Qatar World Health Survey

Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Health Survey Socio demographic

Derived Variables

 All tables use similar questions:  Gender     Nationality status  Taken from individual questionnaire – Age  Divided into groups Wealth Quintile self-report Region  The 10 regions of Qatar were reduced to three:  Doha, Al Rayyan and all other

Population Pyramid by Nationality

85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 7 6

Male Male

5 4 3 2 1 0 1

Percentage of Population

2 Qatari Males Non-Qatari Males Qatari Females Non-Qatari Females 3

Female

4 5 6 7

Region of Residence

Doha Male Female 46.2

45.8

Al Rayyan 37.4

Other Regions 16.4

38.3

15.9

Qatari 30.4

49.1

20.5

Non Qatari Total 56.2

46.0

30.5

13.3

37.9

16.1

Professions

   A third of non-Qataris stated that they were professionals, compared with 23% of Qataris The largest proportion of Qataris were clerks, with 30% Females most likely to be professionals or clerks, with males spread more evenly between professionals, legislators, clerks or service workers

Qatar World Health Survey

Risk Factors

Background

   One person in the household asked questions about their risk behaviours    Smoking Nutrition Physical Activity Height and Weight measurements taken   Of individual Of a randomly selected child under 5 Blood pressure measurements and blood sample taken from the adult  Blood chemistry analysed

Smoking

     11% admitted to being a daily smoker  2.6% to smoking, but not daily Mainly males – almost 20% of males smoke an average of 16.5 units of tobacco a day Qataris smoke a greater amount than non-Qataris if they are daily smokers The average amount smoked increases with age Most common use of tobacco is manufactured cigarettes

Percentage smoking by age and sex

30 25 20 15 10 5 0 18 to 19 20 to 29 30 to 39 40 to 49

Age Group

50 to 59 60 to 69 Male Female 70+

Adult Obesity

 Individual weighed and height taken  BMI calculated:  Weight/Height 2  Those with a BMI between 20 and 25 classified as normal weight  25 to 30 are overweight  Over 30 are obese  Over 40 are morbidly obese

Adult Obesity

   Only a quarter of adults are in the normal weight range  39% are overweight  32% are obese Qatari nationals are more likely to be obese – 40% are in this category  28% of non-Qataris Proportion of normal birth weight adults falls as age increases

Childhood Obesity

   If household has a child under 5 this child was measured  Kish grid used if more than one child Number of households with a child under 5 did have a child ’ s measurements recorded  Lots of children under 1 year old omitted Child ’ s BMI calculated from their height and weight and compared to WHO growth standards for a child the same age  Results are the z-scores away from a standard reference child    Positive z-scores indicate larger BMI then the reference, negative a smaller BMI Scores above +2 indicate a very large BMI for their age Scores below -2 indicate a very small BMI for their age

Childhood Obesity Results

 43% of children within normal range  16% are very large for their age  13% very small  Qatari children less likely to be smaller than non-Qatari children  As the age of the child increases, they are more likely to be larger than the reference group of children

Qatar World Health Survey Morbidity

Blood Pressure

    Average blood pressure at the higher end of normal    Higher for men than women Increases with age 14% have a high B.P. and can be diagnosed as hypertensive Males much more likely than females to have a high B.P.

15% of non-Qataris are hypertensive, compared to 13% of Qatari's Hypertension increases with age, with 6% of 18 to 29 years olds and 47% of over 60 ’ s with a high blood pressure

Diabetes

 Random Blood Sugar tests indicate that:  6% of adults are classified as having diabetes  10% are in the stage before diabetes with a raised level of sugar in the blood  Higher percentage of males and Qataris in the diabetic group  Diabetes and prediabetes increases with age

Qatar World Health Survey

Health State Valuation

Domains

 9 domains of health          Mobility Self-care Pain and Discomfort Cognition Interpersonal Activities Breathing Sleep and Energy Affect Vision and Hearing

General Health Rating

    87% said that they were very good or good  11% moderate and 1.8% bad or very bad Men gave themselves a higher rating than females women – 49% in the very good category compared with 39% of Non-Qataris happier with their health than Qataris – 90% in top two categories while only 83% of Qataris Satisfaction falls as age increases

Qatar World Health Survey

Health System Responsiveness

Self-Assessed Health

   Respondents were asked to rate their health:

‘ In general, how would you rate your health today?

’

5-point scale ranging from very good to very bad      44% very good; 43% good; 11% moderate; 1.5% bad; and 0.3% very bad Responsiveness tabulated with these responses

Need for Health Care

 66% of respondents needed any sort of health care in the last 3 years (out/inpatient)  99% of those who needed health care stated that they obtained it!

Satisfaction with Health Care

 Patients were asked to rate the health care on seven different aspects:  Waiting time       Experience of greeting Explanations by health providers Involvement in decision making Privacy Freedom to choose health providers Cleanliness of rooms, including toilets

Satisfaction with Health Care Services

The Satisfaction with Health Care Services 61.77

70 60 10 0 30 20 50 40

18.88

Very Satisfied

9.06

Satisfied

8.18

Neither Satisfied nor Unsatisfied Dissatisfied

2.1

Very Dissatisfied