THE ROLE OF RELUCTANCE TO GIVE UP LIFE IN THE MEASUREMENT OF THE VALUES OF HEALTH STATES

Ouestions that involve willingness to risk or give up life often are u sed to measure the values of health states. In the Boston Health Study , interviews with 291 patients who had AIDS included questions about h ealth status and current desire for resuscitation, and a series of hyp othetical questions about desire for life-extending efforts ii the pat ients found themselves in undesirable states, such as being chronicall y nauseous or blind. An index, ''reluctance to give up life'' was made from five such questions. The desire for resuscitation was related to current health status, but the general reluctance to give up life was not. Desire to be resuscitated was significantly related to current h ealth status only when ''reluctance to give up life'' was ''low.'' For people reluctant to say they will give up any life at all, questions that involve risking or trading life seem likely to be poor measures o f the values of health states.