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European Health Examination Survey

European Health Examination Survey. Establishment of the EHES Reference Centre and the Joint Action for the pilot EHES. HIC subgroup on HES meeting, 20 January 2010, Luxembourg. What is EHES?. A health examination survey (HES) Includes both questionnaire and physical measurements

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European Health Examination Survey

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  1. European Health Examination Survey Establishment of the EHES Reference Centre and the Joint Action for the pilot EHES HIC subgroup on HES meeting, 20 January 2010, Luxembourg

  2. What is EHES? • A health examination survey (HES) • Includes both questionnaire and physical measurements • Based on a random sample of the general population • For many health indicators, the most reliable data source • Complementary to EHIS and administrative registers

  3. Why EHES? • To collect comparable, high quality data on health of the European adult population • To provide reliable and comparable data for planning and evaluation of health policies and health promotion activities, and research

  4. Phase I Phase II Setting up EHES RC Manual for all EU and EEA/EFTA countries Training programme Planning and preparing a national HES, including a pilot survey, in 14 countries Full-size HES in the pilot countries Planning, preparing and conducting a national HES in other countries Gradual development to a sustainable EHES system 0 1 2 3 4 Funding through a Tender and Joint Action for 2 years in 2009-2011 Setting up EHES

  5. EHES Reference Centre 2011 2012 2009 2010 08 01 08 01 03 Joint Action Timing of the Phase I

  6. EHES target population • Entire country • Permanent residents, including institutionalized persons • Age group: 25-64 years • Can be extend to 18+

  7. Two stage sampling Sample size at least 4000 persons Equal sample size for each stratum EHES sampling

  8. Selection of HES measurements • Based on: • Epidemiological and public health criteria • Availability of international standards • Existing recommendations: • ECHI list • Other Projects of the Public Health Programme • European Health Risk Monitoring (EHRM) Project • WHO STEPS

  9. What to include? • A set of core questions and measurements will be included in all countries • Additional questions and measurements can be included in each country based on their • Interests • Experience • Resources

  10. Physical measurements Weight Height Waist circumference Blood pressure Blood samples Total cholesterol HDL cholesterol Fasting glucose Questionnaire items Basic background characteristics Health behaviours Health status Where applicable, EHIS question will be used Core measurements

  11. Physical measurements Hip circumference Physical function test Dental examinations Bone density Etc. Various markers from blood samples Saliva samples Urine samples Etc. Wider questionnaires Physical activity Diet and nutrition Drinking habits Use of health services Social support Psychological distress Mental health Reproductive health Etc. Additional measurements

  12. HES measurements require • Standardized protocols • Good training and quality control • Adherence to specific ethical and legal requirements • Informed consent from the participants

  13. National HES models • Light model • Questionnaire supplemented by a core HES measurements • Extensive model • Thorough clinical examination by a survey team and several modules and/or several phases of fieldwork • Potential for both health monitoring and specific epidemiological studies

  14. The EHES Reference Centre Established jointly by • National Institute for Health and Welfare (THL), Helsinki, Finland • Istituto Superiore di Sanità (ISS), Rome, Italy • Statistics Norway (SSB), Oslo, Norway

  15. EHES manuals The EHES Manual National Manuals Training programme Training seminars Training materials Quality control Coordination of external quality control Preparation of guidelines for internal quality control Blood sample handling and storage protocols Development of principles and rules for data sharing Development of data transfer and management system Development of reporting system Basic reports Evaluation of the pilot surveys Final conference Tasks for EHES Reference Centre

  16. Norway Finland Germany Netherlands Poland Czech Republic UK/England Slovakia Hungary Portugal Italy Spain Malta Greece Joint Action for piloting EHES • Supports the national activities needed to build the capacity for organizing HES in 14 countries

  17. Tasks of the Joint Action • Preparation of national HES plans • Preparation of sampling descriptions • Completing field work for the pilot • Transferring the pilot HES data to the EHES RC • Quality assessment of the pilot HES data • Preparation of the national dissemination and the reporting plan

  18. More information The EHES web site at http://www.ehes.info

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