Health Examination Surveys in Europe Hanna Tolonen National Public Health Institute, Finland.

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Presentation transcript:

Health Examination Surveys in Europe Hanna Tolonen National Public Health Institute, Finland

HES Workshop,Luxembourg, 9-11 April 2008 History of HESs in Europe Finland Sweden Norway Netherlands West Germany Germany UK - England UK - Scotland Ireland Poland Denmark Romania Spain Croatia France Czech Republic Italy

HES Workshop,Luxembourg, 9-11 April 2008 National HES A population based survey Random sample of the population Target group: entire country Adult population (aged 18+) Major public health problems and their risk factors Excluding small local surveys surveys focused on certain rare diseases surveys based on samples of hospital patients or disease registers

HES Workshop,Luxembourg, 9-11 April 2008 National HESs in past 10 years

HES Workshop,Luxembourg, 9-11 April 2008 Active plans for years Plans + national HES in past 10 years Plans + no national HES in past 10 years No plans + national HES in past 10 years No plans + no national HES in past 10 years

HES Workshop,Luxembourg, 9-11 April 2008 Measurements included in the past national HESs 12 European HESs conducted in (Germany 1998) + NHANES (USA) and Canadian Health Measures Survey Measurements in all surveys (with few exceptions): Antropometric measurements (weight, height, waist and hip circumference) Blood pressure Non-fasting blood samples – total cholesterol (+HDL cholesterol) Fasting blood samples – glucose (+ triglycerides) Measurements in some of the surveys: Respiratory functions / Lung functions Physical performance Physical fitness Cognitive function ECG Bone density Oral health Urine samples Saliva samples

HES Workshop,Luxembourg, 9-11 April 2008 Questionnaire part of the past national HESs Questions relating to the measurements Awareness and treatment of high blood pressure and elevated total cholesterol Diagnosed diabetes and treatment of diabetes Other questions Back ground information (age, sex, education) General health History of CVD Smoking / tobacco use Nutrition / drinking habits Use of medications Use of health services Mental health Etc.

HES Workshop,Luxembourg, 9-11 April 2008 Cost of the national HES Difficult to obtain comparable cost information from the previous national HESs Salaries of the public officers Cost of laboratory analysis Cost ranges from Total cost: € milj. € Cost per invited: 52 € € Cost per participant: 74 € € Depends on included measurements, number of invited persons, survey model, etc. Biggest cost category: salaries