Health Survey for England 2003

1. Health Survey for England 2003 1: Cardiovascular Disease 2: Risk Factors for Cardiovascular Disease 3: Methodology & Documentation Full reports available at: www.official-documents.co.uk/ document/deps/doh/survey03/hse03.htm

2. Health Survey for England 2003 • 14,836 adults (16+) • 3,717 children (0-15) • 11,408 adults, 2,835 children were seen by a nurse • 73% of eligible households took part

3. Content (Vol 1) Cardiovascular disease and associated factors • Prevalence of doctor-diagnosed CVD • Prevalence of symptoms of angina/ MI (Rose Angina questionnaire) • Prevalence of TIA • Use of health services • Factors associated with CVD, IHD and stroke • Comparisons with 1994, 1998

4. Content (Vol 2) Risk factors for CVD • Alcohol • Smoking • Fruit and vegetable consumption, fat and salt • Physical activity • Anthropometry and obesity • Blood pressure • Diabetes • Blood analytes • Health & psychosocial wellbeing

5. KEY FINDINGS:Prevalence of CVD

6. KEY FINDINGS:Prevalence of CVD Aspirin most commonly prescribed for CVD (41% men, 29% women)

7. Diabetes

8. Diabetes Prevalence increases with age: Less than 1% up to age 35 10.0% of men, 8.9% of women 75+

9. Drinking

10. Smoking • 25% of men, 24% of women were current smokers • Gradual decline in smoking prevalence since 1994, when 29% of men, 27% of women reported smoking • Smoking highest among young adults, continued association with socio-demographic status

11. Fruit & vegetables, physical activity • 22% of men, 26% of women consumed 5+ portions of fruit and vegetables a day • No change in levels of consumption since 2001 • 37% of men, 24% of women met current recommended physical activity target

12. Obesity and overweight • 65.4% of men, 55.5% of women were overweight or obese; 22.2% and 23% respectively were obese • Prevalence of generalised obesity has continued to increase among both sexes since 1994, when 13.8% of men, 17.3% of women were obese • The difference between men and women in 1994 has largely disappeared

13. Blood pressure • Prevalence of hypertension was 31.7% in men and 29.5% in women, increasing steeply with age among both sexes • For both sexes, fewer than half classified as hypertensive were on treatment • Generally mean SBP and DBP decreased between 1994 and 2003 • …but only a small decrease in the prevalence of hypertension, reflecting greater proportions who are treated

14. Looking ahead to 2004... • Focus on Minority Ethnic groups in 2004, plus core population sample • Same ME groups as in 1999, plus Black Africans • 2004 report will cover similar topics to 2003 • Additional chapters: Children’s health Complementary & Alternative Medicines and Therapies

15. Useful references • Reports • Published Report TSO: (www.official-documents.co.uk/document/deps/doh/survey03/hse03.htm) • Trend tables (www.dh.gov.uk/PublicationsAndStatistics/PublishedSurvey/HealthSurveyForEngland/HealthSurveyResults/fs/en) • General info • Department of Health (www.doh.gov.uk) • NatCen (www.natcen.ac.uk) • UCL (www.ucl.ac.uk/hssrg) • Resources • Data archive (www.data-archive.ac.uk) • ESDS User support (www.esds.ac.uk Question bank (qb.soc.surrey.ac.uk) • Codebook (www.publications.doh.gov.uk/hsecodebook/frontpage.htm)