Health Survey User Meeting 14 July 2010 Health Survey for England Update Rachel Craig, Chloe...
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Health Survey User Meeting 14 July 2010 Health Survey for England Update Rachel Craig, Chloe Robinson
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Health Survey User Meeting 14 July 2010
Health Survey for EnglandUpdate
Rachel Craig, Chloe Robinson
Health Survey User Meeting 14 July 2010
The Health Survey for England
• Commissioned by The NHS Information Centre for health and social care
• Conducted by NatCen and UCL
• 2008 report: Physical activity• 2009 report: currently being written• 2010 survey: fieldwork in progress
• From 2011, becomes The Health and Social Care Survey
Health Survey User Meeting 14 July 2010
HSE 2008
• Sample size around 15,500 adults, and child boost sample
• Focus on physical activity: • Self-reported measures• Accelerometry
• Also a measure of physical fitness among adults
• Report available onwww.ic.nhs.uk/pubs/hse08physicalactivity
Trend tables available onwww.ic.nhs.uk/pubs/hse08trends
Health Survey User Meeting 14 July 2010
HSE 2009
• Sample size around 4,600 adults, and 4,000 children
• Chapters on: • Kidney disease• Diabetes• GHQ12• Personal care plans
• Also chapters on core measures
• Report available December 2010
Health Survey User Meeting 14 July 2010
HSE 2010
• Sample size around 8,000 adults, and 6,000 children
• Focus on respiratory disease: • Questions about asthma, COPD• Measures of lung function – new high tech
spirometers • Also questions on sexual health, dental health
and wellbeing
• Currently in field, reporting end of 2011
Health Survey User Meeting 14 July 2010
Health and Social Care Survey 2011
• Replaces the HSE from 2011
• Retaining core elements of the HSE design and content
• Review of core content – every year:• General health, smoking, drinking, height and weight• Nurse visit: BP, waist and hip, blood sample, child
saliva
• Alternate years:• Questionnaire: Fruit and veg or GHQ12 and EQ5D• Nurse: Adult urine sample or adult saliva sample
• New social care question module
Health Survey User Meeting 14 July 2010
HSCS 2011 content
• Sample size around 8,000 adults
• No child boost currently planned
• Expect focus to be on CVD: • Continue trends from 1994, 1998, 2003,
2006
• Will include self-reported usual drinking behaviour and 7-day drinking diary
• Currently in development, reporting end of 2012
Results from HSE 2008
Health Survey User Meeting 14 July 2010
Health Survey User Meeting 14 July 2010
Physical activity
Chief Medical Officer’s recommendations• For adults:
At least 30 minutes of at least moderate intensity activity on five or more days per week
Accumulated in bouts of at least 10 minutes
• For children: At least 60 minutes of at least moderate
intensity physical activity each day
Health Survey User Meeting 14 July 2010
Physical activity
• Self-reported and objective measures
• Self-report questions for adults enhanced for 2008: • Captured bouts of 10 minutes of activity• More detail about activity at work, and sedentary
time• Refined questions about swimming, gym
• Children’s self-report questions completely revised for 2008:• New categories of formal and informal sports and
activities• Recall over the last seven days, • Asked about each day, exact time spent
Health Survey User Meeting 14 July 2010
Accelerometry
• Sub-samples of adults and children aged 4+
• Asked to wear the accelerometer for 7 days• Measures vertical movement:
• Under-represents activities such as cycling, rowing
• Cannot be worn for swimming • At least 10 hours wear for a ‘valid day’• Daily averages calculated from at least 4 days
of wear
Health Survey User Meeting 14 July 2010
How many met the recommendations?
Adults• Self report:
• 39% of men• 29% of women
• Accelerometry• 6% of men• 4% of women
Health Survey User Meeting 14 July 2010
Summary activity levels: self-reported
Men Women
Low activity
Some activityMeets recommendations
0
20
40
60
80
100
16-34 35-64 65+
Age group
Percent
0
20
40
60
80
100
16-34 35-64 65+Age group
Percent
Health Survey User Meeting 14 July 2010
Summary activity levels: accelerometry
0
20
40
60
80
100
16-34 35-64 65+Age group
Perc
ent
Men Women
0
20
40
60
80
100
16-34 35-64 65+Age group
Perc
ent
Low activity
Some activity
Meets recommendations
Health Survey User Meeting 14 July 2010
Average minutes of daily MVPA
Men Women
Accelerometry
Self-reported
Accelerometry data based on those with 4+ days wear
Comparing self report and accelerometry (bouts of at least 10 minutes)
0
10
20
30
40
50
60
70
80
90
100
16-34 35-44 45-54 55-64 65-74 75+Age group
Min
ute
s
0
10
20
30
40
50
60
70
80
90
100
16-34 35-44 45-54 55-64 65-74 75+Age group
Min
ute
s
Health Survey User Meeting 14 July 2010
How many children meet recommendations
Boys
Girls
Self-reported
0
20
40
60
80
100
2 3 4 5 6 7 8 9 10 11 12 13 14 15Age
Perc
ent
Health Survey User Meeting 14 July 2010
Summary activity levels: accelerometry
Boys Girls
Low activity
Some activity
Meets recommendations
0
20
40
60
80
100
4-10 11-15AgePer
cent
0
20
40
60
80
100
4-10 11-15Age
Per
cent
Health Survey User Meeting 14 July 2010
Average minutes of daily MVPA
0
30
60
90
120
4-7 8-11 12-15
Age group
Min
ute
s
Boys Girls
0
30
60
90
120
4-7 8-11 12-15
Age groupM
inute
s
Accelerometry
Self-reported
Accelerometry data based on those with 4+ days wear
