Scottish Health Survey (SHeS): Update on developments Health Survey Users Meeting 8 th July 2008

1. Scottish Health Survey (SHeS):Update on developmentsHealth Survey Users Meeting8th July 2008

2. Scottish Health Survey Covering today… • Background to the survey • Scottish Health Survey review • 2008 – 2011 Surveys Sample Stage 1 interviewer visit Stage 2 nurse visit • 2008 data and report

3. Scottish Health Survey Background to the survey • Previous Surveys: 1995, 1998 and 2003 • Funder:Scottish Office then Scottish Executive Health Department • Focus:CVD and related risk factors • Carried out by: NatCen in collaboration with Dept of Epidemiology and Public Health (UCL). MRC Social and Public Health Sciences Unit joined collaboration in 2003

4. Review Recommendations Continuous survey Core and modular structure Scotland level results annually NHS Board results by amalgamating years together Unclustered sample NHS Boards able to purchase boosts to enhance their samples Scottish Health Survey

5. Scottish Health Survey About the Scottish Health Survey 2008-11 • Funders: • Scottish Government and NHS Health Scotland • Our collaborators: • University College London (Joint Health Surveys Unit) • MRC SPHSU at Glasgow University. • ScotCen & collaborators awarded contract to carry out the 2008-2011 surveys

6. Scottish Health Survey The sample

7. Population and sample frame • Population: • General population survey – covers all Scotland except for islands with small populations. Age 0+ • Sample frame: • Post Office Address File (PAF) - list of all residential addresses in Scotland • Private households only

8. Key features of the sample • Sample of households, not just individuals • Around 40,000 addresses sampled over 4 years. • Sample is clustered in any one year but unclustered over four. • 3 sample types: • Core • Child boost • Health Board boost

9. Sample sizes • Sample sizes take into account: • Predicted response rate • Healthboard • SIMD15 area • Provides estimates at: • Scotland level (annually) • Health board level (every 4 years) • SIMD15 areas (every 4 years) • Children at the Scotland level (annually) • Nurse measurements Scotland level (annually)

10. c7000 addresses in 2008 • All adults (16+) and up to 2 children (0-15) in household eligible • 2008 target = 6400 adults • Sub-sample of addresses identified for stage 2 nurse visit Core sample

11. Scottish Health Survey • Screening sample • 2301 CB addresses in 2008 • Up to 2 children (aged 0-15) eligible • No stage 2 nurse visit • Target for children - Core + Child Boost = c2000 children Child Boost sample

12. Scottish Health Survey • Fife, Grampian and Borders Health Boards • Adults (16+) only • Stage 1 interviewer visit only • Core questions only (no modules) Health Board Boost sample

13. Scottish Health Survey No Nurse visit for adults 5086 addresses • Sub-sample of core • addresses only • Adults (16+) • interviewed in stage 1 • 2008 Target = 1100 adult • nurse visits • No child nurse visits Core sample 6945 addresses in 2008 Nurse visit 1859 addresses

14. Scottish Health Survey The stage 1 interview

15. New questions on… • COPD • Dental health services • Mental well-being • Discrimination & harassment • Social capital • Stress at work • Caring

16. Structure of stage 1 interview • Household questionnaire • Individual questionnaire (2 variants) • Height & weight measurements • Self-completions • Consents

17. Household questionnaire content • Household composition • Household Reference Person (HRP) occupation details • Household income • Home ownership • Car ownership • Smoking in the home • Eating together

18. Individual questionnaire • Version B • = • Core questions • + • NHS Health Scotland module (Knowledge Attitudes and Motivations to health (KAM) • Version A • = • Core questions • + • Scottish Government module

19. Individual questionnaire - ‘core’ questions • General health • CVD and use of services • Physical activity (all) • Eating habits (children) • Fruit & Veg consumption • Smoking & Drinking • Dental health • Socio-economic classification • Parental socio-economic classification & health • Self-completions • Heights and weights

20. Scottish Health Survey Questionnaire content

21. Version A – Scottish Government module content • 2009 • Dental services • Accidents • Social capital • Discrimination • Stress at work • 2008 • Respiratory and CVD symptoms • Asthma • Screen time • Place of physical activity • Eating habits (16+) • Physical activity at work

22. Scottish Health Survey Version B - Knowledge, attitudes and motivations to health (KAM) module • Funded by NHS Health Scotland • Previously the Health Education Population survey (HEPS) • Core Strand B only • Only asked of one adult (16+) per household selected at random • Covers attitudes to health and knowledge of health messages • Physical activity • Fruit and vegetable consumption • Drinking • CASI Self-completion • Questions on sexual health

23. Consents • 2 written consents: • Consent to link to Information Services Division (ISD) of NHS Health Records • Scottish Government follow-up research

24. Scottish Health Survey Stage 2 Nurse visit

26. Blood samples in 2008 • Total & HDL cholesterol • Glycated haemoglobin • Fibrinogen • C-reactive protein

27. Questions Scottish Health Survey

28. Contact us on… scottishhealthsurvey@scotcen.org.uk