Positive association between current health and health values for hypothetical disease states

Joseph T. King, Joel Tsevat, Mark S. Roberts

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Background: Valuations of hypothetical health state scenarios can be affected by participant characteristics. Methods: The authors interviewed 108 veterans using the visual analogue scale (VAS), standard gamble (SG), time tradeoff (TTO), and willingness to pay (WTP) to measure health values for 1) current health and 2) 3 hypothetical health states portrayed in written scenarios describing cervical spondylotic myelopathy (CSM), a degenerative spine condition. They used bivariate rank order and multivariate regression analyses to assess the relationship between CSM values, participants' characteristics, and participants' current health values. Results: Participants were predominantly male (89.8%) and Caucasian (75.9%), with a median age of 58.3 years and a median annual income of $15,000. Median values for current health were VAS, 0.75; SG, 0.80; TTO, 0.80; and WTP, $25,000. In the multivariate analysis, higher CSM values were associated with better current health as measured with the SG, TTO, and WTP (for all, P < 0.001); there was no association with VAS values (P = 0.157). Conclusions: Health values for CSM are positively associated with the current health of the study population.

Original languageEnglish (US)
Pages (from-to)367-378
Number of pages12
JournalMedical Decision Making
Issue number4
StatePublished - Jul 2004
Externally publishedYes


  • Cervical vertebrae
  • Preferences
  • Quality of life
  • Spinal stenosis
  • Standard gamble
  • Time tradeoff
  • Utility
  • Visual analogue scale
  • Willingness to pay

ASJC Scopus subject areas

  • Health Policy


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