1. Annex I: List of variables
Agenda point 3.2
Teodora Tchipeva
ESTAT Unit F-4
13-14 October 2016
2nd meeting of EHIS Task Force

2. 2nd meeting of EHIS Task Force
STRUCTURE OF ANNEX I
1. TECHNICAL VARIABLES 2. BACKGROUND VARIABLES 3. HEALTH VARIABLES The current proposal is based on input from consultation of the TG HIS, TF EHIS, Commission DGs, ESTAT contractor, and evaluation of EHIS Wave 2.
13-14 October 2016
2nd meeting of EHIS Task Force

3. 2nd meeting of EHIS Task Force
Technical variables
10 variables in the proposal
* Old (from EHIS 2): identification N of respondent/ of household, final individual weight, proxy, language used (PID, HHID, WGT, PROXY, INTLANG)
* new/ revised: WGT-SPEC (final special individual weight, REFDATE, categories for INTMETHOD, codes for PRIMSTRAT and PSU
13-14 October 2016
2nd meeting of EHIS Task Force

4. 2nd meeting of EHIS Task Force
Background variables
Variables adapted to the standardisation rules
New: BIRTHPLACEFATH+BIRHTPLACEMOTH,
Revised: YEARBIRTH+PASSBIRTH: replace AGE; PATNERS: replaces MARSTAlegal/defacto
HATLEVEL, MAINSTAT, JOBSTAT, HHTYPE, COUNTRY, BIRTHPLACE, CITIZEN: change in classification codes; HHNBPERS_: reduced from 6 to 3 age categories; DEG_URB, JOBSTAT: change of label
13-14 October 2016
2nd meeting of EHIS Task Force

5. Conclusions Technical and Background variables
TF is invited to comment on the proposal on technical and background variables for inclusion in the IR
13-14 October 2016
2nd meeting of EHIS Task Force

6. Health variables: main modules
Health status
Health care
Health determinants
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2nd meeting of EHIS Task Force

7. 2nd meeting of EHIS Task Force
Health Status
Main sections are preserved:
Minimum European Health Module
Diseases and chronic conditions (oral health)
Accidents and injuries
Absence from work (due to health problems)
Functional limitations (cognition)
Personal care activities
Household activities
Pain
Mental health (completed: positive/ wellbeing)
Discussion: 1. after Oral health, 2. after pain (for all the sections up to mental health together); 3. after Paul's presentation on mental health
13-14 October 2016
2nd meeting of EHIS Task Force

8. Oral health: possible areas
General condition of teeth/ or mouth?
Functional limitations
Missing teeth
Dental care
TF members are invited to comment on possible areas for oral health
13-14 October 2016
2nd meeting of EHIS Task Force

9. Oral health (1): general condition
ESTAT study: How would you describe the condition of your teeth? (scale as for SPH, MEHM)
WHO World Health Survey: During the last 12 months, did you have any problems with your mouth and/ or teeth?
NO HIS, 2008: How do you assess your dental health/ Would you say it is …(scale as for SPH)
Canadian Health Measures Survey: In general, would you say the health of your mouth is..?
FR: Thinking of your teeth how would you rate their condition?
13-14 October 2016
2nd meeting of EHIS Task Force

10. Oral health (2): Functional limitations
Canadian Community Health Survey: Now a few questions about your ability to chew different foods, whether you eat them or not. Can you
… chew firm foods (e.g. meat)?
…bite off and chew a piece of fresh apple?
…chew boiled vegetables? Yes/ No
2003 proposal for Health status module, EHIS 1: Can you without difficulty bite and chew on hard foods such as a firm apple? Yes/ No
13-14 October 2016
2nd meeting of EHIS Task Force

11. Oral health (3): missing teeth
Health Behaviour and Health among the FI Elderly Population + Health Behaviour among EE Elderly Population: How many teeth are you missing?
ESTAT study: During the past 12 months did you have a toothache, decayed teeth, and/ or unfilled cavities?
FR: What is the number of missing teeth that had not been replaced with either a fixed or removable denture?
13-14 October 2016
2nd meeting of EHIS Task Force

12. Oral health (4): dental care
Health Behaviour among EE Elderly Population: How often do you brush your teeth?
FR: What is the time since last dental visit? (< 1yr, 1-2 yrs, 3 or more yrs)
FR: have you had a dental problem this year (decay, pain…) which required a dental care?
13-14 October 2016
2nd meeting of EHIS Task Force

13. Conclusions Oral health:
TF is invited to comment on possible areas and specific questions on oral health for inclusion in the IR
13-14 October 2016
2nd meeting of EHIS Task Force

14. Cognition: PL8 (Health status/ Functional limitations)
Variable: Difficulty in remembering or concentrating
Codes:
1. No difficulty
2. some difficulty
3. a lot of difficulty
4. Cannot do at all/Unable to do
-1. Missing (don't know, refusal)
Question: Do you have difficulty remembering or concentrating?
13-14 October 2016
2nd meeting of EHIS Task Force

15. Conclusions: multiple sections
TF is invited to comment on the proposal on sections accidents and injuries, absence from work, functional limitations, personal care and household activities, and pain for inclusion in IR
13-14 October 2016
2nd meeting of EHIS Task Force

16. Mental health: positive side (wellbeing)
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2nd meeting of EHIS Task Force

