Methodological manual for EHIS wave 3 (Guidelines 2019)

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1 Methodological manual for wave 3 (Guidelines 2019) Paul Camenzind ESTAT Unit F-4 Agenda item 8.2 Public Health Statistics

2 Outline Overview: accompanying documents W3 Overview: contents of Methodological manual W3 Main changes in W3 manual (relative to W2) Next steps for Methodological manual W3 Public Health Statistics 2

3 accompanying documents Implementing regulation & IR annexes (microdata delivery / precision requirements / excluded territories) Implementing decision on derogations Methodological manual & proposals for voluntary modules (children, dietary habits, disability, mental health, patients experience) Validation rules / Data delivery guidelines / Indicators manual National quality report template Public Health Statistics 3

4 accompanying documents Validation rules Data delivery guidelines Indicators manual Public Health Statistics 4

5 accompanying documents _ESQRS_A_XX_2019_0000 National quality report template Public Health Statistics 5

6 Methodological manual W3: principles Align with W3 Implementing Regulation & annexes Keep high comparability (recognition factor) with W2 guidelines Sharpen definitions & concepts Use W3 as a 'bridge' to IESS (new annex 2 with P1/P2 variables) Public Health Statistics 6

7 Methodological manual W3: contents Conceptual guidelines (with translation & interview instructions) Statistical survey guidelines Model questionnaire (Annex 1) Standardised P1/P2 variables (relevant to W3; Annex 2) Public Health Statistics 7

8 Methodological manual W3 : content Conceptual guidelines - General guidelines: Translation protocol / order of (sub-)modules & questions / interviewer instructions, etc. - Specific guidelines: for individual moduls & questions (model questions & answer categories) / definitions & concept explanations / interviewer instructions, etc. Public Health Statistics 8

9 Methodological manual W3: contents Statistical survey guidelines 1) General definitions 2) Target population 3) Data collection period 4) Data collection mode(s) 5) Sampling frame 6) Sampling design and sampling method 7) Sample size 8) Participation & non-participation 9) Weighting 10) Imputation 11) Technical survey variables Public Health Statistics 9

10 Methodological manual W3: contents Model questionnaire (Annex 1) Public Health Statistics 10

11 Methodological manual W3: contents Standardised P1/P2 variables (relevant to W3; Annex 2) (1) Sex (2) Age in completed years (4) Partners living in the same household (5) Household size (6) Household type (8) Main activity status (self-defined) (9) Full- or part-time main job (self-defined) Public Health Statistics 11

12 Methodological manual W3: contents Standardised P1/P2 variables (relevant to W3; Annex 2) (11) Educational attainment level (14) Country of birth (15) Country of main citizenship (16) Country of birth of the father (17) Country of birth of the mother (18) Country of residence (20) Region of residence Public Health Statistics 12

13 Methodological manual W3: contents Standardised P1/P2 variables (relevant to W3; Annex 2) (21) Degree of urbanisation (22) Status in employment in main job (23) Economic activity unit for main job (24) Occupation in main job (25) Self-perceived general health (26) Long-standing health problem (27) Limitation in activities because of health problems Public Health Statistics 13

14 Main changes in W3 manual (relative to W2) Public Health Statistics 14

15 Main changes in W3 manual (relative to W2) CD Diseases and chronic conditions CD1 Having [specific disease] in the past 12 months P. high cholesterol or high blood lipids In CD1 in addition to: A. asthma ; B. bronchitis; C. myocardial infarction; D. coronary heart disease; E. high blood pressure; F. stroke; G. arthrosis; H. low back disorder; I. neck disorder; J. diabetes; K. allergy; L: liver cirrhosis; M. urinary incontinence; N. kidney problems; O. depression Public Health Statistics 15

16 Main changes in W3 manual (relative to W2) CD Diseases and chronic conditions CD2 Self-perceived general oral health How would you describe the state of your teeth and gums? Would you say it is [read response categories] 1. very good 2. good 3. fair 4. bad 5. very bad? Public Health Statistics 16

17 Main changes in W3 manual (relative to W2) PL Functional limitations (1) PL8 Difficulty in remembering and concentrating Do you have difficulty remembering or concentrating? Would you say [showcard] 1. No difficulty 2. Some difficulty 3. A lot of difficulty 4. Cannot do at all/ unable to do Public Health Statistics 17

18 Main changes in W3 manual (relative to W2) PL Functional limitations (2) PL9 Difficulty in biting and chewing on hard foods Do you have difficulty biting and chewing on hard foods such as a firm apple? Would you say [showcard] 1. No difficulty 2. Some difficulty 3. A lot of difficulty 4. Cannot do at all/ unable to do Public Health Statistics 18

19 Main changes in W3 manual (relative to W2) Public Health Statistics 19

20 Main changes in W3 manual (relative to W2) PE Physical activity / excercise PE9 Time spent sitting on a typical day How much time do you spend sitting on a typical day? 1. Less than 4 hours 2. 4 hours to less than 6 hours 3. 6 hours to less than 8 hours 4. 8 hours to less than 10 hours hours to less than 12 hours hours or more Public Health Statistics 20

21 Main changes in W3 manual (relative to W2) DH Dietary habits DH1 Frequency of eating fruit (excl. juice) DH2 Nbr. of portions of fruit (excl. juice) DH3 Frequency of eating vegetables & salad (excl. juice) DH4 Nbr. of portions of vegetables & salad (excl. juice) DH5 Frequency of drinking pure fruit or vegetable juice DH6 Frequency of drinking sugar-sweetened soft drinks Public Health Statistics 21

22 Main changes in W3 manual (relative to W2) SK Smoking SK1 Current tobacco smoking behaviour SK2 Average number of cigarettes a day SK3 Former daily tobacco smoking SK4 Number of years of former daily tobacco smoking SK5 Frequency of exposure to tobacco smoke indoors SK6 Current use of electronic cigarettes or similar electronic devices Public Health Statistics 22

23 Main changes in W3 manual (relative to W2) Public Health Statistics 23

24 Main changes in W3 manual (relative to W2) CSV: Core social variables - YEARBIRTH & PASSBIRTH for AGE - BIRTHPLACEFATH (country code: SCL GEO -> new variable) - BIRTHPLACEMOTH (country code: SCL GEO -> new variable) -> not proposed anymore: HHNBPERS_14_15 / HHNBPERS_16_24 / HHNBPERS_25_64 / HHNBPERS_65plus Public Health Statistics 24

25 Main changes in W3 manual (relative to W2) TSV: Technical survey variables - WGT_SPEC: final special individual weight (i.e., if proxy answers are excluded) - REFDATE (instead of REFYEAR & REFMONTH) Public Health Statistics 25

26 Next steps for Methodological manual W3 Timetable - Feb. 2017: discussion with TG HIS - Jun. 2017: 1 st consultation TF - July 2017: discussion with TF - Sep. 2017: 2 nd consultation TF - Nov. 2017: consultation TG HIS - Jan. 2018: 'final' draft of manual by F4-1.Q. 2018: publication of the manual Public Health Statistics 26

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