Transcript The European Health Interview Survey (EHIS) Eurostat, Health & Safety Statistics January 2010

The European Health Interview Survey
(EHIS)
Eurostat, Health & Safety Statistics
January 2010
Background information
 European Core Health Interview Survey (ECHIS): comprehensive and
coordinated set of surveys performed within the European Statistical
System under the responsibility of Eurostat
 Objectives: Collection of data needed in the context of:
– The Lisbon strategy:
• The Structural Indicator Healthy Life Year (HLY);
• The Open Method of Coordination (OMC) on Health and long term
care
– The public health European action plan of DG SANCO of the
Commission
• The European Community Health Indicators (ECHI)
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Background information: examples of indicators
Health Status
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Morbidity prevalences (ex. Diabetes, Stroke)
Self-reported chronic morbidity
Long-term activity limitations
Physical and sensory functional limitations
Psychological distress / Psychological well-being
Health expectancy: Healthy Life Years (HLY), others
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Background information: examples of indicators
Health care use
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Influenza vaccination rate in elderly
Cancer screenings (ex. breast cancer)
General practitioner (GP) utilisation
Other outpatient visits
Medicine use for selected groups
Self reported unmet need for medical care
Determinants of health
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Body mass index
Blood pressure
Regular smokers
Hazardous alcohol consumption
Use of illicit drugs
Consumption/availability of fruit - vegetables
Physical activity
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ECHIS - three pillars:
 First pillar: The European Health Interview Survey, EHIS
 Second pillar: Community Statistics on Income and Living
Conditions (EU-SILC)
 Third pillar: New modules on disability
– EDSIM (European Disability and Social Integration Module)
– 2011 LFS module on the employment of disabled persons
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Second pillar: EU-SILC
 Annual data collection since 2004 / 2005
 Implemented in 29 countries
 Minimum European Health Module – MEHM:
– 3 questions on
• self-perceived health in general
• longstanding illness or health problem
• Longstanding limitations in activities due to a health problem
– 4 questions on ‘unmet needs’:
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Unmet need for medical examination or treatment
Main reason for unmet need for medical examination or treatment
Unmet need for dental examination or treatment
Main reason for unmet need for dental examination or treatment
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Third pillar: new modules on disability
 LFS ad-hoc module 2011 on the “employment
of disabled people”
– Health problems and difficulties in basic activities
– Limitations in work caused by health problems/difficulties in
basic activities
– Special assistance needed or used by people with health
problems/difficulties in basic activities
– Limitations in work because of other reasons
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Third pillar: new modules on disability
 EDSIM: Special module on disabled persons &
social integration
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Core social variables;
Access to and use of internet;
Access to learning opportunities;
Employment;
Economic life;
Mobility;
Transport;
Community life and leisure pursuits;
Accessibility to buildings;
Social contacts;
Negative attitudes and behaviour.
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First pillar: European Health Interview Survey, EHIS
Four modules
 Health determinants
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Height and weight
Present and former smoking
Consumption of alcohol
Physical activity
Use of illicit drugs
 Health care
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Hospitalisation
Consultation with
doctors/dentists
Use of medicines
Preventive actions
 Health status
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MEHM
Morbidity (list of conditions)
 Background variables
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Age
Gender
Educational level
Marital status
Activity level
Occupation
Income
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European Health Interview Survey, EHIS
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Community wide harmonised survey of about 130 questions
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Flexibility for implementing the EHIS modules:
– grouped in one separate national survey, or
– included in existing national surveys (i.e. national HIS, LFS, other
household survey).
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Common guidelines for modules and survey design for the vehicle
surveys
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Ex-ante harmonisation: survey based on a common questionnaire
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European Health Interview Survey, EHIS
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Implemented every five years
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Implementation phases:
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1st wave: 2007-2009 based on a Gentlemen’s Agreement
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2nd wave: 2014 (possible derogation: 2013) based on a legal
basis
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Participation to the
1st EHIS wave
• 21 countries participate
(18 MS + TR + CH + NO)
Inclusion of the EHIS modules:
• all of them in 12 MS + TR
• partial inclusion in 6 MS + CH + NO
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EHIS first wave: data release
 On the Eurostat website in three steps:
– by April 2010 for 6 countries (BG, CZ, CY, LV, MT, SI);
– by October 2010 for BE, HU, RO, TR;
– by April 2011 for EL, ES, PL, SK.
for a set of around 40 indicators (ECHI+OMC)
 Release of the EHIS anonymised microdata to the research community
– By June 2011
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EHIS 2nd wave
 EHIS 2nd wave foreseen for 2014 (derogation 2013)
 Brief timetable:
– 2010: start of the preparatory work
– EHIS workshop in the 2nd semester of 2010
• Participants: HIS experts from all MS, EFTA, CC
• Share experience with the EHIS implementation  problems;
anticipate; improvements, recommendations, updated guidelines,
conceptual cards for 2nd EHIS round
– By the end of 2012: adoption by the Commission of the list of
questions/variables included in the EHIS 2nd wave
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EHIS actions foreseen in 2010/2011
 Content of the EHIS second wave questionnaire:
– Focused on information needed for policy purposes (SI, OMC and ECHI
indicators)
– Improvement of those parts of the EHIS questionnaire considered as
being problematic (at least the questions on mental health, physical
activity and alcohol consumption need improvement)
– Possibly, taking some BI-Mark II questions
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Conclusion
 Floor is open for discussion
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