Preferences of urban Zimbabweans for health and life lived at different ages

Jennifer Jelsma, Darlies Shumba, Kristian Schultz Hansen, Willy De Weerdt, Paul De Cock

11 Citations (Scopus)

Abstract

OBJECTIVE: To determine the age-weighting preferences of urban Zimbabweans in relation to health care priorities.

METHOD: A total of 67 randomly selected residents of a high-density area of Harare participated in the study. Participants were asked "person trade-off" questions to determine their preferences in terms of the numbers of people of various ages who would be saved from death and from suffering a year of ill-health relative to the number of 30-year-olds who would be saved from these eventualities.

FINDINGS: The responses indicate that the value of averting a year of ill-health was judged greatest for 15-year-olds and was equal for people aged 1, 30, and 45 years. The value of averting a death primarily reflected the expected years of life lost, but the influence of age-weighting was evident in that 15 years was the most highly valued age.

CONCLUSION: Although the age-weighting curves did not correspond exactly with the Global Burden of Disease (GBD) age-weights, Zimbabweans showed a preference for saving the lives of young adults. The GBD age-weights should be used to determine the disability-adjusted life years lost in the Zimbabwean population.

Original languageEnglish
JournalBulletin of the World Health Organization
Volume80
Issue number3
Pages (from-to)204-9
Number of pages6
ISSN0042-9686
Publication statusPublished - 2002

Keywords

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Cost of Illness
  • Female
  • Health Priorities
  • Health Status Indicators
  • Humans
  • Infant
  • Life Expectancy
  • Male
  • Middle Aged
  • Urban Population
  • Value of Life
  • Zimbabwe
  • Comparative Study
  • Journal Article
  • Research Support, Non-U.S. Gov't

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