{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:27:55Z","timestamp":1753892875656,"version":"3.41.2"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:00:00Z","timestamp":1647907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>India is undergoing a rapid demographic and epidemiologic transition. Thus demanding prioritization of diseases based on burden estimation is befitting our cultural diversity. Disability weights (DWs) by Global burden of disease (GBD) studies may not be representative. Hence, a study was conducted to estimate state-specific disability weights to capture the community health perceptions that included urban\u2013rural settings as well as different socio-economic and literacy levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 2,055 community members (participants) from two distinct states of India, Odisha and Telangana, were interviewed to assign disability weights to the selected 14 health states based on the state burden and relevance. Each health state was described to the participants using pictorial representations of the health states and valuated using visual analog scale and card sort methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We noted that DWs in Odisha ranged from 0.32 (0.30\u20130.34) for upper limb fracture due to road traffic accident (least severe) to 0.90 (0.88\u20130.93) for breast cancer (most severe) among the 14 health states. While, in Telangana, diarrhea was considered least severe [DW = 0.22 (0.19\u20130.24)] and breast cancer remained most severe [DW = 0.85 (0.83\u20130.88)] as in Odisha. Marked difference in the DWs for other health states was also seen. Further, on comparison of community weights with GBD weights using Spearman correlation, we observed a low correlation (\u03c1 = 0.104).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study provides community-based findings that show how participants valued noncommunicable diseases higher than short-term ailments or infectious diseases. Additionally, the low correlation between GBD also suggests the need for local disability weights rather than universal acceptance. We therefore recommend that decisions in policy-making, especially for resource allocation and priority setting, need to be based not only on expert opinion but also include community in accordance with high scientific standards.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.752311","type":"journal-article","created":{"date-parts":[[2022,3,27]],"date-time":"2022-03-27T18:01:03Z","timestamp":1648404063000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disability Weights Estimates From India in 2018: Measurements From Community Members From Two Distinct States of India"],"prefix":"10.3389","volume":"10","author":[{"given":"Lipika","family":"Nanda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunice","family":"Lobo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geetha R.","family":"Menon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratik","family":"Dhopte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuchi Sree","family":"Akhouri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandni","family":"Shrivastava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roshan","family":"Ronghang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiswarya","family":"Anilkumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambarish","family":"Dutta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3402\/gha.v7.23248","article-title":"Understanding epidemiological transition in India","volume":"7","author":"Yadav","year":"2014","journal-title":"Glob Health Action"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1016\/S0140-6736(96)07494-6","article-title":"Regional patterns of disability-free life expectancy and disability-adjusted life expectancy: global burden of disease study","volume":"349","author":"Murray","year":"1997","journal-title":"Lancet"},{"article-title":"UvA-DARE (Digital Academic Repository) Disability weights for diseases in the Netherlands","year":"2017","author":"Water","key":"B3"},{"key":"B4","unstructured":"43\n            MurrayC\n            LopezA\n          32839249Global Burden of Disease and Injur Y Series the Global Burden of Disease1996"},{"key":"B5","unstructured":"Disability weights for diseases in the Netherlands167\n            StouthardMEA\n            Essink-BotM\n            BonselG\n            BarendregtJ\n            KramersP\n            Van de WaterH\n          1997"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2079","DOI":"10.1016\/S0140-6736(05)73538-8","article-title":"The global burden of disease disability weights","volume":"355","author":"Jelsma","year":"2000","journal-title":"Lancet."},{"key":"B7","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1002\/hec.658","article-title":"Obtaining disability weights in rural Burkina Faso using a culturally adapted visual analogue scale","volume":"11","author":"Baltussen","year":"2002","journal-title":"Health Econ."},{"key":"B8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1478-7954-1-9","article-title":"Cross-national agreement on disability weights: the European Disability Weights Project","volume":"1","author":"Schwarzinger","year":"2003","journal-title":"Popul Health Metr"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1478-7954-6-7","article-title":"Disability adjusted life years and minimal disease: application of a preference-based relevance criterion to rank enteric pathogens","volume":"6","author":"Haagsma","year":"2008","journal-title":"Popul Health Metr."},{"key":"B10","doi-asserted-by":"publisher","first-page":"2129","DOI":"10.1016\/S0140-6736(12)61680-8","article-title":"Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010","volume":"380","author":"Salomon","year":"2012","journal-title":"Lancet."},{"key":"B11","first-page":"473","article-title":"Measuring health state values in developing countries\u2014results from a community survey in Andhra Pradesh","volume-title":"Measures of Population Health: Concepts, Ethics, Measurement and Applications","author":"Mahapatra","year":"2002"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fpubh.2019.00276","article-title":"Describing the development of a health state valuation protocol to obtain community-derived disability weights","volume":"7","author":"Lobo","year":"2019","journal-title":"Front Public Heal"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1097\/00005650-199711000-00002","article-title":"Modeling valuations for EuroQol Health States","volume":"35","author":"Dolan","year":"1997","journal-title":"Med Care"},{"key":"B14","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1080\/096382801750143607","article-title":"EuroQol EQ-5D may not adequately describe the health of people with disabilities","volume":"23","author":"Taylor","year":"2001","journal-title":"Disabil Rehabil"},{"key":"B15","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1097\/00006199-198909000-00006","article-title":"Visual analogue scales: measurement of subjective phenomena","volume":"38","author":"Gift","year":"1989","journal-title":"Nurs Res"},{"key":"B16","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1002\/nur.4770130405","article-title":"A critical review of visual analogue scales in the measurement of clinical phenomena","volume":"13","author":"Wewers","year":"1990","journal-title":"Res Nurs Health"},{"key":"B17","unstructured":"Chapter 1 Measuring the Global Burden of Disease and Risk Factors, 1990\u20132001\n            LopezAD\n            MathersCD\n            EzzatiM\n            JamisonDT\n            MurrayCJL\n          Washington (DC)World HealthGlobal Burden of Disease and Risk Factors2002"},{"key":"B18","first-page":"1620","article-title":"Perception of lay people regarding determinants of health and factors affecting it: an aggregated analysis from 29 countries","volume":"44","author":"Zahra","year":"2015","journal-title":"Iran J Public Health."},{"key":"B19","doi-asserted-by":"publisher","first-page":"31754","DOI":"10.3402\/gha.v9.31754","article-title":"Disability weights from a household survey in a low socio-economic setting: how does it compare to the global burden of disease 2010 study?","volume":"9","author":"Neethling","year":"2016","journal-title":"Glob Health Action"},{"key":"B20","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/S0140-6736(98)07507-2","article-title":"Multiple-informant ranking of the disabling effects of different health conditions in 14 countries. WHO\/NIH joint project CAR study group","volume":"354","author":"Ust\u00fcn","year":"1999","journal-title":"Lancet."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.752311\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,27]],"date-time":"2022-03-27T18:01:09Z","timestamp":1648404069000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.752311\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,22]]},"references-count":20,"alternative-id":["10.3389\/fpubh.2022.752311"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.752311","relation":{},"ISSN":["2296-2565"],"issn-type":[{"type":"electronic","value":"2296-2565"}],"subject":[],"published":{"date-parts":[[2022,3,22]]},"article-number":"752311"}}