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SMOKING BEHAVIOR IN HUNGARY AND IN THE USA

SMOKING BEHAVIOR IN HUNGARY AND IN THE USA . Julianna Boros 1 (boros.oek@antsz.hu) Deborah Rose, PhD 2 (drose@cdc.gov) 1 National Center for Epidemiology, Hungary 2 National Center for Health Statistics, USA. History of the cooperation.

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SMOKING BEHAVIOR IN HUNGARY AND IN THE USA

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  1. SMOKING BEHAVIORIN HUNGARY AND IN THE USA Julianna Boros1 (boros.oek@antsz.hu) Deborah Rose, PhD2(drose@cdc.gov) 1National Center for Epidemiology, Hungary 2National Center for Health Statistics, USA

  2. History of the cooperation • 1998 the Hungarian Ministry of Health starts preparations for the Hungarian Health Interview Survey (OLEF2000) • 1999 MoH asks the NCHS for methodological support • 1999- NCHS starts providing on‑site and distance-based technical assistance to the Hungarian partner

  3. Technical support • Survey design • Finalization of survey questionnaire • Sample design • Training of survey personnel • Monitoring of data collection • Data editing • Data file preparation • Analysis and report preparation

  4. General characteristics of OLEF2000 • Personal interviews (paper questionnaire) • Internationally harmonized instruments • Target population: 7000 people aged 18+ (multi-stage stratified random sample--one sample adult per household) • Response rate: 79% (5503 individuals) • Refusal rate: 7.5%

  5. Chapters of the questionnaire • Health status (functionality, perceived health, quality of life, chronic conditions, mental health) • Health behavior (nutrition, smoking habits, alcohol consumption, physical activity, sexual behavior, multiple lifestyle risk) • Health care utilization • Health care expenditures • Medicine consumption • Demographic and socioeconomic characteristics

  6. Switch to NCHS portion

  7. Logistic regression model • Dependent variable: odds of smoking vs. non-smoking • Explanatory variables: • Age • Education • Financial status • Employment • Weekly working hours • Social support • Religion

  8. Smoking and education

  9. Smoking and age

  10. Smoking and financial status

  11. Smoking and social support

  12. Smoking and religion

  13. Benefits of the cooperation • For NCE: • quick introduction of survey technology • accelerating learning process • For NCE and NCHS: • validation of analytical methods • judging the appropriateness of public heath priorities

  14. Lessons learned from collaboration • Differences between professions (doctor, sampling statistician, epidemiologist) greater than differences between countries • Higher methodological standards for government surveys than commercial polls • Overall patterns by age, sex, and education were similar between Hungary and US • Cultural differences in physical activity, diet and self-report of cancer limited comparability of questions • Collaboration and contrast helped each country to better understand which topics and questions best met its needs.

  15. US NCHS websitewww.cdc.gov/nchs/Hungarian NCE websitewww.antsz.hu/oek

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