1. TOBACCO QUESTIONS IN HEALTH INTERVIEW SURVEY 03-04 May 2016, Ankara Tuğba KANDAR

2. Outline History Survey process Questionnaire
Turkey Health Survey Tobacco Use Module

3. History
EHIS vawe 1, GATS National needs National needs, GATS EHIS vawe 2 3

4. Survey process Translation of Eurostat manual,
Comparing 2012 questions with new recommended questions,
Evaluation of Tobacco Questions for Surveys (TQS),
Discussing draft questionnaire with related public institutions,
Training for interviewers, controllers,

5. Implementing survey in households with Harzemli program established by TurkStat software experts,
Creating SAS analysis for using by regional offices while survey is continuing,
Detail analysis after finished implementing,
Publishing news release on September 2015,
Sending micro data to Eurostat.

6. Questionnaire Sections MODULE A Health Status 1. Health status
2. Diseases and chronic conditions
3. Accidents and injuries
4. Absence from work
5. Physical and sensory limitations
6. Personal care activities
7. Household activities
8. Pain
9. Mental health
MODULE B
Health Care Services
1. Use of inpatient and day care
2. Outpatient care/home care
3. Use of medicine
4. Preventive services
5. Unmet needs for health care
MODULE C
Heallth Determinants
1. Weight and height
2. Physical activity/ exercise
3. Consumption of fruits and vegetables
4. Use of Tobacco
5. Use of alcohol
6. Use of drug
7. Social Support
8. Provision of informal care or assistance

7. Tobacco Use Module 1. Do you smoke? (EU) Yes, daily Yes, occasionally
Not at all
I left (MoH)
Because request of MoH, “I left” was added to questions.
2. How long ago you stopped smoking? (MoH)
……..        months
Respondent who said “I left” in the previous question answered this question. MoH wanted this question to see whether stop smoking project to succeeded or not. 7

8. 3. Family problems 4. Personal problems
The following questions added by TurkStat for continuing of last series.
3. For the first time, when did you try to smoke any tobacco product? (TurkStat)
----- age
4. What is the reason behind that you started to use tobacco? (TurkStat)
1. Interest Desire
3. Family problems 4. Personal problems
5. Impact of girlfriend/boyfriend 6. Impact of friend
7. Impact of members of family 8. Impact of radio, television, press
9. For fun No special reason
98. Others 8

9. 5. Regularly (at least 100 times a year), have you ever smoked any tobacco products? (TurkStat)
1. Yes
2. No
6. Regularly, at which age did you start to smoke tobacco products ? (TurkStat)
age 9

10. 7. What kind of tobacco product do you mostly consume? (EU)
Manufactured cigarettes
Hand-rolled cigarettes
Cigars
Pipefuls of tobacco
Waterpipe
98. Other
8. On average, how many cigarettes do you smoke each day? (EU)
---- number of cigarettes
Eurostat only asks number of daily smoked cigarettes. If we added TQS questions related with this, respondent burden would increase. 10

11. 10. Which latest method did you use to stop smoking?(MoH)
Smokeless tobacco is not very common in our country. Because of this, questions related to smokeless tobacco was not used.
9. In the past 12 months, have you ever tried to stop smoking? (TQS-MoH)
1. Yes
2. No
10. Which latest method did you use to stop smoking?(MoH)
I left myself
I called 171 (smoking cessation hotline)
I left with the help of doctors
I left with the help of doctors and medicine
I left with medicine
98. Other 11

12. 11. How often are you exposed to tobacco smoke indoors? (EU)
1. Never or almost never
2. Less than 1 hour per day
3. 1 hour or more a day
Because the request of the Ministry of Health, TQS 9th question was not used. 12

13. 12. In the past 30 days, did you see anyone who is using tobacco in ……
12. In the past 30 days, did you see anyone who is using tobacco in ……..? (MoH)
09:00-17:00
17:01-02:00 1
Yes 2 No 3
I have not
Restaurant
Patisserie
Cafe 4
Saloon 5
Bar 98
Other 13

14. 14. Where tobacco products are often used at home? (MoH) Kitchen
13. How often does anyone use tobacco in your house? (TQS, MoH, Turkstat)
Almost every day
At least once a week
At least once a month
Less than once a month
Never
14. Where tobacco products are often used at home? (MoH)
Kitchen
Balcony/terrace
Everywhere 14

15. Some figures
The percentage of individuals' status of smoking tobacco products by sex and age groups, 2010, 2012, 2014
[15+ yaş - age]
(%)
2010
2012
2014
Total
Male
Female
Daily smoker
25.4
39.0
12.3
23.2
35.9
10.8
27.3
41.8
13.1
Occasional smoker
4.1
4.5
3.7
3.6
4.3
2.9
5.2
5.6
4.8
Non-smoker
17.1
23.0
11.5
14.3
19.8
8.9
17.7
23.8
11.8
Never smoker
53.4
33.5
72.6
59.0
40.0
77.3
49.8
28.7
70.3
Turkey Health Interview Survey

16. Turkey Health Interview Survey
The distribution of reasons behind starting tobacco use of individuals by sex, 2010, 2012, 2014
[15+ yaş - age]
(%)
2010
2012
2014
Toplam
Erkek
Kadın
Total
Male
Female
Interest
34.5
34.6
34.3
42.3
43.9
38.2
36.2
37.2
34.0
Desire
23.3
25.5
18.3
26.5
27.8
23.2
16.8
13.2
Family problems
4.0
2.8
6.8
3.8
2.3
7.7
3.9
7.6
Personal problems
5.0
4.2
7.1
4.4
3.6
6.6
5.3
4.5
7.0
Impact of friend
22.7
23.7
20.5
16.0
16.3
15.2
29.4
30.4
27.2
For fun
3.2
3.1
3.3
1.6
1.5
1.9
2.7
No special reason
1.7
2.0
2.5
Turkey Health Interview Survey

17. Cross tables Obesity*Tobacco use, 2014 [15+ yaş - age] (%) Tobacco Use
(%)
Tobacco Use
Obesity
Daily
Less than daily
Never
Left
Underweight
3.2
3.3
5.5
2.2
Normal weight
47.7
41.4
42.9
31.9
Overweight
34.5
35.8
30.7
40.4
Obese
14.6
19.6
20.9
25.5
Turkey Health Interview Survey

18. Turkey Health Interview Survey
Alcohol*Tobacco use, 2014
[15+ yaş - age]
(%)
Tobacco Use
Alcohol Use
Daily
Less than daily
Never
Left
Yes
48.5
6.9
17.5
27.1 No
16.9
4.4
65.6
13.1
Turkey Health Interview Survey

19. Thanks you for your attention.