health survey for england rachel craig. health survey for england commissioned by the nhs...
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Health Survey for England
Rachel Craig
Health Survey for England
• Commissioned by the NHS Information Centre for health and social care
• Conducted by NatCen and UCL
• 2006 report: Cardiovascular disease• 2007 report: Knowledge and attitudes about health
Impact of the smoking ban• 2008 report: Physical activity
2006 focus:Cardiovascular disease• CVD: ever had angina, heart attack, stroke, heart
murmur, or irregular heart rhythm, confirmed by a doctor
• Ischaemic heart disease (IHD): angina or a heart attack confirmed by a doctor
• Rose Angina questionnaire identifies those who had symptoms of angina, or possible myocardial infarction (heart attack)
Cardiovascular disease
• A leading contributor to the global disease burden• Main cause of death in England - but rates falling
In 2006
• 13.6% of men, 13.0% of women diagnosed with CVD• Prevalence increases with age• IHD or stroke more common in men than women
(8.1% and 5.6%)
Prevalence of any CVD, IHD or strokeAge 35 and over
0
10
20
30
40
50
35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Men
0
10
20
30
40
50
35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Any CVD
IHD
Stroke
Women
Prevalence of heart attack: doctor diagnosis and the Rose Angina questionnaire
Men
0
24
6
810
12
1416
18
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Women
0
2
46
8
10
1214
16
18
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Doctor diagnosis
Rose angina
Prevalence of overweight and obesity
0
10
20
30
40
50
60
70
80
90
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Men
0
10
20
30
40
50
60
70
80
90
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Perc
ent
Obese (BMI 30 or more)
Overweight (BMI 25-29.9)
Women
Physical activity levels
0
20
40
60
80
100
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Per
cen
t
Men
0
20
40
60
80
100
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age
Per
cen
t
Low MediumHigh
Women
Girls aged 11-15: physical activity by parental activity
0
20
40
60
80
100
Father high Mother high Father low Mother low
Parental physical activity
Per
cen
t
Low
Medium
High
Trends in prevalence of strokes, 1994-2006
Men
0
2
4
6
8
10
12
14
All 16+ 55-64 65-74 75+
Age
Perc
ent
Women
0
2
4
6
8
10
12
14
All 16+ 55-64 65-74 75+
Age
Perc
ent
1994199820032006
Trends in child overweight and obesity, 1995-2006 (moving averages)
0
5
10
15
20
25
30
35
40
45
50
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Pe
rce
nt
Boys Overweight incl. Obese
Boys Obese
Girls Overweight incl. Obese
Girls Obese
Trends in smoking prevalence 1993-2006 (moving averages)
15
20
25
30
35
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year (mid year of moving average)
Perc
ent
Men
Women
Cigarette smoking prevalence by equivalised household income 2006 (age standardised)
0
5
10
15
20
25
30
35
40
Highest Middle Lowest
Equivalised household income quintiles
Perc
ent
Men
Women
Drinking on five or more days last week (age standardised)
0
5
10
15
20
25
30
35
Highest Middle Lowest
Equivalised household income quintile
Perc
ent
Men
Women
Eat five or more portions of fruit and vegetables per day(age standardised) Age 16+
0
5
10
15
20
25
30
35
40
Highest Middle Lowest Equivalised household income quintile
Perc
en
t
Men
Women
Eat five or more portions of fruit and vegetables per dayAge 5-15
0
5
10
15
20
25
30
35
40
Highest Middle LowestEquivalised household income quintile
Perc
ent
Boys
Girls
HSE 2007
• Sample around 7500 adults, and child boost sample
• Focus on:• knowledge and attitudes (adults and children
aged 11+)• children’s health and lifestyles (obesity)• monitoring the effect of smoke free legislation
• …reporting end of 2008
Knowledge and attitudes• Important to understand knowledge and attitudes
about • Healthy eating• Physical activity• Drinking• Smoking
• Link behaviour and health to knowledge and attitudes
• Link parental and child knowledge and attitudes
• …Help to target health messages effectively
HSE 2008
• Sample around 16,000 adults, and child boost sample
• Focus on physical activity:• Questions on activities, sport and exercise in
the last 4 weeks• Objective measure of activity• Nurse visit includes objective measure of
fitness
• …reporting end of 2009
The actigraph
• Objective measure of physical activity• Physical activity monitor worn on a belt • Like a pedometer• Respondents wear it for 7 days
The step test:objective measure of fitness
• Indicator of health risk independent of obesity
• Measure of functional aerobic work capacity (Vo2max)
• Stepping exercise to a set rhythm, getting faster
• Heart rate recorded while stepping and afterwards
An area of exploration: Demi-span
• For older adults, height can be a difficult measurement
• How accurate is the formula linking demi-span and ‘true’ height?
• Is the relationship the same among younger adults and 65+?
• How accurately can older adults’ recall their height when they were aged 25 – ‘peak height’?
Thank you
Questions?