1. Input Presentation for Working Group 4
Summary of main problems noted by member states regarding the European Health Determinants Module
Jonas Finger

2. European Health Determinants Module
Rating on European Health Determinants Module Items with a satisfactory score average
Item
European Health Determinants Module
Score average
BMI1
How tall are you without shoes?
3.96
BMI2
How much do you weigh without clothes and shoes?
3.89
SK1
Do you smoke at all nowadays?
3.82
SK4
Ever smoked daily, or almost daily, for at least one year?
3.72
SK5
For how many years?
3.64
AL1
How often have you had an alcoholic drink of any kind?
3.62
FV2
How often do you eat vegetables or salad (excluding juice and potatoes)?
3.59
EN4
How many people are so close to you that you can count on them…?
3.54
SK3
How many cigarettes, cigars or pipefuls do you smoke each day?
FV1
How often do you eat fruits (excluding juice)?
3.52
AL3
How often did you have 6 or more drinks on one occasion?
3.41
EN3
At your workplace, to what extent are you exposed to …?
3.38
FV3
How often do you drink fruit- or vegetable - juice?
3.37
EN1
At home, to what extent were you exposed to any of the following conditions?
3.32
SK6
Exposed to tobacco smoke indoors at home?
SK7
Exposed to tobacco smoke indoors in public places and transport?
3.29
CN2
Have you taken any cannabis?
3.28

3. European Health Determinants Module Items in Need of Revision (1)
European Health Status Module
Score
average
Remove
Change
totally
Some
adaptation
Physical activity (PE, page 36-38)
PE5
How many days walk 10 minutes?
2,89
11 %
33 %
PE4
How much time moderate PA?
2,88
7 %
37 %
19 %
PE6
How much time walking?
2,85
15 %
PE1
How many days vigorous PA?
2,81
22 %
PE2
How much time vigorous PA?
PE3
How many days moderate PA?
Environment (EN, page 39-40)
EN2
Extent exposed to crime, etc.?
3,04
20 %
12 %

4. European Health Determinants Module Items in Need of Revision (2)
European Health Status Module
Score
average
Remove
Change
totally
Some
adaptation
Smoking (SK, page 41-42)
SK8
Exposed to smoke at work?
3,22
18 %
4 %
11 %
SK2
Tobacco product you smoke?
3,21
0 %
25 %
Alcohol (AL, page 43-44)
AL2
How many drinks each day?
2,85
8 %
31 %
Cannabis (CN, page 44)
CN4
Have you taken other drug?
3,17
13 %
21 %
CN1
Know people who take cannabis?
35 %
CN3
Know people who take drugs?
2,73
38 %
12 %

5. European Health Determinants Module Qualitative Results (1)
Item
Main Category
Sub-themes PE
Concept
Difficult to distinguish between “moderate” and “vigorous” activities (HR, DE, FR, LT, RO)
Too complicated/difficult to understand (PL, LV, AT, HR, BG)
EN2
Focus on one topic (e.g. violence) (DK)
Being “exposed to violence” unclear (IT)
Ask for “noticed violence” (IT)
Question not health-related (LT, DE)
Probability too low (LV)
Remove question (CZ)
SK2
Categories
Differentiation between hand-rolled and manufactured unnecessary (BE, DE, CH, DK, SE, IT)
Have category for persons who used to smoke (ES, FR, AT)
Ask also non-daily smokers (EE)
Combine with SK.3 (IT, PL, LV)
Remove question (SE, DK)
SK8
In some countries there are smoking bans in public places and questions should reflect that (HR, CH, DK,SE, UK)

6. European Health Determinants Module Qualitative Results (2)
Item
Main Category
Sub-themes
CN1-4
Problematic questions
Question too sensitive (GR)
Too sensitive to be collected via face-to-face (CY)
Were not asked (TR)
Asking about illegal activities (IE, UK)
EHIS is not the right place to ask for drug consumption (AT)
CN.2+4 sensitive (SE)
Willingness to answer depends on mode of data collection (UK)
Concept
No corresponding ECHI indicator (BE)
Not in a population-based survey (UK)
Specification of drugs needed (FR)
Cross-country comparison impossible (DK, SE)
Not relevant (CH)
CN1
Does not ask about own use (SE, DK)
Warm up question (FR)
Response category
“don’t know” superfluous (DK, SE)
Not reliable (BE)
CN2
Should be “now” and “life-time” (CH, FR)
CN4
Should cocaine be separated from amphetamines
More response options (drugs) (UK, CZ, MT)

7. European Health Determinants Module Qualitative Results (3)
Item
Main Category
Sub-themes
AL 2
Use of filters
Remove filter (SE, DK, ES)
Implement introductory question (EE)
Response categories
“Monthly or less” problematic (SE)
“2 to 4 times a month” problematic (BE)
Phrasing/Translation
Delete “When you are drinking” (SE, DK, SK )
Change wording of question (SK)
Translation of questions problematic (SE, BE)
Recall period
“A typical week” problematic (SE, HU, BE)
Replace “in the last 7 days” (HU)
Unit of measurement
“standard drink” problematic (BE, CZ, EL, LT, AT)

8. Criteria to Determine the Relevance of the Questions
Public health concepts and theories
Its use to work out Community indicators (ECHI list, OMC indicators
Methodological problems (low prevalence, cross nationally heavy varying prevalence)
Its suitability for cross European comparisons
A possible overlap with already existing data sources or planned projects (ESAW, LFS ad-hoc modules, SILC, EHSI, IDB)
Use of international instruments
Social core variables
EU policy needs