; Subjective well-being; Mediation analysis; France;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being

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