Qatar World Health Survey

1. Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

2. Qatar World Health Survey Socio demographic

3. Derived Variables • All tables use similar questions: • Gender • Nationality status • Taken from individual questionnaire – self-report • Age • Divided into groups • Wealth Quintile • Region • The 10 regions of Qatar were reduced to three: • Doha, Al Rayyan and all other

4. Population Pyramid by Nationality

5. Region of Residence

6. Professions • A third of non-Qataris stated that they were professionals, compared with 23% of Qataris • The largest proportion of Qataris were clerks, with 30% • Females most likely to be professionals or clerks, with males spread more evenly between professionals, legislators, clerks or service workers

7. Qatar World Health Survey Risk Factors

8. Background • One person in the household asked questions about their risk behaviours • Smoking • Nutrition • Physical Activity • Height and Weight measurements taken • Of individual • Of a randomly selected child under 5 • Blood pressure measurements and blood sample taken from the adult • Blood chemistry analysed

9. Smoking • 11% admitted to being a daily smoker • 2.6% to smoking, but not daily • Mainly males – almost 20% of males smoke an average of 16.5 units of tobacco a day • Qataris smoke a greater amount than non-Qataris if they are daily smokers • The average amount smoked increases with age • Most common use of tobacco is manufactured cigarettes

10. Percentage smoking by age and sex

11. Adult Obesity • Individual weighed and height taken • BMI calculated: • Weight/Height2 • Those with a BMI between 20 and 25 classified as normal weight • 25 to 30 are overweight • Over 30 are obese • Over 40 are morbidly obese

12. Adult Obesity • Only a quarter of adults are in the normal weight range • 39% are overweight • 32% are obese • Qatari nationals are more likely to be obese – 40% are in this category • 28% of non-Qataris • Proportion of normal birth weight adults falls as age increases

13. Childhood Obesity • If household has a child under 5 this child was measured • Kish grid used if more than one child • Number of households with a child under 5 did have a child’s measurements recorded • Lots of children under 1 year old omitted • Child’s BMI calculated from their height and weight and compared to WHO growth standards for a child the same age • Results are the z-scores away from a standard reference child • Positive z-scores indicate larger BMI then the reference, negative a smaller BMI • Scores above +2 indicate a very large BMI for their age • Scores below -2 indicate a very small BMI for their age

14. Childhood Obesity Results • 43% of children within normal range • 16% are very large for their age • 13% very small • Qatari children less likely to be smaller than non-Qatari children • As the age of the child increases, they are more likely to be larger than the reference group of children

15. Qatar World Health Survey Morbidity

16. Blood Pressure • Average blood pressure at the higher end of normal • Higher for men than women • Increases with age • 14% have a high B.P. and can be diagnosed as hypertensive • Males much more likely than females to have a high B.P. • 15% of non-Qataris are hypertensive, compared to 13% of Qatari's • Hypertension increases with age, with 6% of 18 to 29 years olds and 47% of over 60’s with a high blood pressure

17. Diabetes • Random Blood Sugar tests indicate that: • 6% of adults are classified as having diabetes • 10% are in the stage before diabetes with a raised level of sugar in the blood • Higher percentage of males and Qataris in the diabetic group • Diabetes and prediabetes increases with age

18. Qatar World Health Survey Health State Valuation

19. Domains • 9 domains of health • Mobility • Self-care • Pain and Discomfort • Cognition • Interpersonal Activities • Breathing • Sleep and Energy • Affect • Vision and Hearing

20. General Health Rating • 87% said that they were very good or good • 11% moderate and 1.8% bad or very bad • Men gave themselves a higher rating than females – 49% in the very good category compared with 39% of women • Non-Qataris happier with their health than Qataris – 90% in top two categories while only 83% of Qataris • Satisfaction falls as age increases

21. Qatar World Health Survey Health System Responsiveness

22. Self-Assessed Health Respondents were asked to rate their health: ‘In general, how would you rate your health today?’ 5-point scale ranging from very good to very bad 44% very good; 43% good; 11% moderate; 1.5% bad; and 0.3% very bad Responsiveness tabulated with these responses

23. Need for Health Care 66% of respondents needed any sort of health care in the last 3 years (out/inpatient) 99% of those who needed health care stated that they obtained it!

24. Satisfaction with Health Care Patients were asked to rate the health care on seven different aspects: Waiting time Experience of greeting Explanations by health providers Involvement in decision making Privacy Freedom to choose health providers Cleanliness of rooms, including toilets

25. Satisfaction with Health Care Services