The European Health Interview Survey EHIS Eurostat Health

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

Background information n European Core Health Interview Survey (ECHIS): comprehensive and coordinated set of surveys performed within the European Statistical System under the responsibility of Eurostat n 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) January 2010 2

Background information: examples of indicators Health Status n n n 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 January 2010 3

Background information: examples of indicators Health care use n n n 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 n n n n Body mass index Blood pressure Regular smokers Hazardous alcohol consumption Use of illicit drugs Consumption/availability of fruit - vegetables Physical activity January 2010 4

ECHIS - three pillars: n First pillar: The European Health Interview Survey, EHIS n Second pillar: Community Statistics on Income and Living Conditions (EU-SILC) n Third pillar: New modules on disability – EDSIM (European Disability and Social Integration Module) – 2011 LFS module on the employment of disabled persons January 2010 5

Second pillar: EU-SILC n Annual data collection since 2004 / 2005 n Implemented in 29 countries n 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’: • • January 2010 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 6

Third pillar: new modules on disability n 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 January 2010 7

Third pillar: new modules on disability n EDSIM: Special module on disabled persons & social integration – 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. January 2010 8

First pillar: European Health Interview Survey, EHIS Four modules n Health determinants – – – Height and weight Present and former smoking Consumption of alcohol Physical activity Use of illicit drugs n Health care – – Hospitalisation Consultation with doctors/dentists Use of medicines Preventive actions January 2010 n Health status – – MEHM Morbidity (list of conditions) n Background variables – – – – Age Gender Educational level Marital status Activity level Occupation Income 9

European Health Interview Survey, EHIS n Community wide harmonised survey of about 130 questions n 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). n Common guidelines for modules and survey design for the vehicle surveys n Ex-ante harmonisation: survey based on a common questionnaire January 2010 10

European Health Interview Survey, EHIS n Implemented every five years n Implementation phases: – 1 st wave: 2007 -2009 based on a Gentlemen’s Agreement – 2 nd wave: 2014 (possible derogation: 2013) based on a legal basis January 2010 11

Participation to the 1 st 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 January 2010 12

EHIS first wave: data release n 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) n Release of the EHIS anonymised microdata to the research community – By June 2011 January 2010 13

EHIS 2 nd wave n EHIS 2 nd wave foreseen for 2014 (derogation 2013) n Brief timetable: – 2010: start of the preparatory work – EHIS workshop in the 2 nd 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 2 nd EHIS round – By the end of 2012: adoption by the Commission of the list of questions/variables included in the EHIS 2 nd wave January 2010 14

EHIS actions foreseen in 2010/2011 n 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 January 2010 15

Conclusion n Floor is open for discussion January 2010 16