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The Health Survey for England Datasets

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  1. The Health Survey for EnglandDatasets Melanie Doyle (National Centre for Social Research) Paola Primatesta (University College London)

  2. Overview • Overview of surveys: HSE, SHS, WHS • Focus on 2003 and on HSE • Survey structure • Sample design • Quality control • Response rates • Reports and resources

  3. HSE SHS WHS Eligible 0+ 0+(c), 0-15(b) 0+ Adults Up to 10 All All Children Up to 2 Up to 2 All Adults est 16,000 10,000 30,000 Children est 4,200 4,000 - Interview CAI, Self comp CAI, Self comp Self comp Nurse visit Yes Yes No Structure: HSE, SHS, WHS

  4. HSE SHS WHS Sample frame PAF PAF PAF PSU P sect Psect Qtr Psect Combine PSU< 1000 250 Stratification 1 HA Region LA 2 %HH NM Carstairs P Sect PSUs selected 720 312 1008 Addresses 19 26(c), 18(b) 30 Households Up to 3 Up to 3 Up to 3 Sample: HSE, SHS, WHS

  5. HSE boost samples: 2002 • Populations boosted in some years • HSE 2002: Children and young adults, maternal health • Target: 10,800 adults and 9,100 children • 38 address/sector • Half general population sample (9 addresses/sector) • Up to 10 adults (16+) and up to children (0-15) eligible • Boost of children, young adults mothers • Up to 10 adults (16-24), up to 2 children (0-15) eligible • Mothers (natural mothers of children under 1)

  6. HSE boost samples: 2004 • HSE 2004: Minority ethnic groups • In 2004: Indian, Pakistani, Bangladeshi, Black African, Black Caribbean, Chinese, Irish • Half general population sample • Boost sample design (similar approach to 1999) • Strata: • based on proportion of population within different ethnic groups • Sample type: • sectors grouped to six sample types • samples varied by groups screened at method of screening

  7. Quality control • Field: • Selection, training • Supervision, backchecks (telephone and letter) • CAPI checks on data and measurements (hard, soft) • CAPI nurselink, helpline • Data quality: • Code/Edit procedures • CAPI data and lab results • Brentwood/London • Team: Operations, Computing, Data Manager • Response

  8. Response rates: 2001 • Issued addresses:13,680 • Deadwood: 9% • business, vacant or demolished properties • excluded from sample • Household response: 74% • Percentage of HH where at least one eligible adult was interviewed • GHS response rate, calculated in the same way, was 74%

  9. Reports and resources • Reports • Published Report (TSO: www.thestationaryoffice.com) • Trend tables (www.doh.gov.uk/stats/trends1.htm) • General info: • Department of Health (www.doh.gov.uk) • NatCen (www.natcen.ac.uk) • UCL (www.ucl.ac.uk/hssrg) • EHRM (http://www.ktl.fi/ehrm/) • Resources • Data archive (www.data-archive.ac.uk) • Question bank (qb.soc.surrey.ac.uk) • Code book (www.doh.gov.uk/hsecodebook/frontpage.htm)

  10. 1994 CVD 1995 Respiratory (atopic), disability, accidents 1996 Respiratory (atopic), accidents 1997 Children/young adults boost 1998 CVD 1999 Ethnic boost, CVD 2000 Older people boost, care homes 2001 Respiratory (atopic), disability, accidents 2002 Children/young adults boost 2003 CVD 2004 Ethnic boost, CVD

  11. Data collection (England, Scotland) • Interviewer visit • Household and Individual questionnaires • self-completion questionnaires (age 8+) • height (age 2+) and weight measurements (age 0+) • all aged 13+ - interviewed in person • children 0-12 - proxy information from parent • Nurse visit • prescribed medication • blood pressure and other measurements

  12. Welsh Health Survey (HIS) • Household interview • Adults: self-completion, 45 questions • Children: self-completion, 4 questions (filled by parent/guardian)

  13. Adult self-completion (Wales) • Health service use • Use of medicines • General health, GHQ12 • Smoking, drinking • Fruit and vegetable consumption • Physical activity • Carers • Demographics • Self-reported height and weight

  14. HSE SHS General health, LSI, acute sickness • • Use of health services • • GHQ12 • • Social support • Social capital • General health measures

  15. HSE SHS Smoking • • Alcohol consumption • • Physical activity • • Fruit and vegetable consumption • • Contraception • • Use of HRT • • Risk factors

  16. Socio-demographic information HSE SHS Full household composition • • Economic status/occupation • • Educational attainment • • Marital status • • Ethnic group • • Benefit receipt • • Household income • • Car ownership • • Housing tenure • • Area and dwelling type • •

  17. Nurse visit • Prescribed medicines and vitamin supplements • Food poisoning (SHS) • Blood pressure (5+) • Lung function (7+) • Waist/hip circumference (16+, 11+) • Demi-span (65+) • Supine length (6 weeks to <2 years) • Electrocardiogram (35+, 65+)

  18. Nurse visit (ctd) • Saliva sample (4+) • Blood sample: - non-fasting (11+) - fasting (35+, 16+) • Urine sample (16+)