European Health Interview Survey EHIS Agenda item "New statistics" Paul Camenzind ESTAT Unit F-4: Income and living conditions; quality of life 24-25 April 2017 Working Group "European Statistical Data Support"

Working Group "European Statistical Data Support" Outline Health statistics in Eurostat European Health Interview Survey EHIS Past: EHIS waves 1 and 2 Future: EHIS waves 3 and 4 EHIS data dissemination 24-25 April 2017 Working Group "European Statistical Data Support"

Health statistics in Eurostat -> Monitor policies & strategies: - EU health stratey - EU strategy on health and safety at work - Europe 2020 strategy - Social protection & inclusion -> Support elaboration of evidenced-based policies & strategies: - EU level - National level 24-25 April 2017 Working Group "European Statistical Data Support"

Health statistics in Eurostat Health statistics -> IR1338/2008 A: Public health 1) Health status 2) Health determinants 3) Health care (non-expenditure / expenditure data) 4) Morbidity 5) Disability 6) Causes of death B: Health and safety at work 7) Accidents at work 8) Occupational diseases and other work- related health problems EHIS (& EU-SILC) For EHIS in particular … Registers 24-25 April 2017 Working Group "European Statistical Data Support"

European Health Interview Survey Health statistics A: Public health 1) Health status 2) Health determinants 3) Health care 4) Morbidity 5) Disability 6) Causes of death B: Health and safety at work 7) Accidents at work 8) Occupational diseases and other work-related health problems EHIS health modules 24-25 April 2017 Working Group "European Statistical Data Support"

European Health Interview Survey Core social variables EHIS background var. √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ Slide 20: Please don't worry about details in this slide here: The message here just the following one: EHIS is not far away from a harmonisation with the Integrated European Social Statistics regulation. We will have to add two new variables into EHIS: 12 Participation in formal education & training and 13 Level of current/most recent formal education and could remove 3 variables from EHIS: 18 Legal marital status, 20 Number of persons aged 13 or younger and 22 Net monthly equalised income of the household to be fully compliant with the IESS regulation. √ √ √ √ √ √ √ √ √ √ √ √ √ Working Group "European Statistical Data Support"

European Health Interview Survey EHIS waves 1 and 2 (past) EHIS wave 1: 2006-2009 17 EU member states: AT, BE, BG, CY, CZ, DE, EE, EL, ES, FR, HR, IT, LV, MT, PL, RO, SI, SK Gentlemen's agreement EHIS wave 2: 2013-2015 28 member states + IS, NO, LI Reduction of variables from 207 to 115 Implementing regulation and derogations decisions Periodicity set to 5 years 24-25 April 2017 Working Group "European Statistical Data Support"

European Health Interview Survey EHIS waves 3 and 4 (future) EHIS wave 3: 2019 28 (27?) Member states + IS, NO, LI, (CH), (& UK?) +/- same number of (health) variables (122) Implementing regulation (but not yet under IESS) Periodicity set in IR: from 5 to 6 years EHIS wave 4: 2025 Under Framework regulation for the production of European statistics on persons and households (IESS = Integrated European Social Statistics) Periodicity: 6 years 24-25 April 2017 Working Group "European Statistical Data Support"

EHIS: Main indicators (1) Health status: Self-perceived health, self-perceived chronic morbidity, long-term activity limitations Self-reported prevalence of selected diseases (diabetes, depression, asthma, COPD, hypertension) Prevalence of physical and sensory functional limitations Prevalence of difficulties in personal care / household activities Self-reported incidence of injuries (with/no medical treatment) Prevalence of physical pain or physical discomfort Psychological distress and psychological well-being 24-25 April 2017 Working Group "European Statistical Data Support"

EHIS: Main indicators (2) Health determinants: Prevalence of overweight / obesity Daily smokers of cigarettes / daily smokers by number of cigarettes per day Hazardous alcohol consumption / risky single-occasion drinking Consumption of fruits / vegetables (at least once a day) Practice of daily physical activity Health care/services: Self-reported unmet needs for medical/dental examination & barriers of access Vaccination against influenza during past 12 months Breast examination X-ray / cervical smear test / colorectal cancer screening Consultation of a medical professional (GP / specialist) during last 4 weeks Consultation of a psychologist / physiotherapist during last year Use of medicines during past 2 weeks (prescribed / non-prescribed) 24-25 April 2017 Working Group "European Statistical Data Support"

EHIS: Indicators: Eurobase Working Group "European Statistical Data Support"

EHIS: Indicators: Eurobase Working Group "European Statistical Data Support"

EHIS: News releases/articles Working Group "European Statistical Data Support"

EHIS: News releases/articles Working Group "European Statistical Data Support"

EHIS: Statistics Explained articles Working Group "European Statistical Data Support"

EHIS: Statistics Explained articles Consumption of fruit & vegetables: World Food Day (October 2016) / Vaccination against influenza: Beginning of the seasonal epidemic (November 2016) / Physical activity: January 2017 / Breast examination: World Cancer Day (February 2017) 24-25 April 2017 Working Group "European Statistical Data Support"

EHIS: Statistics Explained articles 24-25 April 2017 Working Group "European Statistical Data Support"

EHIS: More releases: past and future Eurostat Regional Yearbook OECD/EC Health at a Glance Ad hoc indicators: DG SANTE, EMPL, ECFIN, EAC, … ECHI European Core Health Indicators Anonymised EHIS Microdata files 24-25 April 2017 Working Group "European Statistical Data Support"