17. 2nd meeting of EHIS Task Force
Health Determinants
Main sections are preserved. New section on dietary habits. New questions in the smoking section
Weight and height
Physical activity
Dietary habits
Smoking
Alcohol consumption
Social support
Provision of informal care or assistance
For the sake of discussion we will start from the more complex sections to the least complex ones. In particular, we will start with physical activity and alcohol consumption, proceed with smoking and dietary habits, and at the end, we will look at all the remaining topics.
13-14 October 2016
2nd meeting of EHIS Task Force

18. Health Determinants: Smoking
SK1
Type of smoking behaviour
1 Daily smoking
2 Occasional smoking
3 Former smoker
4 Never smoking
-1 missing
Everybody
SK2
Average number of cigarettes a day
Number 1-99
-2 not applicable
if SK1 = 1
13-14 October 2016
2nd meeting of EHIS Task Force

19. Health Determinants: Smoking
SK3
Smoking duration for former smokers
Number 1-99
-1 missing
-2 not applicable
if SK1 = 3
SK4
Frequency of using electronic cigarettes or similar electronic devices
1 Daily
2 Occasionally
3 Never
Everybody
13-14 October 2016
2nd meeting of EHIS Task Force

20. Health Determinants: Smoking
SK5
Kind of electronic cigarette or similar electronic device used
1 Containing nicotine
2 Nicotine free
-1 missing
-2 not applicable
if SK4 = 1 or 2
SK6
Frequency of exposure to tobacco smoke indoors
1 Never or almost never
2 Less than 1 hour per day
3 1 hour or more a day
Everybody
13-14 October 2016
2nd meeting of EHIS Task Force

21. 2nd meeting of EHIS Task Force
Conclusions Smoking:
TF is invited to comment on the proposal for smoking for inclusion in IR
13-14 October 2016
2nd meeting of EHIS Task Force

22. Health Determinants: dietary habits
FV5A
Frequency of drinking sweetened juice
1. Once or more a day
2. 4 to 6 times a week
3. 1 to 3 times a week
4. Less than once a week
5. Never
-1 missing
FV5B
Frequency of drinking soft drinks, regular
13-14 October 2016
2nd meeting of EHIS Task Force

23. Health Determinants: dietary habits
FV5C
Frequency of drinking soft drinks, diet
1. Once or more a day
2. 4 to 6 times a week
3. 1 to 3 times a week
4. Less than once a week
5. Never
-1 missing
FV5D
Frequency of drinking meal replacement shakes/protein drinks
13-14 October 2016
2nd meeting of EHIS Task Force

24. Health Determinants: dietary habits
FV5E
Frequency of drinking energy/sports drinks
1. Once or more a day
2. 4 to 6 times a week
3. 1 to 3 times a week
4. Less than once a week
5. Never
-1 missing
FV6
Amount of sugar- sweetened and artificially- sweetened beverages daily consumed
1. Less than 250 ml less
– 499 ml
– 749 ml
ml or more
-2 not applicable
13-14 October 2016
2nd meeting of EHIS Task Force

25. Conclusions Dietary habits
TF is invited to comment on the proposal for dietary habits
13-14 October 2016
2nd meeting of EHIS Task Force

26. 2nd meeting of EHIS Task Force
Health Care
Main sections are preserved:
Use of inpatient and day care
Use of ambulatory and home care
Medicine use
Preventive services
Unmet needs for health care
13-14 October 2016
2nd meeting of EHIS Task Force

27. 2nd meeting of EHIS Task Force
Unmet needs: 2 sources
EHIS
UN1A Unmet need for health care due to long waiting list(s)
UN1B Unmet need for health due to distance or transportation problems
UN2A Could not afford medical examination or treatment
UN2B Could not afford dental examination or treatment
UN2C Could not afford prescribed medicines
UN2D Could not afford mental health care (by a psychologist or a psychiatrist for example
SILC
PH040: UNMET NEED FOR MEDICAL EXAMINATION OR TREATMENT
PH050: MAIN REASON FOR UNMET NEED FOR MEDICAL EXAMINATION OR TREATMENT
PH060: UNMET NEED FOR DENTAL EXAMINATION OR TREATMENT
PH070: MAIN REASON FOR UNMET NEED FOR DENTAL EXAMINATION OR TREATMENT
(Unmet needs of children)
(Financial burden of medical/dental care/medicines)
13-14 October 2016
2nd meeting of EHIS Task Force

28. Unmet needs: ESTAT contractor (1)
UN1: Unmet need for health care
Model question: During the past 12 months was there any time when you really needed health care but did not receive any?
Answer categories:
Yes
No, there was no occasion
No need for health care
13-14 October 2016
2nd meeting of EHIS Task Force

29. Unmet needs: contractor (2)
UN 2: Unmet need for health due to (reason for unmet need)
Model question: Which reasons best describe why you did not get health care?
Answer categories:
Could not afford (too expensive or not covered by the insurance fund)
Waiting list too long
Too far to travel
Could not take because of work, care for children of for others
Did not know any (good) doctor/ specialist
Other reasons
Yes NO
13-14 October 2016
2nd meeting of EHIS Task Force

30. Unmet needs: Contractor (3)
UN 3: Could not afford (kind of care) in past 12 months
Model question: What kind of care did you really need, but could not afford?
Medical care
Dental care
Prescribed medicines
Mental health care
Glasses
Hearing aids
Walking aids
Yes No
13-14 October 2016
2nd meeting of EHIS Task Force

31. Conclusions Health Care
ESTAT would recommend preserving the current questions on unmet needs in EHIS 3, and invite TF participants to test new options for EHIS 4
TF is invited to comment on the proposal on health care module for IR
13-14 October 2016
2nd meeting of EHIS Task Force

32. Thank you very much for your attention