health surveys user group 9 july 2009 welsh health survey: an update cath roberts, welsh assembly...
TRANSCRIPT
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Health Surveys User Group 9 July 2009
Welsh Health Survey: an update
Cath Roberts, Welsh Assembly Government
Melanie Doyle, NatCen
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Overview & some results
Cath Roberts, Anne Kingdon, Ben CrudgeWelsh Assembly Government
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Background
• Survey on health and health-related lifestyle of people living in Wales
• Started 2003, runs every year. Conducted by NatCen
• Covers approx 14,000 adults and 3,000 children per year
• Mode of data collection:– Short household interview
– Adult self-completion questionnaire (all adults in h-hold)
– Child self-completion questionnaire (up to 2 children)
– Child height & weight measurements
– Interviewer pick-up of questionnaires
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Background (2)
• Estimates for Wales as a whole, and for sub-groups, eg :
– Age & sex
– Social class (NS-SEC)
– Deprivation quintiles
– Local authorities
– Other geographies / sub-groups
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Topics
• Illnesses & other conditions
• Health status (SF-36 adults, SDQ children)
• Smoking (adults only)
• Alcohol consumption (adults only)
• Fruit & vegetables (adults) / Eating habits (children)
• Physical activity
• Height & weight
• Health service use
• Demographic / socio-economic info (age, sex, ethnicity, geography, economic status, qualifications, NS-SEC, housing tenure)
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Selected illness & conditions (adults), 2008
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Adults being treated for any illness, by age & sex
0
20
40
60
80
100
16-24 25-34 35-44 45-54 55-64 65-74 75+
Age group
Perc
ent
Men
Women
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Limiting long-term illness (adult), by deprivation
0
5
10
15
20
25
30
35
1 (least deprived) 2 3 4 5 (most deprived)
deprivation quintile (WIMD)
Age
-sta
ndar
dise
d pe
rcen
t
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Health-related lifestyle (adults), 2008
• 24% adults smoked
• 45% drank above guidelines (28% binge drink)
• 36% ate 5+ portions fruit & veg
• 30% met physical activity guidelines
• 57% overweight / obese (21% obese)
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Adult smoking by social class (NS-SEC)
0
5
10
15
20
25
30
35
40
45
Managerial &professional
Intermediate Routine & manual Never worked &long-term
unemployed
NS-SEC
Age
-sta
ndar
dise
d pe
rcen
t
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Trend in obesity (adults)
0
5
10
15
20
25
2003/04 2004/05 2005/06 2007 2008
Per
cent
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Reports & analyses
• Annual report / local authority bulletin
• Ad hoc bulletins / analyses
(eg vision impaired; carers; rural / urban…)
• Secondary analysis by other users
(eg social capital and health; social status, area characteristics and
health; mental illness needs index... )
• Datasets available through UK data archive
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Further information
http://new.wales.gov.uk/topics/statistics/theme/health/health-survey/?lang=en
www.wales.gov.uk/statistics
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Welsh Health Survey EvaluationJosie Dixon, Melanie Doyle, Katharine Sadler
• Background• Methodology
Telephone interviewWeb based evaluation
• Key findings• Conclusions
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WHS evaluation: Background
• Welsh Health Survey (WHS) 2003• Topic coverage• 5 years of data now available on archive• Evaluation designed to assess:
Current useShortcomings in survey method and contentFuture needs of data users
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Methodology: Sample• List of around 200 data users compiled by Welsh
Assembly Government (WAG)• Included data users from:
WAGlocal governmentNHSAcademiaESDS users
• Open to all • Range and diversity
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Methodology: Telephone interview
• Core group 26 users invited to take part• Advance letter• Fieldwork: December 2008 – February 2009• Telephone interview, 30-50 minutes, covering:
Health interests and use of WHS dataInformation needs not met by WHS dataInterest in trends data Subgroup and sub-Wales analysis
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Methodology: Web based evaluation• Web based evaluation in English and Welsh• Dedicated website• Wider group of informants invited to take part• Valid e-mail address required to complete• Took 10-15 minutes to complete, covering:
Health interests and use of WHS data Information needs not met by WHS dataSubgroup and sub-Wales analyses
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Response profileTelephone evaluation
Web evaluation
WAG 9 26
Local govt 3 8
NHS 5 7
Academic 3 13
Other 0 10
TOTAL 20 64
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Use and priorities of WHS data• Positive feedback - WHS works well to meet
user needs• Contextual information• Informing political debate• Developing and monitoring strategies, plans and
policies• Ongoing monitoring, highlighting hidden issues• Resource allocation• Academic research and teaching
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Feedback and conclusions
• Topic coverageLifestyle and health behaviourHealth and wellbeingUse of health servicesDisease prevalence
• ConclusionsDuplication / trendsAdditional topics
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Feedback and conclusions• Sample design
Sample sizeSubgroupsGeography
• Conclusions Sample designGeography
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Feedback and conclusions
• DisseminationFindingsDataTiming
• Conclusions PublicationsData availability / awareness
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Summary
• Useful exercise that provided good feedback about range and diversity of user needs
• Positive feedback overall, indicated survey is working well to meet user needs
• Areas where survey could be extended to ‘add value’ or meet future needs, eg data linkage
• Increased awareness of results and available data seen as key aspect for future change
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Health Surveys User Group 9 July 2009
Welsh Health Survey: an update
Cath Roberts, Welsh Assembly Government
Melanie Doyle, NatCen