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Smoking Behavior: A Comparision Between the Health Interview Surveys of the US and Hungary. Julianna Boros¹ and Deborah Rose, Ph.D² NCHS Data Users Conference, July 15, 2002. ¹National Center for Epidemiology, Hungary ²National Center for Health Statistics, United States.

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smoking behavior a comparision between the health interview surveys of the us and hungary

Smoking Behavior: A Comparision Between the Health Interview Surveys of the US and Hungary

Julianna Boros¹ and Deborah Rose, Ph.D²

NCHS Data Users Conference, July 15, 2002

¹National Center for Epidemiology, Hungary

²National Center for Health Statistics, United States

Centers for Disease Control and Prevention

National Center for Health Statistics

2000 hungarian and us health interview surveys
2000 Hungarian and UShealth interview surveys

Interchange between Hungary and the US

  • Technical assistance from US to Hungary funded by the World Bank
  • US staff to Hungary for: bidding conference, questionnaire review, training, pretest, and field interviews
  • Hungarian staff to US for: field pretest, interviewer training, and consult with data editors and analysts
2000 hungarian and us health interview surveys3
2000 Hungarian and UShealth interview surveys

Two separate surveys:

  • Hungarian Health Interview Survey(OLEF 2000)
  • US National Health Interview Survey (NHIS)

In the field:

  • Hungary – Fall 2000
  • US – January through December 2000
2000 hungarian and us health interview surveys4
2000 Hungarian and UShealth interview surveys

Methodology - similarities:

  • Multi-stage, stratified random sample of households, representative of whole country
  • Personal interview in household, by trained interviewers
  • Analysis software must incorporate complex sample design
2000 hungarian and us health interview surveys5
2000 Hungarian and UShealth interview surveys

Methodology - differences:

  • Format: Laptop interview in the US; paper questionnaire in Hungary
  • Respondent info: All household members, a randomly sampled adult, and a randomly sampled child in US; one sample adult per household, Hungary
sample sizes and response rates
Hungary

Sample size: 5,503 adults

Response rate: 79%

United States

Sample sizes: 38,633 households; 100,618 persons; 32,374 sample adults

Response rates: 88.9% household response; 72.1% sample adult conditional response

Sample sizes and response rates

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

smoking questions
Smoking questions

Hungarian

  • Do you smoke?
  • Do you smoke every day or only occasionally?

United States

  • Have you smoked at least 100 cigarettes in your entire life?
  • Do you now smoke every day, some days, or not at all?
definition of current smoker
Hungary

Now smokes cigarettes

Smokes every day or occasionally

United States

Has smoked at least 100 cigarettes in entire life

Now smokes every day or some days

Definition of “current smoker”
fig 1 us and hungarian smoking prevalence by age
Fig 1. US and Hungarian smoking prevalence, by age

Percent

US

Hungary

18-24

25-44

45-64

65+

Age in years

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

fig 2 us and hungarian smoking prevalence by age and sex

US male

US female

HU male

HU female

Fig 2. US and Hungarian smoking prevalence, by age and sex

Percent

18-24

25-44

45-64

65+

Age in years

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

fig 3 us and hungarian smoking prevalence by education
Fig 3. US and Hungarian smoking prevalence, by education

US

Hungary

Percent

Grade 1-8

Grade 9-11

HS grad

College+

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

fig 4 us and hungarian smoking prevalence by education and sex

US male

US female

HU male

HU female

Fig 4. US and Hungarian smoking prevalence, by education and sex

Percent

Grade 1-8

Grade 9-11

HS grad

Any college+

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

smoking comparison
Smoking comparison
  • Smoking prevalence about 30% higher in Hungary
  • Differences more pronounced by age in Hungary than in the US
  • Smoking prevalence higher in males than females in both countries
  • Very low smoking prevalence in older Hungarian females due to cultural constraints

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

switch to hungarian portion
Switch to Hungarian portion

SOURCE: Hungarian Health Interview Survey (OLEF 2000) and US National Health Interview Survey (NHIS)

lessons learned from collaboration
Lessons learned from collaboration
  • Differences between professions (doctor, sampling statistician, epidemiologist) greater than differences between countries
  • Higher methodological standards for government surveys than commercial polls
  • Overall patterns by age, sex, and education were similar between Hungary and US
  • Cultural differences in physical activity, diet and self-report of cancer limited comparability of questions
  • Collaboration and contrast helped each country to better understand which topics and questions best met its needs.