Health Survey for England2009 report results

Rachel Craig

The Health Survey for England

• Series of annual health surveys 2011 is the 21st

• Commissioned by Department of Health up to 2004, NHS Information Centre from 2005

• Conducted by 1991-1993 Social Surveys Division, ONS 1994 onwards Joint Health Surveys Unit

NatCen and UCL

HSE Objectives

• Provide nationally representative samples to monitor trends in the nation’s health

• Measure proportions with specified health conditions

• Measure prevalence of certain risk factors and combinations of risk factors

• Examine differences between subgroups of the population

• Monitor key health trends Prevalence of adult & child obesity

HSE

• Authoritative source of health statistics

• Trends over 15+ years

• Widely used by government, NHS, academics

• HSE 4th most frequently used dataset in UK data archive

What makes HSE unique

• General population survey, not those visiting hospital/ GPs, so prevalence/ undiagnosed conditions

• Single data source that combines survey data and objective measures for the same individuals: health interview + health examination

• All household members interviewed Max 10 adults & 2 children aged 0-15 Enables intra-household analysis

Sample coverage

• All adults aged 16+ Up to 10 per household

• Children 0-15 Up to 2 per household

• PAF sample, addresses within postcode sectors

• In 2009: Approx. 4,000 adults And 4,000 children (including child boost of children 2-15)

Interviewer topics

• Socio-economic and demographic data

• General health and personal care plans

• Doctor diagnosed hypertension and diabetes (adults)

• Fruit and vegetable consumption

• Smoking

• Drinking (last 7 days)

• Kidney disease (adults)

• Measurement of height and weight (BMI)

• GHQ12

• Consent to link to central register, Hospital Episodes

Nurse visit

• Questions: medications, vitamins, nicotine replacements, infant immunisations

• Objective measures:• Blood pressure (16+ years) • Waist & hip circumference (11+ years)

Samples:Blood (16+ years)

total and HDL cholesterol, glycated haemoglobin, high sensitivity C-reactive protein, ferritin,

haemoglobin, fibrinogen and serum creatinine• Saliva (4+) - for cotinine analysis• Urine (16+ years) – for sodium/ potassium/ creatinine/ albumin

HSE 2009 report

Full 2009 report available at:

www.ic.nhs.uk/pubs/hse09report

Summary report available in

hard copy

Trend tables available at:

www.ic.nhs.uk/pubs/hse09trends

Prevalence of longstanding illness

• 41% of men and 43% of women have a longstanding illness

• 16% of men and 19% of women had two or more

• 22% of men and 23% of women have an illness that limits activities

• Most common illnessesMusculoskeletal system

Heart and circulatory system

Longstanding illnesses by age

0

10

20

30

40

50

60

70

80

90

16-24 25-34 35-44 45-54 55-64 65-74 75+

Age group

Perc

ent

Longstanding illness

0

10

20

30

40

50

60

70

80

90

16-24 25-34 35-44 45-54 55-64 65-74 75+

Age groupPe

rcen

t

Limiting longstanding illness

Men

WomenBase: aged 16 and over

Limiting longstanding illnesses by income groups

0

5

10

15

20

25

30

35

40

Highest Middle Lowest

Equivalised household income tertile

Perc

ent

Limiting longstanding illness

Men

WomenBase: aged 16 and over

Personal care plans

• 15% of men, 17% of women with longstanding illness reported a Personal Care Plan

• Most with a plan said that it had improved health and social care services they received

• Most common options for self care

Help to find information about their condition

Help to find information about choices for care

• Those with a Personal Care Plan more likely to be active with self care options

Self care options taken up

0 10 20 30 40 50 60

Training courses

Support network

Equipment in home

Find info about care choices

Find info about condition

Percent

0 10 20 30 40 50 60

Training courses

Support network

Equipment in home

Find info about care choices

Find info about condition

Percent

Men Women

Have Personal Care Plan

No Plan

Base: aged 16 and over with a longstanding illness

Self-reported general health

• Three quarters of men and women said their health was good or very good

• 7% said it was bad or very bad

• 13% of men, 17% of women experienced acute sickness (cut down on activities in the last 2 weeks because of illness or injury)

Trends in general health and acute sickness

0

2

4

6

8

10

12

14

16

18

20

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Year (mid year of moving average)

Perc

ent

Three year moving average 1993-2009

Men bad health

Women bad health

Men acute sickness

Women acute sickness

Base: aged 16 and over

Self-reported health by age

0

5

10

15

20

25

16-24 25-34 35-44 45-54 55-64 65-74 75+

Age group

Perc

ent

Prevalence of self-reported bad or very bad health

0

5

10

15

20

25

16-24 25-34 35-44 45-54 55-64 65-74 75+

Age group Perc

ent

Prevalence of acute sickness

Men

WomenBase: aged 16 and over

Self-reported health by income groups

0

2

4

6

8

10

12

14

16

18

20

Highest 2nd 3rd 4th Lowest

Equivalised household income quintile

Perc

ent

Prevalence of self-reported bad or very bad health

Base: aged 16 and overMen

Women

GHQ 12

• GHQ 12 used to identify ‘minor psychiatric disorder’

• 12 item scale

• ‘High score’ of 4+ likely to indicate psychological disturbance or mental ill-health

• 15% of men, 18% of women had a high GHQ12 score

GHQ 12 by income groups

0

5

10

15

20

25

30

Highest 2nd 3rd 4th Lowest

Equivalised household income quintile

Perc

ent

Prevalence of high GHQ12 score

Men

WomenBase: aged 16 and over

GHQ 12 and general health

• Link between mental and physical health

• Self-reported health bad/very bad

• 52% of men, 54% of women had high GHQ 12 scores

• Self-reported health good/very good

10% of men, 13% of women had high GHQ 12 scores