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Health Preferences in Transition

Differences from Pandemic to Post-Pandemic in Valuation of Covid-19 and RSV Illness in Children and Adults

Bibliographic Data

ID15713613
AuthorsKerra Mercon (University of Michigan), Kerra R Mercon (Susan B. Meister Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, MI 48109, USA), Angela M Rose (0000-0001-6255-7339, University of Michigan), Christopher J Cadham (0000-0001-9531-2733, University of Michigan), Acham Gebremariam (University of Michigan), Jamison Pike (0000-0002-3442-5627, Centers for Disease Control and Prevention), Eve Wittenberg (0000-0001-7318-1154, Center for Health Decision Science, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA), Lisa A Prosser (University of Michigan, corresponding author)
Year2025
Volume12
Issue2
Pages181-181
Publication date2025-01-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children12020181
PMID40003283
OpenAlexW4407038764
LanguageEN
References cited60

Objective: This study aimed to measure changes in preferences regarding health-related quality of life associated with COVID-19 and RSV illness in children and adults from 2021 (during the COVID-19 pandemic) to 2023 (post-pandemic). Methods: A stated-preference survey elicited time trade-off (TTO) values from US adults in spring 2021 ( n = 1014) and summer 2023 ( n = 1186). Respondents were asked to indicate how much time they would hypothetically be willing to trade from the end of their life to avoid the effects of varying severities of COVID-19 and RSV illness for: (1) children; (2) parents of an ill child (family spillover); and (3) adults. Attitudes relating to COVID-19 vaccination and data on experience with COVID-19 or RSV illness were also collected. The primary outcome measure was the loss in quality-adjusted life years (QALYs). Changes in preferences over the time period from 2021 to 2023 were evaluated using regression analysis. Results: QALY losses increased with disease severity and were highest for Long COVID. Across all COVID-19 and RSV health states, QALY losses associated with child health states were higher than family spillover or adult health states. In the regression analysis, QALY losses reported in the 2023 survey were significantly lower than 2021 QALY losses for COVID-19, but not RSV. Conclusions: Preferences may change over time in a pandemic context and therefore, economic analyses of pandemic interventions should consider the timeframe of health preference data collection to determine whether they are suitable to include in an economic evaluation. Even with the impacts on health-related quality of life attenuated over time, childhood illnesses still had a measurable impact on caregivers' quality of life

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Disease · Economics · Infectious disease (medical specialty · Outbreak · Pandemic · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Valuation (finance · Global Health Care Issues · Long-Term Effects of COVID-19 · Medicine · Optimism, Hope, and Well-being · Internal Medicine · Virology

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