Canadian Community Health Survey CCHS Annual Component Survey

Canadian Community Health Survey (CCHS) Annual Component Survey Overview DLI Ontario Training December 5, 2018

Overview • • Survey Overview Content overview through the years Important changes about 2015 redesign Content of the 2015 -16 CCHS PUMF 1 (soon to be released) • Future modernisations 1 – Public Use Microdata File

Survey overview - history • Started with Health Information Roadmap -1999 • Adoption of an indicator framework • • • Health behaviours Health surveillance Access to health care system • Governing committee – Canadian Population Health Survey Program • Health Canada, Public Health Agency of Canada • Expert groups • CCHS annual program and focus content program 3

Survey Overview - Objectives • Health surveillance at the national, provincial and sub-provincial levels • Analysis on small populations and rare characteristics • Readily available data to a diversified user community in a timely fashion • Flexible survey instrument 4

Survey Overview: Design • Residents of private households aged 12 and over • Exclusions: • Aboriginal reserves / settlements • institutions (health institutions, prisons, religious institutions, convents, etc. ) • members of Canadian Forces • Residents of certain very remote areas • Coverage (general) ~97% of targeted population • Designed to provide reliable estimates at the health region level with two years of data 5

Survey overview - content • Three main types of content in survey • Core: all years, all respondents • Theme: certain years, all respondents • Optional: certain years, certain provinces/territories • Other content not available through DLI: • Buy-ins • Rapid responses • Sub-samples 6

Survey overview – content plan 7

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CCHS Redesign of 2015 • Frame changes • Household survey frame for adults • CCB for youth 12 -17 • Collection methods • More telephone interviews overall (incl. for all youth respondents) • Sample allocation more responsive to change • Territorial coverage only over 2 -years 11

CCHS - PUMF detailes • Previous two year PUMFs: • • Cycle 1. 1 (2000/01) Cycle 2. 1 (2002/03) Cycle 3. 1 (2004/05) 2007/08 2009/10 2011/12 2013/2014 • Previous one year PUMFs: • 2010 • 2012 • 2014 12

Included core content for CCHS 2015 -2016 PUMF § Alcohol Use § Chronic Conditions § Contact with health professionals § Exposure to Secondhand Smoke § Flu Shots § Fruit and Vegetable Consumption § General Health § Height and Weight § Physical Activities for adults/youth § Primary Health Care Providers § Smoking § Maternal experiences § Administration § Age § Labour Force § Main occupation § Socio-demographics 13

Included theme content for CCHS 2015 -2016 PUMF • Health behaviours • Alcohol past week • Drug methods* • Sexual behaviours* • Patient experience • Insurance • Patient experience • Home care* • Mental health • Consultation about mental health • Suicidal thoughts and attempts* • Health conditions • Chronic conditions • Theme 1 14

Design for CCHS PUMF • 2015/16 PUMF contains 109, 659 records • 1, 199 variables • Geography variables • Province / territory of dwelling* • Health region of dwelling (grouped) • Canadian Active Living Environment (CANALE) 15

Canadian Active Living Environnent (CANALE) • New variable for CCHS PUMF • Provides additional geospatial value to the file • Scores (1 -5) each 2016 DA based on the active living environment (intersection/dwelling density, points of interest, and transit stops). • To link to CCHS, 2011 DAs from the file were linked with 2016 DAs in CANALE file. Multiple matches were dealt with random selection proportional to population size. • Included in pre-masking to prevent ungrouping of HRs (792 cases masked as part of this procedure) 16

CCHS PUMF – disclosure control • Geography / HR population size • Minimum population size of 70, 000 per health region § 19 HRs grouped into 9 § 3 Territories probably not grouped this PUMF • Results in 98 Health Regions or HR groupings • Age of respondent • 5 year age groups 20 -24 -> 75 -79 • 12 -14, 15 -17, 18 -19 § Supports research on Body Mass Index (BMI) and new physical activity content (PAA/PAY) • Other indirect identifiers grouped or masked to prevent disclosure 17

CCHS 15 -16 PUMF: Poisson bootstrap weights • Previous PUMFs did not include bootstrap weights • 2015 -2016 PUMF includes Poisson bootstrap weights • Each weight for each replicate is generated independently • All bootstrap weights are strictly positive • The Poisson bootstrap does not pose confidentiality concerns 18

2021 CCHS Redesign Objectives • Transition to Electronic Questionnaires • Revisit content and develop a new content plan • Revisit the methodology • Increase administrative data holdings • Modernize with Statistics Canada 19 2021 -09 -

CCHS-Annual Contacts • Content manager: Anne-Marie Vinette • Anne-Marie. Vinette@canada. ca • Dissemination Manager: Shawn Brule • Shawn. Brule@canada. ca • Collection Manager: Bernard Paquet • Bernard. Paquet@canada. ca • Project Manager: Amanda Wright • Amanda. Wright@canada. ca • Redesign Manager: Ed Rama • Ed. Rama@canada. ca • Section Chief: José Gaudet • Jose. Gaudet@canada. ca 20

THANK YOU! For more information, please visit www. statcan. gc. ca #Stat. Can 100