European Health Interviewsurvey

European Health InterviewSurvey

wave 2

Indicators manual

Version 25September 2015

TABLE OF CONTENTS

1.Introduction

2.Statistical coverage

3.List of indicators

3.1.European Health Status Module

3.1.1.Minimum European Health Module – Health Status

3.1.2.Diseases and chronic conditions

3.1.3.Accidents and injuries

3.1.4.Absence from work (due to health problems)

3.1.5.Physical and sensory functional limitations

3.1.6.Personal care activities

3.1.7.Household activities

3.1.8.Pain

3.1.9.Mental health

3.2.European Health Care Module

3.2.1.Use of inpatient and day care

3.2.2.Use of ambulatory and home care

3.2.3.Preventive services

3.2.4.Medicine use

3.2.5.Unmet needs for health care

3.3.European Health Determinant Module

3.3.1.Body mass index

3.3.2.Physical activity

3.3.3.Consumption of fruits and vegetables

3.3.4.Smoking

3.3.5.Alcohol consumption

3.3.6.Social support

3.3.7.Provision of informal care or assistance

4.Notes on indicators calculation and dissemination

4.1.Calculation of EHIS wave 2 indicators

4.2.Flagging

1.Introduction

The document describes the list of indicators recommended for calculation from the European Health Interview Survey (EHIS) wave 2. It complements the European Health Interview Survey (EHIS wave 2) methodological manual[1].

The present document is a basis for developing the list of tables that will be disseminated by Eurostat. This means that not all possible indicators are included and also that not all the presented indicators will be disseminated in the end. A relatively limited set of indicators and their corresponding table(s)were selected on the basis of the following criteria:

• Importance and policy relevance of the indicator
• Robustness of the indicator and its comparability across countries
• Comparability with indicators available from EHIS wave 1[2].

Indicators are presented in a tabular format and ordered by EHIS modules (health status, health determinants and health care) and sub-modules.

Each indicator is presented according to a common layout:

• Policy relevance
• Calculation: numerator and denominator (including reference variable(s), formula, other issues (weighting, standardisation, exclusion of proxy interviews)
• Dissemination: modalities, breakdowns, reference period, unit, comparability with EHIS wave 1, envisaged dissemination tables.

• Structure of the manual: Are all important characteristics of indicators included?Should some of them be improved?
• Indicators: Are there some important indicators missing or are some of the indicators less important?
• Breakdowns: Are some very important breakdown variables missing in the proposed dissemination scheme?
• Flagging: Is the proposed method appropriate and if not, how could it be improved? What methods for flagging data are used on national level?
• Calculation: Is the calculation method described in a clear way and correctly?

2.Statistical coverage

The reference population for EHIS is the population aged 15 or over living in private households residing in the territory of the country.

The following dimensions are covered by EHIS-based indicators.

Geographical coverage: Indicators are calculated for the European Union as a whole (EU28) and for each individual country. For dissemination purposes EU member states and other countries will be separated. Disaggregation of indicators by NUTS 1 or NUTS 2 level will need to be further investigated.

Time dimension:

Even though data were collected in different countries in different years (even in different years in some countries) it is proposed to use for dissemination purposes year 2014 as a common reference year. It is for practical purposes to facilitate processing, analysing and publication of data (including the EU28 average) which will be even more important when data from both EHIS waves are merged and disseminated together. The respective reference years will be described in metadata.

Breakdowns:

Sexis systematically disseminated with two categories (women and men).

Age groups:EHIS collects information on people aged 15 and over. Variousoptions are used depending mainly on policy needs:

• 10-year age groups (standard): 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+[3] and also 15 – 64 and65+.
• 15-year age groups (can be considered for at least some SES breakdowns to ensure enough robust estimates): 15-29, 30-44, 45–59, 60-74,75+[4];
• Other breakdowns (as requested by some policy indicators[5]), for example 15-44, 45-64, 18-64, 18+, etc.

-Educational attainment levelis collected according to the ISCED 2011 nomenclature and disseminated according to three categories[6]:

• Less than primary, primary and lower secondary education (levels 0-2)
• Upper secondary and post-secondary non-tertiary education (levels 3 and 4)
• Tertiary education (levels 5 to 8).

-Income quintile group is collected globally at household level and disseminated by quintile of the income distribution: first, second, third, fourth and fifth quintile group.

-Labour statusis disseminated according to the following categories: employed, unemployed, retired, other inactive.

-Degree of urbanisationwith modalities: densely-populated area, intermediate-populated area, thinly-populated area;

-Occupation in employmentaccording to ISCO-08 and for employed population aged 15 to 64 years:

• Non manual workers (OC1-5) and
• Manual workers (OC6-9),

or more detailed categories:

• Managers, professionals, technicians and associate professionals (OC1-3),
• Clerical support workers, service and sales workers (OC4_5),
• Skilled agricultural, forestry and fishery workers, craft and related trades workers (OC6-7) and
• Plant and machine operators and assemblers, elementary occupations (OC8-9);

-Level of activity limitation[7] with modalities: Some and severe and None.

3.List of indicators